The social determinants of asthma

Cruz, Álvaro A.; Bateman, Eric D.; Bousquet, Jean

doi:10.1183/09031936.00070309

Cited by 29 publications

(21 citation statements)

References 39 publications

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“…The association between socioeconomic status and asthma in children is complex [18] and is likely to depend on asthma severity, poverty, many lifestyle factors and potentially also country of residence. While (probably severe) asthma prevalence is higher in children from less privileged families in inner cities, we previously found that asthma is more prevalent in the higher social classes in a large cohort of German children, which is consistent with other German studies [19].…”

Section: Discussionmentioning

confidence: 99%

Prediction of new-onset asthma and nasal allergy by skin prick test and RAST in a cohort of adults

Gallmeier

Becker

Kirsten

et al. 2013

European Respiratory Journal

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Limited information exists regarding the incidence and predictors of asthma and nasal allergy in adulthood. We determined the incidence rate of asthma and nasal allergy in adults and assessed the predictive value of skin prick tests (SPTs) and radioallergosorbent tests (RASTs) for these two outcomes.Two German centres involved in the European Community Respiratory Health Survey conducted a follow-up assessment in 2012 of the baseline participants (1185 adults aged 21-47 years assessed in 1990). The predictive value of SPTs and RASTs on new-onset asthma and nasal allergy was assessed by Cox regression and by calculating the positive or negative predictive value.During the 20 years between baseline and follow-up, 3.1 and 4.4 per 1000 person-years of new-onset asthma and nasal allergy cases were recorded, respectively. The hazard ratios for SPTs of any specific and of all aeroallergens combined were slightly higher than those of RASTs for asthma and nasal allergy. The negative predictive values of both the SPT and RAST were very high and similar (0.94-0.96), whereas the postive predictive values were low (0.09-0.20).Positive SPT results showed a better association with new onset asthma and nasal allergy than positive RAST either to any specific aeroallergens or to all combined. @ERSpublications Positive SPT shows better association with new-onset asthma and nasal allergy than positive radioallergosorbent tests

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Section: Discussionmentioning

confidence: 99%

Prediction of new-onset asthma and nasal allergy by skin prick test and RAST in a cohort of adults

Gallmeier

Becker

Kirsten

et al. 2013

European Respiratory Journal

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“…They also constitute a major cause of hospitalization in several cities, including the capital of Bahia, where they ranked fifth in 2009 10 . However, studies on the social determinants of these diseases are focused on childhood age groups 11,12 or on infectious diseases [13][14][15] , with few exceptions 16,17 , thereby excluding other social groups. Given this gap, this study examined the relationship between the selected social determinants and intra-urban differentials of hospitalizations for respiratory diseases (RD) in Salvador, Bahia, between 2001 and 2007.…”

Section: Introductionmentioning

confidence: 99%

Social determinants of intra-urban differentials of admissions by respiratory diseases in Salvador (BA), Brazil

Antunes

Costa

Paim

et al. 2014

Rev. bras. epidemiol.

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“…21 22 Being exposed to poorer home situations, including perceived stressful circumstances, and living in disadvantaged environments, has been linked to higher risk of injury 23 and respiratory diseases such as asthma. 24 25 Likewise, the prevalence of obesity for children living in deprived areas in the UK is twice that of children who live in the least deprived areas. 26 In contrast, eczema, one of the most common childhood health conditions, 27 often shows a reverse social gradient, with higher prevalence in children from higher socioeconomic groups.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Co-occurrence and clustering of health conditions at age 11: cross-sectional findings from the Millennium Cohort Study

Hesketh¹,

Fagg²,

Muniz‐Terrera

et al. 2016

BMJ Open

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ObjectivesTo identify patterns of co-occurrence and clustering of 6 common adverse health conditions in 11-year-old children and explore differences by sociodemographic factors.DesignNationally representative prospective cohort study.SettingChildren born in the UK between 2000 and 2002.Participants11 399 11-year-old singleton children for whom data on all 6 health conditions and sociodemographic information were available (complete cases).Main outcome measuresPrevalence, co-occurrence and clustering of 6 common health conditions: wheeze; eczema; long-standing illness (excluding wheeze and eczema); injury; socioemotional difficulties (measured using Strengths and Difficulties Questionnaire) and unfavourable weight (thin/overweight/obese vs normal).Results42.4% of children had 2 or more adverse health conditions (co-occurrence). Co-occurrence was more common in boys and children from lower income households. Latent class analysis identified 6 classes: ‘normative’ (57.4%): ‘atopic burdened’ (14.0%); ‘socioemotional burdened’ (11.0%); ‘unfavourable weight/injury’ (7.7%); ‘eczema/injury’ (6.0%) and ‘eczema/unfavourable weight’ (3.9%). As with co-occurrence, class membership differed by sociodemographic factors: boys, children of mothers with lower educational attainment and children from lower income households were more likely to be in the ‘socioemotional burdened’ class. Children of mothers with higher educational attainment were more likely to be in the ‘normative’ and ‘eczema/unfavourable weight’ classes.ConclusionsCo-occurrence of adverse health conditions at age 11 is common and is associated with adverse socioeconomic circumstances. Holistic, child focused care, particularly in boys and those in lower income groups, may help to prevent and reduce co-occurrence in later childhood and adolescence.

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The social determinants of asthma

Cited by 29 publications

References 39 publications

Prediction of new-onset asthma and nasal allergy by skin prick test and RAST in a cohort of adults

Prediction of new-onset asthma and nasal allergy by skin prick test and RAST in a cohort of adults

Social determinants of intra-urban differentials of admissions by respiratory diseases in Salvador (BA), Brazil

Co-occurrence and clustering of health conditions at age 11: cross-sectional findings from the Millennium Cohort Study

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