School-based Stock Inhaler Programs and Neighborhood Disadvantage

Ashley A. Lowe, Joe K. Gerald, Conrad J Clemens, Lynn B. Gerald

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Introduction. Ensuring students with asthma residing in disadvantaged communities have access to rescue medication (albuterol) is important. Methods. Using the Area Deprivation Index (ADI), we examined relationships between albuterol use and neighborhood deprivation among schools participating in the Pima County (Arizona) Stock Inhaler Program. Schools were categorized into quartiles based on their census block ADI. A hurdle regression examined associations between ADI and stock inhaler use after controlling for school characteristics. Results. Among 228 participating schools, only those in the second worst ADI quartile were more likely to use a stock inhaler than those in the most deprived quartile (referent), OR 1.9 (95% CI 1.2–2.9). Middle schools had 2.1 times higher odds (95% CI 1.3–3.4) of ever using a stock inhaler than elementary schools (referent). Conclusion. Students attending schools in the second most deprived communities, as opposed to most deprived, may have the most tenuous albuterol access.

Original languageEnglish (US)
Pages (from-to)1083-1093
Number of pages11
JournalJournal of health care for the poor and underserved
Issue number2
StatePublished - May 2022


  • Area Deprivation Index
  • Asthma
  • albuterol sulfate
  • child
  • school

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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