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Asthma and African Americans

  • In 2011, almost 4,300,000 non-Hispanic Blacks reported that they currently have asthma.
  • African Americans were 20% more likely to have asthma than non-Hispanic Whites, in 2011.
  • In 2009, African Americans were three times more likely to die from asthma related causes than the White population.
  • From 2003-2005, African American children had a death rate 7 times that of non-Hispanic White children.
  • African Americans had asthma-related emergency room visits 2.8 times more often than Whites in 2009.
  • Black children are 3.6 times more likely to visit the emergency department for asthma, as compared to non-Hispanic White children.
  • While all of the causes of asthma remain unclear, children exposed to secondhand tobacco smoke exposure are at increased risk for acute lower respiratory tract infections, such as asthma, and children living below or near the poverty level are more likely to have high blood cotinine levels, a breakdown product of nicotine, than children living in higher income families.

At a glance - Diagnosed:

Current asthma prevalence percentage, adults ages 18 and over, 2011

 

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

Men

7.2

6.5

1.1

Women

12.0

10.1

1.2

Both Sexes

9.8

8.4

1.2

Source:  CDC 2013. National Health Interview Survey Data 2011. Table 4-1.
http://www.cdc.gov/asthma/nhis/2011/table4-1.htm

Percentage of asthma among persons 18 years of age and over, ever being told they had asthma, 2011

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/ Non-Hispanic White Ratio

15.1

12.9

1.2

Source:  CDC 2012. Summary Health Statistics for U.S. Adults: 2011. Table 4.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_256.pdf [PDF | 3.12MB]

Percent of current asthma prevalence, 2011

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/ Non-Hispanic White Ratio

9.8

8.3

1.2

Source:  CDC 2012. Summary Health Statistics for U.S. Adults: 2011. Table 4.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_256.pdf [PDF | 3.12MB]

At a glance - Death Rate:

Deaths per 100,000, with asthma as the underlying cause, National Vital Statistics System, 2010

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/ Non-Hispanic White Ratio

2.4

0.9

2.7

Source:  CDC 2013. Deaths: Final Data for 2010. Table 17.
http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_04.pdf [PDF | 3.47MB]

At a Glance - Treatment:

Estimated rate of emergency department visits with asthma as the first listed diagnosis per 100,000 population, National Hospital Ambulatory Medical Care Survey, 2009

African American

White

African American/White Ratio

17.6

6.4

2.8

Source:  CDC 2012. National Surveillance for Asthma - United States, 2001-2010. Table 14
http://www.cdc.gov/nchs/data/series/sr_03/sr03_035.pdf [PDF | 910.46KB]

Hospital admissions rate for asthma, adults age 18 and over, United States, 2008

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

301.3

100.1

3.0

Source:  2011 National Healthcare Quality Report. Table 8_3_2.3_2
http://www.ahrq.gov/qual/qrdr11/index.html

People with current asthma who are now taking preventive medicine daily or almost daily, United States, 2008

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

20.2

28.0

0.7

Source:  2011 National Healthcare Quality Report. Table 8_3_1.1_2b
http://www.ahrq.gov/qual/qrdr11/index.html

At a Glance – Children:

Age-adjusted percentages for children under 18 years of age, ever being told they had asthma, 2011

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

20.9

12.3

1.7

Source:  CDC, 2012. Summary Health Statistics for U.S. Children: National Health Interview Survey, 2011. Table 1.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_254.pdf [PDF |1.34MB]

 

Age-adjusted percentages for children under 18 years of age, who currently have asthma, 2011

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

16.4

7.8

2.1

Source:  CDC, 2012. Summary Health Statistics for U.S. Children: National Health Interview Survey, 2011. Table 1.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_254.pdf [PDF |1.34MB]

Current asthma prevalence percentage, children ages 18 and under, 2011

 

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

Boys

18.9

8.3

2.3

Girls

13.6

7.3

1.9

Both Sexes

16.3

7.8

2.1

Source:  CDC 2013. National Health Interview Survey Data 2011. Table 4-1.
http://www.cdc.gov/asthma/nhis/2011/table4-1.htm

Hospital admissions rate for asthma, children ages 2-17, United States, 2008

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

311.5

84.3

3.7

Source:  2011 National Healthcare Quality Report. Table 8_3_2.1_2
http://www.ahrq.gov/qual/qrdr11/index.html

Rate for hospital emergency department visits for asthma, children ages 2-19, United States, 2007

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

199.2

54.8

3.6

Source:  2011 National Healthcare Quality Report. Table 6_4_14.1_1
http://www.ahrq.gov/qual/qrdr11/index.html

Death rates for children 0-17 years of age, 2003-2005 (deaths per 1,000,000)

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

9.2

1.3

7.1

Source:  CDC 2006. The State of Childhood Asthma, United States, 1980-2005. Table B.
http://www.cdc.gov/nchs/data/ad/ad381.pdf [PDF | 365KB]

The proportional impact of asthma prevalence, health care use and mortality among children 0–17 years of age, by race and ethnicity, United States, 2003-2004

 

Non-Hispanic Black

Non-Hispanic White

Non-Hispanic Black/Non-Hispanic White Ratio

Current prevalence (2004-2005)

146%

92%

1.6

Emergency department visit rate

254%

66%

3.8

Death rate

354%

50%

7.1

Source:  CDC 2006. The State of Childhood Asthma, United States, 1980-2005. Table VIII.
http://www.cdc.gov/nchs/data/ad/ad381.pdf [PDF | 365KB]


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