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Medical, Social, and Relational Health Risks and Childhood Asthma Severity, National Survey of Children's Health,

Ikemefuna C Okwuwa1, Timothy O Ihongbe1

  • 1Department of Family and Community Medicine, Texas Tech University Health Sciences Center at the Permian Basin, Odessa, Texas.

Academic Pediatrics
|April 22, 2026
PubMed

Insights

Childhood asthma severity increases with exposure to multiple medical, social, and relational health risks. Addressing these combined factors is crucial for effective pediatric asthma care.

Area of Science:

  • Pediatric Health
  • Environmental Health
  • Public Health

Background:

  • Childhood asthma is a leading cause of emergency department visits.
  • Medical, social, and relational factors influence asthma, but are often studied separately.
  • Understanding the combined impact of these risks is essential for comprehensive care.

Purpose of the Study:

  • To investigate the cumulative and combined effects of medical, social, and relational health risks on childhood asthma severity.
  • To analyze how multiple risk domains interact to influence asthma outcomes.
  • To inform integrated approaches in pediatric asthma management.

Main Methods:

  • Analysis of pooled data from the National Survey of Children's Health (2020-2024, N=254,309).
  • Utilized the Whole Child Risk Index to measure medical, social, and relational health risks.
  • Employed multinomial logistic regression to assess associations with asthma severity (no asthma, mild, moderate-to-severe).

Main Results:

  • A dose-response relationship was found between cumulative health risk exposure and asthma severity.
  • Children exposed to one, two, or three health risk domains showed progressively higher odds of mild and moderate-to-severe asthma.
  • Exposure to all three health risk domains significantly increased asthma severity risk.

Conclusions:

  • Cumulative and combined medical, social, and relational health risks significantly influence childhood asthma severity.
  • Children facing multiple health risk domains experience greater asthma severity.
  • Integrated, comprehensive care strategies are needed for pediatric asthma management.
Abstract

Keywords:
childhood asthmamedical health risksrelational health riskssocial determinants of healthsocial health risks

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