Understanding Health Disparities in Asthma:

1
Understanding Health Disparities in Asthma An
Examination of Southeastern New Mexico Brad
Whorton Asthma Epidemiologist

1. Prevalence Data
2. Hospital Inpatient Discharge Data
3. Emergency Department Data
4. School Health Data
5. Mortality Data

2
ASTHMA STATISTICS AT A GLANCE

• Region 4 makes up 13 of the state population.
• Approximately 24,000 adults in Region 4 have
  asthma (almost 15 of the state total).
• Approximately 10,200 children in Region 4 have
  asthma (about 18 of the state total).
• Approximately 33 of the states primary Asthma
  hospital discharges occur to Region 4 residents.

• Just over 58 of the states primary Asthma
  hospital discharges to those under age 15 involve
  Region 4 youth.

3
SOURCE NM BRFSS, 2004-2006 combined dataset.
4
SOURCE NM BRFSS, 2005.
5

plt.05. SOURCE Public Education Department,
School Health Report data.
6

plt.05. NOTE Rates are based on deaths to New
Mexico residents and are age-adjusted per 100,000
standard population. SOURCE Data provided by
BVRHS, NMDOH.
7
Asthma Emergency Room Discharge Rates, 2001-2003
Average
All Ages
STATE RATE 30.6
NOTE Age-adjusted rates are per 10,000 standard
population. The data include state residents who
were admitted to in-state non-federal
hospitals. SOURCE Analysis by EHEB, NMDOH.
Data from statewide emergency departments.
Rates based on fewer than 20 cases are
statistically unreliable and should be
interpreted with caution.
8
ASTHMA Emergency Department Discharge Rates (All
Ages), 2001-2003 Average

plt.05. SOURCE Analysis by EHEB, NMDOH. Data
from non-federal emergency departments in New
Mexico.
9

plt.05. SOURCE Analysis by EHEB, NMDOH. Data
from non-federal emergency departments in New
Mexico.
10
Asthma Hospital Discharge Rates by County,
2003-2005 Average
All Ages
STATE RATE 10.8
Rates are age-adjusted per 10,000 standard
population.
Data are based on primary diagnosis. State
residents who were admitted to in-state
non-federal hospitals are included. American
Indians are excluded.
Rates based on fewer than 20 cases are
statistically unreliable and should be
interpreted with caution.
11
NOTE Rates include those cases where asthma was
the primary diagnosis and are per 10,000 standard
population. State residents who were admitted to
in-state non-federal hospitals are included.
American Indians are excluded. SOURCE Analysis
by EHEB, NMDOH Data from NM Health Policy
Commission.
12
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13
NOTE Rates include those cases where asthma was
the primary diagnosis and are per 10,000 standard
population. State residents who were admitted to
in-state non-federal hospitals are included.
American Indians are excluded. SOURCE Analysis
by EHEB, NMDOH Data from NM Health Policy
Commission.
14
plt.05. NOTE Rates include those cases where
asthma was the primary diagnosis and are per
10,000 standard population. State residents who
were admitted to in-state non-federal hospitals
are included. American Indians are excluded.
SOURCE Analysis by EHEB, NMDOH Data from NM
Health Policy Commission.
15
NOTE Rates are age-adjusted per 10,000 standard
population. Only in-state non-federal hospital
discharges are included. Since many American
Indians receive services from I.H.S. hospitals,
they are excluded from the analysis. SOURCE NM
Health Policy Commission.
16
NOTE Only in-state non-federal hospital
discharges are included. Since many American
Indians receive services from I.H.S. hospitals,
they are excluded from the analysis. SOURCE NM
Health Policy Commission.
17
NOTE Crude rates were calculated based on U.S.
Census population estimates. SOURCE NM Health
Policy Commission.
18
NOTE The red bars are for youth less than age
15 blue bars are for all ages. American Indians
are excluded from the analysis. Statistically
significant compared to state average. SOURCE NM
Health Policy Commission.
19

20

NOTE New Mexico residents who were discharged
from non-federal hospitals in the state are
included. American Indians are excluded. SOURCE
Data provided by the New Mexico Health Policy
Commission.
21
Primary Asthma Hospital Admissions by Season,
2000-2005
SOURCE NM Health Policy Commission.
22
Primary Asthma Hospitalization Source of
Admissions, 2000-2005
SOURCE NM Hospital Policy Commission.
23
NOTE Rates are per 10,000 standard
population. SOURCE Data from the New Mexico
Health Policy Commission.
24
NOTE Rates are per 10,000 standard
population. SOURCE Data from the New Mexico
Health Policy Commission.
25

SOURCE New Mexico Health Policy Commission.
26

SOURCE New Mexico Health Policy Commission.
27
SOURCE NM YRRS, 2005.
28

SOURCE NM BRFSS, 2004-2006 combined dataset.
29
SOURCE NM YRRS, 2005.
30



SOURCE YRRS data cited in the 2007
Tobacco-related Data for New Mexico High School
Youth, 2001-2005.
31
SOURCE NM YRRS, 2005.
32
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33
NOx Emissions from Active Facilities by Youth
Asthma HID Rates, 2003-2005
NOx Quartiles
Youth HID Rate Quartiles
NOTE The data presented in this slide have not
been tested for statistical significance. Data
for Bernalillo County are not included. SOURCE
NM Environment Department, Air Quality
Bureau. SOURCE NM Environment Department, Air
Quality Bureau.
34
SO2 Emissions from Active Facilities by Youth
Asthma HID Rates, 2003-2005
SO2 Quartiles
Youth HID Rate Quartiles
NOTE The data presented in this slide have not
been tested for statistical significance. Data
for Bernalillo County are not included. SOURCE
NM Environment Department, Air Quality
Bureau. SOURCE NM Environment Department, Air
Quality Bureau.
35
PM10 Emissions from Active Facilities by Youth
Asthma HID Rates, 2003-2005
PM10 Quartiles
Youth HID Rate Quartiles
NOTE The data presented in this slide have not
been tested for statistical significance. Data
for Bernalillo County are not included. SOURCE
NM Environment Department, Air Quality
Bureau. SOURCE NM Environment Department, Air
Quality Bureau.
36
VOC Emissions from Active Facilities by Youth
Asthma HID Rates, 2003-2005
VOC Quartiles
Youth HID Rate Quartiles
NOTE The data presented in this slide have not
been tested for statistical significance. Data
for Bernalillo County are not included. SOURCE
NM Environment Department, Air Quality
Bureau. SOURCE NM Environment Department, Air
Quality Bureau.