<?xml version="1.0" encoding="ISO-8859-1"?>

<INDICATOR name="AsthAdltPrev">
	<NAME>AsthAdltPrev</NAME>
	<DESCRIPTION>asthma, breathing, lung, bronchi</DESCRIPTION>
	<DEFAULT_INDICATOR_VIEW_NAME>AsthAdltPrev.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
	<TITLE>Asthma: Adult Prevalence</TITLE>
	<DEFINITION>Adults aged 18+ (unless otherwise noted), who reported having been told by a doctor that they have asthma and who currently have asthma.</DEFINITION>
	<NUMERATOR>Total number of respondents answering "yes" to both of the BRFSS asthma core questions:[[br]]
1. Have you ever been told by a doctor, nurse, or other health professional that you had asthma?[[br]]
2. Do you still have asthma?</NUMERATOR>
	<DENOMINATOR>Includes all survey respondents ages 18 years and older except those with missing, don't know, or refused answers to the core asthma questions.</DENOMINATOR>
	<DATA_ISSUES>Beginning in 2011, BRFSS data include both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [https://ibis.utah.gov/ibisph-view/pdf/opha/resource/brfss/RakingImpact2011.pdf].</DATA_ISSUES>
	<DATA_SOURCE_DATE>08/06/2024</DATA_SOURCE_DATE>
	<WHY_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.</WHY_IMPORTANT>
	<HOW_DOING>Adult asthma rates show no sign of declining in Utah or in the U.S. In Utah and the U.S., adult asthma prevalence is higher for women than men in almost every age category.</HOW_DOING>
	<STATE_VS_US>In 2022, Utah had a higher adult asthma prevalence rate when compared to the national average  (10.9% vs. 10.0%).</STATE_VS_US>
	<WHAT_DOING>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.</WHAT_DOING>
	<OTHER_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]</OTHER_PROGRAM_INFORMATION>
	<SERVICES_AVAILABLE_TO_PUBLIC>A list of Utah Asthma Program services for clinicians, community health workers, and people with asthma can be found at [https://asthma.utah.gov/]</SERVICES_AVAILABLE_TO_PUBLIC>
	<RESOURCES_REFERENCES_LINKS>The Utah Asthma Program (UAP) provides data, information and education for those with asthma, physicians, and healthcare providers (e.g. school nurses, community health workers, etc.) on the UAP website: [https://asthma.utah.gov/] 

CDC EXHALE package: 
[https://www.cdc.gov/national-asthma-control-program/php/exhale/index.html] 

Community Resources Asthma and Allergy Foundation of America:
[http://www.aafa.org]

American Lung Association: 
[https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma] 

Asthma and Utah outdoor air pollution:
[https://air.utah.gov/forecastLegendAQI.html#Health]

Check Utah air quality:
[https://air.utah.gov/]</RESOURCES_REFERENCES_LINKS>
	<ORG_UNIT_NAME>CFHS_Asth</ORG_UNIT_NAME>
	<OWNER_USER_ID>nshepard@utah.gov</OWNER_USER_ID>
	<STATUS_CODE>A</STATUS_CODE>
	<STATUS_DATE>09/24/2024</STATUS_DATE>
	<NOTE>Detail modified by: huphold@utah.gov, 05/24/2023
12/18/12 Kim N added text about methodology change to Data Interpretation Issues.</NOTE>
	<SORT_ORDER>3</SORT_ORDER>
	<ACTIVE_FLAG>x</ACTIVE_FLAG>
	<MODIFIED_DATE>09/24/2024</MODIFIED_DATE>
	<MODIFIED_DESCRIPTION>Status changed by: kimneerings@utah.gov</MODIFIED_DESCRIPTION>
	<PUBLISHED_DATE>09/24/2024</PUBLISHED_DATE>
	<HEALTHY_PEOPLE_OBJECTIVE>
		<MODIFIED_DATE></MODIFIED_DATE>
	</HEALTHY_PEOPLE_OBJECTIVE>
	<DATA_SOURCES/>
	<RELATIONS>
		<RELATION name="PopChar">
			<NAME>PopChar</NAME>
			<TITLE>Relevant Population Characteristics</TITLE>
			<TEXT></TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>AsthChiPrev</NAME>
					<TITLE>Asthma: Child Prevalence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthChiPrev.Age_Sex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>AsthED</NAME>
					<TITLE>Asthma-related Emergency Department (ED) Visits</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthED.AgeAll</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>AsthHosp</NAME>
					<TITLE>Asthma Hospitalizations</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthHosp.AgeHigh</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>AsthMan</NAME>
					<TITLE>Asthma Management</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthMan.Plan_Age_Sex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="RiskFactors">
			<NAME>RiskFactors</NAME>
			<TITLE>Risk Factors</TITLE>
			<TEXT>People with respiratory diseases, including asthma, that make their lungs more vulnerable to ozone may experience health effects earlier and at lower ozone levels than other people. When ozone levels are high, more people with asthma have attacks that require a doctor's attention or use of medication. One reason this happens is that ozone makes people more sensitive to allergens such as pets, pollen, and dust mites, which are common triggers of asthma attacks.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>AirQuaOzo</NAME>
					<TITLE>Air Quality: Ozone</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AirQuaOzo.Yr</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>AirQuaPM</NAME>
					<TITLE>Air Quality: Particulate Matter (PM2.5)</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AirQuaPM.Met_Not</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>AsthChiPrev</NAME>
					<TITLE>Asthma: Child Prevalence</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthChiPrev.Age_Sex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>AsthMan</NAME>
					<TITLE>Asthma Management</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthMan.Plan_Age_Sex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>CigSmokAdlt</NAME>
					<TITLE>Smoking Among Adults</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CigSmokAdlt.Ut_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>CigSmokAdol</NAME>
					<TITLE>Smoking Among Adolescents</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CigSmokAdol.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="HealthStatus">
			<NAME>HealthStatus</NAME>
			<TITLE>Health Status Outcomes</TITLE>
			<TEXT></TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>AsthED</NAME>
					<TITLE>Asthma-related Emergency Department (ED) Visits</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthED.AgeAll</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>AsthHosp</NAME>
					<TITLE>Asthma Hospitalizations</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>AsthHosp.AgeHigh</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
	</RELATIONS>
	<INDICATOR_VIEWS>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.LifeUT_US</NAME>
			<TITLE>Asthma</TITLE>
			<SUB_TITLE>lifetime prevalence among adults aged 18 and older, Utah and U.S.,</SUB_TITLE>
			<PERIOD_TITLE>2021-2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.Dis</NAME>
			<TITLE>Asthma prevalence</TITLE>
			<SUB_TITLE>by disability, Utah adults aged 18 and older,</SUB_TITLE>
			<PERIOD_TITLE>2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.UT_US</NAME>
			<TITLE>Asthma prevalence among adults aged 18 and older,</TITLE>
			<SUB_TITLE>Utah and U.S.,</SUB_TITLE>
			<PERIOD_TITLE>2001-2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.Age_Sex</NAME>
			<TITLE>Adult asthma prevalence</TITLE>
			<SUB_TITLE>by age and sex, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2022</PERIOD_TITLE>
			<Y_TITLE>Percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.Eth</NAME>
			<TITLE>Adult asthma prevalence</TITLE>
			<SUB_TITLE>by ethnicity, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2021-2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.Race</NAME>
			<TITLE>Adult asthma prevalence</TITLE>
			<SUB_TITLE>by race, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2021-2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.Edu</NAME>
			<TITLE>Asthma prevalence among adults ages 25 and older</TITLE>
			<SUB_TITLE>by educational level, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2021-2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults ages 25+</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.Inc</NAME>
			<TITLE>Adult asthma prevalence</TITLE>
			<SUB_TITLE>by income level, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2021-2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.LHD</NAME>
			<TITLE>Adult asthma prevalence</TITLE>
			<SUB_TITLE>by local health district, Utah</SUB_TITLE>
			<PERIOD_TITLE>2021-2022 and U.S. 2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.AllAges_LHD</NAME>
			<TITLE>Asthma prevalence</TITLE>
			<SUB_TITLE>by local health district, all ages, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of persons (all ages)</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>AsthAdltPrev.SA</NAME>
			<TITLE>Current doctor-diagnosed asthma</TITLE>
			<SUB_TITLE>by Utah Small Area,</SUB_TITLE>
			<PERIOD_TITLE>2018-2022</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
	</INDICATOR_VIEWS>
</INDICATOR>
