Parental stress and air pollution increase childhood asthma in China

Deng, Qihong; Deng, Linjing; Lu, Chan; Li, Yuguo; Norbäck, Dan

doi:10.1016/j.envres.2018.04.003

Cited by 54 publications

(22 citation statements)

References 87 publications

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“…Overall, we find that exposure to traffic-related air pollution (NO 2 ) and industrial and natural sources of air pollution (PM 2.5 ) are associated with subsequent childhood asthma risk. We find that neighborhoods of residence provide significant contexts in terms of childhood asthma; neighborhood poverty appears to exacerbate the effect of air pollution on childhood asthma risk and lower-poverty contexts may exert a protective effect against these pollution effects, which is consistent with a recent study examining the synergistic effects of other contextual/familial stressors and pollution [ 64 ]. These findings point to the importance of continuing to develop the literature around social and environmental stressors and their interactions to better understand children’s asthma risk and address chronic health conditions like asthma.…”

Section: Discussionsupporting

confidence: 89%

Early-Life Air Pollution Exposure, Neighborhood Poverty, and Childhood Asthma in the United States, 1990–2014

Kravitz‐Wirtz

Teixeira

Hajat

et al. 2018

IJERPH

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Ambient air pollution is a well-known risk factor of various asthma-related outcomes, however, past research has often focused on acute exacerbations rather than asthma development. This study draws on a population-based, multigenerational panel dataset from the United States to assess the association of childhood asthma risk with census block-level, annual-average air pollution exposure measured during the prenatal and early postnatal periods, as well as effect modification by neighborhood poverty. Findings suggest that early-life exposures to nitrogen dioxide (NO2), a marker of traffic-related pollution, and fine particulate matter (PM2.5), a mixture of industrial and other pollutants, are positively associated with subsequent childhood asthma diagnosis (OR = 1.25, 95% CI = 1.10–1.41 and OR = 1.25, 95% CI = 1.06–1.46, respectively, per interquartile range (IQR) increase in each pollutant (NO2 IQR = 8.51 ppb and PM2.5 IQR = 4.43 µ/m3)). These effects are modified by early-life neighborhood poverty exposure, with no or weaker effects in moderate- and low- (versus high-) poverty areas. This work underscores the importance of a holistic, developmental approach to elucidating the interplay of social and environmental contexts that may create conditions for racial-ethnic and socioeconomic disparities in childhood asthma risk.

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Section: Discussionsupporting

confidence: 89%

Early-Life Air Pollution Exposure, Neighborhood Poverty, and Childhood Asthma in the United States, 1990–2014

Kravitz‐Wirtz

Teixeira

Hajat

et al. 2018

IJERPH

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“…First, in single-parent households on public assistance, parents might experience psychosocial stress from either the responsibilities of parenting or social isolation. Several studies have reported that parental psychosocial stress increases the risk of their children developing asthma and allergic diseases [21][22][23][24][25]. An association between single-parenthood and increased parental psychosocial stress has also been reported [26][27][28][29].…”

Section: Discussionmentioning

confidence: 97%

Single-parenthood and health conditions among children receiving public assistance in Japan: a cross-sectional study

Nishioka

Saito

Ueno

et al. 2020

Preprint

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Background: Single-parenthood is recognised as a risk factor for chronic childhood health conditions due to lower family income, resulting in food insecurity and an increased psychological burden. Governmental social assistance may address the risk by ensuring minimum-income protection and financial healthcare access. However, no study has investigated the association between single-parenthood and health statuses among children in families receiving social assistance benefits. This study aimed to examine the association between single-parent households and children’s health among public assistance recipients in Japan by—for the first time ever—using linkage data of two municipal public assistance databases and medical assistance claim data.Methods: We performed a cross-sectional study. Public assistance for households below poverty line ensures their income security and medical care. We extracted individual factors of children aged 15 years or younger in January 2016 and observed until December 2016. We identified one-year prevalence of childhood diseases by using International Classification of Disease, Tenth Edition (ICD-10) codes.Results: Among the 573 participants, 383 (66.8%) lived in single-parent households. A multivariable Poisson regression showed that single-parenthood is associated with a higher prevalence of asthma (prevalence ratio [PR] = 1.62; 95% confidence interval [CI], 1.16-2.26), allergic rhinitis (PR = 1.41; 95% CI, 1.07-1.86), dermatitis and eczema (PR = 1.81; 95% CI, 1.21-2.70), and dental diseases (PR = 1.79; 95% CI, 1.33-2.42), as compared to other households. No association was found between single-parenthood and acute children’s diseases such as respiratory infections, injuries, and intestinal infections.Conclusions: Living in single-parent households is a risk factor for children’s chronic diseases, despite them receiving public assistance benefits. These results may be explained by the increased psychosocial stress, suggesting that the present public assistance system in Japan should provide additional social support. Ameliorating health conditions of children among single-parent households on public assistance can be achieved by closer monitoring of the community. Further investigations are necessary using more detailed information such as environmental factors, the severity of children’s health conditions, the contents of any received treatments, and broader socioeconomic factors.

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“…Air pollution was more strongly associated with wheeze and cough, and it even had health impacts on asthma morbidity [34]. Several recent studies had shown that tra c-related and industrial-related air pollution exposure were associated with childhood asthma attacks [35]. Environmental factors need to be taken into account, especially for children with severe or poorly controlled asthma.…”

Section: Air Pollution/smogmentioning

confidence: 99%

Cross-section of self-reported asthma triggers on children with asthma in China: data from smartphone-based Chinese Children's Asthma Action Plan

Zhang

Kong

Shen

2021

Preprint

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BackgroundAsthma trigger plays an important role in children with asthma. To identify the asthma triggers accurately in China, we compared the asthma triggers in different age, gender and geographical location subgroups.MethodsThis cross-section study reviewed the data from February 22, 2017 to November 23, 2020. And the data were from smartphone-based Chinese Children's Asthma Action Plan. Self-reported asthma triggers were described as following: upper respiratory infection, allergen exposure, exercise, crying or laughing, pungent odors, air pollution/smog, climate change and tobacco smoke. Clustering participates into three subgroups according to the age, gender and geographical location. To subdivide the age into <6 years and 6-17 years. The Gender was consisted of boy and girl. And geographical location was divided from the east, central and west in China. In the three subgroups, we calculated the percentage of each asthma trigger. Chi-square test was applied for data comparison based on different factors. ResultsWe enrolled 6835 patients who had reported about the asthma triggers, and upper respiratory infections accounted for 77.8% was in the first place among eight asthma triggers. In gender subgroups, boy-girl difference was found only in asthma trigger of exercise (P<0.05). In the age subgroups, the ratio of upper respiratory infection trigger was higher in <6 years group. The allergen exposure, exercise, pungent odors, air pollution/smog and tobacco smoke triggers ratios were all higher in 6-17 years group (P<0.05). Among the geographical location subgroups, allergen exposure trigger ratio in east was highest of three regions. The ratio of exercise trigger in central region was highest. However, the ratio of air pollution/smog trigger in west region was lowest (P<0.05).ConclusionsIn conclusion, we overviewed the data from smartphone-based Chinese Children's Asthma Action Plan. Gender difference in the aspect of exercise trigger was found. We also found age and geographic differences in distribution of asthma triggers (allergen exposure trigger, exercise trigger, pungent odors trigger and air pollution/smog trigger). Through analyzing age, gender and geographic characteristics of asthma trigger, protective measures can be made for children with asthma in advance.

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Parental stress and air pollution increase childhood asthma in China

Cited by 54 publications

References 87 publications

Early-Life Air Pollution Exposure, Neighborhood Poverty, and Childhood Asthma in the United States, 1990–2014

Early-Life Air Pollution Exposure, Neighborhood Poverty, and Childhood Asthma in the United States, 1990–2014

Single-parenthood and health conditions among children receiving public assistance in Japan: a cross-sectional study

Cross-section of self-reported asthma triggers on children with asthma in China: data from smartphone-based Chinese Children's Asthma Action Plan

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