Structural racism and its pathways to asthma and atopic dermatitis

Martinez, Adali; Rosa, Rosemarie de la; Mujahid, Mahasin S.; Thakur, Neeta

doi:10.1016/j.jaci.2021.09.020

Cited by 65 publications

(50 citation statements)

References 127 publications

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“…In the U.S., child health outcomes on which the ECHO Program concentrates (preterm and low birth weight birth, asthma, obesity, and neurodevelopmental disorders), are more prevalent among non-Hispanic Black children than among non-Hispanic White children. 67 – 71 Identifying factors that contribute to health disparities across race, as well as factors that promote health equity, is an essential step in improving the health of children in the U.S.…”

Section: Research Priorities For Preterm Echo Cohortsmentioning

confidence: 99%

Environmental influences on child health outcomes: cohorts of individuals born very preterm

et al. 2022

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The National Institutes of Health’s Environmental influences on Child Health Outcomes (ECHO) Program was designed to address solution-oriented research questions about the links between children’s early life environment and their risks of pre-, peri-, and post-natal complications, asthma, obesity, neurodevelopmental disorders, and positive health. Children born very preterm are at increased risk for many of the outcomes on which ECHO focuses, but the contributions of environmental factors to this risk are not well characterized. Three ECHO cohorts consist almost exclusively of individuals born very preterm. Data provided to ECHO from cohorts can be used to address hypotheses about (1) differential risks of chronic health and developmental conditions between individuals born very preterm and those born at term; (2) health disparities across social determinants of health; and (3) mechanisms linking early-life exposures and later-life outcomes among individuals born very preterm. Impact The National Institutes of Health’s Environmental Influences on Child Health Outcomes Program is conducting solution-oriented research on the links between children’s environment and health. Three ECHO cohorts comprise study participants born very preterm; these cohorts have enrolled, to date, 1751 individuals born in 14 states in the U.S. in between April 2002 and March 2020. Extensive data are available on early-life environmental exposures and child outcomes related to neurodevelopment, asthma, obesity, and positive health. Data from ECHO preterm cohorts can be used to address questions about the combined effects of preterm birth and environmental exposures on child health outcomes.

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Section: Research Priorities For Preterm Echo Cohortsmentioning

confidence: 99%

Environmental influences on child health outcomes: cohorts of individuals born very preterm

et al. 2022

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“…We argue that the theoretical comprehensiveness combined with the operational detail of our framework facilitates its adaptability and implementation in both applied and theoretical research. In this way, our framework serves to integrate and extend existing evidence, which often relies on a generalized conceptualization of structural racism limited to a specific outcome ( Martinez et al, 2021 ) ( Russo et al, 2021 ). As depicted in Fig.…”

Section: Introductionmentioning

confidence: 99%

A comprehensive framework for operationalizing structural racism in health research: The association between mass incarceration of Black people in the U.S. and adverse birth outcomes

Sønderlund

Charifson

Ortiz

et al. 2022

SSM - Population Health

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“…Additionally, Black children with AD have a six times greater risk of having severe AD than their white counterparts [ 4 ]. In the USA, the origin of these disparities is likely multifactorial, often reflecting elements of structural, environmental, and interpersonal racism [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Global Health Disparities on Atopic Dermatitis in Displaced Populations: Narrowing the Health Equity Gap for Patients with Skin of Color

Jelousi

Sharma

Alexis

et al. 2022

Dermatol Ther (Heidelb)

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Atopic dermatitis (AD) is a relatively common inflammatory skin disease marked by eczematous lesions and pruritus often leading to significant morbidity and quality of life impairment for those affected. Recent studies have shown that patients with skin of color (SOC) carry a larger disease burden than patients of European descent. In the USA, these disparities are partly due to structural, environmental, and interpersonal racism. From a global perspective, there is a paucity of research on the burden of atopic dermatitis and other inflammatory skin diseases experienced by the record numbers of refugees, migrants, and asylum seekers around the world. Although it is still unclear whether the true prevalence of AD in displaced communities is higher compared with the general population, those who are displaced suffer from unique risk factors that render them especially vulnerable. In this review, we outline a number of factors contributing to AD susceptibility and/or aggravation in displaced communities. These include poor living conditions, climate change events, psychological stress, and lack of access to medical care and health-related behaviors.

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Structural racism and its pathways to asthma and atopic dermatitis

Cited by 65 publications

References 127 publications

Environmental influences on child health outcomes: cohorts of individuals born very preterm

Environmental influences on child health outcomes: cohorts of individuals born very preterm

A comprehensive framework for operationalizing structural racism in health research: The association between mass incarceration of Black people in the U.S. and adverse birth outcomes

The Impact of Global Health Disparities on Atopic Dermatitis in Displaced Populations: Narrowing the Health Equity Gap for Patients with Skin of Color

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