Medical services and prescription use for asthma and factors that predict inhaled corticosteroid use among African-American children covered by Medicaid.


Journal Article

Many African-American children with asthma are inadequately treated with controller pharmacotherapy. We analyzed 2002 West Virginia Medicaid claims for 300 African-American children to determine demographic and health services use factors that predict inhaled corticosteroid (ICS) use. Approximately 38% of the children had a prescription claim for an ICS. Logistic regression showed a direct relationship between the number of claims for short-acting beta-agonists and oral corticosteroids and the likelihood of a child having a claim for an ICS. Children who used a controller agent other than an ICS also were more likely to have filled a prescription for an ICS. We conclude that children in our sample whose prescription use indicated more severe asthma were more likely to have used an ICS. Barriers to adequate pharmacotherapy for African-American children with asthma should be considered during the process of care.

Full Text

Cited Authors

  • Smith, MJ; Pawar, V

Published Date

  • June 2007

Published In

Volume / Issue

  • 44 / 5

Start / End Page

  • 357 - 363

PubMed ID

  • 17613630

Pubmed Central ID

  • 17613630

Electronic International Standard Serial Number (EISSN)

  • 1532-4303

International Standard Serial Number (ISSN)

  • 0277-0903

Digital Object Identifier (DOI)

  • 10.1080/02770900701344355


  • eng