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Published on: August 7, 2017
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.
Abstract:
Childhood asthma is particularly prevalent among disadvantaged children and is associated with greater functional consequences. This study described factors associated with childhood asthma in a sample of Latino and non-Latino children. Data were from baseline measures of 791 parent and child dyads involved in a childhood obesity prevention study. Parents completed a self-administered survey assessing childhood factors, demographics, acculturation and child asthma diagnosis. Multivariate mixed effects logistic regression analyses tested for correlates of child asthma and ethnicity interactions. Children were 4-10 years old, half were female, 86.0 percent were US-born and 45.7 percent were overweight or obese. The prevalence of childhood asthma was 11.5 percent. In multivariate analyses, the odds of childhood asthma were greater among children of non-Latino descent (OR = 4.1, CI: 1.8, 9.2), who had health insurance (OR = 11.1, CI: 2.7, 46.4), were male (OR = 1.8; CI: 1.1, 3.1) and born pre-term (OR = 3.0, CI: 1.4, 6.3). This study supports socio-demographic disparities in childhood asthma and evidence of their independent effects.
Related Concept Videos
Asthma-I: Introduction
Asthma I: Introduction
Asthma III: Clinical Manifestations
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-III: Symptoms and Complications
Classification of Asthma

