Review of psychosocial stress and asthma: an integrated biopsychosocial approach

Wright, Rosalind J.; Rodriguez, Mario; Cohen, Sheldon

doi:10.1136/thx.53.12.1066

Cited by 480 publications

(299 citation statements)

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“…Stress arising from conditions in low SEP communities (e.g. poor housing, violence, unemployment) also might have a role in asthma exacerbation and increased asthma rates (Chen, Hanson, Paterson, Griffin, Walker, & Miller, 2006;Liu, Coe, Swenson, Kelly, Kita, & Busse, 2002;Marmot, 2001;Wright, Mitchell, Visness, Cohen, Stout, Evans et al, 2004;Wright, Rodriguez, & Cohen, 1998). The range of contextual SEP in our communities did not represent the extremes found in inner cities, so associations with SEP in inner cities are not directly analogous for our study, nor could our results be expected to be generalizable to the inner city setting.…”

Section: Discussionmentioning

confidence: 65%

The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children

Shankardass

McConnell

Milam

et al. 2007

Social Science & Medicine

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Spatial variation in childhood asthma and a recent increase in prevalence indicate that environmental factors play a significant role in the etiology of this important disease. Socioeconomic position (SEP) has been associated inversely and positively with childhood asthma. These contradictory results indicate a need for systematic research about SEP and asthma. Pathways have been suggested for effects of SEP on asthma at both the individual and community level. We examined the relationship of prevalent asthma to community-level indicators of SEP among 5762 children in 12 Southern California, using a multilevel random effects model. Estimates of community-level SEP were derived by summarizing census block group-level data using a novel method of weighting by the proportion of the block groups included in a community-specific bounding rectangle that contained 95% of local study subjects. Community © 2007 Elsevier Ltd. All rights reserved.Corresponding Author: shankard@usc.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript characteristics included measures of male unemployment, household income, low education (i.e. no high school diploma), and poverty. There was a consistent inverse association between male unemployment and asthma across the inter-quartile range of community unemployment rates, indicating that asthma rates increase as community SEP increases. The results were robust to individual-level confounding, methods for summarizing census block group data to the community level, scale of analysis (i.e. community-level vs. neighborhood-level) and the modeling algorithm. The positive association between SEP and prevalent childhood asthma might be explained by differential access to medical care that remains unmeasured, by the hygiene hypothesis (e.g. lower SES may associate with higher protective exposures to endotoxin in early life), or by SEP acting as a proxy for unmeasured neighborhood characteristics.

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Section: Discussionmentioning

confidence: 65%

The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children

Shankardass

McConnell

Milam

et al. 2007

Social Science & Medicine

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“…This relationship persisted after we stratified by the level of environmental contamination measured in their homes, with the largest difference in blood lead between iron-deficient and iron-replete children living in the most contaminated environments. These results suggest that inadequate iron status may amplify the effect of lead contamination in the environment by increasing absorption and possibly retention of lead in the body and/or increasing hand-to-mouth or pica behavior and thus lead ingestion (28,29).…”

Section: Discussionmentioning

confidence: 99%

“…There is a renewed interest in the links between psychological stimuli and asthma (28,29). Exposure to violence as a major life stressor may impact on the pathogenesis of asthma and/or contribute to the morbidity of disease by triggering exacerbations through neuroimmunologic mechanisms.…”

Section: Discussionmentioning

confidence: 99%

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Iron Deficiency Associated with Higher Blood Lead in Children Living in Contaminated Environments

Bradman¹,

Eskenazi²,

Sutton³

et al. 2001

Environmental Health Perspectives

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“…Psychological disorders and stressful conditions have often been shown to influence asthma control and management, although how psychological disturbances can influence the clinical expression of asthma is still uncertain [118,119].…”

Section: Psychopathologiesmentioning

confidence: 99%

Asthma-related comorbidities

Boulet¹,

Boulay²

2011

Expert Review of Respiratory Medicine

220

147

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Review of psychosocial stress and asthma: an integrated biopsychosocial approach

Cited by 480 publications

References 100 publications

The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children

The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children

Iron Deficiency Associated with Higher Blood Lead in Children Living in Contaminated Environments

Asthma-related comorbidities

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