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Volume 360:2578-2579 June 11, 2009 Number 24
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Drug Therapy for Asthma

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 by Fanta, C. H.
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To the Editor: In his review of drug therapy for asthma, Fanta (March 5 issue)1 begins by reviewing the dramatic increase in morbidity associated with asthma in the United States during the 1970s and 1980s and the more recent improvement in asthma outcomes. However, there was no mention of the marked racial, ethnic, and socioeconomic disparities in asthma outcomes that are partly related to drug-treatment barriers.

Asthma outcomes are worse in minority and low-income populations than in nonminority and middle- and high-income populations.2 The underuse of controller medications in children receiving Medicaid is much more common among Hispanic children (44%) . . . [Full Text of this Article]




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