Ethnic and migrant differences in the use of anti-asthmatic medication for children: the effect of place of residence

Lourdes Cantarero-Arévalo; Annette Kjaer Ersbøll; Bjørn E Holstein; Anette Andersen; Susanne Kaae; Ebba Holme Hansen

doi:10.1002/pds.3541

Ethnic and migrant differences in the use of anti-asthmatic medication for children: the effect of place of residence

Lourdes Cantarero-Arévalo, Annette Kjaer Ersbøll, Bjørn E Holstein, Anette Andersen, Susanne Kaae, Ebba Holme Hansen

5 Citations (Scopus)

Abstract

Background: Ethnic differences in the use of anti-asthmatic medication have been reported, with ethnic minorities being at a higher risk of suboptimal asthma control. As contextual socioeconomic characteristics may play a role, we analysed whether ethnic differences in the use of anti-asthmatic medication among children residing in the Capital Region of Denmark varied by place of residence. Methods: Data were obtained from the Danish Civil Registration System, the Central Taxpayers' Register and the Danish National Prescription Register and were linked at the individual level. Population used was the entire child population in the Capital Region from 0 to 17years old in 2008 (n=342403). Use of anti-asthma medicine was defined as at least one prescription having been filled in 2008. The analyses included multiple multilevel logistic regression models. Results: Children living in low-income places of residence had lower odds of being prescribed preventive anti-asthmatics compared with children living in higher-income places of residence [odds ratio (OR)=0.87, 95% confidence interval (CI) 0.84-0.91]. Immigrant children had the lowest OR of being prescribed anti-asthmatics medication, both relief (OR=0.50, 95% CI 0.20-0.77) and preventive (OR=0.47, 95% CI 0.24-0.82) compared with ethnic Danes. Similar associations were found among descendants of immigrant children (OR for preventive medication=0.70, 95% CI 0.62-0.78). Place of residence contributed to but did not account for the ethnic differences in the use of anti-asthmatic medication. Conclusions: Ethnic differences in the use of anti-asthmatic medication were documented, and they cannot be explained by socioeconomic characteristics of place of residence. The lower prevalence of anti-asthmatic medication among ethnic minority children suggests poor asthma management control.

Original language	English
Journal	Pharmacoepidemiology and Drug Safety
Volume	23
Issue number	1
Pages (from-to)	95-104
Number of pages	10
ISSN	1053-8569
DOIs	https://doi.org/10.1002/pds.3541
Publication status	Published - Jan 2014

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10.1002/pds.3541

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@article{55fbaa016ad343989e6506c709449ed6,

title = "Ethnic and migrant differences in the use of anti-asthmatic medication for children: the effect of place of residence",

abstract = "Background: Ethnic differences in the use of anti-asthmatic medication have been reported, with ethnic minorities being at a higher risk of suboptimal asthma control. As contextual socioeconomic characteristics may play a role, we analysed whether ethnic differences in the use of anti-asthmatic medication among children residing in the Capital Region of Denmark varied by place of residence. Methods: Data were obtained from the Danish Civil Registration System, the Central Taxpayers' Register and the Danish National Prescription Register and were linked at the individual level. Population used was the entire child population in the Capital Region from 0 to 17years old in 2008 (n=342403). Use of anti-asthma medicine was defined as at least one prescription having been filled in 2008. The analyses included multiple multilevel logistic regression models. Results: Children living in low-income places of residence had lower odds of being prescribed preventive anti-asthmatics compared with children living in higher-income places of residence [odds ratio (OR)=0.87, 95% confidence interval (CI) 0.84-0.91]. Immigrant children had the lowest OR of being prescribed anti-asthmatics medication, both relief (OR=0.50, 95% CI 0.20-0.77) and preventive (OR=0.47, 95% CI 0.24-0.82) compared with ethnic Danes. Similar associations were found among descendants of immigrant children (OR for preventive medication=0.70, 95% CI 0.62-0.78). Place of residence contributed to but did not account for the ethnic differences in the use of anti-asthmatic medication. Conclusions: Ethnic differences in the use of anti-asthmatic medication were documented, and they cannot be explained by socioeconomic characteristics of place of residence. The lower prevalence of anti-asthmatic medication among ethnic minority children suggests poor asthma management control.",

author = "Lourdes Cantarero-Ar{\'e}valo and Ersb{\o}ll, {Annette Kjaer} and Holstein, {Bj{\o}rn E} and Anette Andersen and Susanne Kaae and Hansen, {Ebba Holme}",

note = "Copyright {\textcopyright} 2013 John Wiley & Sons, Ltd.",

year = "2014",

month = jan,

doi = "10.1002/pds.3541",

language = "English",

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pages = "95--104",

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TY - JOUR

T1 - Ethnic and migrant differences in the use of anti-asthmatic medication for children

T2 - the effect of place of residence

AU - Cantarero-Arévalo, Lourdes

AU - Ersbøll, Annette Kjaer

AU - Holstein, Bjørn E

AU - Andersen, Anette

AU - Kaae, Susanne

AU - Hansen, Ebba Holme

PY - 2014/1

Y1 - 2014/1

N2 - Background: Ethnic differences in the use of anti-asthmatic medication have been reported, with ethnic minorities being at a higher risk of suboptimal asthma control. As contextual socioeconomic characteristics may play a role, we analysed whether ethnic differences in the use of anti-asthmatic medication among children residing in the Capital Region of Denmark varied by place of residence. Methods: Data were obtained from the Danish Civil Registration System, the Central Taxpayers' Register and the Danish National Prescription Register and were linked at the individual level. Population used was the entire child population in the Capital Region from 0 to 17years old in 2008 (n=342403). Use of anti-asthma medicine was defined as at least one prescription having been filled in 2008. The analyses included multiple multilevel logistic regression models. Results: Children living in low-income places of residence had lower odds of being prescribed preventive anti-asthmatics compared with children living in higher-income places of residence [odds ratio (OR)=0.87, 95% confidence interval (CI) 0.84-0.91]. Immigrant children had the lowest OR of being prescribed anti-asthmatics medication, both relief (OR=0.50, 95% CI 0.20-0.77) and preventive (OR=0.47, 95% CI 0.24-0.82) compared with ethnic Danes. Similar associations were found among descendants of immigrant children (OR for preventive medication=0.70, 95% CI 0.62-0.78). Place of residence contributed to but did not account for the ethnic differences in the use of anti-asthmatic medication. Conclusions: Ethnic differences in the use of anti-asthmatic medication were documented, and they cannot be explained by socioeconomic characteristics of place of residence. The lower prevalence of anti-asthmatic medication among ethnic minority children suggests poor asthma management control.

AB - Background: Ethnic differences in the use of anti-asthmatic medication have been reported, with ethnic minorities being at a higher risk of suboptimal asthma control. As contextual socioeconomic characteristics may play a role, we analysed whether ethnic differences in the use of anti-asthmatic medication among children residing in the Capital Region of Denmark varied by place of residence. Methods: Data were obtained from the Danish Civil Registration System, the Central Taxpayers' Register and the Danish National Prescription Register and were linked at the individual level. Population used was the entire child population in the Capital Region from 0 to 17years old in 2008 (n=342403). Use of anti-asthma medicine was defined as at least one prescription having been filled in 2008. The analyses included multiple multilevel logistic regression models. Results: Children living in low-income places of residence had lower odds of being prescribed preventive anti-asthmatics compared with children living in higher-income places of residence [odds ratio (OR)=0.87, 95% confidence interval (CI) 0.84-0.91]. Immigrant children had the lowest OR of being prescribed anti-asthmatics medication, both relief (OR=0.50, 95% CI 0.20-0.77) and preventive (OR=0.47, 95% CI 0.24-0.82) compared with ethnic Danes. Similar associations were found among descendants of immigrant children (OR for preventive medication=0.70, 95% CI 0.62-0.78). Place of residence contributed to but did not account for the ethnic differences in the use of anti-asthmatic medication. Conclusions: Ethnic differences in the use of anti-asthmatic medication were documented, and they cannot be explained by socioeconomic characteristics of place of residence. The lower prevalence of anti-asthmatic medication among ethnic minority children suggests poor asthma management control.

U2 - 10.1002/pds.3541

DO - 10.1002/pds.3541

M3 - Journal article

C2 - 24395546

SN - 1053-8569

VL - 23

SP - 95

EP - 104

JO - Pharmacoepidemiology and Drug Safety

JF - Pharmacoepidemiology and Drug Safety

IS - 1

ER -

Ethnic and migrant differences in the use of anti-asthmatic medication for children: the effect of place of residence

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