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San Joaquin County Asthma Profile

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In San Joaquin County, approximately 118,000 children and adults have been diagnosed with asthma.

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County Population
Age Population %
0–4 62,982 8.9
5–17 166,869 23.6
18–64 407,355 57.6
65+ 69,651 9.9
Total 706,857
County Population
Race/Ethnicity1 %
White 41.0
Black 6.8
Hispanic 35.0
Asian/PI 14.3
Other 3.0

Data Source: California Department of Finance, 2008 (2007 release)




Lifetime Asthma Prevalence,2 2009

People who have ever been diagnosed with asthma by a health provider

Percent with Lifetime Asthma (95% Confidence Interval3)
AgeSan Joaquin CountyCalifornia
Children0-4 -- 7.7 (6.2-9.2)
5-17 14.6 (7.5-21.6)
16.2 (14.9-17.6)
Adults18-64 21.4 (14.0-28.8)
13.8 (12.9-14.7)
65+ 12.4 (5.9-18.9)
11.8 (11.0-12.7)
Totals:0-17 13.2 (7.3-19.1) 14.2 (13.1-15.3)
18+ 20.1 (13.7-26.6)
13.5 (12.8-14.3)
All Ages 17.9 (13.0-22.8)
13.7 (13.1-14.3)

Data Source: California Health Interview Survey (CHIS), 2009

Active Asthma Prevalence,4 2007

People who have been diagnosed with asthma and still have asthma.

Percent with Active Asthma (95% Confidence Interval3)
Age San Joaquin County California
Children 0-4 -- 6.3 (5.1-7.4)
5-17 15.5 (6.7-24.3)
10.2 (9.3-11.1)
Adults 18-64 9.5 (5.4-13.5)
7.8 (7.3-8.2)
65+ 8.3 (3.6-13.1) 7.4 (6.8-8.1)
Totals: 0-17 13.9 (6.5-21.4)
9.1 (8.4-9.9)
18+ 9.3 (5.8-12.8)
7.7 (7.3-8.1)
All Ages 10.8 (7.5-14.2)
8.1 (7.7-8.4)

Data Source: California Health Interview Survey (CHIS), 2007

Asthma Management Plans

National guidelines recommend that health care providers give all patients with asthma a written self-management plan. In San Joaquin County, 31.9% (95% CI 26.2-37.6) of people with asthma have NOT received an asthma management plan from a health care provider.

Data Source: CHIS, 2009

Asthma Risk Factors, 2009

San Joaquin County Risk Factors
Risk Factor Percent (95% Confidence Interval)
Percent of adults who are current smokers 13.9 (9.5-18.3)
Percent of adults and children exposed to second-hand smoke in the home 5.7 (3.1-8.2)
Percent of adults who are obese7 (BMI>=30) 31.9 (26.2-37.6)
Percent of people below the Federal Poverty Level 15.8 (NA)
Unemployment Rate 15.4 (NA)

Data Source: CHIS, 20098

Asthma Deaths,9 2008-2010

Number of Deaths Due to Asthma (N) and Age-Adjusted Rate9 (per 1,000,000 residents)
San Joaquin CountyCalifornia
AgeNRateNRate
Children0–17 2 57 1.9
Adults18+ 22 16.4 1,198 14.3
TotalsAll Ages 24 12.9 1,255 11.1

Data Source: 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)
San Joaquin County California
Age N Rate N Rate
Children 0–4 735 110.8 30,344 109.7
5–17 996 56.4 42,112 59.0
Adults 18–64 2,330 56.0 90,989 36.8
65+ 282 38.4 16,527 37.6
Totals: 0–17 1,731 71.0 72,456 72.6
18+ 2,612 53.0 107,516 36.9
All Ages 4,343 57.7 179,972 46.1

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

Expected Source of Payment for Asthma ED Visits
Payment Source San Joaquin County California
Medicare 10.3% 12.6%
Medi-Cal 39.2% 37.1%
Private 29.4% 31.1%
Other 21.1% 19.3%

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

Asthma Hospitalizations,12 2010

Number of Hospitalizations Due to Asthma (N) and Age-Adjusted Rate11 (per 10,000 residents)
San Joaquin CountyCalifornia
AgeNRateNRate
Children0-4 149 22.5 6,187 22.3
5–17 103 5.8 4,884 6.9
Adults18–64 258 6.1 14,671 5.7
65+ 156 21.1 9,054 20.7
Totals:0–17 252 10.3 11,071 11.0
18+ 414 8.7 23,725 8.3
All Ages 666 9.1 34,796 9.0

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

Average Charges13 Per Asthma Hospitalization
AgeSan Joaquin CountyCalifornia
Children0–17 $23,361 $19,508
Adults18+ $55,302 $40,853
TotalAll Ages $43,172 $33,749

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

Expected Source of Payment for Asthma Hospitalizations
Payment SourceSan Joaquin CountyCalifornia
Medicare 27.8% 29.4%
Medi-Cal 36.3% 35.7%
Private 26.1% 24.9%
Other 9.8% 10.0%

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

Asthma Disparities

Age-Adjusted Asthma Hospitalizations and ED Visits per 10,000 San Joaquin County Residents by Race/Ethnicity, 2010
Events White Black HispanicAsian/PI
Hospitalizations 8.1 24.7 7.1 7.5
ED Visits 52.1 195.0 51.3 22.5

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

Hospitalization Rates Over Time

Age-Adjusted Asthma Hospitalizations per 10,000 Residents, San Joaquin County and California, 1998-2008
Year San Joaquin County California
1998 15.1 11.7
1999 14.2 12.1
2000 13.1 11.0
2001 12.9 10.5
2002 13.9 10.5
2003 15.0 11.1
2004 12.8 9.8
2005 12.7 9.9
2006 12.7 9.1
2007 10.4 8.6
2008 11 9.1

Data Source: 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 San Joaquin County, 2008
Events San Joaquin County California HP2010
0-4 25.3 22.0 25
5-64

7.4

6.0 7.7
65+ 26.7 21.9 11

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

Asthma ED Visits per 10,000 Residents by Age, Compared to HP2010 Targets, California and San Joaquin County, 2008
Ages San Joaquin County California HP2010
0-4 96.7 102.5 80
5-64 54.7 39.8 50
65+ 52.9 37.7 15

Data Source: 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.

Last Updated on Monday, 27 August 2012 10:29