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LIVINGSTON County Asthma Statistics

  • 8.3% of adults 18 years of age and older reported currently having asthma. [2017-2019 Michigan Behavioral Risk Factor Survey]

  • 7.3% of children less than 18 years of age reported currently having asthma. [2017-2019 Michigan Behavioral Risk Factor Survey]

  • The prevalence of persistent asthma among children less than 18 years of age on Medicaid was 4.9 percent, this is similar to the state prevalence.1,2 [2016 Michigan Medicaid Data Warehouse]

  • Care provided in emergency departments (ED) may reflect high-need care. However, it can also reflect care that can and should be provided in a patient's regular doctor’s office. Emergency department reliance (EDR) is the percentage of all outpatient doctor visits for asthma that occur in the ED. A higher EDR can reflect problems with access to coordinated care provided by a patient’s regular doctor. The percent of children with an EDR greater than one in three in LIVINGSTON county was 10.4 percent, this is lower than the state rate. [2016 Michigan Medicaid Data Warehouse]

  • In LIVINGSTON county there were 7 deaths from asthma between 2017 and 2019. The mortality rate of asthma is 9.2 per 1,000,000 people. The mortality rate for asthma in LIVINGSTON county is similar to the state rate.3 [2017-2019 Mortality Files]

  • There are about 42 hospitalizations each year in LIVINGSTON County for asthma. The rate of asthma hospitalization is 3.5 hospital stays per 10,000 people. 3 [2017-2019 Michigan Inpatient Data Base]

Table 1. Annual Average Numbers and Age-Adjusted Rates Per 10,000 of Asthma Hospitalizations
by Gender, Age and Race in LIVINGSTON County and Michigan, 2017-20193
[Michigan Inpatient Data Base]

Group Average Number of
Hospitalizations per Year
in LIVINGSTON County
LIVINGSTON County
Asthma Hospitalization Rate
per 10,000 People
Michigan Asthma
Hospitalization Rate
per 10,000 People
Sex
Male 18 3.0 8.1
Female 23 3.9 11.4
Race
White 37 3.2 5.6
Black 4 ~ 30.9
Age
0 to 17 20 5.1 11.2
18 and Older 22 1.3 4.8
 
All Ages 42 3.5 9.8
*Rates are age-adjusted to the 2000 US population. 2017-2019 yearly bridged-race population estimates provided by the National Vital Statistics System and maintained by the Centers for Disease Control and Prevention were used in calculations. For records missing data on race, race was assigned based on the hospitalized population within that data year.

~Insufficient data to compute a stable rate (Total count of events 1-19 between 2017 and 2019).


Table 2. Characteristics of Asthma Management for Children Enrolled in Medicaid with Persistent
Asthma, LIVINGSTON County and Michigan, Age ≤17 Years, 2016, Age-Adjusted1,2
[Michigan Medicaid Data Warehouse]

Characteristic of Asthma Management County Percent Michigan Percent
Two or More Office Visits for Asthma4 52.5% 45.1%
One or More Emergency Department Visit for Asthma5 19.7% 25.1%
Seven or More Prescription Refills for SABA6 8.9% 8.8%
One or More Long Term Control Medication7 87.6% 81.0%
~Insufficient data to compute a stable rate.


If you have a specific data request, please contact Prudence Kunyangna at KunyangnaP@michigan.gov.

Learn more about Michigan’s Asthma Surveillance, Data and Reports.

Footnotes

1
Persistent asthma is defined according to the Health Plan and Employer Data and Information Set (HEDIS®) definition from the National Committee for Quality Assurance (NCQA). The criteria for this definition are: (1) ≥4 asthma medication dispensing events OR (2) ≥1 emergency department visits for asthma OR (3) ≥1 hospitalization for asthma OR (4) ≥4 outpatient visits for asthma and ≥2 asthma medication dispensing events.
2
Children enrolled in Medicaid are restricted to those who are continuously enrolled in Medicaid with full coverage and no other insurance.
3
Rates and percents are age-adjusted to the 2000 standard population.
4
The proportion of children with persistent asthma in Medicaid with two or more annual asthma office visits. Most of the visits were in a physician's office, but some home and urgent care visits may also be included in this measure.
5
The proportion of children with persistent asthma in Medicaid with one or more annual asthma emergency department visits.
6
Short-acting beta-agonist (SABA). The proportion of children with persistent asthma in Medicaid who have filled seven or more prescriptions for quick relief medications (SABAs) in a year – an indicator of overuse of this medication.
7
The proportion of children with persistent asthma in Medicaid who have filled one or more prescriptions for a long-term controller medication in a year.
8
Insufficient data to compute a stable rate (Total count of events 1-4).