Int. J. Environ. Res. Public Health 2014, 11(3), 2941-2957; doi:10.3390/ijerph110302941

Social Disparities in Children’s Respiratory Health in El Paso, Texas

1,* email, 1email, 1email, 2email, 1,†email, 3,†email and 4email
Received: 21 January 2014; in revised form: 24 February 2014 / Accepted: 3 March 2014 / Published: 11 March 2014
(This article belongs to the Special Issue Eliminating Health Disparities to Achieve Health Equity)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: The objectives of this study were to assess prevalence of children’s respiratory health conditions and to measure and describe social disparities in children’s respiratory problems and access to health resources for asthma/wheezing management. Data were collected through a cross-sectional, observational mail survey of all primary caretakers of 4th and 5th grade children in El Paso Independent School District (El Paso, TX, USA). 6295 primary caretakers received surveys at their home address and 1904 surveys were completed and returned for a 30% response rate. El Paso children have high rates of asthma (17%) and allergies (51%). In terms of social disparities, children that are male, not poor, obese, Hispanic, born in El Paso, have a US-born caretaker, and have a caretaker who has lower levels Spanish proficiency have increased odds of respiratory problems. Among children with asthma and wheezing, disparities exist in access to care; those that are poor, with a Spanish-speaking caretaker, or with a foreign-born caretaker had increased odds of seeking care in urgent care center, emergency rooms and hospitals. Results have scholarly and practical implications for broader trends in terms of increasing prevalence of respiratory health problems across multiple scales (from El Paso to the US context to worldwide) and health disparities experienced within the rapidly growing US Hispanic population.
Keywords: asthma; children; social disparities; respiratory health; El Paso, Texas
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MDPI and ACS Style

Grineski, S.E.; Collins, T.W.; Chavez-Payan, P.; Jimenez, A.M.; Clark-Reyna, S.; Gaines, M.; Kim, Y.-A. Social Disparities in Children’s Respiratory Health in El Paso, Texas. Int. J. Environ. Res. Public Health 2014, 11, 2941-2957.

AMA Style

Grineski SE, Collins TW, Chavez-Payan P, Jimenez AM, Clark-Reyna S, Gaines M, Kim Y-A. Social Disparities in Children’s Respiratory Health in El Paso, Texas. International Journal of Environmental Research and Public Health. 2014; 11(3):2941-2957.

Chicago/Turabian Style

Grineski, Sara E.; Collins, Timothy W.; Chavez-Payan, Paola; Jimenez, Anthony M.; Clark-Reyna, Stephanie; Gaines, Marie; Kim, Young-an. 2014. "Social Disparities in Children’s Respiratory Health in El Paso, Texas." Int. J. Environ. Res. Public Health 11, no. 3: 2941-2957.

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