Socioeconomic status and childhood asthma in urban minority youths

The GALA II and SAGE II studies

Neeta Thakur, Sam S. Oh, Elizabeth A. Nguyen, Melissa Martin, Lindsey A. Roth, Joshua Galanter, Christopher R. Gignoux, Celeste Eng, Adam Davis, Kelley Meade, Michael A. LeNoir, Pedro C. Avila, Harold J. Farber, Denise Serebrisky, Emerita Brigino-Buenaventura, William Rodriguez-Cintron, Rajesh Kumar, L. Keoki Williams, Kirsten Bibbins-Domingo, Shannon Thyne & 4 others Saunak Sen, Jose R. Rodriguez-Santana, Luisa N. Borrell, Esteban G. Burchard

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Rationale: The burden of asthma is highest among socioeconomically disadvantagedpopulations; however, its impact is differentially distributed among racial and ethnic groups. Objectives: To assess the collective effect of maternal educational attainment, annual household income, and insurance type on childhood asthma among minority, urban youth. Methods: We included Mexican American (n = 485), other Latino (n = 217), and African American (n = 1,141) children (aged 8-21 yr) with and without asthma from the San Francisco Bay Area. An index was derived from maternal educational attainment, annual household income, and insurance type to assess the collective effect of socioeconomic status on predicting asthma. Logistic regression stratified by racial and ethnic group was used to estimate adjusted odds ratios (aOR) and their 95% confidence intervals (CI). We further examined whether acculturation explained the socioeconomicasthma association in our Latino population. Measurements and Main Results: In the adjusted analyses, African American children had 23% greater odds of asthma with each decrease in the socioeconomic index (aOR, 1.23; 95% CI, 1.09-1.38). Conversely, Mexican American children have 17% reduced odds of asthma with each decrease in the socioeconomic index (aOR, 0.83; 95% CI, 0.72-0.96) and this relationship was not fully explained by acculturation. This association was not observed in the other Latino group. Conclusions: Socioeconomic status plays an important role in predicting asthma, but has different effects depending on race and ethnicity. Further steps are necessary to better understand the risk factors through which socioeconomic status could operate in these populations to prevent asthma.

Original languageEnglish (US)
Pages (from-to)1202-1209
Number of pages8
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume188
Issue number10
DOIs
StatePublished - Nov 15 2013

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Social Class
Asthma
Hispanic Americans
Acculturation
Odds Ratio
Confidence Intervals
Insurance
Ethnic Groups
African Americans
Mothers
San Francisco
Population
Logistic Models

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Socioeconomic status and childhood asthma in urban minority youths : The GALA II and SAGE II studies. / Thakur, Neeta; Oh, Sam S.; Nguyen, Elizabeth A.; Martin, Melissa; Roth, Lindsey A.; Galanter, Joshua; Gignoux, Christopher R.; Eng, Celeste; Davis, Adam; Meade, Kelley; LeNoir, Michael A.; Avila, Pedro C.; Farber, Harold J.; Serebrisky, Denise; Brigino-Buenaventura, Emerita; Rodriguez-Cintron, William; Kumar, Rajesh; Williams, L. Keoki; Bibbins-Domingo, Kirsten; Thyne, Shannon; Sen, Saunak; Rodriguez-Santana, Jose R.; Borrell, Luisa N.; Burchard, Esteban G.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 188, No. 10, 15.11.2013, p. 1202-1209.

Research output: Contribution to journalArticle

Thakur, N, Oh, SS, Nguyen, EA, Martin, M, Roth, LA, Galanter, J, Gignoux, CR, Eng, C, Davis, A, Meade, K, LeNoir, MA, Avila, PC, Farber, HJ, Serebrisky, D, Brigino-Buenaventura, E, Rodriguez-Cintron, W, Kumar, R, Williams, LK, Bibbins-Domingo, K, Thyne, S, Sen, S, Rodriguez-Santana, JR, Borrell, LN & Burchard, EG 2013, 'Socioeconomic status and childhood asthma in urban minority youths: The GALA II and SAGE II studies', American Journal of Respiratory and Critical Care Medicine, vol. 188, no. 10, pp. 1202-1209. https://doi.org/10.1164/rccm.201306-1016OC
Thakur, Neeta ; Oh, Sam S. ; Nguyen, Elizabeth A. ; Martin, Melissa ; Roth, Lindsey A. ; Galanter, Joshua ; Gignoux, Christopher R. ; Eng, Celeste ; Davis, Adam ; Meade, Kelley ; LeNoir, Michael A. ; Avila, Pedro C. ; Farber, Harold J. ; Serebrisky, Denise ; Brigino-Buenaventura, Emerita ; Rodriguez-Cintron, William ; Kumar, Rajesh ; Williams, L. Keoki ; Bibbins-Domingo, Kirsten ; Thyne, Shannon ; Sen, Saunak ; Rodriguez-Santana, Jose R. ; Borrell, Luisa N. ; Burchard, Esteban G. / Socioeconomic status and childhood asthma in urban minority youths : The GALA II and SAGE II studies. In: American Journal of Respiratory and Critical Care Medicine. 2013 ; Vol. 188, No. 10. pp. 1202-1209.
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abstract = "Rationale: The burden of asthma is highest among socioeconomically disadvantagedpopulations; however, its impact is differentially distributed among racial and ethnic groups. Objectives: To assess the collective effect of maternal educational attainment, annual household income, and insurance type on childhood asthma among minority, urban youth. Methods: We included Mexican American (n = 485), other Latino (n = 217), and African American (n = 1,141) children (aged 8-21 yr) with and without asthma from the San Francisco Bay Area. An index was derived from maternal educational attainment, annual household income, and insurance type to assess the collective effect of socioeconomic status on predicting asthma. Logistic regression stratified by racial and ethnic group was used to estimate adjusted odds ratios (aOR) and their 95{\%} confidence intervals (CI). We further examined whether acculturation explained the socioeconomicasthma association in our Latino population. Measurements and Main Results: In the adjusted analyses, African American children had 23{\%} greater odds of asthma with each decrease in the socioeconomic index (aOR, 1.23; 95{\%} CI, 1.09-1.38). Conversely, Mexican American children have 17{\%} reduced odds of asthma with each decrease in the socioeconomic index (aOR, 0.83; 95{\%} CI, 0.72-0.96) and this relationship was not fully explained by acculturation. This association was not observed in the other Latino group. Conclusions: Socioeconomic status plays an important role in predicting asthma, but has different effects depending on race and ethnicity. Further steps are necessary to better understand the risk factors through which socioeconomic status could operate in these populations to prevent asthma.",
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T1 - Socioeconomic status and childhood asthma in urban minority youths

T2 - The GALA II and SAGE II studies

AU - Thakur, Neeta

AU - Oh, Sam S.

AU - Nguyen, Elizabeth A.

AU - Martin, Melissa

AU - Roth, Lindsey A.

AU - Galanter, Joshua

AU - Gignoux, Christopher R.

AU - Eng, Celeste

AU - Davis, Adam

AU - Meade, Kelley

AU - LeNoir, Michael A.

AU - Avila, Pedro C.

AU - Farber, Harold J.

AU - Serebrisky, Denise

AU - Brigino-Buenaventura, Emerita

AU - Rodriguez-Cintron, William

AU - Kumar, Rajesh

AU - Williams, L. Keoki

AU - Bibbins-Domingo, Kirsten

AU - Thyne, Shannon

AU - Sen, Saunak

AU - Rodriguez-Santana, Jose R.

AU - Borrell, Luisa N.

AU - Burchard, Esteban G.

PY - 2013/11/15

Y1 - 2013/11/15

N2 - Rationale: The burden of asthma is highest among socioeconomically disadvantagedpopulations; however, its impact is differentially distributed among racial and ethnic groups. Objectives: To assess the collective effect of maternal educational attainment, annual household income, and insurance type on childhood asthma among minority, urban youth. Methods: We included Mexican American (n = 485), other Latino (n = 217), and African American (n = 1,141) children (aged 8-21 yr) with and without asthma from the San Francisco Bay Area. An index was derived from maternal educational attainment, annual household income, and insurance type to assess the collective effect of socioeconomic status on predicting asthma. Logistic regression stratified by racial and ethnic group was used to estimate adjusted odds ratios (aOR) and their 95% confidence intervals (CI). We further examined whether acculturation explained the socioeconomicasthma association in our Latino population. Measurements and Main Results: In the adjusted analyses, African American children had 23% greater odds of asthma with each decrease in the socioeconomic index (aOR, 1.23; 95% CI, 1.09-1.38). Conversely, Mexican American children have 17% reduced odds of asthma with each decrease in the socioeconomic index (aOR, 0.83; 95% CI, 0.72-0.96) and this relationship was not fully explained by acculturation. This association was not observed in the other Latino group. Conclusions: Socioeconomic status plays an important role in predicting asthma, but has different effects depending on race and ethnicity. Further steps are necessary to better understand the risk factors through which socioeconomic status could operate in these populations to prevent asthma.

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