Abstract
Background: Bronx children have higher asthma prevalence and asthma morbidity than other US children. Objective: To compare risk factors for asthma morbidity present in Bronx children with those of children from other US inner-city areas. Methods: Cross-sectional, multi-state study of 1772 children ages 5-11 yrs. old with persistent asthma. Parental responses to the Child Asthma Risk Assessment Tool for 265 Bronx children are compared with those of 1507 children from 7 other sites (1 Northeast, 2 South, 2 Midwest, 2 West). Results: Bronx children were significantly more likely to be sensitized to reported aeroallergens in their homes than were children from the other sites (86% vs. 58%; p <.001). More Bronx parents reported household cockroaches (65% v 20%; p <.001), mice (42% v 11%; p <.001), and rats (7% v 3%; p <.001); using a gas stove to heat the home (20% v 9%; p <.001); and visible mold (48% v 25%; p <.001). Bronx parents were more likely to report pessimistic beliefs about controlling asthma (63% v 26%; p <.001) and high parental stress (48% v 37%; p <.01). Conclusions: Compared with other inner-city children with asthma, Bronx children are more likely to be exposed to household aeroallergens to which they are sensitized and have poor housing conditions. Their parents are more likely to report low expectations for asthma control and high levels of psychological stress. Interventions that address these identified needs may help to reduce the disproportionate burden of asthma morbidity experienced by Bronx children.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 995-1000 |
| Number of pages | 6 |
| Journal | Journal of Asthma |
| Volume | 46 |
| Issue number | 10 |
| DOIs | |
| State | Published - 2009 |
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Keywords
- Housing conditions
- Inner-city asthma
- Pediatric asthma morbidity
- Risk factors
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Immunology and Allergy
- Pediatrics, Perinatology, and Child Health
Cite this
Modifiable risk factors for asthma morbidity in bronx versus other inner-city children. / Warman, Karen L.; Silver, Ellen J.; Wood, Pam R.
In: Journal of Asthma, Vol. 46, No. 10, 2009, p. 995-1000.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Modifiable risk factors for asthma morbidity in bronx versus other inner-city children
AU - Warman, Karen L.
AU - Silver, Ellen J.
AU - Wood, Pam R.
PY - 2009
Y1 - 2009
N2 - Background: Bronx children have higher asthma prevalence and asthma morbidity than other US children. Objective: To compare risk factors for asthma morbidity present in Bronx children with those of children from other US inner-city areas. Methods: Cross-sectional, multi-state study of 1772 children ages 5-11 yrs. old with persistent asthma. Parental responses to the Child Asthma Risk Assessment Tool for 265 Bronx children are compared with those of 1507 children from 7 other sites (1 Northeast, 2 South, 2 Midwest, 2 West). Results: Bronx children were significantly more likely to be sensitized to reported aeroallergens in their homes than were children from the other sites (86% vs. 58%; p <.001). More Bronx parents reported household cockroaches (65% v 20%; p <.001), mice (42% v 11%; p <.001), and rats (7% v 3%; p <.001); using a gas stove to heat the home (20% v 9%; p <.001); and visible mold (48% v 25%; p <.001). Bronx parents were more likely to report pessimistic beliefs about controlling asthma (63% v 26%; p <.001) and high parental stress (48% v 37%; p <.01). Conclusions: Compared with other inner-city children with asthma, Bronx children are more likely to be exposed to household aeroallergens to which they are sensitized and have poor housing conditions. Their parents are more likely to report low expectations for asthma control and high levels of psychological stress. Interventions that address these identified needs may help to reduce the disproportionate burden of asthma morbidity experienced by Bronx children.
AB - Background: Bronx children have higher asthma prevalence and asthma morbidity than other US children. Objective: To compare risk factors for asthma morbidity present in Bronx children with those of children from other US inner-city areas. Methods: Cross-sectional, multi-state study of 1772 children ages 5-11 yrs. old with persistent asthma. Parental responses to the Child Asthma Risk Assessment Tool for 265 Bronx children are compared with those of 1507 children from 7 other sites (1 Northeast, 2 South, 2 Midwest, 2 West). Results: Bronx children were significantly more likely to be sensitized to reported aeroallergens in their homes than were children from the other sites (86% vs. 58%; p <.001). More Bronx parents reported household cockroaches (65% v 20%; p <.001), mice (42% v 11%; p <.001), and rats (7% v 3%; p <.001); using a gas stove to heat the home (20% v 9%; p <.001); and visible mold (48% v 25%; p <.001). Bronx parents were more likely to report pessimistic beliefs about controlling asthma (63% v 26%; p <.001) and high parental stress (48% v 37%; p <.01). Conclusions: Compared with other inner-city children with asthma, Bronx children are more likely to be exposed to household aeroallergens to which they are sensitized and have poor housing conditions. Their parents are more likely to report low expectations for asthma control and high levels of psychological stress. Interventions that address these identified needs may help to reduce the disproportionate burden of asthma morbidity experienced by Bronx children.
KW - Housing conditions
KW - Inner-city asthma
KW - Pediatric asthma morbidity
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=72049106653&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=72049106653&partnerID=8YFLogxK
U2 - 10.3109/02770900903350481
DO - 10.3109/02770900903350481
M3 - Article
VL - 46
SP - 995
EP - 1000
JO - Journal of Asthma
JF - Journal of Asthma
SN - 0277-0903
IS - 10
ER -