Asthma mortality rates for California youths (ages 5-17 years) were examine
d over the period 1981-1995. Data were analyzed by Poisson regression from
the California Departments of Vital Statistics, Finance, and the U.S. Censu
s Bureau. Aggregate statewide mortality demonstrated a 2.01%, statistically
insignificant, upward trend without geographic clustering. Stratified race
/ ethnicity rates differed significantly, with African-American mortality t
wice that of the Caucasian population. In addition, an increased number of
deaths occurred in households of African-Americans, Caucasians (including H
ispanics), and Hispanics with incomes below statewide medians; This study o
n California youths differs from reports on larger populations with its min
imal aggregate increase in asthma mortality, yet mirrors national trends of
disproportionate impact on African-Americans and the economically disadvan
taged.