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CDC Releases Asthma Figures
Excerpt By Emma Hit, PhD, Reuters Health Writer

ATLANTA (Reuters Health) - Over 14 million Americans, or 7.2% of the adult population, reported having asthma in 2000, according to the Centers for Disease Control and Prevention (CDC), which has compiled the first state-based asthma data ever collected for all 50 states, the District of Columbia and Puerto Rico.

According to the CDC, asthma ``is among the most common chronic diseases in the United States'' and cost the nation an estimated $12.7 billion during 1998.

Asthma is an inflammation of the airways that is aggravated by dust, pollen, smoke and other irritants. Symptoms include shortness of breath, wheezing, coughing and chest tightness.

The CDC gathered the data using their Behavioral Risk Factor Surveillance System survey, a random-digit-dialed survey of the noninstitutionalized US population aged 18 years or older.

During 2000, two questions about asthma were added to the survey, which compiles statistics on various health-related risk factors. People were considered to have lifetime asthma if they had ever been told by a doctor that they had asthma, but said they did not still have asthma. Those who said they had been diagnosed with asthma and still had asthma were defined as having current asthma.

Based on responses from more than 180,000 people, the overall prevalence of lifetime asthma was 10.5%, and the overall prevalence of current asthma was 7.2%, indicating that an estimated 14.6 million American adults currently have asthma.

Blacks reported a higher prevalence of current asthma (8.5%) than whites (7.1%) and persons of other race/ethnicity (5.6%).

As household income increased, the prevalence of current asthma decreased. The prevalence among families with annual incomes less than $15,000 was 9.8%, while 5.9% of people living in families with annual incomes of more than $75,000 had asthma.

According to the survey, Louisiana had the lowest prevalence of current asthma, with 5%, and Maine had the highest prevalence, with 8.9%. The highest prevalence of lifetime asthma was found in Puerto Rico (15.9%), while Louisiana and South Dakota had the lowest prevalence, with 8%.

Writing in the August 17th issue of Morbidity and Mortality Weekly Report, the CDC also reports that women had higher rates of current asthma than men (9% versus 5%).

``This difference between men and women has been seen repeatedly,'' Dr. Stephen Redd, with the CDC's National Center for Environmental Health, told Reuters Health. ``The reasons for this difference are not known, but I think it is probably a real finding.''

Redd suggested that the difference in asthma prevalence between low- and high-income families could be attributable to factors that typically affect low-income families, such as environmental exposures to pollutants and lack of access to high quality healthcare.

Asthma prevalence was slightly higher than found in previous surveys, according to Redd. ``Without having comparable data from year to year, it would be hard to say whether the rate is increasing,'' he said, ``but the CDC plans to continue the study each year using similar methods, so that they can compare the prevalence from year to year.''

SOURCE: Morbidity and Mortality Weekly Report 2001;50:682-686.

Reference Source 89

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