Reported neighborhood traffic and the odds of asthma/asthma-like symptoms: A cross-sectional analysis of a multi-racial cohort of children

Sarah Commodore*, Pamela L. Ferguson, Brian Neelon, Roger Newman, William Grobman, Alan Tita, John Pearce, Michael S. Bloom, Erik Svendsen, James Roberts, Daniel Skupski, Anthony Sciscione, Kristy Palomares, Rachel Miller, Ronald Wapner, John E. Vena, Kelly J. Hunt

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article number243
Pages (from-to)1-25
Number of pages25
JournalInternational journal of environmental research and public health
Volume18
Issue number1
DOIs
StatePublished - Jan 1 2021

Keywords

  • Air pollution exposure
  • Asthma
  • Cohort
  • Neighborhood traffic
  • Racial/ethnic disparities

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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