A systematic review of socioeconomic position in relation to asthma and allergic diseases

Uphoff, Eleonora; Cabieses, Báltica; Pinart, Mariona; Valdés, Macarena; Antó, Josep M.; Wright, John

doi:10.1183/09031936.00114514

Cited by 177 publications

(174 citation statements)

References 69 publications

Supporting

Mentioning

141

Contrasting

Unclassified

Order By: Relevance

“…Surprisingly, very few studies have assessed the potential role of SES as a susceptibility factor in the association between air pollution and asthma incident, although asthma is known to be socially patterned [54] and SES is very probably associated with air pollution exposure [55]. We found no study with stratified analysis on BMI or dietary factors, despite of the known association between BMI and asthma [43].…”

Section: Overall Discussion and Conclusionmentioning

confidence: 60%

Susceptibility Factors Relevant for the Association Between Long-Term Air Pollution Exposure and Incident Asthma

Burte

Nadif

Jacquemin

2016

Curr Envir Health Rpt

View full text Add to dashboard Cite

In this review, we identified 15 studies in children and 10 studies in adults that assessed the association between long-term exposure to air pollution and incident asthma and that conducted stratified analyses to explore potential susceptibility factors. Overall, adult never/former smokers seem to be at higher risk of incident asthma due to air pollution. Children without atopy and children from low socio-economic status families also seem to be at higher risk of incident asthma due to air pollution. While interaction between air pollution and genes involved in the response to oxidative stress pathways have been explored, results are somewhat inconsistent and in need of replication. To evaluate interactions, large sample sizes are necessary and much more research, including data pooling 2 from existing studies, is needed to further explore susceptible factors for asthma incidence due to long-term air pollution exposure.

show abstract

Section: Overall Discussion and Conclusionmentioning

confidence: 60%

Susceptibility Factors Relevant for the Association Between Long-Term Air Pollution Exposure and Incident Asthma

Burte

Nadif

Jacquemin

2016

Curr Envir Health Rpt

View full text Add to dashboard Cite

show abstract

“…Comprehensive studies have concluded that a lower socioeconomic position is in fact associated with asthma severity and prevalence [38]. Asthma is often addressed in the pediatric and young adult population so parent and guardian SES is assessed as a surrogate for the patient.…”

Section: Asthmamentioning

confidence: 99%

Socioeconomic Status and Its Relationship to Chronic Respiratory Disease

Sahni

Talwar

Khanijo

et al. 2017

Advances in Respiratory Medicine

View full text Add to dashboard Cite

Socioeconomic status (SES) is defined as an individual's social or economic standing, and is a measure of an individual's or family's social or economic position or rank in a social group. It is a composite of several measures including income, education, occupation, location of residence or housing. Studies have found a lower SES has been linked to disproportionate access to health care in many diseases. There is emerging data in pulmonary diseases such as COPD, asthma, cystic fibrosis, pulmonary hypertension and other chronic respiratory conditions that allude to a similar observation noted in other chronic diseases. In the setting of COPD, SES has an inverse relationship with COPD prevalence, mortality, health utilization costs and HRQoL. Asthma and cystic fibrosis show an increased severity and hospitalizations in relationship to a lower SES. Similar observations were seen in sarcoidosis, PHTN and obstructive sleep apnea. There remains a limited data on non-CF bronchiectasis and interstitial lung diseases. Population SES may be gauged by various measures such as education, occupation, marital status but no value is more indicative than income. Currently guidelines and management algorithms do not factor the effect of SES in the disease process. Despite the great amount of data available, a standardized method must be created to include SES in the prognostic calculations and management of chronic pulmonary diseases.

show abstract

“…A recent review concluded that social disadvantage in high-income countries was related to a two-fold risk of childhood asthma (Spencer et al, 2015) and poorer asthma control (Kopel et al, 2014). Another systematic review and meta-analysis suggested that childhood asthma is associated with lower SES, whereas the prevalence of allergies is associated with higher SES (Uphoff et al, 2015). Most of the occupations associated with an increased risk of asthma or allergies in our study were white collar workers without any obvious occupational exposure to chemicals.…”

Section: Or(95%ci) Or(95%ci) Or(95%ci) Or(95%ci) Or(95%ci) Or(95%cimentioning

confidence: 63%

Associations between parental health, early life factors and asthma, rhinitis and eczema among pre-school children in Chongqing, China

Wang

Li²,

Yu³

et al. 2016

GJHS

View full text Add to dashboard Cite

Purpose: To study associations between parental factors and children's asthma, rhinitis and eczema. Methods:Parents of 3-6 years old children in Chongqing, China answered a questionnaire on parental history of asthma/allergies, parental symptoms and children's asthma, rhinitis and eczema. Associations were analyzed by multiple logistic regression. Results:Among 4250 children (response rate: 74.5%), 8.4% had doctor-diagnosed asthma (DD asthma); 6.2% doctor-diagnosed allergic rhinitis (DD rhinitis); 20.4% wheeze; 19.4% cough; 37.9% rhinitis and 13.6% eczema. Among reporting parents (females 70.4%, males 29.6%), 16.2% were smokers; 47.4% reported rhinitis; 54.2% cough; 47.8% skin symptoms; 70.5% fatigue and 48.7% headache.Parental asthma/allergy was associated with children's DD asthma (OR=3.64) and DD rhinitis (OR=4.23). The associations were stronger for paternal asthma/allergy. Rural children had less DD rhinitis and current rhinitis. Children of mothers who were salespersons during pregnancy had more rhinitis (OR=1.49), children of teachers had more DD rhinitis (OR=2.09) and cough (OR=1.66), children of office workers had more DD rhinitis (OR=2.04) and children of mothers working in hospitals had more DD asthma (OR=2.47). Parental current symptoms were associated with wheeze, cough, rhinitis and eczema among the children with ORs ranging from 1.37 to 2.28 (all p<0.001). Conclusions:Parental asthma/allergy can be a risk factor for asthma or allergy, especially paternal asthma/allergy. Growing up in rural areas can be beneficial for rhinitis. Mother's occupation during pregnancy may influence children's asthma and rhinitis. In questionnaires studies on children's asthma or allergies, the reporting parent's gender and current medical symptoms may influence the results.Keywords: Pre-school children, asthma, rhinitis, eczema, home environment, rural childhood, occupation, validation, fatigue, headache IntroductionChildren's asthma and allergies has increased globally (Chen, 2003;Asher et al., 2006). The international Study of Asthma and Allergies in Childhood (ISAAC) has compared asthma and allergy between different countries (The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee, 1998), and analyzed associations with the home environment (Brunekreef et al., 2012). A recent review suggested that the rise in the prevalence of allergic disorders globally is associated with the whole civilizational progress, which is a complex interplay between immune response, invading pathogens, diversity of environmental factors and genetic background (Rutkowski et al., 2014).Parental factors can influence the prevalence of asthma, rhinitis and eczema in their children in different ways.

show abstract

A systematic review of socioeconomic position in relation to asthma and allergic diseases

Cited by 177 publications

References 69 publications

Susceptibility Factors Relevant for the Association Between Long-Term Air Pollution Exposure and Incident Asthma

Susceptibility Factors Relevant for the Association Between Long-Term Air Pollution Exposure and Incident Asthma

Socioeconomic Status and Its Relationship to Chronic Respiratory Disease

Associations between parental health, early life factors and asthma, rhinitis and eczema among pre-school children in Chongqing, China

Contact Info

Product

Resources

About