Ethnic-specific differences in bronchodilator responsiveness among African Americans, Puerto Ricans, and Mexicans with asthma

Mariam Naqvi, Shannon Thyne*, Shweta Choudhry, Hui Ju Tsai, Daniel Navarro, Richard A. Castro, Sylvette Nazario, Jose R. Rodriguez-Santana, Jesus Casal, Alfonso Torres, Rocio Chapela, H. Geoffrey Watson, Kelley Meade, Michael LeNoir, Pedro C. Avila, William Rodriguez-Cintron, Esteban González Burchard

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

67 Scopus citations

Abstract

Socioeconomic and environmental differences do not fully explain differences in asthma prevalence, morbidity, and mortality among Puerto Ricans, African Americans, and Mexican Americans. Differences in response to albuterol may be a factor. We compared bronchodilator responsiveness between these three populations. All groups demonstrated below expected responsiveness. Puerto Ricans of all ages and African American children with moderate-to-severe asthma demonstrated the lowest responsiveness overall. Among subjects with moderate-to-severe asthma, children were even less likely than adults to show the expected bronchodilator response. We conclude that ethnic-specific differences in bronchodilator drug responsiveness exist between Mexicans, Puerto Ricans, and African Americans with asthma. This may be of importance in asthma management.

Original languageEnglish (US)
Pages (from-to)639-648
Number of pages10
JournalJournal of Asthma
Volume44
Issue number8
DOIs
StatePublished - Oct 2007

Funding

Supported in part by National Institutes of Health (K23 HL04464, HL 078885, HL07185, GM61390, American Lung Association of California, RWJ Amos Medical Faculty Development Award, NCMHD Health Disparities Scholar, Extramural Clinical Research Loan Repayment Program for Individuals from Disadvantaged Backgrounds, 2001–2003, to EGB), American Thoracic Society Breakthrough Opportunities for Lung Disease (BOLD) grant (ATS-05-078) and Tobacco-Related Disease Research Program New Investigator Award (15KT-0008) to SC; Ernest S. Bazley Grant to Northwestern University to PCA; (HL51823, HL074204, 3M01RR000083-38S30488, HL56443 and HL51831 to the Asthma Clinical Research Network), SFGH General Clinical Research Center M01RR00083-41, U01-HL 65899, UCSF-Children’s Hospital of Oakland Pediatric Clinical Research Center (M01 RR01271), Oakland, CA, Sandler Center for Basic Research in Asthma and the Sandler Family Supporting Foundation.

Keywords

  • African Americans
  • Asthma
  • Bronchodilator drug response
  • Hispanics
  • Latinos

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

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