Alameda County Asthma Profile

In Alameda County, approximately 256,000 children and adults have been diagnosed with asthma.

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County Population

AgePopulation%
0-4 99,911 6.4
5-17 248,516 15.9
18-64 1,022,113 65.2
65+ 196,707 12.6
Total 1,567,248  

County Population

Race/Ethnicity1%
Asian/PI 27.5
Black 12.1
Hispanic 23.8
White 32.4
Other 4.2

datasource:

California Department of Finance, 2014 (2013 release)

Lifetime Asthma Prevalence,2 2011-2012

Percent with Lifetime Asthma (95% Confidence Interval3)

 AgeAlameda CountyCalifornia
Children0-4 -- 9.7 (7.2-12.3)
5-17 23.2 (12.7-33.6) 17.1 (15.5-18.7)
Adults18-64 16.7 (13.3-20.2) 14.0 (13.4-14.7)
65+ 15.1 (8.7-21.4) 12.0 (11.1-12.8)
Totals:0-17 19.6 (11.2-28.1) 15.4 (14.0-16.7)
18+ 16.5 (13.4-19.5) 13.7 (13.1-14.3)
All Ages 17.2 (14.1-20.2) 14.1 (13.6-14.6)
datasource: California Health Interview Survey (CHIS), 2011-2012

Active Asthma Prevalence,4 2011-2012

Percent with Active Asthma (95% Confidence Interval3)

 AgeAlameda CountyCalifornia
Children0-4 -- 6.3 (4.6-8.0)
5-17 16.8 (9.3-24.2) 11.6 (10.2-13.0)
Adults18-64 8.8 (6.2-11.5) 7.6 (7.1-8.1)
65+ 11.1 (4.7-17.5) 8.2 (7.5-8.9)
Totals:0-17 12.9 (7.1-18.7) 10.1 (9.0-11.3)
18+ 9.2 (7.0-11.4) 7.7 (7.3-8.2)
All Ages 10.0 (7.9-12.1) 8.3 (7.9-8.7)
datasource: California Health Interview Survey (CHIS), 2011-2012

Asthma Management Plans

National guidelines recommend that health care providers give all patients with asthma a written self-management plan. In Alameda County, 16.1% (95% CI 12.0-20.3) of people with asthma have NOT received an asthma management plan from a health care provider.

datasource: CHIS, 2009

Asthma Risk Factors, 2009

Alameda County Risk Factors

Risk FactorPercent (95% Confidence Interval)
Percent of adults who are current smokers 11.8 (8.0-15.5)
Percent of adults and children exposed to second-hand smoke in the home 6.7 (3.9-9.5)
Percent of adults who are obese7 (BMI>=30) 16.1 (12.0-20.3)
Percent of people below the Federal Poverty Level 10.8 (NA)
Unemployment Rate 10.7 (NA)
datasource: CHIS, 2009

Asthma Deaths,9 2008-2010

Number of Deaths Due to Asthma (N) and Age-Adjusted Rate9 (per 1,000,000 residents)

 Alameda CountyCalifornia
 AgeNRateNRate
Children0-17 4 -- 57 1.9
Adults18+ 63 17.7 1,198 14.3
TotalsAll Ages 67 14.1 1,255 11.1
datasource: California Death Statistical Master Files, 2008-2010

Asthma Emergency Department Visits,10 2010

Number of ED Visits Due to Asthma (N) and Age-Adjusted Rate11 (per 10,000 residents)

 Alameda CountyCalifornia
 AgeNRateNRate
Children0-4 1,222 120.3 30,344 109.7
5-17 1,653 63.7 42,112 59.0
Adults18-64 5,830 57.0 90,989 36.8
65+ 1,086 62.5 16,527 37.6
Totals:0-17 2,875 78.9 72,456 72.6
18+ 6,916 57.9 107,516 36.9
All Ages 9,791 63.3 179,972 46.1
datasource: Office of Statewide Health Planning and Development (OSHPD), 2010

Expected Source of Payment for Asthma ED Visits

Payment SourceAlameda CountyCalifornia
Medicare 15.0% 12.6%
Medi-Cal 33.4% 37.1%
Private 30.1% 31.1%
Other 21.5% 19.3%
datasource: Office of Statewide Health Planning and Development (OSHPD), 2010

Asthma Hospitalizations,12 2012

Number of Hospitalizations Due to Asthma (N) and Age-Adjusted Rate11 (per 10,000 residents)

 Alameda CountyCalifornia
 AgeNRateNRate
Children0-4 446 45.6 5,539 22.1
5-17 338 13.6 5,180 7.8
Adults18-64 680 6.4 13,395 5.4
65+ 412 23.6 8,119 18.1
Totals:0-17 784 22.2 10,719 11.7
18+ 1,092 9.3 21,514 7.5
All Ages 1,876 12.6 32,233 8.6
datasource: Office of Statewide Health Planning and Development (OSHPD), 2012

Average Charges13 Per Asthma Hospitalization

 AgeAlameda CountyCalifornia
Children0-17 $16,585 $19,508
Adults18+ $53,698 $40,853
TotalAll Ages $39,199 $33,749
datasource: Office of Statewide Health Planning and Development (OSHPD), 2010

Expected Source of Payment for Asthma Hospitalizations

Payment SourceAlameda CountyCalifornia
Medicare 29.1% 29.7%
Medi-Cal 38.3% 35.7%
Private 24.2% 24.9%
Other 8.4% 10.0%
datasource: Office of Statewide Health Planning and Development (OSHPD), 2010

Asthma Disparities

Age-Adjusted Asthma Hospitalizations and ED Visits per 10,000 Alameda County Residents by Race/Ethnicity, 2010

EventsWhiteBlackHispanicAsian/PI
Hospitalizations 9.0 41.5 11.8 7.9
ED Visits 42.9 214.5 46.6 23.7

Data Source: datasource: Office of Statewide Health Planning and Development (OSHPD), 2010

Hospitalization Rates Over Time

Age-Adjusted Asthma Hospitalizations per 10,000 Residents, Alameda County and California, 1998-2008

YearAlameda CountyCalifornia
1998 19.6 11.7
1999 20.3 12.1
2000 17.2 11.0
2001 16.1 10.5
2002 15.7 10.5
2003 16.5 11.1
2004 14.4 9.8
2005 16.2 9.9
2006 14.8 9.1
2007 14.4 8.6
2008 14.8 9.1

Data Source: datasource: Office of Statewide Health Planning and Development (OSHPD) , 1998- 2008.

Healthy People 201014

Asthma Hospitalizations per 10,000 Residents by Age, Compared to HP2010 Targets, California and Alameda County, 2008

EventsAlameda CountyCaliforniaHP2010
0-4 49.9 22.0 25
5-64 9.1 6.0 7.7
65+ 31.8 21.9 11

Data Source: datasource: Office of Statewide Health Planning and Development (OSHPD), 2008 .

Asthma ED Visits per 10,000 Residents by Age, Compared to HP2010 Targets, California and Alameda County, 2008

AgesAlameda CountyCaliforniaHP2010
0-4 195.8 102.5 80
5-64 55.2 39.8 50
65+ 53.4 37.7 15

Data Source: datasource: Office of Statewide Health Planning and Development (OSHPD), 2008.


Notes

  1. PI = Pacific Islander; Please see technical notes for more information on race/ethnicity categorizations.
  2. Lifetime asthma prevalence is the proportion of people in the population who have ever been diagnosed with asthma by a health provider.
  3. The 95% confidence interval (CI) is a range that expresses a level of certainty about an estimate based on the margin of error.
    The 95% CI means that we are 95 percent confident that this range contains the true population percent. A narrow CI means that there is less variability in the estimate and/or there is a larger sample size. A wide CI indicates more variability and/or a smaller sample size.
  4. Active asthma prevalence is the proportion of people in the population who have ever been diagnosed with asthma by a health provider and report that they still have asthma and/or report that they had an episode or attack within the past 12 months.
  5. Work-related asthma is asthma that is caused or triggered by conditions or substances in the workplace.
  6. Balmes J, Becklake M, Blanc P, et al. Environmental and Occupational Health Assembly, American Thoracic Society. American Thoracic Society Statement: Occupational Contribution to the Burden of Airway Disease. Am J Respir Crit Care Med. 2003;167:787-797; Lutzker L, Rafferty A, Brunner W, et al. Prevalence of Work-related Asthma in Michigan, Minnesota, and Oregon. Journal of Asthma. 2010;47:156-161.
  7. Obesity is defined as a body mass index (BMI) of 30 or greater.
  8. Data Sources for Asthma Risk Factors: Smoking — CHIS, 2009; Obesity — CHIS, 2009; Poverty Level — American Community Survey, 2007-2009; Unemployment Rate — State of California Employment Development Department, 2009
  9. An asthma death is a death where asthma was indicated as the underlying cause on the death certificate. The rate of asthma deaths is the number of deaths per 1,000,000 residents, age-adjusted to the 2000 U.S. population.
  10. An asthma ED visit is an admission to a licensed ED in California with the primary diagnosis of asthma. The rate of asthma ED visits is the number of visits per 10,000 residents, age-adjusted to the 2000 U.S. population.
  11. Population denominators for rates are from the California Department of Finance. All rates are age-adjusted to the 2000 U.S. population. Age-adjusted rates are modified to eliminate the effect of different age distributions in different populations. Rates based on numbers <20 are not reported.
  12. An asthma hospitalization is a discharge from a licensed acute care hospital in California with the primary diagnosis of asthma. The rate of asthma hospitalizations is the number of hospitalizations per 10,000 residents, age-adjusted to the 2000 U.S. population.
  13. Charges for asthma hospitalizations are the only type of data available to assess the costs of asthma in California counties. However, there are many other costs associated with asthma, including other types of health care utilization, medications, and indirect costs due to factors such as school and work missed.
  14. Healthy People 2010 (HP2010) is a set of national benchmarks for a wide range of health topics, including asthma. For more information on HP2010, visit www.healthypeople.gov.
  15. Outdoor air quality data—including exposures such as PM2.5, PM10, ozone, and traffic pollution—can be found online through the California Environmental Health Tracking Program’s Air Quality Data Query or on the California Air Resources Board website.

Further details about the data presented in this report can be found in the accompanying Technical Notes document.