Asthma Prevalence Among Women Aged 18 to 44 in the United States: National Health and Nutrition Examination Survey 2001-2016

Overview

Journal J Asthma

Publisher Informa Healthcare

Specialties Allergy & Immunology
Pulmonary Medicine

Date 2019 Apr 25

PMID 31014137

Citations 11

Authors

Katrina F Flores

Gretchen Bandoli

Christina D Chambers

Michael Schatz

Kristin Palmsten

Affiliations

Soon will be listed here.

Abstract

To provide updated prevalence estimates of asthma and asthma medication use for women of childbearing age in the United States. Using data from 11,383 women aged 18-44, including a subset of 1,245 pregnant women, enrolled in the National Health and Nutrition Examination Survey (2001-2016), we assessed the age-adjusted prevalence of self-reported diagnosed asthma. For women aged 18-44, we stratified by year, demographics, and other characteristics. Furthermore, we assessed asthma medication use among women aged 18-44 with asthma. After age-adjustment, 9.9% (95% confidence interval (CI) 9.2%, 10.7%) of women aged 18-44 and 10.9% (95% CI 7.2%, 14.6%) of pregnant women reported having asthma. Asthma prevalence was highest in 2015-2016 (12.0% 95% CI 9.8%, 14.3%) and lowest in 2003-2004 (8.6% 95% CI 6.4%, 10.8%). Women aged 18-44 with Medicaid or State Children's Health Insurance Program insurance coverage (16.8% 95% CI 14.5%, 19.2%), obesity (14.4% 95% CI 12.9%, 15.8%), diabetes (18.7% 95% CI 12.1%, 25.2%), hypertension (16.6% 95% CI 14.2%, 19.0%), and current smokers (12.8% 95% CI 11.4%, 14.2%) had the highest asthma prevalence. Of women with asthma, 38.3% (95% CI 34.5%, 42.1%) reported using asthma medications in the past 30 days. Among women of childbearing ages, asthma burden varies across demographic and clinical characteristics and has increased in recent years.

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References

Kwon H, Triche E, Belanger K, Bracken M . The epidemiology of asthma during pregnancy: prevalence, diagnosis, and symptoms. Immunol Allergy Clin North Am. 2006; 26(1):29-62. DOI: 10.1016/j.iac.2005.11.002. View

Enriquez R, Griffin M, Carroll K, Wu P, Cooper W, Gebretsadik T . Effect of maternal asthma and asthma control on pregnancy and perinatal outcomes. J Allergy Clin Immunol. 2007; 120(3):625-30. DOI: 10.1016/j.jaci.2007.05.044. View

Max W, Sung H, Shi Y . Who is exposed to secondhand smoke? Self-reported and serum cotinine measured exposure in the U.S., 1999-2006. Int J Environ Res Public Health. 2009; 6(5):1633-48. PMC: 2697933. DOI: 10.3390/ijerph6051633. View

Finer L, Zolna M . Declines in Unintended Pregnancy in the United States, 2008-2011. N Engl J Med. 2016; 374(9):843-52. PMC: 4861155. DOI: 10.1056/NEJMsa1506575. View

Hansen C, Joski P, Freiman H, Andrade S, Toh S, Dublin S . Medication exposure in pregnancy risk evaluation program: the prevalence of asthma medication use during pregnancy. Matern Child Health J. 2012; 17(9):1611-21. PMC: 3797257. DOI: 10.1007/s10995-012-1173-x. View

Firoozi F, Lemiere C, Ducharme F, Beauchesne M, Perreault S, Berard A . Effect of maternal moderate to severe asthma on perinatal outcomes. Respir Med. 2010; 104(9):1278-87. DOI: 10.1016/j.rmed.2010.03.010. View

Johnson C, Paulose-Ram R, Ogden C, Carroll M, Kruszon-Moran D, Dohrmann S . National health and nutrition examination survey: analytic guidelines, 1999-2010. Vital Health Stat 2. 2014; (161):1-24. View

Kwon H, Belanger K, Bracken M . Asthma prevalence among pregnant and childbearing-aged women in the United States: estimates from national health surveys. Ann Epidemiol. 2003; 13(5):317-24. DOI: 10.1016/s1047-2797(03)00008-5. View

Mendola P, Mannisto T, Leishear K, Reddy U, Chen Z, Laughon S . Neonatal health of infants born to mothers with asthma. J Allergy Clin Immunol. 2013; 133(1):85-90.e1-4. PMC: 3874245. DOI: 10.1016/j.jaci.2013.06.012. View

10.

. NAEPP expert panel report. Managing asthma during pregnancy: recommendations for pharmacologic treatment-2004 update. J Allergy Clin Immunol. 2005; 115(1):34-46. DOI: 10.1016/j.jaci.2004.10.023. View

11.

Razzaghi H, Marcinkevage J, Peterson C . Prevalence of undiagnosed diabetes among non-pregnant women of reproductive age in the United States, 1999-2010. Prim Care Diabetes. 2013; 9(1):71-3. PMC: 4387563. DOI: 10.1016/j.pcd.2013.10.004. View

12.

Murphy V, Namazy J, Powell H, Schatz M, Chambers C, Attia J . A meta-analysis of adverse perinatal outcomes in women with asthma. BJOG. 2011; 118(11):1314-23. DOI: 10.1111/j.1471-0528.2011.03055.x. View

13.

Kim S, Zhu Y, Grantz K, Hinkle S, Chen Z, Wallace M . Obstetric and Neonatal Risks Among Obese Women Without Chronic Disease. Obstet Gynecol. 2016; 128(1):104-112. PMC: 4917420. DOI: 10.1097/AOG.0000000000001465. View

14.

Enriquez R, Wu P, Griffin M, Gebretsadik T, Shintani A, Mitchel E . Cessation of asthma medication in early pregnancy. Am J Obstet Gynecol. 2006; 195(1):149-53. DOI: 10.1016/j.ajog.2006.01.065. View

15.

Mendola P, Laughon S, Mannisto T, Leishear K, Reddy U, Chen Z . Obstetric complications among US women with asthma. Am J Obstet Gynecol. 2012; 208(2):127.e1-8. PMC: 3557554. DOI: 10.1016/j.ajog.2012.11.007. View

16.

Correa A, Bardenheier B, Elixhauser A, Geiss L, Gregg E . Trends in prevalence of diabetes among delivery hospitalizations, United States, 1993-2009. Matern Child Health J. 2014; 19(3):635-42. PMC: 4527040. DOI: 10.1007/s10995-014-1553-5. View

17.

Katz O, Sheiner E . Asthma and pregnancy: a review of two decades. Expert Rev Respir Med. 2010; 2(1):97-107. DOI: 10.1586/17476348.2.1.97. View

18.

Moorman J, Akinbami L, Bailey C, Zahran H, King M, Johnson C . National surveillance of asthma: United States, 2001-2010. Vital Health Stat 3. 2013; (35):1-58. View

19.

Mumford S, Sapra K, King R, Louis J, Buck Louis G . Pregnancy intentions-a complex construct and call for new measures. Fertil Steril. 2016; 106(6):1453-1462. PMC: 5159192. DOI: 10.1016/j.fertnstert.2016.07.1067. View

20.

McLeish A, Zvolensky M . Asthma and cigarette smoking: a review of the empirical literature. J Asthma. 2010; 47(4):345-61. DOI: 10.3109/02770900903556413. View