Trends in asthma mortality among African Americans and whites in Chicago, 1968 through 1991.
Targonski-PV; Persky-VW; Orris-P; Addington-W
Am J Publ Health 1994 Nov; 84(11):1830-1833
Asthma mortality among 5 to 34 year olds in Chicago from 1968 through 1991 was examined. Death certificates of residents of Chicago with asthma as the underlying cause of death were collected from the Illinois Department of Public Health. Asthma was listed as the underlying cause of death for 344 residents. This included 4 Chinese who were excluded from the analysis. There were 292 asthma deaths among African Americans. Proportions of death by sex did not differ by race or age group. There were no differences in hospital status by sex, race, or age group. There was a higher proportion of dead on arrival cases among 30 to 34 year olds than among 5 to 19 year olds but this difference was not significant. Autopsies were performed on 62% of the cases. In 11% of the cases, cardiac dysrhythmias was an accompanying cause of death. Medicinal or recreational drug poisoning was an accompanying cause in 11 deaths and all occurred among African Americans aged 20 to 34 years. Asthma mortality declined slightly from 1968 to 1976 but remained greater among African Americans than Whites. Asthma mortality significantly increased from 1976 through 1991 and the increase was greatest for African Americans. Between 1976 and 1978, African Americans experienced 0.77 to 0.86 deaths per 100,000 persons which rose to 3.63 per 100,000 persons in 1991. From 1979 through 1991, there was an increase in 5 to 19 year old patients and 20 to 34 year old patients dying in emergency departments or outpatient clinics. During the same period there was a decrease in the proportion of 20 to 34 year old African Americans dying as inpatients.
NIOSH-Publication; NIOSH-Grant; Training; Pulmonary-system-disorders; Lung-disorders; Mortality-rates; Mortality-data; Humans; Racial-factors; Age-factors; Bronchial-asthma; Respiratory-system-disorders
Victoria W. Persky, MD, University of Illinois School of Public Health, Division of Epidemiology- Biostatistics, 2121 W Taylor St, Room 508, Chicago, IL 60612
American Journal of Public Health
University of Illinois at Chicago, Chicago, Illinois