Perceived neighborhood safety and asthma morbidity in the school inner-city asthma study.
Perceived neighborhood safety and asthma morbidity in the school inner-city asthma study.
复制标题
DOI：
10.1002/ppul.22986
复制
发表时间：
2015-01
影响因子：
3.1
通讯作者：
Phipatanakul, Wanda
中科院分区：
文献类型：
--
作者：
Kopel, Lianne S.;Gaffin, Jonathan M.;Ozonoff, Al;Rao, Devika R.;Sheehan, William J.;Friedlander, James L.;Permaul, Perdita;Baxi, Sachin N.;Fu, Chunxia;Subramanian, S. V.;Gold, Diane R.;Phipatanakul, Wanda
目的：本研究的目的是调查主要照顾者所感知的社区安全是否与市中心学龄哮喘儿童的哮喘发病率结果相关。方法：2009年至2012年，从25所市中心学校招募哮喘学童（N = 219）。主要护理人员完成了一份基线调查问卷，详细说明了他们对社区安全和孩子哮喘症状的看法，孩子们进行了基线肺功能测试。在这个横断面分析中，哮喘控制在照顾者认为其社区不安全与安全的儿童之间进行了比较。结果：在对潜在混杂因素进行校正后，主要照顾者认为周围环境不安全的儿童发生控制不良哮喘的几率是正常儿童的2倍（校正后的比值比[OR] = 2.2, 95%可信区间[CI] = 1.2 ~ 3.9, P = 0.009），发生呼吸困难和使用抢救药物的几率是正常儿童的4倍(校正后的OR = 4.7; 95% CI = 1.7 ~ 13.0, P = 0.003，校正后的OR = 4.0；95% CI = 1.8-8.8, P < 0.001)，活动限制是生活在安全社区的参与者的三倍（OR调整= 3.2;95% CI = 1.4-7.7, P = 0.008），夜间症状的几率是生活在安全社区的参与者的两倍多（OR调整= 2.2;95% CI = 1.3-4.0, P = 0.007）。两组肺功能检查结果无差异。结论：初级照护者对社区安全的认知与市内学龄哮喘儿童的哮喘发病率有关。需要进一步的研究来阐明这种关联背后的机制，未来针对社会劣势的干预研究可能很重要。
Aim: The aim of this study was to investigate whether neighborhood safety as perceived by primary caregivers is associated with asthma morbidity outcomes among inner-city school children with asthma. Methods: School children with asthma were recruited from 25 inner-city schools between 2009 and 2012 for the School Inner-City Asthma Study (N = 219). Primary caregivers completed a baseline questionnaire detailing their perception of neighborhood safety and their children’s asthma symptoms, and the children performed baseline pulmonary function tests. In this cross-sectional analysis, asthma control was compared between children whose caregivers perceived their neighborhood to be unsafe versus safe. Results: After adjusting for potential confounders, those children whose primary caregivers perceived the neighborhood to be unsafe had twice the odds of having poorly controlled asthma (odds ratio [OR] adjusted = 2.2, 95% confidence interval [CI] = 1.2–3.9, P = 0.009), four times the odds of dyspnea and rescue medication use (OR adjusted = 4.7; 95% CI = 1.7–13.0, P = 0.003, OR adjusted = 4.0; 95% CI = 1.8–8.8, P < 0.001, respectively), three times as much limitation in activity (OR adjusted = 3.2; 95% CI = 1.4–7.7, P = 0.008), and more than twice the odds of night-time symptoms (OR adjusted = 2.2; 95% CI = 1.3–4.0, P = 0.007) compared to participants living in safe neighborhoods. There was no difference in pulmonary function test results between the two groups. Conclusions: Primary caregivers’ perception of neighborhood safety is associated with childhood asthma morbidity among inner-city school children with asthma. Further study is needed to elucidate mechanisms behind this association, and future intervention studies to address social disadvantage may be important.
登录
查看更多内容
影响因子：
14.2
作者：
Chen, Edith;Hanson, Margaret D.;Miller, Gregory E.
通讯作者：
Miller, Gregory E.
影响因子：
10.4
作者：
Gee, Gilbert C;Payne-Sturges, Devon C
通讯作者：
Payne-Sturges, Devon C
DOI：
10.1164/rccm.200308-1178oc
发表时间：
2004-08-15
影响因子：
24.7
作者：
Bacharier, LB;Strunk, RC;Sorkness, CA
通讯作者：
Sorkness, CA
影响因子：
1.9
作者：
Phipatanakul, Wanda;Bailey, Anne;Gold, Diane R.
通讯作者：
Gold, Diane R.
影响因子：
3.7
作者：
Subramanian, S. V.;Kennedy, Malinda H.
通讯作者：
Kennedy, Malinda H.