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Am J Epidemiol 2003; 158:105-107.
Copyright © 2003 by Johns Hopkins Bloomberg School of Public Health

PRACTICE OF EPIDEMIOLOGY

Invited Commentary: Asthma Surveillance in US Children

Bruce P. Lanphear1  and Peter J. Gergen2

1 Cincinnati Children’s Environmental Health Center, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Cincinnati, OH.
2 Center for Primary Care and Research, Agency for Health Research and Quality, Rockville, MD.

Received for publication December 12, 2002; accepted for publication February 14, 2003.

Abbreviations: Abbreviations: NHANES, National Health and Nutrition Examination Survey; NHIS, National Health Interview Survey.

The first 10% of the full text of this article appears below.


   INTRODUCTION
 
Asthma is a highly prevalent and disabling disease of childhood. Data from national surveys indicate that 5–11 percent of children and adolescents in the United States—totaling over 4 million persons—have physician-diagnosed asthma (1–4). It is the most prevalent cause of childhood disability, with 1.4 percent of US children having disabling asthma (5). These data leave little room to doubt that asthma is one of the leading public health problems in the United States. Much of our knowledge about the burden of asthma in the US population comes from the data systems of the National Center for Health Statistics.

The National Health Interview Survey (NHIS) has been used to track diagnosed asthma for over 30 years. Prior to 1997, the emphasis of the NHIS was to report the diagnosis of asthma. In 1997, the National Center . . . [Full Text of this Article]


   CHALLENGES TO ASTHMA SURVEILLANCE
 

   IMPROVEMENT OF ASTHMA SURVEILLANCE
 

   ACKNOWLEDGMENTS
 

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