Transition to Adulthood: Delays and Unmet Needs Among Adolescents and Young Adults with Asthma

Overview

Journal J Pediatr

Specialty Pediatrics

Date 2008 Mar 19

PMID 18346498

Citations 10

Authors

Peter Scal

Michael Davern

Marjorie Ireland

Kyong Park

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the effect of the transition to adulthood on financial and non-financial barriers to care in youth with asthma.

Study Design: With National Health Interview Survey data from 2000 to 2005, we examined delays and unmet needs because of financial and non-financial barriers, evaluating the effect of adolescent (age, 12-17 years; n = 1539) versus young adult age (age, 18-24 years; N = 833), controlling for insurance, usual source of care, and sociodemographic characteristics. We also simulated the effects of providing public insurance to uninsured patients and a usual source of care to patients without one.

Results: More young adults than adolescents encountered financial barriers resulting in delays (18.6% versus 8%, P < .05) and unmet needs (26.6% versus 11.4%, P < .05), although delays caused by non-financial barriers were similar (17.3% versus 14.9%, P = not significant). In logistic models young adults were more likely than adolescents to report delays (odds ratio [OR], 1.45; 95% CI, 1.02-2.08) and unmet needs (OR, 1.8; 95% CI, 1.29-2.52) caused by financial barriers.

Conclusions: Delays and unmet needs for care caused by financial reasons are significantly higher for young adults than they are for adolescents with asthma.

Citing Articles

Transition readiness in middle and older adolescents with asthma and associated factors: a descriptive study.

Rhee H, Choi Y, Tumiel-Berhalter L J Asthma. 2022; 60(5):991-999.

PMID: 36040871 PMC: 10011012. DOI: 10.1080/02770903.2022.2119864.

Transition to Adult Care for Obstructive Sleep Apnea.

Heffernan A, Malik U, Cheng R, Yo S, Narang I, Ryan C J Clin Med. 2019; 8(12).

PMID: 31810317 PMC: 6947540. DOI: 10.3390/jcm8122120.

Transition for Adolescents and Young Adults With Asthma.

Withers A, Green R Front Pediatr. 2019; 7:301.

PMID: 31396495 PMC: 6664046. DOI: 10.3389/fped.2019.00301.

Unmet needs in asthma.

Gruffydd-Jones K Ther Clin Risk Manag. 2019; 15:409-421.

PMID: 30936704 PMC: 6422410. DOI: 10.2147/TCRM.S160327.

The Role of Health Advocacy in Transitions from Pediatric to Adult Care for Children with Special Health Care Needs: Bridging Families, Provider and Community Services.

Okumura M, Saunders M, Rehm R J Pediatr Nurs. 2015; 30(5):714-23.

PMID: 26228309 PMC: 4596395. DOI: 10.1016/j.pedn.2015.05.015.

References

Callahan S, Cooper W . Access to health care for young adults with disabling chronic conditions. Arch Pediatr Adolesc Med. 2006; 160(2):178-82. DOI: 10.1001/archpedi.160.2.178. View

Goodman D, Mendez E, Throop C, Ogata E . Adult survivors of pediatric illness: the impact on pediatric hospitals. Pediatrics. 2002; 110(3):583-9. DOI: 10.1542/peds.110.3.583. View

Scal P . Transition for youth with chronic conditions: primary care physicians' approaches. Pediatrics. 2002; 110(6 Pt 2):1315-21. View

Andersen R . Revisiting the behavioral model and access to medical care: does it matter?. J Health Soc Behav. 1995; 36(1):1-10. View

. A consensus statement on health care transitions for young adults with special health care needs. Pediatrics. 2002; 110(6 Pt 2):1304-6. View

Guilbert T, Krawiec M . Natural history of asthma. Pediatr Clin North Am. 2003; 50(3):523-38. DOI: 10.1016/s0031-3955(03)00044-0. View

Newacheck P, Wong S, Galbraith A, Hung Y . Adolescent health care expenditures: a descriptive profile. J Adolesc Health. 2003; 32(6 Suppl):3-11. DOI: 10.1016/s1054-139x(03)00064-8. View

Szilagyi P, Dick A, Klein J, Shone L, Zwanziger J, Bajorska A . Improved asthma care after enrollment in the State Children's Health Insurance Program in New York. Pediatrics. 2006; 117(2):486-96. DOI: 10.1542/peds.2005-0340. View

Callahan S, Cooper W . Gender and uninsurance among young adults in the United States. Pediatrics. 2004; 113(2):291-7. DOI: 10.1542/peds.113.2.291. View

10.

Scal P, Ireland M . Addressing transition to adult health care for adolescents with special health care needs. Pediatrics. 2005; 115(6):1607-12. DOI: 10.1542/peds.2004-0458. View

11.

Graubard B, Korn E . Predictive margins with survey data. Biometrics. 2001; 55(2):652-9. DOI: 10.1111/j.0006-341x.1999.00652.x. View

12.

Freed G, Hudson E . Transitioning children with chronic diseases to adult care: current knowledge, practices, and directions. J Pediatr. 2006; 148(6):824-7. DOI: 10.1016/j.jpeds.2006.02.010. View

13.

Zuvekas S, Weinick R . Changes in access to care, 1977-1996: the role of health insurance. Health Serv Res. 1999; 34(1 Pt 2):271-9. PMC: 1089000. View

14.

Rosen D, Blum R, Britto M, Sawyer S, Siegel D . Transition to adult health care for adolescents and young adults with chronic conditions: position paper of the Society for Adolescent Medicine. J Adolesc Health. 2003; 33(4):309-11. DOI: 10.1016/s1054-139x(03)00208-8. View

15.

White P . Access to health care: health insurance considerations for young adults with special health care needs/disabilities. Pediatrics. 2002; 110(6 Pt 2):1328-35. View

16.

Fishman E . Aging out of coverage: young adults with special health needs. Health Aff (Millwood). 2002; 20(6):254-66. DOI: 10.1377/hlthaff.20.6.254. View

17.

Collins S, Schoen C, Tenney K, Doty M, Ho A . Rite of passage? Why young adults become uninsured and how new policies can help. Issue Brief (Commonw Fund). 2005; (649):1-12. View

18.

. New NHLBI guidelines for the diagnosis and management of asthma. National Heart, Lung and Blood Institute. Lippincott Health Promot Lett. 1997; 2(7):1, 8-9. View

19.

Newacheck P, Hughes D, Hung Y, Wong S, Stoddard J . The unmet health needs of America's children. Pediatrics. 2000; 105(4 Pt 2):989-97. View