Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Oral corticosteroid use, obesity, and ethnicity in children with asthma Oral corticosteroid use, obesity, and ethnicity in children with asthma 2020 Author(s) Lucas, Jennifer A, Marino, Miguel, Fankhauser, Katie, Bailey, Steffani R, Ezekiel-Herrera, David, Kaufmann, Jorge, Cowburn, Stuart, Suglia, Shakira F, Bazemore, Andrew W, Puro, Jon, and Heintzman, John D Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Children & Adolescents, Measurement, and Quality Of Care Volume Journal of Asthma Source Journal of Asthma Objective: Comorbid asthma and obesity leads to poorer asthma outcomes, partially due to decreased response to controller medication. Increased oral steroid prescription, a marker of uncontrolled asthma, may follow. Little is known about this phenomenon among Latino children. Our objective was to determine whether obesity is associated with increased oral steroid prescription for children with asthma, and to assess potential disparities in these associations between Latino and non-Hispanic white children.Methods: We examined electronic health record data from the ADVANCE national network of community health centers. The sample included 16,763 children aged 5-17 years with an asthma diagnosis and ≥1 ambulatory visit in ADVANCE clinics across 22 states between 2012 and 2017. Poisson regression analysis was used to examine the rate of oral steroid prescription overall and by ethnicity controlling for potential confounders.Results: Among Latino children, those who were always overweight/obese at study visits had a 15% higher rate of receiving an oral steroid prescription than those who were never overweight/obese [rate ratio (RR) = 1.15, 95% CI 1.05-1.26]. A similar effect size was observed for non-Hispanic white children, though the relationship was not statistically significant (RR = 1.10, 95% CI: 0.92-1.33). The interactions between body mass index and ethnicity were not significant (sometimes overweight/obese p = 0.95, always overweight/obese p = 0.58), suggesting a lack of disparities in the association between obesity and oral steroid prescription by ethnicity.Conclusions: Children with obesity received more oral steroid prescriptions than those at a healthy weight, which may be indicative of worse asthma control. We did not observe significant ethnic disparities. Read More ABFM Research Read all 2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education 2016 The Diversity of Providers on the Family Medicine Team Go to The Diversity of Providers on the Family Medicine Team 2014 Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives Go to Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives 2018 Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries Go to Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries
Author(s) Lucas, Jennifer A, Marino, Miguel, Fankhauser, Katie, Bailey, Steffani R, Ezekiel-Herrera, David, Kaufmann, Jorge, Cowburn, Stuart, Suglia, Shakira F, Bazemore, Andrew W, Puro, Jon, and Heintzman, John D Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Children & Adolescents, Measurement, and Quality Of Care Volume Journal of Asthma Source Journal of Asthma
ABFM Research Read all 2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education 2016 The Diversity of Providers on the Family Medicine Team Go to The Diversity of Providers on the Family Medicine Team 2014 Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives Go to Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives 2018 Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries Go to Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries
2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education
2016 The Diversity of Providers on the Family Medicine Team Go to The Diversity of Providers on the Family Medicine Team
2014 Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives Go to Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives
2018 Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries Go to Barriers Faced by Family Medicine Graduates Interested in Performing Obstetric Deliveries