2005
DOI: 10.1001/archpedi.159.8.759
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Individual and Neighborhood-Level Factors in Predicting Asthma

Abstract: Objective: To identify the neighborhood socioeconomic and housing factors at the census-block level and the sociodemographic factors at the individual level that are associated with the risk of asthma.Design: Cross-sectional study of children aged between 5 and 18 years seen in a network of urban primary care clinics.

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Cited by 50 publications
(31 citation statements)
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References 17 publications
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“…4 In addition to adversely affecting lung function and creating a condition of chronic inflammation, obesity is associated with several comorbidities, such as GER and OSA, which can worsen asthma. 30,[43][44][45][46][47] Urban environments further complicate the picture because they increase exposure to pollutants and allergens, which may contribute to asthma, but also increase exposure to risk factors for obesity such as availability of fast food and fewer parks. [48][49][50] Because obesity appears to be associated with increased risk of ED visits in urban children admitted with asthma, it is possible that interventions to decrease obesity can improve asthma outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…4 In addition to adversely affecting lung function and creating a condition of chronic inflammation, obesity is associated with several comorbidities, such as GER and OSA, which can worsen asthma. 30,[43][44][45][46][47] Urban environments further complicate the picture because they increase exposure to pollutants and allergens, which may contribute to asthma, but also increase exposure to risk factors for obesity such as availability of fast food and fewer parks. [48][49][50] Because obesity appears to be associated with increased risk of ED visits in urban children admitted with asthma, it is possible that interventions to decrease obesity can improve asthma outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…Obese children are more likely to have increased risk factors for cardiovascular diseases, including elevations of blood pressure, cholesterol, lipids, and C-reactive protein [8,9]. Type 2 diabetes mellitus is also increased in obese children, and an association exists between childhood obesity and asthma with body mass index being a significant predictor of childhood asthma [10][11][12]. Fatty liver and cholecystitis are of increased incidence and prevalence in obese children [13,14].…”
Section: Discussionmentioning
confidence: 99%
“…2,[4][5][6][7][8] Studies conducted among populations of urban children have explored correlates of childhood asthma in efforts to identify the different levels at which social, psychological, and physical factors in the urban environment increase children's risk for asthma. Parent's race, 9,10 child's gender, 9,10 poverty, insurance status, 11 housing conditions, 10,12,13 and indoor allergen exposures [14][15][16] have all been associated with asthma in children, and some studies have also linked neighborhood level socioeconomic or housing characteristics to asthma. 11,17 Because there are very few published studies which include individual, immediate housing, and neighborhood level data in the same model, questions still remain as to whether characteristics of the neighborhood environment contribute directly to the development and exacerbation of asthma, or whether they are only representative of unmeasured characteristics more proximal to the individual.…”
Section: Introductionmentioning
confidence: 99%