Housing environments and asthma outcomes within population-based samples of adults and children in NYC.
Housing environments and asthma outcomes within population-based samples of adults and children in NYC.
复制标题
纽约市成人和儿童人口样本中的住房环境和哮喘结果。
DOI：
10.1016/j.ypmed.2022.107147
复制
发表时间：
2022
影响因子：
5.1
通讯作者：
Titus,AndreaR
中科院分区：
文献类型：
--
作者：
Kim,Byoungjun;Mulready-Ward,Candace;Thorpe,LornaE;Titus,AndreaR
暴露于室内环境危险因素与哮喘发病模式有关。在本研究中，我们评估了纽约市（NYC）成人和儿童（1-13岁）的住房类型（即住房所有权、公共住房、租赁援助、租金控制住房和其他租赁住房）与哮喘结局之间的关系。我们使用2019年纽约市社区健康调查（CHS）和2019年纽约市儿童调查来分析住房类型与曾经被诊断患有哮喘（“曾经哮喘”）和过去一年哮喘发作之间的关系。我们进一步研究了吸烟状况（成人）、家中吸烟（儿童）和超重/肥胖是否会改变这种关联。在成年人中，与拥有住房相比，住在公共住房中的人患哮喘的几率更高（比值比[OR] = 1.95； 95%可信区间[CI] = 1.35, 2.84），过去一年患哮喘的几率更高（OR = 2.24； 95%可信区间[CI] = 1.21,4.18）。居住在租赁援助住房中也与哮喘发生率显著相关（OR = 1.75; 95% CI 1.16, 2.66）。在儿童中，公共或租赁援助住房与哮喘之间的关联不显著。在曾经吸烟的人群中，住在公共或租赁援助住房与曾经患哮喘之间的关系比从不吸烟的人群更为明显。住房环境仍然是儿童和成人哮喘发病率的重要预测因素。在曾经吸烟的成年人中，生活在补贴住房和哮喘结局之间的联系最为明显。
Exposure to indoor environmental risk factors is associated with patterns of asthma morbidity. In this study, we assessed the relationship between housing type (i.e., home ownership, public housing, rental assistance, rent-controlled housing and other rental housing) and asthma outcomes among New York City (NYC) adults and children (ages 1–13). We used the 2019 NYC Community Health Survey (CHS) and 2019 NYC KIDS survey to analyze associations between housing type and ever having been diagnosed with asthma (“ever asthma”) and experiencing a past-year asthma attack. We further examined whether associations were modified by smoking status (among adults), smoking within the home (among children), and overweight/obesity. Among adults, living in public housing, compared to home ownership, was associated with higher odds of ever asthma (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.35, 2.84), and past-year asthma attack (OR = 2.24; 95% CI 1.21,4.18). Living in rental assistance housing was also significantly associated with ever asthma (OR = 1.75; 95% CI 1.16, 2.66). Associations between public or rental assistance housing and ever asthma were marginally non-significant among children. Associations between living in public or rental assistance housing and ever asthma were more pronounced among ever smokers than among never smokers. Housing environments remain important predictors of both pediatric and adult asthma morbidity. Associations between living in subsidized housing and asthma outcomes among adults are most apparent among ever smokers.