Trends in asthma mortality among African Americans and whites in Chicago, 1968 through 1991

Death certificate data were used to examine asthma mortality among African Americans and Whites aged 5 through 34 years in Chicago from 1968 through 1991. African Americans experienced consistently higher asthma mortality throughout the period. Asthma mortality remained stable among Whites from 1968...

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Bibliographic Details
Published in:American journal of public health (1971) 1994-11, Vol.84 (11), p.1830-1833
Main Authors: Targonski, P V, Persky, V W, Orris, P, Addington, W
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Americans
African Continental Ancestry Group
Age Factors
Ambulatory Care - statistics & numerical data
Ambulatory Care - trends
Asthma
Asthma - ethnology
Asthma - mortality
Biological and medical sciences
Black American people
Cause of Death
Chicago
Chicago - epidemiology
Child
Child, Preschool
Chronic obstructive pulmonary disease, asthma
Death Certificates
Emergency Service, Hospital - statistics & numerical data
Emergency Service, Hospital - trends
European Continental Ancestry Group
Female
Health care
Health care access
Health Services Accessibility
Hospital Mortality - trends
Humans
Male
Medical sciences
Mortality
Mortality - trends
Pneumology
Population Surveillance
Public health
Race
Risk Factors
Trends
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Description
Summary:Death certificate data were used to examine asthma mortality among African Americans and Whites aged 5 through 34 years in Chicago from 1968 through 1991. African Americans experienced consistently higher asthma mortality throughout the period. Asthma mortality remained stable among Whites from 1968 through 1991 but increased by 337% among African Americans from 1976 through 1991 (P < .001). The increase was greatest among 20- through 34-year-olds. Between 1979 and 1991, outpatient and emergency department deaths increased significantly, while the proportion of dead-on-arrival cases remained stable at 51%. This shift to non-inpatient deaths suggests that lack of access to health care may play a role in increasing asthma mortality.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.84.11.1830