Socio-demographic disparities of childhood asthma

Noe C Crespo1, Guadalupe X Ayala, Christopher D Vercammen-Grandjean

  • 1Institute for Behavioral and Community Health (IBACH), Graduate School of Public Health, San Diego State University, San Diego, CA 92123, USA. ncrespo@projects.sdsu.edu

Insights

Childhood asthma disproportionately affects disadvantaged children. Factors like non-Latino ethnicity, health insurance, male sex, and preterm birth are linked to increased childhood asthma odds.

Area of Science:

  • Pediatric Pulmonology
  • Epidemiology
  • Health Disparities

Background:

  • Childhood asthma presents significant functional challenges, particularly in disadvantaged populations.
  • Understanding demographic and socioeconomic factors influencing childhood asthma prevalence is crucial for targeted interventions.

Purpose of the Study:

  • To identify factors associated with childhood asthma in a diverse sample of Latino and non-Latino children.
  • To examine the relationship between socio-demographic characteristics and childhood asthma diagnosis.

Main Methods:

  • Cross-sectional analysis of 791 parent-child dyads from a childhood obesity prevention study.
  • Multivariate mixed-effects logistic regression to assess correlates of asthma and ethnicity interactions.
  • Data collected via parent self-administered surveys on demographics, acculturation, and child's health status.

Main Results:

  • The prevalence of childhood asthma was 11.5% in the study sample.
  • Higher odds of childhood asthma were observed in non-Latino children (OR=4.1), those with health insurance (OR=11.1), males (OR=1.8), and children born preterm (OR=3.0).
  • Significant socio-demographic disparities in childhood asthma were identified.

Conclusions:

  • Childhood asthma is independently associated with specific socio-demographic factors.
  • Findings underscore the need for culturally sensitive and equitable asthma management strategies.
  • Further research should explore the mechanisms behind these observed disparities.

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