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Racial/Ethnic Disparities in the Incidences of Bronchiolitis Requiring Hospitalization.
Inagaki, Kengo; Blackshear, Chad; Burns, Paul A; Hobbs, Charlotte V.
Afiliación
  • Inagaki K; Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi, USA.
  • Blackshear C; Department of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
  • Burns PA; Department of Data Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
  • Hobbs CV; Department of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Clin Infect Dis ; 72(4): 668-674, 2021 02 16.
Article en En | MEDLINE | ID: mdl-32020165
ABSTRACT

BACKGROUND:

Race/ethnicity is currently not considered a risk factor for bronchiolitis, except for indigenous populations in Western countries. A better understanding of the potential impact of race/ethnicity can inform programs, policies, and practices related to bronchiolitis.

METHODS:

We performed a population-based, longitudinal, observational study using the State Inpatient Database from New York State in the United States. Infants born between 2009 and 2013 at term without comorbidities were followed for the first 2 years of life, up to 2015. We calculated the cumulative incidences among different race/ethnicity groups, and evaluated the risks by developing logistic regression models.

RESULTS:

Of 877 465 healthy, term infants, 10 356 infants were hospitalized with bronchiolitis. The overall cumulative incidence was 11.8 per 1000 births. The cumulative incidences in non-Hispanic White, non-Hispanic Black, Hispanic, and Asian infants were 8.6, 15.4, 19.1, and 6.5 per 1000 births, respectively. In a multivariable analysis adjusting for socioeconomic status, the risks remained substantially high among non-Hispanic Black (odds ratio, 1.42; 95% confidence interval [CI], 1.34-1.51) and Hispanic infants (odds ratio, 1.77; 95% CI, 1.67-1.87), whereas being of Asian race was protective (odds ratio, .62; 95% CI, .56-.69).

CONCLUSIONS:

The risks of bronchiolitis hospitalization in the first 2 years of life were substantially different by race/ethnicity, with Hispanic and Black infants having the highest rates of hospitalization. Further research is needed to develop and implement culturally appropriate public health interventions to reduce racial and ethnic health disparities in bronchiolitis.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Bronquiolitis / Etnicidad Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Clin Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Bronquiolitis / Etnicidad Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Clin Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos