Variability in childhood allergy and asthma across ethnicity, language, and residency duration in El Paso, Texas: a cross-sectional study.
Variability in childhood allergy and asthma across ethnicity, language, and residency duration in El Paso, Texas: a cross-sectional study.
复制标题
DOI：
10.1186/1476-069x-8-55
复制
发表时间：
2009-12-08
期刊：
影响因子：
--
通讯作者：
Neas LM
中科院分区：
文献类型：
--
作者：
Svendsen ER;Gonzales M;Ross M;Neas LM
我们评估了移民到美国-墨西哥边境城市得克萨斯州埃尔帕索（美国）的影响，父母的语言偏好，以及西班牙裔儿童哮喘的种族，以区分其社会和环境的决定因素。过敏和哮喘患病率调查了9797名四年级和五年级的儿童在埃尔帕索独立学区入学。家长们用英语或西班牙语填写了一份呼吸健康调查问卷，一部分儿童在他们的学校接受了肺量测定测试。在这里，我们报告了不同种族和埃尔帕索居住时间的哮喘和过敏结局。哮喘和过敏的患病率增加与埃尔帕索居住时间较长的独立种族和首选语言。与进入一年级后抵达埃尔帕索的移民（18%）相比，终身埃尔帕索居民（68%）的过敏症更普遍（OR，1.72; 95%CI，1.32 - 2.24），现患哮喘（OR，1.75; 95%CI，1.24 - 2.46）和当前哮喘（OR，2.01; 95%CI，1.37 - 2.95）。肺功能测定（FEV 1/FVC和FEF 25 -75）也随着埃尔帕索居住时间的增加而下降（分别每年下降0.16%和0.35%）。这些研究结果表明，在埃尔帕索社区范围内的环境暴露，延迟肺发育，或增加健康的移民可能与过敏和哮喘的发展在那里长大的儿童。
We evaluated the impact of migration to the USA-Mexico border city of El Paso, Texas (USA), parental language preference, and Hispanic ethnicity on childhood asthma to differentiate between its social and environmental determinants. Allergy and asthma prevalence was surveyed among 9797 fourth and fifth grade children enrolled in the El Paso Independent School District. Parents completed a respiratory health questionnaire, in either English or Spanish, and a sub-sample of children received spirometry testing at their school. Here we report asthma and allergy outcomes across ethnicity and El Paso residency duration. Asthma and allergy prevalence increased with longer duration of El Paso residency independent of ethnicity and preferred language. Compared with immigrants who arrived in El Paso after entering first grade (18%), lifelong El Paso residents (68%) had more prevalent allergy (OR, 1.72; 95% CI, 1.32 - 2.24), prevalent asthma (OR, 1.75; 95% CI, 1.24 - 2.46), and current asthma (OR, 2.01; 95% CI, 1.37 - 2.95). Spirometric measurements (FEV1/FVC and FEF25-75) also declined with increasing duration of El Paso residency (0.16% and 0.35% annual reduction, respectively). These findings suggest that a community-wide environmental exposure in El Paso, delayed pulmonary development, or increased health of immigrants may be associated with allergy and asthma development in children raised there.