2
Asthma in Florida Asthma is a chronic lung disease that affects an estimated 16.4 million adults (aged ≥ 18 years) 1 and 7.0 million children (aged< 18 years) 1 in the United States (U.S.), regardless of age, sex, race, or ethnicity. Although the exact cause of asthma is unknown and it cannot be cured, it can be controlled with self-management education, appropriate medical care, and avoiding exposure to environmental triggers. The following data provide an overview of the burden of asthma in Florida (FL) compared with the U.S. All stated comparisons (e.g., higher, lower, similar) indicate that the group is statistically significantly different than the reference group (e.g., adults aged 18-24 years, men, non-Hispanic whites, children aged 12-17 years, and boys). Asthma Prevalence In 2008, an estimated 954,707 adults in Florida had asthma. Adult lifetime asthma prevalence was 10.2% and adult current asthma prevalence was 6.6% compared with U.S. rates of 13.3% and 8.5%, respectively 2 . Adult Current Asthma Prevalence by Age, BRFSS, 2008 12.3 5.0 5.2 6.1 6.9 7.1 10.2 8.2 7.8 8.5 9.0 8.0 0 3 6 9 12 15 18 18-24 25-34 35-44 45-54 55-64 65 + Percent FL U.S. Adult Current Asthma Prevalence by Sex, BRFSS, 2008 5.5 7.6 6.5 10.4 0 3 6 9 12 15 18 Men Women Percent FL U.S. Adult Current Asthma Prevalence by Race/Ethnicity, BRFSS, 2008 6.4 6.5 8.0 4.9 6.5 8.8 10.0 6.3 7.2 14.0 0 3 6 9 12 15 18 White NH Black NH Hispanic Other NH Multirace NH Percent FL U.S. In 2007, an estimated 322,007 children in Florida had asthma. Child current asthma prevalence was 8.3% compared with the U.S. rate of 9.0% 2 . Child Current Asthma Prevalence by Age, NSCH, 2007 ** 9.9 7.3 * 6.5 10.4 10.2 0 3 6 9 12 15 18 0-5 6-11 12-17 Percent FL U.S. Child Current Asthma Prevalence by Sex, NSCH, 2007 10.5 5.9 * 10.1 7.9 0 3 6 9 12 15 18 Boys Girls Percent FL U.S. Child Current Asthma Prevalence by Race/Ethnicity, NSCH, 2007 8.2 * 11.6 * ** ** ** 8.0 15.7 7.1 6.6 13.3 0 3 6 9 12 15 18 White NH Black NH Hispanic Other NH Multirace NH Percent FL U.S. CS223984_H Adult current asthma prevalence was lower among adults aged 25-44 years than adults aged 18-24 years in Florida; however the rate was highest among adults aged 18-24 years throughout the U.S. Adult current asthma prevalence was higher among women than men in Florida. A similar pattern occurred throughout the U.S. Child current asthma prevalence was lower among children aged 0-5 years than children aged 12-17 years throughout the U.S. Comparisons between age groups in Florida were not reported due to sample size. *The estimate is unstable. **The estimate is suppressed. Child current asthma prevalence was higher among boys than girls throughout the U.S. Comparisons between sexes in Florida were not reported due to sample size. *The estimate is unstable. Child current asthma prevalence was higher among non-Hispanic blacks and non-Hispanic multirace persons throughout the U.S. Comparisons between race/ethnic groups in Florida were not reported due to sample size. *The estimate is unstable. **The estimate is suppressed. Adult current asthma prevalence was similar among all race/ethnic groups when compared with non-Hispanic whites in Florida; however, rates were higher among non-Hispanic multirace persons and non- Hispanic blacks throughout the U.S.

Asthma in Florida · PDF fileAsthma in Florida Asthma is a chronic lung disease that affects an estimated 16.4 million adults (aged ≥ 18 years) 1. and 7.0 million children (aged

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Page 1: Asthma in Florida · PDF fileAsthma in Florida Asthma is a chronic lung disease that affects an estimated 16.4 million adults (aged ≥ 18 years) 1. and 7.0 million children (aged

Asthma in FloridaAsthma is a chronic lung disease that affects an estimated 16.4 million adults (aged ≥ 18 years)1 and 7.0 million children (aged< 18 years)1 in the United States (U.S.), regardless of age, sex, race, or ethnicity. Although the exact cause of asthma is unknown and it cannot be cured, it can be controlled with self-management education, appropriate medical care, and avoiding exposure to environmental triggers. The following data provide an overview of the burden of asthma in Florida (FL) compared with the U.S. All stated comparisons (e.g., higher, lower, similar) indicate that the group is statistically significantly different than the reference group (e.g., adults aged 18-24 years, men, non-Hispanic whites, children aged 12-17 years, and boys).

Asthma Prevalence In 2008, an estimated 954,707 adults in Florida had asthma. Adult lifetime asthma prevalence was 10.2% and adult current asthma prevalence was 6.6% compared with U.S. rates of 13.3% and 8.5%, respectively2.

Adult Current Asthma Prevalence by Age, BRFSS, 2008

12.3

5.0 5.26.1

6.9 7.1

10.2

8.2 7.8 8.5 9.08.0

0

3

6

9

12

15

18

18-24 25-34 35-44 45-54 55-64 65 +

Perc

ent

FL U.S.

Adult Current Asthma Prevalence by Sex, BRFSS, 2008

5.5

7.66.5

10.4

0

3

6

9

12

15

18

Men Women

Perc

ent

FL U.S.

Adult Current Asthma Prevalence by Race/Ethnicity, BRFSS, 2008

6.4 6.58.0

4.96.5

8.810.0

6.37.2

14.0

0

3

6

9

12

15

18

White NH Black NH Hispanic Other NH Multirace NH

Perc

ent

FL U.S.

In 2007, an estimated 322,007 children in Florida had asthma. Child current asthma prevalence was 8.3% compared with the U.S. rate of 9.0%2.

Child Current Asthma Prevalence by Age, NSCH, 2007

**

9.9

7.3*6.5

10.4 10.2

0

3

6

9

12

15

18

0-5 6-11 12-17Pe

rcen

t

FL U.S.

Child Current Asthma Prevalence by Sex, NSCH, 2007

10.5

5.9*

10.1

7.9

0

3

6

9

12

15

18

Boys Girls

Perc

ent

FL U.S.

Child Current Asthma Prevalence by Race/Ethnicity, NSCH, 2007

8.2*

11.6*

** ** **

8.0

15.7

7.1 6.6

13.3

0

3

6

9

12

15

18

White NH Black NH Hispanic Other NH Multirace NH

Perc

ent

FL U.S.

CS223984_H

Adult current asthma prevalence was lower among adults aged 25-44 years than adults aged 18-24 years in Florida; however the rate was highest among adults aged 18-24 years throughout the U.S.

Adult current asthma prevalence was higher among women than men in Florida. A similar pattern occurred throughout the U.S.

Child current asthma prevalence was lower among children aged 0-5 years than children aged 12-17 years throughout the U.S. Comparisons between age groups in Florida were not reported due to sample size. *The estimate is unstable. **The estimate is suppressed.

Child current asthma prevalence was higher among boys than girls throughout the U.S. Comparisons between sexes in Florida were not reported due to sample size. *The estimate is unstable.

Child current asthma prevalence was higher among non-Hispanic blacks and non-Hispanic multirace persons throughout the U.S. Comparisons between race/ethnic groups in Florida were not reported due to sample size. *The estimate is unstable. **The estimate is suppressed.

Adult current asthma prevalence was similar among all race/ethnic groups when compared with non-Hispanic whites in Florida; however, rates were higher among non-Hispanic multirace persons and non-Hispanic blacks throughout the U.S.

Page 2: Asthma in Florida · PDF fileAsthma in Florida Asthma is a chronic lung disease that affects an estimated 16.4 million adults (aged ≥ 18 years) 1. and 7.0 million children (aged

Asthma in Florida

Asthma HospitalizationsFlorida Hospital Discharge Data, 2008

337.6

170.2

83.246.1 46.7 61.1

110.0

172.7 176.6

231.7

0

100

200

300

400

0-4 5-9 10-14 15 - 17 18-24 25-34 35-44 45-54 55-64 65+

Rate

/100

,000

Asthma DeathsAge-Adjusted Asthma Mortality Rate by Race, NVSS, 2007

7.4

15.9

**

8.8

25.4

12.2

0

10

20

30

White Black Other

Rate

/mill

ion

FL U.S.

The age-adjusted asthma hospitalization rate in Florida was 142.4/100,000 persons3 compared with the U.S. rate of 144/100,000 persons4. In Florida, the hospitalization rate for children was 172.6/100,000 persons3 and for adults was 143.5/100,000 persons3.

Asthma was the underlying cause of death for 177 adults and less than 10** children in Florida5. The age-adjusted asthma mortality rate in Florida was 8.5/million and the U.S. rate was 11.0/million5.**The estimate is suppressed.

Asthma Patient Education and Medication UseThe National Heart, Lung, and Blood Institute (NHLBI) Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma includes recommendations by medical and public health experts to aid in the clinical practice of managing asthma. The NHLBI Guidelines focus on four areas of asthma management and care: Assessment and Monitoring, Patient Education, Control of Environmental Factors Contributing to Asthma Severity, and Pharmacologic Treatment. Items included in the following table are related to asthma patient education and medication use for adults with current asthma in Florida.

Patient Education: Adults with Current Asthma6 Respondents Yes

Ever taught how to recognize early signs or symptoms of an asthma episode 304 56%

Ever told what to do during an asthma attack 303 68%

Ever taught how to use a peak flow meter to adjust daily medications 308 45%

Ever given an asthma action plan 305 23%

Ever taken a course on how to manage asthma 310 9%

blank row

Medication Use: Adults with Current Asthma6 Respondents Yes

Used a prescription asthma medication in the past 3 months7 298 64%

Notes:National Health Interview Survey (NHIS), 20081. Behavioral Risk Factor Surveillance System (BRFSS), 2008, National Survey of Children’s Health (NSCH), 2007 2. When the sample size is fewer than 50, prevalence estimates are considered unstable and should be interpreted with caution. Indicated with an asterisk (*) When estimates are based on sample sizes too small to meet standards for reliability or precision, data are suppressed due to confidentiality. Indicated with double asterisks (**) All stated comparisons (e.g., higher, lower, similar) indicate that the group is statistically significantly different than the reference group (e.g., adults aged 18-24 years, men, non-Hispanic whites, children aged 15-17 years, and boys).State Hospital Discharge Data, 20083. National Hospital Discharge Survey, 2008 4. When estimates are based on fewer than 60 hospitalizations, they are considered unstable and should be interpreted with caution. Indicated with an asterisk (*)National Vital Statistics System (NVSS), 2007 5. When estimates are based on fewer than 20 deaths in the numerator, they are considered unstable and should be interpreted with caution. Indicated with an asterisk (*) When estimates are based on fewer than 10 deaths in the numerator, data are suppressed due to confidentiality. Indicated with double asterisks (**)Asthma Call-back Survey, 20086. Medication includes inhalers, pills, syrups, and nebulizers.7.

CDC’s National Asthma Control Program For more information on asthma:

http://www.cdc.gov/asthmahttp://www.doh.state.fl.us/Environment/medicine/Asthma/index.html