Asthma Among Homeless Children in New York City: An Update

Grant, Roy; Bowen, Shawn; McLean, Diane E.; Berman, Douglas A.; Redlener, Karen; Redlener, Irwin E.

doi:10.2105/ajph.2005.070482

Cited by 37 publications

(31 citation statements)

References 4 publications

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“…This high rate may underestimate the true prevalence, because other studies have found many undiagnosed children with asthma but symptoms at screening, particularly for low-income minority children. 12,13 In this study, only 34% of children with asthma were receiving any medication for their condition, 48% had visited an ED in the preceding year, and these children were more likely to have been hospitalized overnight in their lifetime compared to peers without asthma. These findings are in line with other estimates of the prevalence of asthma among inner-city minority and homeless children.…”

Section: Discussionmentioning

confidence: 70%

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Asthma and Behavior in Homeless 4- to 7-Year-Olds

et al. 2010

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Young children in homeless family emergency shelters have high rates of asthma and related problems that could lead to higher hospitalization rates, more behavioral problems, and lower academic functioning at school. Screening and treatment of children who stay in emergency family shelters may be particularly important for reducing risks associated with asthma in highly mobile, low-income families.

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Section: Discussionmentioning

confidence: 70%

“…McLean et al 12 estimated the true asthma prevalence to be 39.8% on the basis of symptoms among homeless children at 3 New York City shelters in 1998 -1999, with 26.9% of the sample receiving a diagnosis from a physician. A study from 1999 to 2002 13 found an overall prevalence of 33%, with 17% previously receiving a physician's diagnosis.…”

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confidence: 99%

Asthma and Behavior in Homeless 4- to 7-Year-Olds

et al. 2010

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“…25 For example, disability and racial and ethnic minority status are associated with poverty [6][7][8][9][10] ; disabled children are at higher risk of abuse 59 ; and family stress that arises from poverty and poor health is associated with family breakdown, violence, and homelessness. 32,47,48,51,52 In the United States, the effects of racism beyond its association with poverty cannot be ignored. 7 Children who experience multiple compounding risk factors are most likely to have their rights ignored and/or abused.…”

Section: Which Children Are Most At Risk?mentioning

confidence: 99%

Health Equity and Children's Rights

2010

Pediatrics

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Many children in the United States fail to reach their full health and developmental potential. Disparities in their health and well-being result from the complex interplay of multiple social and environmental determinants that are not adequately addressed by current standards of pediatric practice or public policy. Integrating the principles and practice of child health equity—children's rights, social justice, human capital investment, and health equity ethics—into pediatrics will address the root causes of child health disparities. Promoting the principles and practice of equity-based clinical care, child advocacy, and child- and family-centered public policy will help to ensure that social and environmental determinants contribute positively to the health and well-being of children. The American Academy of Pediatrics and pediatricians can move the national focus from documenting child health disparities to advancing the principles and practice of child health equity and, in so doing, influence the worldwide practice of pediatrics and child health. All pediatricians, including primary care practitioners and medical and surgical subspecialists, can incorporate these principles into their practice of pediatrics and child health. Integration of these principles into competency-based training and board certification will secure their assimilation into all levels of pediatric practice.

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“…Our study did not assess the effects of homelessness, an extreme in the continuum of access to healthy housing; however, previous research has documented very high asthma prevalence among homeless children. 50 One study found that children in families waiting for Section 8 public housing vouchers in Boston were exposed to more housing hazards and experienced health consequences as a result of poor housing conditions. 51 The BIS also does not include information on whether the property is a rental or owner-occupied.…”

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confidence: 99%

The Role of Housing Type and Housing Quality in Urban Children with Asthma

et al. 2010

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The goal of this study was to assess the relationship between type and quality of housing and childhood asthma in an urban community with a wide gradient of racial/ethnic, socioeconomic, and housing characteristics. A parent-report questionnaire was distributed in 26 randomly selected New York City public elementary schools. Type of housing was categorized using the participants' addresses and the Building Information System, a publicly-accessible database from the New York City Department of Buildings. Type of housing was associated with childhood asthma with the highest prevalence of asthma found in public housing (21.8%). Residents of all types of private housing had lower odds of asthma than children living in public housing. After adjusting for individual-and community-level demographic and economic factors, the relationship between housing type and childhood asthma persisted, with residents of private family homes having the lowest odds of current asthma when compared to residents of public housing (odds ratio: 0.51; 95% confidence interval, 0.22, 1.21). Factors associated with housing quality explain some of the clustering of asthma in public housing. For example, the majority (68.7%) of public housing residents reported the presence of cockroaches, compared to 21% of residents of private houses. Reported cockroaches, rats, and water leaks were also independently associated with current asthma. These findings suggest differential exposure and asthma risk by urban housing type. Interventions aimed at reducing these disparities should consider multiple aspects of the home environment, especially those that are not directly controlled by residents.

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Asthma Among Homeless Children in New York City: An Update

Cited by 37 publications

References 4 publications

Asthma and Behavior in Homeless 4- to 7-Year-Olds

Asthma and Behavior in Homeless 4- to 7-Year-Olds

Health Equity and Children's Rights

The Role of Housing Type and Housing Quality in Urban Children with Asthma

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