532 - Association between Social Needs and Asthma Control among Children Evaluated at a Single-Center High-Risk Asthma Clinic
Saturday, April 23, 2022
3:30 PM – 6:00 PM US MT
Poster Number: 532 Publication Number: 532.242
Taylor Brewer, Children's National Health System, Phoenix, MD, United States; Rachel Margolis, Children's National Hospital, Washington, DC, United States; Shilpa J. Patel, Children's National Health System, Washington, DC, United States; Shayla E. Stringfield, IMPACT DC Asthma Clinic, Mount Rainier, MD, United States; Kavita Parikh, Children's National Health System, Washington DC, DC, United States
Research Assistant Children's National Health System Phoenix, Maryland, United States
Background: Asthma morbidity is greater among under-resourced, urban-dwelling children. Evidence suggests that social factors, including substandard housing quality and material hardship, contribute to these health disparities. A better understanding of the relationship between social needs and child asthma control will allow us to develop innovative and comprehensive programs to reduce health disparities among children with asthma.
Objective: To examine the association between individual and aggregate social needs and asthma control among children and adolescents with asthma.
Design/Methods: A retrospective, cross-sectional analysis of social needs among children age < 18, with an English or Spanish-speaking caregiver, and request for assistance with at least one social need at a large urban high-risk asthma clinic between 1/2/2019 and 3/12/2020. Logistic regression was used to examine the odds of well controlled asthma (Asthma Control Test ≥ 20) based on the number and types of social needs identified by caregivers at their child’s asthma clinic visit on an 8-item checklist (Table 1). Covariates included child gender, age, asthma severity, and language.
Results: 35% (557/1597) of caregivers requested assistance with at least one social need during their child’s asthma clinic visit (Table 1). Of those requesting assistance, almost 40% of caregivers requested help with household asthma triggers, and 37% with food (Table 1). In the adjusted multivariable analysis, each one-unit increase in the number of social needs was associated with a decrease in the odds of well controlled asthma (OR: 0.69, 95% CI: 0.55-0.85, p < 0.001). Examining the association of each social need with child asthma control, requesting help with household asthma triggers was associated with lower odds of well controlled asthma (OR: 0.56; 95% CI: 0.33-0.94, p=0.03) (Table 2).Conclusion(s): Results show an association between increasing unmet social needs and poorer asthma control among publicly insured children in an urban high-risk asthma clinic. Of the needs, household triggers were independently associated with poorly controlled asthma. Thus, it is critical to develop both clinical and social interventions to address these identified needs as a part of routine care in order to ameliorate childhood asthma and diminish disparities. Participant demographics and social needs (Nf557) Association of Individual Social Needs and Asthma Control