Prevalence of childhood asthma in urban communities: The impact of ethnicity and income
Prevalence of childhood asthma in urban communities: The impact of ethnicity and income
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DOI：
10.1016/j.annepidem.2005.06.046
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发表时间：
2006-05-01
影响因子：
5.6
通讯作者：
Godbold, J
中科院分区：
文献类型：
--
作者：
Claudio, L;Stingone, JA;Godbold, J
目得：本研究的目的是评估纽约市儿童住院率与哮喘患病率之间的关系，并调查社会人口学因素在哮喘中的作用。方法：在26所随机选择的纽约市公立小学分发家长报告问卷，根据社区住院率分层。学生的整体回应率为76.9%（5250名学生）。哮喘住院率高、中、低地区的哮喘现患率分别为17.9%、9.59%、6.39%（P <0.001）。目前哮喘的总患病率为13.0%。生活在主要是低社会经济地位（SES）社区的儿童患哮喘的风险增加了70%，与他们自己的种族和收入水平无关。在社会经济地位较高的社区，不同种族和收入群体的哮喘患病率始终较低，但波多黎各儿童除外，无论就读学校或收入如何，他们的哮喘患病率都很高。结论：当前哮喘的患病率与就读学校密切相关低收入社区的学校。虽然住院率已被用作一个社区哮喘负担的指标，但它本身并不能反映不同社会经济背景的社区之间存在的差异。
PURPOSE: The goal of this study was to assess the relationship between hospitalization rates and asthma prevalence in New York City children and investigate the role that sociodemographic factors play in asthma.METHODS: A parent-report questionnaire was distributed in 26 randomly selected New York City public elementary schools, stratified according to neighborhood hospitalization rates.RESULTS: The overall student response rate was 76.9% (5250 students). Prevalence of current asthma was 17.9%, 9.59%, 6.39% (P < .001) in areas of high, median, and low asthma hospitalization rates, respectively. The overall prevalence of current asthma was 13.0%. Children living in predominantly low socioeconomic status (SES) communities had a 70% greater risk of current asthma, independent of their own ethnicity and income level. Asthma prevalence within different ethnic and income groups was consistently lower in neighborhoods of greater socioeconomic status, except among Puerto Rican children, who had high asthma prevalence, regardless of school attended or income.CONCLUSIONS: Prevalence of current asthma is strongly associated with attending a school in a low-income neighborhood. Although hospitalization rates have been used as an indicator of the burden of asthma in a neighborhood, it alone does not reflect the level of disparities that exist among communities with different socioeconomic backgrounds.