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Asthma Epidemiology

Asthma is a serious, chronic disease of the lungs that is caused by swelling (inflammation) in the airways. There is no cure for asthma, but symptoms can be prevented and controlled with proper care. To learn more about this disease, read the MDHHS Asthma Fact SheetPDF icon or visit the MDHHS Asthma Program website.

This page includes links to asthma surveillance reports, presentations, fact sheets, infographics, and other data products produced by the staff of the MDHHS Chronic Disease Epidemiology Section. It also includes links to other sources of statewide and national asthma data that will help you better understand asthma's impact on our residents.

  • Detroit: The Current Status of the Asthma Burden, 2021 UpdatePDF icon
    (Michigan Department of Health and Human Services, 2021)

    This October 2021 presentation is an update of a 2016 report. Using survey, hospitalization, Medicaid claims, and mortality data, it examines the disparities of the asthma burden in Detroit, compared with the rest of Michigan.

    Michigan Asthma Atlas: Prevalence, Hospitalization, & Mortality by Counties & Regions Among Michigan Adults & ChildrenPDF icon
    (Michigan Department of Health and Human Services, 2019)

    This Atlas is a series of maps that includes data on prevalence, hospitalization and mortality-related asthma at the regional and county level among Michigan adults and children.

    Asthma Among Children in Michigan Medicaid: 2016 County MapsPDF icon
    (Michigan Department of Health and Human Services, 2019)

    This report includes a series of Michigan county maps that show asthma statistics for children that were fully covered under Michigan Medicaid during 2016.

    The Current Status of the Asthma Burden in Saginaw CountyPDF icon
    (Michigan Department of Health and Human Services, 2017)

    This report examines the burden of asthma in Saginaw County in comparison to the entire state using survey, hospitalization, Medicaid claims, and mortality data.

    Detroit: The Current Status of the Asthma BurdenPDF icon
    (Michigan Department of Health and Human Services, 2016)

    This presentation describes the disparities of the asthma burden in Detroit, compared with the rest of Michigan. It examines the asthma burden in Detroit using survey, hospitalization, Medicaid claims, and mortality data.

    2013 Michigan Youth Risk Behavior Survey: Asthma & Behavioral Risk FactorsPDF icon
    (Michigan Department of Health and Human Services, 2015)

    This presentation summarizes the 2013 Michigan Youth Risk Behavior Survey data and results related to asthma. It includes a multivariate logistic regression that found associations between weight status and eating breakfast with currently having asthma.

    Asthma Among Employed Adults, by Industry and Occupation - 21 States, 2013
    (Dodd KE, Mazurek JM. Morb Mortal Wkly Rep 2016; 65:1325-1331.)

    Michigan data was used in this 21-state analysis on work-related asthma. The report includes statistics on current prevalence of asthma by industry and occupation categories.

    Asthma Control and Clinical Management in Children and Adults, Michigan, 2008-2010PDF icon
    (Michigan Department of Community Health, 2012)

    This report describes changes in recent statistics on asthma management and treatment in children and adults using self-reported data on symptoms, activity limitations, missed school/work, emergency department visits, hospitalization, asthma education, routine care, and medication use.

    Epidemiology of Asthma in Michigan: Asthma Burden for Children in Medicaid, 2005-2010PDF icon
    (Michigan Department of Community Health, 2012)

    This report highlights the ongoing disparities in severe asthma outcomes and disease management trends in a variety of indicators measured with 2005-2010 Medicaid claims data. Indicators include: asthma prevalence; emergency department visits; hospitalizations; outpatient visits; spirometry tests; and asthma medications.

    Annual Reports on Asthma Deaths in Michigan (2002-2007)
    (Note: Scroll down the page to the Past Surveillance Initiatives / Asthma Deaths)
    (Michigan State University and Michigan Department of Community Health)

    With grant funding from the Centers for Disease Control and Prevention, the Michigan Department of Community Health, in conjunction with Michigan State University, developed a rapid asthma death notification and investigation system for the state of Michigan. During the first four years of the project (2002-2005), the system was limited to investigations of asthma deaths among children and young adults ages 2-34. In 2006 and then again in 2007, in-depth investigations for asthma deaths among 2-18 year olds continued, while the focus for in-depth investigations of adult asthma deaths was changed to 45-54 year olds. A less intensive review of asthma deaths in all other age groups that began in 2006 was continued.

    Annual Reports Tracking Work-Related Asthma
    (Michigan State University and Michigan Department of Licensing & Regulatory Affairs)

    In 1988, the State of Michigan instituted a surveillance program for work-related asthma with financial assistance from the National Institute for Occupational Safety and Health. The surveillance program is a joint project of the Michigan Occupational Safety and Health Administration in the Michigan Department of Licensing and Regulatory Affairs, the Michigan Department of Health and Human Services, and Michigan State University. Its goal is to prevent work-related asthma through the reporting of index patients. The reporting of the index patient is regarded as a sentinel health event that may lead to the identification of other employees from the same facility who are at risk of developing asthma or who have developed similar breathing problems.

  • Hospitalization Rates, by ZIP Code, for Michigan and Detroit, 2016-2019PDF icon
    (Michigan Department of Health and Human Services, 2021)

    This Michigan map shows asthma hospitalization rates by zip code, 2016-2019, with a special emphasis in the Detroit region.

    Is Your School Asthma Friendly?PDF icon (infographic)
    (Michigan Department of Health and Human Services, 2021)

    Many students have asthma and need to have their medication and asthma action plans available to them at school. This is a great infographic to share with school administration to educate on asthma and the Michigan self-carry law related to asthma.

    ACEs and Asthma in AdulthoodPDF icon
    (Michigan Department of Health and Human Services, 2020)

    ACEs are adverse childhood experiences that can be defined as exposure to emotional abuse, physical abuse, neglect, or household dysfunction. This brief looks at the relationship between ACEs and asthma among adults.

    Asthma Education and Management Among Michigan ChildrenPDF icon
    (Michigan Department of Health and Human Services, 2020)

    This Michigan BRFSS Surveillance Brief summarizes asthma education and management among Michigan children. Results are from the 2012-2016 Asthma Call Back Survey and include statistics on medication use, receipt of an asthma action plan, and being taught to recognize early signs of an asthma episode.

    Asthma by Race and EthnicityPDF icon
    (Michigan Department of Health and Human Services, 2020)

    Summary of asthma prevalence, hospitalization, and mortality rates among different racial and ethnic populations in Michigan, including American Indian and Asian populations.

    Asthma Among Michigan Adults: Prevalence, Health Conditions, and Health BehaviorsPDF icon (infographic)
    (Michigan Department of Health and Human Services, 2018)

    This Michigan BRFSS Surveillance Brief summarizes asthma-related data from the 2016 Michigan Behavioral Risk Factor Survey. It includes state-level lifetime and current asthma rates, as well as data on certain health behaviors and conditions, such as COPD, cigarette use, and health care prevented by cost among those adults with current asthma.

    Asthma in Michigan YouthPDF icon
    (Michigan Department of Health and Human Services, 2018)

    This MDHSS Surveillance Brief summarizes asthma-related data from the 2017 Youth Risk Behavior Survey. It includes national and state-level lifetime asthma rates and trends, as well as data on current asthma and the interaction of certain health behaviors with asthma, including obesity, sedentary behavior, sleep habits, healthy eating, alcohol use, smoking (cigarettes, electronic vapor products, and marijuana) among 9th through 12th graders with current asthma.

    Asthma in the Elderly PopulationPDF icon
    (Michigan Department of Health and Human Services, 2018)

    This MDHHS Surveillance Brief describes asthma prevalence and hospitalization statistics for the elderly population in Michigan.

    Michigan Asthma HospitalizationPDF icon
    (Michigan Department of Health and Human Services, 2017)

    This MDHHS Surveillance Brief includes information on asthma hospitalization trends by year and counties with high asthma hospitalization rates. Asthma hospitalization is an indicator of uncontrolled asthma.

    Indoor Air and AsthmaPDF icon
    (Michigan Department of Health and Human Services, 2017)

    Many asthma triggers can be found in the home. This MDHHS Surveillance Brief summarizes data on triggers, such as tobacco smoke, indoor pets, mold, and wood burning stoves, as well as trigger-avoidance behaviors, such as no carpeting in bedrooms, use of mattress covers, and washing bed sheets in hot water.

    Asthma Call-Back Survey: AdultsPDF icon
    (Michigan Department of Health and Human Services, 2017)

    Summary of the 2011-2013 Michigan Asthma Call-Back Survey results for adults with current asthma. This MDHHS Surveillance Brief includes data on uncontrolled asthma, healthcare utilization, asthma education, indoor environmental triggers, and work-related indicators among adults.

    Asthma Call-Back Survey: ChildrenPDF icon
    (Michigan Department of Health and Human Services, 2017)

    Summary of the 2011-2013 Michigan Asthma Call Back Survey results for children with current asthma. This MDHHS Surveillance Brief includes data on uncontrolled asthma, healthcare utilization, asthma management, indoor environmental triggers, and school-related indicators among children.

    Michigan Asthma StatisticsPDF icon
    (Michigan Department of Health and Human Services, 2016)

    This fact sheet outlines Michigan asthma statistics for prevalence, education, management, quality of life, cost barriers, hospitalization, and mortality.

    Symptoms, Management, and Productivity Losses Among Michigan AdultsPDF icon
    (Michigan Department of Health and Human Services, 2016)

    Asthma presents a significant burden and challenge in Michigan. Poor asthma control and severe asthma outcomes that could be prevented still occur among Michigan residents. This Michigan BRFSS Surveillance Brief provides new statistics on self-reported symptoms, management, and productivity losses among Michigan adults with asthma.

    Disparities in Michigan's Asthma BurdenPDF icon
    (Michigan Department of Health and Human Services, 2016)

    This fact sheet highlights racial, gender, and socio-economic disparities in asthma burden in Michigan.

    Hospitalization Rates, by Zip Code, for Michigan and Detroit, 2012-2014PDF icon
    (Michigan Department of Health and Human Services, 2016)

    This Michigan map shows asthma hospitalization rates by zip code, with a special emphasis on 2012-2014 in the Detroit region.

    Asthma Hospitalizations in Michigan InfographicPDF icon
    (Michigan Department of Health and Human Services, 2015)

    This infographic shows gender, racial and age-based differences in hospitalization numbers, as well as asthma hospitalization rates among children and adults in Michigan.

     

     
  • Michigan Asthma Call-Back Survey
    (Michigan Department of Health and Human Services)

    The Michigan Asthma Call-Back Survey (MiACBS) has been conducted annually since 2005 in conjunction with the Michigan Behavioral Risk Factor Survey. Each annual MiACBS samples Michigan residents who have ever been diagnosed with asthma or whose randomly selected child have ever been diagnosed with asthma. Respondents are asked questions pertaining to:

    • demographic information;
    • age of diagnosis;
    • history of previous asthma attacks;
    • activity limitations due to asthma;
    • hospitalizations and emergency department visits due to asthma;
    • insurance status and history;
    • cost barriers;
    • environmental exposures in the home, school and workplace;
    • prescription medications; and
    • diagnosis of co-morbidities (other chronic diseases or conditions), such as emphysema, chronic bronchitis, and chronic obstructive pulmonary disease (COPD).

    Standard tables based on these data are available below. Learn more about the Michigan Asthma Call-Back Survey methods or available data elements.PDF icon

  • Michigan Medicaid Asthma Dashboards

    The Michigan asthma surveillance system is utilizing the potential of Medicaid data to better understand asthma burden and management for the Michigan Medicaid population.

    Michigan Asthma Dashboard screenshot (Prevalence of Persistent Asthma Among Michigan Medicaid Beneficiaries)

    Prevalence of Persistent Asthma Among Michigan Medicaid Beneficiaries

    This dashboard highlights trends in the prevalence of persistent asthma among Michigan Medicaid beneficiaries by demographics and county of residence from 2017-2019.

    See this dashboard.

    Michigan Asthma Dashboard screenshot (Percent of Michigan Medicaid Beneficiaries with Asthma Who Had at Least One Asthma-Related Emergency Department Visit)

    Percent of Michigan Medicaid Beneficiaries with Asthma Who Had at Least One Asthma-Related Emergency Department Visit

    This dashboard highlights trends in the prevalence of one or more asthma-related Emergency Department (ED) visits among Michigan Medicaid beneficiaries by demographics and county of residence from 2017-2019.

    See this dashboard.

    Michigan Asthma Dashboard screenshot (Percent of Michigan Medicaid Beneficiaries with Asthma Who Had at Least One Asthma-Related Inpatient Hospitalization)

    Percent of Michigan Medicaid Beneficiaries with Asthma Who Had at Least One Asthma-Related Inpatient Hospitalization

    This dashboard highlights trends in the prevalence of one or more asthma-related inpatient hospitalizations among Michigan Medicaid beneficiaries by demographics and county of residence from 2017-2019.

    See this dashboard.

  • Centers for Disease Control and Prevention Michigan Department of Health and Human Services National Heart, Lung, and Blood Institute U.S. Department of Health and Human Services, Office of Minority Health

     
    *Statistical methodologies may be different from what is presented on the MDHHS Asthma Surveillance, Data and Reports website.

For more information, or to get accessibility assistance reading any of the documents on this page, please contact:

Prudence Kunyangna, MS, Asthma Epidemiologist
Chronic Disease Epidemiology Section
Lifecourse Epidemiology and Genomics Division
MDHHS Bureau of Epidemiology and Population Health
e-mail: kunyangnap@michigan.gov