Does low birth weight help to explain the increased prevalence of asthma among African-Americans?

Does low birth weight help to explain the increased prevalence of asthma among African-Americans?
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DOI:
10.1016/s1081-1206(10)62390-3
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发表时间:
2002-05-01
影响因子:
5.9
通讯作者:
Johnson, CC
Johnson, CC
中科院分区:
医学2区
文献类型:
--
作者:
Joseph, CLM;Ownby, DR;Johnson, CC

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Background: Racial disparities in asthma prevalence are not fully explained. Previous studies have reported an association between low birth weight (LBW) and asthma. African-Americans are at a heightened risk for both conditions.Objective: The objective of this analysis was to study a sample of suburban schoolchildren to determine if increased asthma prevalence in African-Americans could be explained by report of LBW.Methods: Logistic regression was used to analyze telephone survey and clinical data for a sample of 126 children, aged 6 to 8 years.Results: African-Americans reported asthma (12.5% vs 5.3%) and LBW (16.6% vs 3.9%) more frequently than non-African-Americans. After adjusting for LBW, the odds ratio for the association of African-American race to asthma was reduced from 2.6 to 1.8, whereas LBW remained independently associated with asthma, adjusted odds ratio = 5.1(95% CI:1.4 to 18.9). The adjusted population risk for asthma due to LBW was 0.31.Conclusions: High rates of LBW for African-Americans may contribute to racial disparities in asthma prevalence.