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Complete Health Indicator Report of Asthma: Child Prevalence

Definition

Percentage of Utah children ages 0-17 who have ever been diagnosed with asthma and who still have asthma.

Numerator

Number of Utah children ages 0-17 who were diagnosed with asthma and who still have asthma.

Denominator

Total number of Utah children ages 0-17.

Data Interpretation Issues

In 2011, the BRFSS changed its methodology from a landline only sample and weighting based on post-stratification to a landline/cell phone sample and raking as the weighting methodology. Raking accounts for variables such as income, education, marital status, and home ownership during weighting.

Why Is This Important?

Asthma is a serious personal and public health issue that has far reaching medical, economic, and psychosocial implications. The burden of asthma can be seen in the number of asthma-related medical events, including emergency department visits, hospitalizations, and deaths.

How Are We Doing?

Child asthma rates show no sign of declining in Utah. Child asthma point prevalence is higher for males compared to females at every age category except for 15-17 (2017-2018 BRFSS combined). The highest prevalence for males was in the age category 10-14 at 10.3% vs. 6.1% for females. The highest prevalence for females was in the 15-17 age category at 7.3% vs. 6.8% for males.

How Do We Compare With the U.S.?

In 2018, it was estimated that 7.3% of children in the U.S. had current asthma^*^. This was slightly higher than the estimated child asthma prevalence in Utah for that same year, 5.5% (2018 BRFSS).[[br]] [[br]] ---- ''^*^The U.S. prevalence is based on 28 states who asked about child asthma prevalence in their state BRFSS.''

What Is Being Done?

The Utah Asthma Program (UAP) works with the Utah Asthma Task Force and other partners to maximize the reach, impact, efficiency, and sustainability of comprehensive asthma control services in Utah. This is accomplished by providing a seamless alignment of asthma services across the public health and health care sector, ensuring that people with asthma receive all of the services they need. The UAP focuses on building program infrastructure and implementing strategies that improve asthma control, reduce asthma-related emergency department visits and hospitalizations, and reduce health care costs. Program infrastructure is strengthened through a focus on strategies to create and support a comprehensive asthma control program, these strategies include: strengthening leadership, building strategic partnerships, and using strategic communication, surveillance, and evaluation. In addition, the UAP implements strategies outlined in the Centers for Disease Control and Prevention (CDC) EXHALE technical package to improve asthma control. The six strategy areas outlined in the EXHALE technical package are: 1. Education on asthma self-management. 2. e-Xtinguishing smoking and secondhand smoke. 3. Home visits for trigger reduction and asthma self-management. 4. Achievement of guidelines-based medical management. 5. Linkages and coordination of care across settings. 6. Environmental policies or best practices to reduce asthma triggers from indoor, outdoor, and occupational sources. These strategies are expected to improve asthma control and quality of life by increasing access to health care and increasing coordination and coverage for comprehensive asthma control services both in the public health and health care sectors. Specifically, these strategies include identifying people with poorly controlled asthma, linking them to health care providers and NAEPP EPR-3 guidelines-based care, educating them on asthma self-management strategies, providing a supportive school environment, and referring to or providing home trigger reduction services for those who need them.

Health Program Information

Utah Asthma Program website: [http://www.health.utah.gov/asthma] CDC EXHALE package: [https://www.cdc.gov/asthma/pdfs/EXHALE_technical_package-508.pdf]


Related Indicators

Related Relevant Population Characteristics Indicators:




Graphical Data Views

Asthma Prevalence Among Children by Local Health District, Utah, 2017-2018 and U.S. 2018

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confidence limits

Local Health DistrictPercentage of Children 0-17Lower LimitUpper LimitNote
Record Count: 15
Bear River7.8%4.1%14.4%*
Central2.7%1.3%5.6%*
Davis County5.1%3.6%7.1%
Salt Lake County6.1%4.9%7.6%
San Juan11.8%5.3%24.1%* Data from 2016-2017
Southeast7.4%4.4%12.1%
Southwest3.6%2.0%6.2%
Summit5.0%2.0%11.6%*
Tooele6.7%4.3%10.5%
TriCounty5.6%3.6%8.7%
Utah County6.1%4.8%7.8%
Wasatch3.8%1.9%7.3%*
Weber-Morgan6.3%4.4%9.1%
State of Utah5.8%5.1%6.5%
U.S.7.3%6.8%7.7%U.S. number includes only 2018 data.

Data Notes

The U.S. prevalence is based on 28 states who asked about child asthma prevalence in their state BRFSS in 2018. *Estimates for the following groups had a coefficient of variation >30% and should be interpreted with caution: Bear River, San Juan, Southeast, Southwest, Summit, Tooele, and Wasatch.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Asthma Prevalence Among Children by Ethnicity, Utah, 2017-2018

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confidence limits

EthnicityPercentage of Children 0-17Lower LimitUpper Limit
Record Count: 4
Hispanic or Latino5.2%4.4%6.2%
White, Non-Hispanic5.8%4.9%6.9%
Other, Non-Hispanic10.9%6.8%17.1%
All Utahns5.9%5.2%6.6%

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Asthma Prevalence Among Children Aged 0-17, Utah and U.S., 2011-2018

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confidence limits

Utah vs. U.S.YearPercentage of Children 0-17Lower LimitUpper Limit
Record Count: 16
Utah20116.7%6.0%7.6%
Utah20127.1%6.2%8.1%
Utah20136.1%5.4%7.0%
Utah20146.7%5.8%7.8%
Utah20157.1%6.2%8.2%
Utah20165.8%5.0%6.9%
Utah20176.0%5.3%6.7%
Utah20185.5%4.7%6.5%
U.S.20118.7%8.1%9.3%
U.S.20128.9%8.6%9.3%
U.S.20139.2%8.7%9.6%
U.S.20149.1%8.6%9.7%
U.S.20158.2%7.8%8.8%
U.S.20167.9%7.5%8.3%
U.S.20177.6%7.1%8.0%
U.S.20187.3%6.8%7.7%

Data Notes

The U.S. prevalence is calculated from a different number of states each year because the number of states who ask about child asthma prevalence on their state BRFSS changes from year to year. See below for the number of states that contributed to the yearly prevalence.[[br]] 2011= 16 states[[br]] 2012= 33 states[[br]] 2013= 30 states[[br]] 2014= 33 states[[br]] 2015= 26 states[[br]] 2016= 29 states[[br]] 2017= 25 states[[br]] 2018= 28 states[[br]]

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Child Asthma Prevalence by Age and Sex, Utah, 2017-2018

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confidence limits

"Diagnosing and managing asthma in children under age 5 can be difficult. In infants and young children, the primary symptoms of asthma like wheezing and coughing may be caused by other conditions. Also, standard diagnostic tests used to measure how well someone is breathing cannot be used easily or accurately with children under age 5." [https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044376]
Males vs. FemalesAge GroupPercentage of ChildrenLower LimitUpper Limit
Record Count: 12
MaleUnder 53.6%2.4%5.5%
Male5-97.2%5.4%9.5%
Male10-1410.3%7.8%13.6%
Male15-176.8%4.7%9.7%
FemaleUnder 52.8%1.6%5.0%
Female5-93.7%2.5%5.6%
Female10-146.1%4.4%8.5%
Female15-177.3%5.0%10.6%
TotalUnder 53.2%2.3%4.6%
Total5-95.5%4.4%7.0%
Total10-148.2%6.6%10.2%
Total15-177.0%5.4%9.1%

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 05/20/2020, Published on 07/08/2020
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 28 November 2020 10:35:19 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 8 Jul 2020 09:45:49 MDT