Association of Neighborhood Characteristics With Pediatric Asthma

被引:0
|
作者
Aryee, Emmanuel [1 ]
Perrin, James M. [1 ,2 ]
Iannuzzi, Dorothea [3 ]
Kuhlthau, Karen A. [1 ,2 ]
Oreskovic, Nicolas M. [1 ,2 ]
机构
[1] MassGen Hosp Children, Div Gen Acad Pediat, 125 Nashua St, Boston, MA 02114 USA
[2] Harvard Med Sch, Dept Pediat, Boston, MA USA
[3] Brigham & Womens Hosp, Boston, MA 02115 USA
关键词
asthma; disparities; neighborhood; PARENT PERCEPTIONS; LOW-INCOME; CHILDREN; STRESS; SAFETY; HEALTH;
D O I
暂无
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
OBJECTIVE: To examine associations between neighborhood characteristics and asthma prevalence and severity among low-income children in a large nationally representative sample. METHODS: Data source: 2018 National Survey of Children's Health, limited to low-income children, ages 0-17 years. We grouped parent responses about neighborhood characteristics into 5 scores: neighborhood support, safety, resources and quality, and a total score. Logistic regression compared rates and severity of asthma by neighborhood scores, adjusting for age, sex, race, and income. RESULTS: Of 8,653 low-income children, those living in neighborhoods with better total neighborhood scores were significantly less likely to have parent-reported asthma; OR = 0.9, 95% CI: 0.8-1.0; P = .02, with similar findings for children living in neighborhoods with higher support, safety, and quality scores. We found no associations between neighborhood scores and asthma severity in this population. CONCLUSIONS: Favorable neighborhoods are associated with lower parent-reported asthma prevalence in low-income children but not asthma severity. These data may support providers and policy makers interested in child asthma in addressing neighborhood improvement.
引用
收藏
页码:818 / 823
页数:6
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