Individual and area-based indicators of socioeconomic status and childhood asthma
Individual and area-based indicators of socioeconomic status and childhood asthma
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DOI：
10.1183/09031936.03.00091202
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发表时间：
2003-10-01
影响因子：
24.3
通讯作者：
Perucci, CA
中科院分区：
文献类型：
--
作者：
Cesaroni, G;Farchi, S;Perucci, CA
这项研究评估了个人和地区的社会经济状况指标与儿童哮喘的患病率、严重程度和终生住院时间的关系。选取了来自罗马的4027名6-7岁儿童的代表性样本，这些样本用于1994年的ISAC(儿童哮喘和过敏症国际研究)倡议。使用了个人和小区域的社会经济地位指标。关于父母教育和儿童哮喘的个人数据是从自我管理的父母问卷中收集的。两个小区域指标(社会经济状况指数和1994年人均收入)是利用居住地普查资料得出的。Logistic回归模型被用来估计父母教育程度和小面积指标与哮喘患病率、严重程度和住院时间的关系。在分析中，父母吸烟被认为是一个潜在的混杂因素。医生诊断哮喘的比例(11.3%)随着父亲受教育程度的下降而增加。重度哮喘患病率(1.6%)随着母亲和父亲教育水平的降低而增加。终生哮喘住院(2.8%)与父母教育和小范围的社会劣势指标密切相关，即使在同一逻辑模型中同时考虑。社会经济条件与哮喘的发生、严重程度和住院有关。哮喘严重程度和住院时间之间的关联性更强。个别指标与结果的相关性比以地区为基础的指标更好。然而，居住在贫困地区是哮喘入院的一个强有力的独立预测因素。
The current study evaluated the association between individual and area-based indicators of socioeconomic status and the prevalence, severity, and lifetime hospitalisation for asthma in children.The representative sample of 4,027 children from Rome, aged 6-7 yrs, used for the 1994 ISAAC (International Study on Asthma and Allergies in Childhood) initiative, was selected. Individual and small area indicators of socioeconomic status were used. Individual data on parents' education and on childhood asthma were gathered from self-administered parental questionnaires. Two small-area indicators (socioeconomic status index (SES) and average income in 1994) were derived using information available at the census tract of residence. Logistic regression models were used to estimate the association of parental education and small area indicators with asthma prevalence, severity, and hospitalisation. Parental smoking was considered in the analysis as a potential confounder.Prevalence of physician diagnosis of asthma (11.3%) increased as father's education decreased. Prevalence of severe asthma (1.6%) increased as maternal and paternal educational levels decreased. Lifetime hospitalisation for asthma (2.8%,) was strongly associated with both parental education and small-area indicators of social disadvantage, even when considered simultaneously in the same logistic model.Socioeconomic conditions are associated with asthma occurrence, its severity, and hospitalisation. The association was stronger for asthma severity and hospitalisation. Individual indicators correlated better with the outcomes than area-based indicators. However, living in an underprivileged area is a strong independent predictor of hospital admission for asthma.