Michigan Asthma Sta s cs February 2016 Introduc on
Michigan Asthma Sta s cs Michigan Department of Health and Human Services February 2016 Introduc on In the United States, 19 million adults and 7 million children have asthma.1 The prevalence of asthma has increased from 7.3% to 8.4% from 2001 to 2010.2 Asthma causes two million emergency department visits and almost 4,000 deaths a year.1 Michigan has a higher percentage of adults and children with asthma and a higher asthma hospitaliza on rate compared with the United States.3,4 Hospitaliza on and mortality can be prevented by increasing awareness of asthma self management. Asthma educa on involves understanding how to prevent and recognize asthma a acks. When asthma symptoms are not controlled, normal ac vi es are aﬀected, quality of life is reduced, and death is possible. Cost barriers, access to health care, and other factors are barriers to asthma control. The following report describes the current state of asthma in Michigan by highligh ng trends and sta s cs in asthma prevalence, educa on, management, quality of life, cost barriers, hospitaliza on, and mortality. Prevalence5 In 2014, 15.3% of adults and 14.2% of children reported that they ever have had asthma. In 2014, 10.9% of adults and 10.2% of children reported that they currently have asthma. Asthma Educa on6 In 2011‐2013, more children than adults with asthma received instruc on about recognizing and handling asthma a acks. Children were more likely to have ever been taught the early signs of an asthma episode than adults (83.8% and 63.6%, respec vely), and were more likely to have ever been taught what to do during an asthma episode (88.3% and 76.5%, respec vely). However, the percentage of children and adults that were ever taught how to use a peak flow meter was similar (45.5% and 44.4%). Quality of Life6 Between 2011 and 2013… 34.5% of adults with asthma and 23.0% of children with asthma reported diﬃculty sleeping due to asthma symptoms on two or more days in the past month. The majority of adults and almost half of children with asthma had their usual ac vi es limited at least a li le during the past 12 months due to asthma, 60.9% and 46.3%, respec vely. 16.5% of adults and 20.2% of children reported that they visited the Emergency Room or Urgent Care at least once in the past year due to asthma. Only 25.1% of adults and 11.0% of children reported that they had zero asthma symptom‐free days in the past two weeks. Rou ne Asthma Management6 In surveys from 2011‐2013, 47.0% of adults and 53.3% of children reported use of one or more asthma controller medica on in the past three months. 38.3% of adults and 51.5% of children had two or more rou ne asthma care visits in the past year. Cost Barriers6 Among adults, 15.0% reported a cost barrier to see a primary care doctor for their asthma, 7.5% reported a cost barrier to see an asthma specialist, and 21.0% reported a cost barrier to obtaining medica on. Hospitaliza on7 In 2011‐2013, the rate of asthma hospitaliza ons was 13.3 events per 10,000 people, for an average of 13,617 hospitaliza ons per year. Among the hospitaliza ons in Michigan, 64.3% of hospitaliza ons were female, 80.1% were adults, and 56.6% were white. The asthma hospitaliza on rate has decreased 34.6% from 1990 to 2013, respec vely (19.1 events per 10,000 vs 12.5 per 10,000). Mortality8 In 2011‐2013, the rate of asthma deaths was 10.1 per 1,000,000 people, for an average of 110 deaths per year. In 2013, the asthma mortality rate among Blacks was more than double the rate among Whites (29.3 per 1,000,000 vs 6.8 per 1,000,000, respec vely). The asthma mortality rates were higher among females than males (11.7 per 1,000,000 vs 8.5 per 1,000,000, respec vely). In 2013, the asthma mortality rate was five mes higher in those 18 years and older compared with those 17 years and younger (11.8 per 1,000,000 vs 2.6 per 1,000,000, respec vely). Age‐Adjusted Asthma Mortality Rate by Demographic Group, Michigan 2013 From 2000 to 2013, the mortality rate has decreased 38.3%, from 16.7 to 10.3 per 1,000,000 people. Conclusion Although asthma hospitaliza on and mortality rates are declining, the increasing prevalence of asthma indicates that asthma will con nue to be an important issue. Lack of asthma educa on can lead to worse control of symptoms, which can cause poor quality of life, hospitaliza on, and even death. Asthma trends and sta s cs con nue to be an important resource and can be used to highlight areas for improvement. References 1. Centers for Disease Control and Preven on. Na onal Center for Health Sta s cs: www.cdc.gov/nchs/fastats/asthma. 2. Akinbami et al.Trends in Asthma Prevalence, Health Care Use, and Mortality in the United States, 2001‐2010. NCHS Data Brief, No.94. Hya sville, MD: Na onal Center for Health Sta s cs, 2012. 3. Centers for Disease Control and Preven on. Chronic Disease Indicators: www.cdc.gov/cdi 4. Centers for Disease Control and Preven on. Data, Sta s cs, and Surveillance: www.cdc.gov/ asthma/asthmadata 5. Michigan Department of Health and Human Services. Behavioral Risk Factor Survey, 2014: h p://www.michigan.gov/mdhhs/0,5885,7‐339‐71550_5104_5279_39424‐‐‐,00.html 6. Michigan Department of Health and Human Services. Asthma Call Back Survey, 2011‐2013: h p://www.michigan.gov/mdhhs/0,5885,7‐339‐71550_5104_5279_39424‐‐‐,00.html 7. 8. Michigan Department of Health and Human Services. Division of Vital Records and Health Sta s cs, Michigan Inpa ent Database, 1990‐2013. Michigan Department of Health and Human Services. Division of Vital Records and Health Sta s cs, Mortality Files, 2000‐2013. This publica on was supported by the Grant or Coopera ve Agreement Number U59 EH 000525, funded by the Centers for Disease Control and Preven on. Its contents are solely the responsibility of the authors and do not necessarily represent the oﬃcial views of the Centers for Disease Control and Preven on or the Department of Health and Human Services.