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

J Asthma. 2007 Oct;44(8):639-48. doi: 10.1080/02770900701554441.

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.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Albuterol / therapeutic use*
  • Asthma / drug therapy*
  • Asthma / ethnology*
  • Asthma / physiopathology
  • Black or African American*
  • Bronchodilator Agents / therapeutic use*
  • Child
  • Female
  • Forced Expiratory Volume / drug effects
  • Hispanic or Latino*
  • Humans
  • Male
  • Mexican Americans*
  • Mexico
  • New York City
  • Puerto Rico
  • San Francisco
  • Statistics, Nonparametric
  • Vital Capacity / drug effects

Substances

  • Bronchodilator Agents
  • Albuterol