Individual, Housing, and Neighborhood Correlates of Asthma among Young Urban Children

Holt, Elizabeth W.; Theall, Katherine P.; Rabito, Felicia A.

doi:10.1007/s11524-012-9709-3

Cited by 33 publications

(40 citation statements)

References 36 publications

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“…The data from the United States also frequently accounted for SES. It was operationalized in different ways; Northridge et al (2010), Holt et al (2013), and Keet et al (2015) used census data as a proxy for neighborhood SES, some discussed if sample participants lived above or below the poverty line (Sampson et al, 2013; Yinusa-Nyahkoon et al, 2010), one was not able to get SES information due to the type of data they were using (Li et al, 2011), and several mentioned “controlling for SES” in analysis (Coutinho et al, 2013; Gupta et al, 2010; Mathilda-Chiu et al, 2012; Ownby et al, 2015; Vangeepuram et al, 2012). More than half of the studies from the United States sampled specifically African American and/or Puerto Rican children due to the high prevalence of disease among this race and ethnicity.…”

Section: Discussionmentioning

confidence: 99%

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

DePriest

Butz

2016

The Journal of School Nursing

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Asthma disproportionately affects children who are non-White and of low socioeconomic status. One innovative approach to address these health disparities is to investigate the child’s neighborhood environment and factors influencing asthma symptoms. The purpose of this integrative review is to critique research investigating the relationships between neighborhood-level factors and asthma morbidity in urban children. Three literature databases were searched using the terms “asthma,” “child,” “neighborhood,” and “urban.” The articles included were organized into six themes within the larger domains of prevalence, physical, and social factors. Literature tables provide in-depth analysis of each article and demonstrate a need for strengthening analysis methods. The current research points to the necessity for a multilevel study to analyze neighborhood-level factors that are associated with increased asthma morbidity in urban children. School nurse clinicians, working within children’s neighborhoods, are uniquely positioned to assess modifiable neighborhood-level determinants of health in caring for children with asthma.

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Section: Discussionmentioning

confidence: 99%

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

DePriest

Butz

2016

The Journal of School Nursing

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“…The FFCWS measures children's environments across all of these domains: the study contains biological indicators of children's wellbeing from the time of their birth, including low birthweight (Reichman and Teitler 2006) and overweight and obesity (Kimbro et al 2007), among others (e.g., Holt et al 2013). In many cases the FFCWS is even able to study children's prenatal environments through their mothers' hospital records (Reichman and Nepomnyaschy 2008;Smulian et al 2005).…”

Section: The Ffcws and Life Course Health Development Researchmentioning

confidence: 99%

Using the Fragile Families and Child Wellbeing Study (FFCWS) in Life Course Health Development Research

Geller

Jaeger

Pace

2017

Handbook of Life Course Health Development

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The Fragile Families and Child Wellbeing Study (FFCWS) is a nationally representative birth cohort study of approximately 4900 children born in large US cities between 1998 and 2000. Nonmarital childbearing increased dramatically in the second half of the twentieth century, raising questions about the capabilities of unmarried parents, the nature of parental relationships, and their implications for child health development and wellbeing. The FFCWS has become a leading source of information about unmarried parents and their children and about child health development more generally. The study contains biological and social indicators of children’s cognitive health development as well as social determinants of health and children’s broader social environment. This rich measurement, coupled with a longitudinal design and multilevel structure, makes it an ideal resource for life course health development research. This chapter describes the demographic, scholarly, and policy context in which the FFCWS was designed, as well as technical details that will enable new users to use the study effectively. We include details of sampling, data availability, variable structure and content, as well as features of the data that enable it to be used in longitudinal research. Finally, the chapter provides information about resources that will be available in the future and institutional resources available for users of the data.

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“…Individuals with low educational attainment are at high risk for poor health literacy (7), and low parental literacy is associated with moderate and severe persistent asthma as well as higher rescue medication use in children (8). Moreover, individuals with low educational attainment have reduced insurance coverage which can limit optimal access to healthcare (9, 10). Lastly, households in the lowest income levels are more likely to perceive financial burden in managing their child’s asthma, have higher rates of urgent care use, and experience missed school days due to asthma (11).…”

Section: Introductionmentioning

confidence: 99%

“…Despite the number of studies assessing the association of individual indicators of SES and asthma (8, 12–14), there is still insufficient knowledge regarding what the joint effect of these SES indicators have on asthma outcomes and the effect of these indicators along the entirety of the socioeconomic gradient. Effective interventions are dependent on understanding the full impact of SES on asthma as well as the specific aspects of SES that contribute to poor asthma outcomes.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic status and asthma control in African American youth in SAGE II

Thakur¹,

Martin²,

Castellanos³

et al. 2014

Journal of Asthma

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Objective African Americans are disproportionately burdened by asthma. We assessed the individual and joint contribution of socioeconomic status (SES) on asthma morbidity among African American youth. Methods We examined 686 African Americans (8–21 years) with asthma. To account for the joint effects of SES, a composite index was derived from maternal educational attainment, household income, and insurance status. Ordinal logistic regression was used to estimate the individual and joint effect of SES on asthma control. Models were adjusted for age, sex, controller medication use, in utero smoke exposure, family history of asthma, family history of rhinitis, breastfeeding, daycare attendance, and mold exposure. Results Participants were classified as Poorly Controlled Asthma (40.8%), Partially Controlled Asthma (29.7%), or Controlled Asthma (30.2%). Of the individual SES indicators, low income was the strongest predictor of poor asthma control. Children with low income had worse asthma control than those with higher income (OR 1.39; 95%CI 0.92–2.12). The SES index ranged from 4–9. SES was associated with 17% increased odds of poor asthma control with each decrease in the index (95%CI 1.05–1.32). The SES index was associated with asthma-related symptoms, nocturnal awakenings, limited activity, and missed school days. Conclusions The negative effects of SES were observed along the entire socioeconomic gradient, and the adverse asthma outcomes observed in African American youth were not limited to the very poor. We also found that the SES index may be a more consistent and useful predictor of poor asthma outcomes than each indicator alone.

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Individual, Housing, and Neighborhood Correlates of Asthma among Young Urban Children

Cited by 33 publications

References 36 publications

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

Neighborhood-Level Factors Related to Asthma in Children Living in Urban Areas

Using the Fragile Families and Child Wellbeing Study (FFCWS) in Life Course Health Development Research

Socioeconomic status and asthma control in African American youth in SAGE II

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