Educational and social characteristics of children with asthma

Mitchell, Robert J.; Dawson, Blanche

doi:10.1136/adc.48.6.467

Cited by 75 publications

(36 citation statements)

References 14 publications

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“…Other reports have shown no association between the prevalence of asthma and socioeconomic status [10][11][12][13][14]. Published reports of asthma mortality rates in Britain have also given conflicting results.…”

mentioning

confidence: 68%

“…Hospital admission rates depend on the prevalence of the disease, the severity of the disease in those who have it, and their medical care. Community surveys in Britain have not shown any increased prevalence of asthma in people of poorer socioeconomic status [6][7][8][9][10][11][12][13][14]. The increased hospital admission rate may, therefore, be due to increased severity of asthma, differences in the medical care received by asthma patients, or a combination of these factors.…”

Section: Discussionmentioning

confidence: 99%

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The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation

Watson¹,

Cowen²,

Lewis³

1996

Eur Respir J

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T Th he e r re el la at ti io on ns sh hi ip p b be et tw we ee en n a as st th hm ma a a ad dm mi is ss si io on n r ra at te es s, , r ro ou ut te es s o of f a ad dm mi is ss si io on n, , a an nd d s so oc ci io oe ec co on no om mi ic c d de ep pr ri iv va at ti io on n ABSTRACT: This study aimed to explore the relationship between hospital admissions for asthma and socioeconomic deprivation. A retrospective study examined one year of hospital admissions for asthma in the West Midlands region of England (n=10,044), and in one of the region's wealthier districts, Worcester (n=251). Age standardized admission ratios (SARs) for asthma, and the routes of hospital admission, were compared with the Townsend Deprivation Index for the place of residence.Asthma SAR was strongly associated with deprivation as measured by the Townsend Index for the district of residence (Spearman rank correlation coefficient ρ=0.65; p=0.004). Asthma admission rates for all age groups, except those aged over 65 yrs, were higher in poorer districts. A significantly greater proportion of emergency admissions in poorer districts came via Accident and Emergency departments, rather than general practitioner referrals (ρ=0.76; p<0.001). Within Worcester District, SAR was associated with Townsend Index for the ward of residence (ρ=0.39; p<0.001). This remained significant after excluding repeat admissions (ρ=0.45; p<0.001).We conclude that asthma admissions are strongly associated with deprivation in the community. Differences in the health care received during acute exacerbations by asthma patients from different economic backgrounds is likely to be an important factor in this relationship.

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mentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation

Watson¹,

Cowen²,

Lewis³

1996

Eur Respir J

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show abstract

“…For example, although several large population studies support an inverse association between socioeconomic position and asthma prevalence, particularly using measures of poverty and housing deprivation (1)(2)(3)(4)(5), some studies have also suggested a positive association (6) or associations that vary with specific types of asthma (7,8). Meanwhile, hay fever is commonly considered a disease of affluence, with prevalences positively associated with socioeconomic position in studies of populations in the United Kingdom and other European countries (9)(10)(11)(12)(13)(14).…”

mentioning

confidence: 99%

Different slopes for different folks: socioeconomic and racial/ethnic disparities in asthma and hay fever among 173,859 U.S. men and women.

Chen

Krieger

Eeden

et al. 2002

Environ Health Perspect

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Environmental JusticeAlthough allergic diseases such as asthma and hay fever are a major cause of morbidity in industrialized countries, most studies have focused on patterns of prevalence among children and adolescents, with relatively few studies on variations in prevalence by race/ethnicity and socioeconomic position among adults. Our study examined racial/ethnic and socioeconomic patterns in the prevalence of asthma overall, asthma with hay fever, asthma without hay fever, and hay fever overall, in a population of 173,859 women and men in a large prepaid health plan in northern California. Using education as a measure of socioeconomic position, we found evidence of a positive gradient for asthma with hay fever with increasing level of education but an inverse gradient for asthma without hay fever. Hay fever was also strongly associated with education. Compared with their White counterparts, Black women and men were more likely to report asthma without hay fever, and Black women were less likely to have asthma with hay fever. Asian men were also more likely to report asthma with hay fever, and Asian women and men were much more likely to have hay fever. Racial/ethnic disparities in prevalence of allergic diseases were largely independent of education. We discuss implications for understanding these social inequalities in allergic disease risk in relation to possible differences in exposure to allergens and determinants of immunologic susceptibility and suggest directions for future research.

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“…A total of 2,511 children were included, and those who were reported as having wheezy symptoms underwent clinical assessment. The diagnosis of asthma, defined as "recurrent dyspnoea of an obstructive type without other demonstrable cause" was confirmed in 121 subjects [4,5]. These children were reported as having wheezing attacks precipitated by a range of factors, including exercise, cold weather, frost, hot weather, damp, mist, fog, pollen, cut grass, and, in 50 cases, no demonstrable factor.…”

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confidence: 99%

Outcome of wheeze in childhood: the influence of atopy

Ross

Godden²,

Abdalla³

et al. 1995

Eur Respir J

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We have previously demonstrated that the adult outcome of childhood asthma differs from that of wheeze occurring only in the presence of infection. This paper examines the role of atopy in relation to outcome. We investigated the atopic status, current symptoms and bronchial reactivity to methacholine of 235 subjects aged 34-40 yrs, originally classified at age 10-15 yrs as having asthma (asthma group), wheeze only in the presence of infection (wheezy group), or no respiratory symptoms (comparison group). Subjects from the original asthma group were more likely to be atopic as defined by skin test reactivity, total serum immunoglobulin E (IgE) measurement or specific IgE radio allergosorbent test (RAST) measurement than those from the wheezy group. The wheezy group differed significantly from the reference group only in RAST results, when other variables were taken into account. In a logistic regression model, the important independent predictors for adult wheezing symptoms were original group, atopy and current smoking. Methacholine responsiveness was independently associated with original group (the asthma group were more likely to respond positively), atopy and female gender. The results suggest that atopy is an important predictor for wheeze and bronchial hyperreactivity in middle age. However, the difference in outcome for children who had asthma compared to those who had wheeze only in the presence of infection cannot be explained by atopy alone.

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Educational and social characteristics of children with asthma

Cited by 75 publications

References 14 publications

The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation

The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation

Different slopes for different folks: socioeconomic and racial/ethnic disparities in asthma and hay fever among 173,859 U.S. men and women.

Outcome of wheeze in childhood: the influence of atopy

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