Lville Is a Top 10 Asthma Capital Again
Asthma Capitals 2021
There isn't just one reason why some people get asthma. Several risk factors tin can make someone more than likely to get asthma – such as heredity, exposure to tobacco fume or harsh chemicals, or an disease. Other factors can add to that take chances as well. And many of these factors depend on where a person lives.
AAFA's Asthma Capitals™ Report ranks the largest 100 U.S. metropolitan cities by how challenging they are to alive in with asthma. AAFA publishes this report to help people who live in Asthma Capitals advocate for better care and policies. The report also shows how communities can best direct their focus to reduce the impact of asthma.
This study's ranking is based on weighted outcomes: asthma prevalence, asthma-related emergency department visits, and asthma-related deaths.
The study also analyzes eight adventure factors that can influence asthma outcomes: poverty, lack of health insurance, air pollution, pollen count, long-term controller medicine employ, quick-relief medicine utilize, smoke-free laws, and access to asthma specialists.
Out of the 100 Cities AAFA Ranked, the Top 20 Most Challenging Places to Alive With Asthma:
Our study looks at how challenging it is to live with asthma in the peak 100 U.South. continental cities. Download our full report to run across where each city ranks for asthma outcomes (prevalence, asthma-related emergency room visits, and mortality). The report also reviews viii hazard factors that touch on asthma.
20. Greensboro, North Carolina
Many people in Greensboro frequent the emergency room for their asthma, placing this Southern city in the #20 spot. Risk factors impacting these wellness outcomes include the urban center'southward 16% poverty rate and few smoking laws. These factors all reveal that many of the people with asthma in the area aren't getting the proper treatment to keep their asthma under control.
nineteen. Fresno, California
Fresno has loftier rates of asthma-related emergency room visits and deaths, leading to its #19 place in this year'due south Asthma Capitals study. High pollen rates and poor air quality can make it harder to manage asthma in the expanse – Fresno County scored an F for high ozone and particle pollution in the American Lung Association's State of the Air report. These factors, as well as loftier rates of quick-relief medicine utilise, contribute to Fresno's ranking.
18. Boston, Massachusetts
Boston'due south asthma prevalence and asthma-related rates for emergency room visits are average, nonetheless it is still one of the highest on our list for asthma-related deaths. Like other cities on our written report, poverty is a risk factor for Boston, with sixteen.7% of the city'south population living below the federal poverty level.
17. Hartford, Connecticut
One of the oldest cities in America is besides one of the most challenging places to live with asthma, as seen by its high asthma prevalence and asthma-related emergency section visits. Hartford'southward residents with asthma face loftier pollen. Pollen can trigger asthma symptoms in people with allergic asthma. Even though Hartford is #17 overall on our Asthma Capitals report, it ties with New Haven, Connecticut, and Springfield, Massachusetts, for high estimates of people afflicted by pollen.
sixteen. Louisville, Kentucky
Louisville ranks high on our list due to its high rates of asthma-related emergency room visits. Though poor air quality previously contributed to Louisville's ranking, ozone levels and particle pollution accept improved in recent years. Through a program run by AIR Louisville, they utilise GPS health sensors fastened to inhalers to rails medicine utilise and discover means to better air quality. Nevertheless, the city continues to accept high rates of long-term controller and quick-relief medicine use.
fifteen. Detroit, Michigan
Nicknamed "Motor City" for its history at the center of the automotive industry, Detroit is our #xv Asthma Capital due to its loftier rates of asthma prevalence and asthma-related deaths. Equally with other cities in the meridian twenty, high poverty rates and poor air quality are chance factors for Detroit. These factors likely contribute to the city'south high rates of quick-relief medicine use, another risk factor that is linked to poor asthma control.
fourteen. Birmingham, Alabama
High asthma prevalence and high rates of asthma-related deaths land Birmingham in our top 20 Asthma Capitals for 2021. The city'due south 16.2% poverty charge per unit contributes to these outcomes. Birmingham likewise has few smoking laws preventing exposure to secondhand smoke.
13. Columbus, Ohio
Columbus joins 3 other Ohio cities in the pinnacle 20 and is part of the Ohio Valley "Asthma Belt." It's high on the list for college-than-average emergency room visits. Columbus also has higher-than-boilerplate scores for quick-relief and long-term controller medicine use.
12. Springfield, Massachusetts
Previously our #1 Asthma Capital in 2019, Springfield remains in our meridian xx for 2021. The urban center still ranks high in asthma-related emergency room visits, securing its #12 spot in our list. High pollen scores tin can make asthma worse for people living in Springfield – the metropolis ties with Bridgeport, Hartford, and New Haven for having the second-highest almanac pollen scores in the country. Pollen may also contribute to the city's high rates of quick-relief medicine employ.
11. Worcester, Massachusetts
Worcester joins Springfield and Boston as one of three Massachusetts cities in our tiptop 20 Asthma Capitals. Worcester has high rates of asthma-related emergency room visits and asthma-related deaths. Though it has some of the lowest poverty and uninsured rates in the country, people living in the surface area may still find it difficult to keep their asthma under control, as quick-relief medicine use in Worcester is particularly high.
10. Tucson, Arizona
Tucson lands in the top 10 of this year's Asthma Capitals due to its loftier rate of asthma-related deaths. In fact, Tucson has the fifth-highest asthma bloodshed rate in the country. Poor air quality and high levels of pollen in the spring may contribute to these outcomes.
9. Oklahoma City, Oklahoma
Oklahoma City is this year's #9 Asthma Capital due to its high scores for asthma prevalence and asthma-related deaths. The city too has higher-than average scores for iv risk factors: poverty rates, uninsured rates, annual pollen scores, and long-term controller medicine use. The city also has few smoking laws. This increases exposure to secondhand fume, a mutual trigger for asthma.
8. Dayton, Ohio
Dayton is the sixth largest city in Ohio, but it ranks the highest of the Ohio cities on our list at #8. The "Birthplace of Aviation" has the third-highest rate of emergency room visits due to asthma. High poverty rates and pollen scores contribute to these outcomes, as well equally Dayton's high rates of quick-relief and long-term controller medicine use.
vii. Philadelphia, Pennsylvania
The sixth largest city in the U.Southward. is our #7 Asthma Capital because of a loftier number of emergency room visits and a high number of asthma fatalities. Considered one of the nation'southward poorest cities, poverty is no dubiety the top take a chance factor in Philadelphia's asthma rates. Like other cities in the pinnacle twenty, Philadelphia besides has high rates of quick-relief medicine use, another risk factor that contributes to health outcomes.
6. Cleveland, Ohio
With a higher-than-average rate of asthma-related emergency room visits and asthma-related deaths, Cleveland lands at #6. With a high poverty rate of 16.ii% combined with high levels of ozone, it'due south not surprising 9% of Cleveland'due south residents take asthma. Cleveland also has the 6th highest charge per unit of quick-relief medicine use, showing that many residents may have uncontrolled asthma.
5. New Oasis, Connecticut
This coastal city in Connecticut comes in at #5 because of its high rates for asthma prevalence, emergency room visits due to asthma, and asthma-related deaths. New Oasis's residents have high usage of both long-term control and quick-relief asthma medicines. This is connected to very high pollen counts in both spring and fall.
four. Milwaukee, Wisconsin
This Midwestern city on the shore of Lake Michigan made our list for a high number of asthma-related emergency room visits and asthma-related deaths. In fact, Milwaukee has the second-highest rate of emergency room visits due to asthma. This is likely related to its xvi.9% poverty rate. Many residents also accept loftier rates of quick-relief medicine use.
iii. Richmond, Virginia
Richmond is #3 on our Asthma Capitals list for high asthma-related death and emergency room visits. The city's high poverty rate is a factor. Low-income families may face poorly maintained rental housing, urban locations with high pollution, and lack of resource to pay for proper care. Richmond also has the highest almanac pollen score, which can brand asthma worse for people with allergic asthma living in the expanse.
2. Baltimore, Maryland
The birthplace of "The Star-Spangled Banner" is as well habitation to high asthma-related emergency room visits and asthma-related deaths. The urban center's high poverty rate is the leading contributing risk factor. According to the Centers for Disease Command and Prevention (CDC), people living below the poverty level are more likely to have asthma than those above it.
1. Allentown, Pennsylvania
Allentown is first on our list equally the top Asthma Capital of 2021 due to its high rates of asthma-related emergency room visits. Run a risk factors affecting these asthma outcomes include a high guess of people affected past pollen and few smoking laws.
Asthma Capitals: Full Written report With Asthma Outcomes and Take chances Factors
2021 Asthma Capitals – Total Report and Rankings
Printing Release: 2021 Asthma Capitals™ Report
The COVID-19 pandemic impacted daily life in most of 2020. The pandemic influenced some changes in health outcomes and take chances factors similar pollen exposure, medicine use, and emergency room visits. In 2020, fewer people experienced pollen allergies due to COVID-19 restrictions, recommendations to stay indoors, and other preventative measures like mask wearing. As a upshot, use of long-term asthma medicines were also down forth with fewer people heading to hospital emergency rooms for asthma.
Regional Trends and Asthma Belts
This report besides examines regional trends found in the two "Asthma Belts" – the Ohio Valley area and the Northeast Mid-Atlantic region – and the impact of man activity and climatic change in the west.
(Alaska, Hawaii, Puerto Rico, and tribal nations were not factored into this report due to a lack of data on asthma in these populations.)
Northeast Mid-Atlantic Asthma Belt
This cluster extends from Massachusetts to North Carolina. Poverty, air pollution, and access to specialists are key risk factors for these cities. This is likely due to more than industrial and urban populations. Asthma rates tend to be higher, especially among children, in urban locations.
This year's superlative Asthma Uppercase is Allentown, Pennsylvania, the mid-way point in the Northeast Mid-Atlantic Asthma Belt. Allentown'southward placement in the top spot is largely due to loftier rates of asthma-related emergency room visits. Compared to previous years, Allentown's asthma emergency room rate has been increasing steadily.
Ohio Valley Asthma Belt
Three Ohio cities are in the summit 20 of our report – Cleveland, Dayton, and Columbus. Nearby, Detroit, Michigan, and Louisville, Kentucky, announced in this "Asthma Belt." With so much of this region facing poor outcomes, asthma appears to exist a widespread concern. Poverty, air pollution, and loftier numbers of medicine apply are the key risk factors that have placed these cities at the top of our report.
Asthma in the Due west
Ii western cities are now in the peak 20 − Tucson, Arizona (#10), and Fresno, California (#19). There has been an increase in wildfires and air pollution in the w. In 2020, both cities had high rates of asthma-related deaths, and Fresno had loftier rates of asthma-related emergency room visits. High pollen levels and poor air quality contributed to these outcomes.
What Can Be Done?
Reduced asthma rates and deaths are possible. This report shows where nosotros tin can focus our efforts for healthier environments and communities. Researchers, health care providers, federal and state policy makers, and local stakeholders all must work together to ameliorate local communities and make asthma care more than widely available. View our report to see specific actions that can exist taken to assistance the more than 25 million Americans with asthma.
The 2021 Asthma Capitals™ written report is an independent enquiry project of the Asthma and Allergy Foundation of America fabricated possible in part past support from the Pharmaceutical Care Management Association (PCMA) Foundation.
Source: https://www.aafa.org/asthma-capitals/
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