Assessing asthma self-management education among US children with current asthma, Asthma Call-back Survey (ACBS) 2015–2017

Abstract

Objective Asthma self-management education (AS-ME) is an effective strategy to help children with asthma achieve better asthma control and outcome. The objective of this study is to assess the association between the prevalence of receiving AS-ME curriculum components and sociodemographic characteristics among children with current asthma. Methods Behavioral Risk Factor Surveillance System, child Asthma Call-back Survey 2015–2017 aggregated data were used. Multivariable logistic regression models were used to assess associations of each AS-ME component question and sociodemographic characteristic, adjusting for sample weighting. Results Among 3,213 children with current asthma, 52% of children reported ever being given an asthma action plan by a doctor or other healthcare professional. After adjusting for other variables, boys and Non-Hispanic Black children were more likely to report being given an action plan (APR= 1.15[95% CI 1.00–1.32] and APR= 1.28[95% CI 1.07–1.54] respectively). Non-Hispanic Black (APR = 2.15 [95% CI 1.30–3.55]), non-Hispanic, other race (APR = 1.95 [95% CI1.04–3.66]), and Hispanic children (APR = 1.84 [95% CI 1.18–2.89]) were more likely to report taking a course to learn how to manage asthma than non-Hispanic White children. Hispanic children (40.8%) were more likely to report being advised to change home environment compared to non-Hispanic Whites (31.5%) (APR =1.28 [95% CI 1.01–1.63). Conclusion The prevalence of some elements of asthma-self management education was relatively low and there were differences observed in the prevalence of receiving AS-ME by race/ethnicity, parental education, and income. Targeted implementation of asthma self-management components and interventions may improve asthma control and reduce asthma morbidity.