Complete Health Indicator Report of Asthma: Child Prevalence
Definition
Percentage of Utah children ages 0-17 who have ever been diagnosed with asthma and who still have asthma.Numerator
Number of Utah children ages 0-17 who were diagnosed with asthma and who still have asthma.Denominator
Total number of Utah children ages 0-17.Data Interpretation Issues
In 2011, the BRFSS changed its methodology from a landline only sample and weighting based on post-stratification to a landline/cell phone sample and raking as the weighting methodology. Raking accounts for variables such as income, education, marital status, and home ownership during weighting.Why Is This Important?
Asthma is a serious personal and public health issue that has far reaching medical, economic, and psychosocial implications. The burden of asthma can be seen in the number of asthma-related medical events, including emergency department visits, hospitalizations, and deaths.How Are We Doing?
Child asthma rates show no sign of declining in Utah. Child asthma point prevalence is higher for males compared to females at every age category. The highest prevalence for males and females was in the age category 15-17 (10.0% and 9.4%, respectively) (2019-2022 BRFSS).How Do We Compare With the U.S.?
In 2022, it was estimated that 7.2% of children in Utah had current asthma. This was slightly higher than the estimated child asthma prevalence for the U.S. for that same year, 6.7% (2022 BRFSS).^*^ This is the first year that Utah has had a higher child asthma prevalence than the U.S.[[br]] [[br]] ---- ''^*^The U.S. prevalence is based on 29 states plus DC that asked about child asthma prevalence in their state BRFSS.''What Is Being Done?
The Utah Asthma Program (UAP) works with the Utah Asthma Task Force and other partners to maximize the reach, impact, efficiency, and sustainability of comprehensive asthma control services in Utah. This is accomplished by providing a seamless alignment of asthma services across the public health and health care sector, ensuring that people with asthma receive all of the services they need. The UAP focuses on building program infrastructure and implementing strategies that improve asthma control, reduce asthma-related emergency department visits and hospitalizations, and reduce health care costs. Program infrastructure is strengthened through a focus on strategies to create and support a comprehensive asthma control program, these strategies include: strengthening leadership, building strategic partnerships, and using strategic communication, surveillance, and evaluation. In addition, the UAP implements strategies outlined in the Centers for Disease Control and Prevention (CDC) EXHALE technical package to improve asthma control. The six strategy areas outlined in the EXHALE technical package are:[[br]] 1. Education on asthma self-management.[[br]] 2. e-Xtinguishing smoking and secondhand smoke.[[br]] 3. Home visits for trigger reduction and asthma self-management.[[br]] 4. Achievement of guidelines-based medical management.[[br]] 5. Linkages and coordination of care across settings.[[br]] 6. Environmental policies or best practices to reduce asthma triggers from indoor, outdoor, and occupational sources. These strategies are expected to improve asthma control and quality of life by increasing access to health care and increasing coordination and coverage for comprehensive asthma control services both in the public health and health care sectors. Specifically, these strategies include identifying people with poorly controlled asthma, linking them to health care providers and NAEPP EPR-3 guidelines-based care, educating them on asthma self-management strategies, providing a supportive school environment, and referring to or providing home trigger reduction services for those who need them.Available Services
A list of Utah Asthma Program services for clinicians, community health workers, and people with asthma can be found here: [https://asthma.utah.gov/] Additionally, individual programs in the Office Health Promotion and Prevention provide information and education to citizens, physicians, and health care providers on chronic conditions. Resources can be found here: [https://dhhs.utah.gov/office-of-health-promotion-and-prevention/]Health Program Information
Utah Asthma Program website: [https://asthma.utah.gov/] CDC EXHALE package: [https://www.cdc.gov/national-asthma-control-program/php/exhale/index.html]Related Indicators
Related Relevant Population Characteristics Indicators:
Graphical Data Views
Asthma lifetime prevalence among children aged 0-17, Utah and U.S., 2021-2022
| Utah vs. U.S. | Year | Percentage of children 0-17 | Lower Limit | Upper Limit | ||
|---|---|---|---|---|---|---|
Record Count: 4 | ||||||
| Utah | 2021 | 8.4% | 7.2% | 9.6% | ||
| Utah | 2022 | 9.7% | 8.2% | 11.6% | ||
| U.S. | 2021 | 6.5% | 6.1% | 7.1% | ||
| U.S. | 2022 | 6.7% | 6.2% | 7.3% | ||
Data Sources
- Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]
- Behavioral Risk Factor Surveillance System Survey Data, US Department of Health and Human Services Centers for Disease Control and Prevention (CDC).
Asthma prevalence among children by local health district, Utah 2018-2022 and U.S. 2022
| Local health district | Percentage of children 0-17 | Lower Limit | Upper Limit | Note | ||
|---|---|---|---|---|---|---|
Record Count: 15 | ||||||
| Bear River | 4.4% | 3.1% | 6.2% | |||
| Central | 6.7% | 4.8% | 9.1% | |||
| Davis County | 5.9% | 4.8% | 7.4% | |||
| Salt Lake County | 7.2% | 6.2% | 8.3% | |||
| San Juan | 6.4% | 2.7% | 14.4% | * | ||
| Southeast | 7.3% | 4.7% | 11.2% | |||
| Southwest | 4.0% | 2.9% | 5.6% | |||
| Summit | 8.2% | 5.3% | 12.4% | |||
| Tooele | 6.8% | 4.8% | 9.5% | |||
| TriCounty | 6.6% | 4.8% | 9.0% | |||
| Utah County | 5.0% | 4.2% | 5.9% | |||
| Wasatch | 5.2% | 3.1% | 8.5% | |||
| Weber-Morgan | 5.6% | 4.4% | 7.2% | |||
| State of Utah | 6.0% | 5.5% | 6.5% | |||
| U.S. | 6.7% | 6.2% | 7.8% | U.S. number includes only 2022 data. | ||
Data Notes
*Use caution in interpreting. The estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health and Human Services standards.[[br]] The U.S. prevalence is based on 29 states plus DC who asked about child asthma prevalence in their state BRFSS in 2022.Data Sources
- Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]
- Behavioral Risk Factor Surveillance System Survey Data, US Department of Health and Human Services Centers for Disease Control and Prevention (CDC).
Asthma prevalence among children by ethnicity, Utah, 2021-2022
| Hispanic ethnicity | Percentage of children 0-17 | Lower Limit | Upper Limit | |||
|---|---|---|---|---|---|---|
Record Count: 3 | ||||||
| Hispanic/Latino | 7.3% | 5.2% | 10.2% | |||
| Non-Hispanic/Latino | 6.0% | 5.1% | 7.0% | |||
| All ethnicities | 6.3% | 5.5% | 7.3% | |||
Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Asthma prevalence among children by race, Utah, 2019-2022
| Race | Percentage of children 0-17 | Lower Limit | Upper Limit | Note | ||
|---|---|---|---|---|---|---|
Record Count: 6 | ||||||
| American Indian/Alaska Native | 9.0% | 5.0% | 15.5% | |||
| Asian | 5.1% | 2.2% | 11.2% | * | ||
| Black, African American | 15.4% | 8.6% | 26.2% | |||
| Native Hawaiian, Pacific Islander | 5.6% | 2.6% | 12.0% | * | ||
| White | 6.0% | 5.5% | 6.6% | |||
| All races | 6.1% | 5.6% | 6.7% | |||
Data Notes
*Use caution in interpreting. The estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health and Human Services standards.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Asthma prevalence among children aged 0-17, Utah and U.S., 2011-2022
| Utah vs. U.S. | Year | Percentage of children 0-17 | Lower Limit | Upper Limit | ||
|---|---|---|---|---|---|---|
Record Count: 24 | ||||||
| Utah | 2011 | 6.7% | 6.0% | 7.6% | ||
| Utah | 2012 | 7.1% | 6.2% | 8.1% | ||
| Utah | 2013 | 6.1% | 5.4% | 7.0% | ||
| Utah | 2014 | 6.7% | 5.8% | 7.8% | ||
| Utah | 2015 | 7.1% | 6.2% | 8.2% | ||
| Utah | 2016 | 5.8% | 5.0% | 6.9% | ||
| Utah | 2017 | 6.1% | 5.1% | 7.2% | ||
| Utah | 2018 | 5.5% | 4.7% | 6.4% | ||
| Utah | 2019 | 5.7% | 4.9% | 6.6% | ||
| Utah | 2020 | 6.1% | 5.2% | 7.3% | ||
| Utah | 2021 | 5.5% | 4.6% | 6.5% | ||
| Utah | 2022 | 7.2% | 5.8% | 9.0% | ||
| U.S. | 2011 | 8.7% | 8.1% | 9.3% | ||
| U.S. | 2012 | 8.9% | 8.6% | 9.3% | ||
| U.S. | 2013 | 9.2% | 8.7% | 9.6% | ||
| U.S. | 2014 | 9.1% | 8.6% | 9.7% | ||
| U.S. | 2015 | 8.2% | 7.8% | 8.8% | ||
| U.S. | 2016 | 7.9% | 7.5% | 8.3% | ||
| U.S. | 2017 | 7.6% | 7.1% | 8.0% | ||
| U.S. | 2018 | 7.3% | 6.8% | 7.7% | ||
| U.S. | 2019 | 7.2% | 6.7% | 7.8% | ||
| U.S. | 2020 | 7.5% | 6.9% | 8.1% | ||
| U.S. | 2021 | 6.5% | 6.1% | 7.1% | ||
| U.S. | 2022 | 6.7% | 6.2% | 7.3% | ||
Data Notes
The U.S. prevalence is calculated from a different number of states each year because the number of states who ask about child asthma prevalence on their state BRFSS changes from year to year. See below for the number of states that contributed to the yearly prevalence.[[br]] 2011= 16 states[[br]] 2012= 33 states[[br]] 2013= 30 states[[br]] 2014= 33 states[[br]] 2015= 26 states[[br]] 2016= 29 states[[br]] 2017= 25 states[[br]] 2018= 28 states[[br]] 2019= 26 states[[br]] 2021= 28 states plus DC[[br]] 2022= 29 states plus DC[[br]]Data Sources
- Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]
- Behavioral Risk Factor Surveillance System Survey Data, US Department of Health and Human Services Centers for Disease Control and Prevention (CDC).
Child asthma prevalence by age and sex, Utah, 2019-2022
"Diagnosing and managing asthma in children under age 5 can be difficult. In infants and young children, the primary symptoms of asthma like wheezing and coughing may be caused by other conditions. Also, standard diagnostic tests used to measure how well someone is breathing cannot be used easily or accurately with children under age 5." [https://www.mayoclinic.org/diseases-conditions/childhood-asthma/in-depth/asthma-in-children/art-20044376]
| Males vs. Females | Age group | Percentage of children | Lower Limit | Upper Limit | Note | |
|---|---|---|---|---|---|---|
Record Count: 12 | ||||||
| Male | Under 5 | 2.8% | 1.9% | 4.2% | * | |
| Male | 5-9 | 8.0% | 6.4% | 9.9% | ||
| Male | 10-14 | 9.7% | 7.9% | 11.9% | ||
| Male | 15-17 | 10.0% | 8.1% | 12.3% | ||
| Female | Under 5 | 1.3% | 0.7% | 2.5% | * | |
| Female | 5-9 | 5.0% | 3.6% | 6.9% | ||
| Female | 10-14 | 7.1% | 5.0% | 9.9% | ||
| Female | 15-17 | 9.4% | 7.4% | 12.0% | ||
| Total | Under 5 | 2.1% | 1.5% | 2.9% | ||
| Total | 5-9 | 6.5% | 5.4% | 7.8% | ||
| Total | 10-14 | 8.5% | 7.1% | 10.2% | ||
| Total | 15-17 | 9.7% | 8.3% | 11.4% | ||
Data Notes
*Use caution in interpreting. The estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health and Human Services standards.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]More Resources and Links
Evidence-based community health improvement ideas and interventions may be found at the following sites:Additional indicator data by state and county may be found on these Websites:
- CDC Prevention Status Reports for all 50 states
- County Health Rankings
- Kaiser Family Foundation's StateHealthFacts.org
- CDC WONDER DATA2010, the Healthy People 2010 Database.
Medical literature can be queried at the PubMed website.
Page Content Updated On 07/15/2024,
Published on 08/06/2024
