DefinitionPercentage of Utah children ages 0-17 who have ever been diagnosed with asthma and who still have asthma.
NumeratorNumber of Utah children ages 0-17 who were diagnosed with asthma and who still have asthma.
DenominatorTotal number of Utah children ages 0-17.
Data Interpretation IssuesIn 2011, the BRFSS changed its methodology from a landline only sample and weighting based on post-stratification to a landline/cell phone sample and raking as the weighting methodology. Raking accounts for variables such as income, education, marital status, and home ownership during weighting.
Why Is This Important?Asthma is a serious personal and public health issue that has far reaching medical, economic, and psychosocial implications. The burden of asthma can be seen in the number of asthma-related medical events, including emergency department visits, hospitalizations, and deaths.
How Are We Doing?Child asthma rates show no sign of declining in Utah. Child asthma point prevalence is higher for males compared to females at every age category except for 15-17 (2015-2016 BRFSS combined). The highest prevalence for males was in the age category 10-14 at 10.4% vs. 7.0% for females. The highest prevalence for females was in the 15-17 age category at 10.2% vs. 9.5% for males.
How Do We Compare With the U.S.?In 2016, it was estimated that 7.9% of children in the U.S. had current asthma^*^. This was higher than the estimated child asthma prevalence in Utah for that same year, 5.8% (2016 BRFSS).[[br]]
''^*^The U.S. prevalence is based on 29 states who asked about child asthma prevalence in their state BRFSS.''
What Is Being Done?The Utah Asthma Program (UAP) in conjunction with the Utah Asthma Task Force and other partners strive to maximize the reach, impact, efficiency, and sustainability of comprehensive asthma control services through providing a seamless alignment of the full array of services across the public health and health care sectors, so that people with asthma receive all of the services they need.
The UAP focuses on three types of strategies to create and support a comprehensive asthma control program, these include: building infrastructure strategies to support leadership, strategic partnerships, strategic communications, surveillance, and evaluation; linking services strategies to expand school- and home-based services; and creating health systems strategies to improve coverage, delivery, quality, and use of clinical services.
These strategies are expected to increase asthma control and quality of life, by increasing access to health care and by increasing coordination and coverage for comprehensive asthma control services both in the public health and health care sectors. Specifically, these strategies include identifying people with poorly controlled asthma, linking them to health care providers and NAEPP EPR-3 guidelines-based care, educating them on self-management, providing a supportive school environment, and referring to or providing home trigger reduction services for those who need them. The linkage function has the added benefit of bringing more people who might be high utilizers of emergency room and hospital services into primary care and also providing a resource for primary care providers to refer people for intensive self-management education and trigger reduction services when needed.