Homes of low-income minority families with asthmatic children have increased condition issues

Pacheco, Christina; Ciaccio, Christina E.; Nazir, Niaman; Daley, Christine Makosky; DiDonna, Anita; Choi, Won Sik; Barnes, Charles S.; Rosenwasser, Lanny J.

doi:10.2500/aap.2014.35.3792

Cited by 36 publications

(26 citation statements)

References 43 publications

(55 reference statements)

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“…In addition to all of the data collected, pictures were taken to visually show participants the issues of concern in their homes. Level 1 assessments were limited to examining moisture control, chemical exposure and safety and injury prevention [ 23 ]. On occasion limited samples were collected, most notably when suspect mold was identified.…”

Section: Healthy Homes Programmentioning

confidence: 99%

“…Level 2 assessments encompassed all aspects of level 1 assessments and considered five general problem categories including air quality, allergens and dust, moisture control, chemical exposure and safety and injury prevention [ 22 , 23 , 24 ]. Level 2 assessments also included the collection of designated on-site samples [ 23 ]. Specific analytical parameters included measurements of temperature, humidity, carbon dioxide, carbon monoxide, airborne particulates and dust borne allergens [ 23 , 24 ].…”

Section: Healthy Homes Programmentioning

confidence: 99%

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Ensuring Healthy American Indian Generations for Tomorrow through Safe and Healthy Indoor Environments

Pacheco

Lewis

et al. 2015

IJERPH

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American Indians (AI) have the highest rate of severe physical housing problems in the U.S. (3.9%). Little information exists about the environmental hazards in AI homes. The purposes of this paper are to discuss challenges that were encountered when recruiting AI for a home-and employment-based environmental health assessments, highlight major successes, and propose recommendations for future indoor environmental health studies. The Center for American Indian Community Health (CAICH) and Children’s Mercy Hospital’s Center for Environmental Health and Allergy and Immunology Research Lab collaborated to provide educational sessions and healthy home assessments for AI. Through educational trainings, more than 240 AI were trained on the primary causes of health problems in homes. A total of 72 homes and places of employment were assessed by AI environmental health specialists. The top three categories with the most concerns observed in the homes/places of employment were allergens/dust (98%), safety/injury (89%) and chemical exposure (82%). While some information on smoking inside the home was collected, these numbers may have been underreported due to stigma. This was CAICH’s first endeavor in environmental health and although challenges arose, many more successes were achieved.

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Section: Healthy Homes Programmentioning

confidence: 99%

Section: Healthy Homes Programmentioning

confidence: 99%

Ensuring Healthy American Indian Generations for Tomorrow through Safe and Healthy Indoor Environments

Pacheco

Lewis

et al. 2015

IJERPH

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“…Low SES is associated with poor housing conditions (7) leading to exposure to cockroach allergen, particularly at high levels (8, 9). In one study, residential areas where poverty was common (>20% of homes falling below the FPL) had 33 times higher odds of cockroach allergen exposure than other residential areas (10).…”

Section: Introductionmentioning

confidence: 99%

Cockroach allergen exposure and plasma cytokines among children in a tropical environment

Medsker

Forno

Han

et al. 2017

Annals of Allergy, Asthma & Immunology

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“…Few have included significant numbers of low-income minority populations, in whom asthma is more prevalent. Minority populations of lower socio-economic status will also have different sociocultural and environmental exposures in the first years of life [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Maternal age and asthma in Latino populations

Abid

et al. 2016

Clin Experimental Allergy

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Background Younger maternal age at birth is associated with increased risk of asthma in offspring in European descent populations, but has not been studied in Latino populations. Objectives We sought to examine the relationship between maternal age at birth and prevalence of asthma in a nationwide study of Latino children. Methods We included 3473 Latino children aged 8–21 years (1696 subjects with physician-diagnosed asthma and 1777 healthy controls) from five U.S. centers and Puerto Rico recruited from July 2008 through November 2011. We used multiple logistic regression to examine the effect of maternal age at birth on asthma in offspring overall, and in analyses stratified by ethnic subgroup (Mexican American, Puerto Rican, and Other Latino). Secondary analyses evaluated the effects of siblings, acculturation, and income on this relationship. Results Maternal age <20 years was significantly associated with a decreased odds of asthma in offspring, independent of other risk factors (OR = 0.73, 95% CI: 0.57–0.93). In subgroup analyses, the protective effect of younger maternal age was observed only in Mexican Americans (OR = 0.53, 95% CI: 0.36, 0.79). In Puerto Ricans, older maternal age was associated with a decreased odds of asthma (OR = 0.65, 95% CI: 0.44–0.97). In further stratified models, the protective effect of younger maternal age in Mexican Americans was seen only in children without older siblings (OR = 0.44, 95% CI: 0.23–0.81). Conclusion and Clinical Relevance In contrast to European descent populations, younger maternal age was associated with a decreased odds of asthma in offspring in Mexican American women. Asthma is common in urban minority populations but the factors underlying the varying prevalence among different Latino ethnicities in the U.S. is not well understood. Maternal age represents one factor which may help explain this variability.

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Homes of low-income minority families with asthmatic children have increased condition issues

Abstract: The home is increasingly associated with asthma.

Cited by 36 publications

References 43 publications

Ensuring Healthy American Indian Generations for Tomorrow through Safe and Healthy Indoor Environments

Ensuring Healthy American Indian Generations for Tomorrow through Safe and Healthy Indoor Environments

Cockroach allergen exposure and plasma cytokines among children in a tropical environment

Maternal age and asthma in Latino populations

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