TY - JOUR
T1 - Reported neighborhood traffic and the odds of asthma/asthma-like symptoms
T2 - A cross-sectional analysis of a multi-racial cohort of children
AU - Commodore, Sarah
AU - Ferguson, Pamela L.
AU - Neelon, Brian
AU - Newman, Roger
AU - Grobman, William
AU - Tita, Alan
AU - Pearce, John
AU - Bloom, Michael S.
AU - Svendsen, Erik
AU - Roberts, James
AU - Skupski, Daniel
AU - Sciscione, Anthony
AU - Palomares, Kristy
AU - Miller, Rachel
AU - Wapner, Ronald
AU - Vena, John E.
AU - Hunt, Kelly J.
N1 - Funding Information:
Funding: This research was funded by the Environmental influences on Child Health Outcomes (ECHO) program, Office of The Director, National Institutes of Health, under Award Number UG3OD023316 awarded to John Vena and Ronald Wapner; by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Intramural Funding and included American Recovery and Reinvestment Act funding via contract numbers HHSN275200800013C; HHSN275200800002I; HHSN27500006; HHSN275200800003IC; HHSN275200800014C; HHSN275200 800012C; HHSN275200800028C; HHSN275201000009C; and by the National Center for Advancing Translational Sciences of the National Institutes of Health under Grant Number UL1 TR001450 which provided REDCap through the SCTR at the Medical University of South Carolina.
Funding Information:
REDCap at SCTR is supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Grant Number UL1 TR001450.
Funding Information:
This research was funded by the Environmental influences on Child Health Outcomes (ECHO) program, Office of The Director, National Institutes of Health, under Award Number UG3OD023316 awarded to John Vena and Ronald Wapner; by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Intramural Funding and included American Recovery and Reinvestment Act funding via contract numbers HHSN275200800013C; HHSN275200800002I; HHSN27500006; HHSN275200800003IC; HHSN275200800014C; HHSN275200 800012C; HHSN275200800028C; HHSN275201000009C; and by the National Center for Advancing Translational Sciences of the National Institutes of Health under Grant Number UL1 TR001450 which provided REDCap through the SCTR at the Medical University of South Carolina.
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Asthma in children poses a significant clinical and public health burden. We examined the association between reported neighborhood traffic (a proxy for traffic-related air pollution) and asthma among 855multi-racial children aged 4–8 years old who participated in the Environmental Influences on Child Health Outcomes (ECHO) cohort. We hypothesized that high neighborhood traffic density would be associated with the prevalence of asthma. Asthma/asthma-like symptoms (defined as current and/or past physician diagnosed asthma, past wheezing, or nighttime cough or wheezing in the past 12months) was assessed by parental report. The relationship between neighborhood traffic and asthma/asthma-like symptoms was assessed using logistic regression. The prevalence of asthma/asthma-like symptoms among study participants was 23%, and 15% had high neighborhood traffic. Children with significant neighborhood traffic had a higher odds of having asthma/asthma-like symptoms than children without neighborhood traffic [adjusted OR = 2.01 (95%CI: 1.12, 3.62)] after controlling for child’s race-ethnicity, age, sex, maternal education, family history of asthma, play equipment in the home environment, public parks, obesity and prescribed asthma medication. Further characterization of neighborhood traffic is needed sincemany children live near high traffic zones and significant racial/ethnic disparities exist.
AB - Asthma in children poses a significant clinical and public health burden. We examined the association between reported neighborhood traffic (a proxy for traffic-related air pollution) and asthma among 855multi-racial children aged 4–8 years old who participated in the Environmental Influences on Child Health Outcomes (ECHO) cohort. We hypothesized that high neighborhood traffic density would be associated with the prevalence of asthma. Asthma/asthma-like symptoms (defined as current and/or past physician diagnosed asthma, past wheezing, or nighttime cough or wheezing in the past 12months) was assessed by parental report. The relationship between neighborhood traffic and asthma/asthma-like symptoms was assessed using logistic regression. The prevalence of asthma/asthma-like symptoms among study participants was 23%, and 15% had high neighborhood traffic. Children with significant neighborhood traffic had a higher odds of having asthma/asthma-like symptoms than children without neighborhood traffic [adjusted OR = 2.01 (95%CI: 1.12, 3.62)] after controlling for child’s race-ethnicity, age, sex, maternal education, family history of asthma, play equipment in the home environment, public parks, obesity and prescribed asthma medication. Further characterization of neighborhood traffic is needed sincemany children live near high traffic zones and significant racial/ethnic disparities exist.
KW - Air pollution exposure
KW - Asthma
KW - Cohort
KW - Neighborhood traffic
KW - Racial/ethnic disparities
UR - http://www.scopus.com/inward/record.url?scp=85099019084&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85099019084&partnerID=8YFLogxK
U2 - 10.3390/ijerph18010243
DO - 10.3390/ijerph18010243
M3 - Article
C2 - 33396261
AN - SCOPUS:85099019084
SN - 1661-7827
VL - 18
SP - 1
EP - 25
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 1
M1 - 243
ER -
