Table 5.
Traffic-Related Air Pollution and Repeated Hospital Encounters for Children With Asthma by Socioeconomic Status and Race/Ethnicity
| Model | Patients, No. | Exposure | HR (95% CI)a | P value | Product term P valueb |
|---|---|---|---|---|---|
|
| |||||
| Povertyc | |||||
| Median or less | 1,384 | NOx | 1.078 (0.999–1.163) | .05 | Reference |
| CO | 1.054 (0.979–1.134 | .16 | Reference | ||
| Greater than the median | 1,384 | NOx | 1.116 (1.026–1.214) | .01 | .39 (.70) |
| CO | 1.094 (1.006–1.190) | .04 | .49 (.71) | ||
| Median household incomed | |||||
| Greater than the median | 1,383 | NOx | 1.145 (1.054–1.244) | .001 | Reference |
| CO | 1.120 (1.034–1.213) | .005 | Reference | ||
| Median or less | 1,385 | NOx | 1.068 (0.983–1.160) | .12 | .23 (.09) |
| CO | 1.041 (0.959–1.129) | .34 | .20 (.07) | ||
| Insurance status | |||||
| Private | 1,094 | NOx | 1.136 (1.036–1.247) | .007 | Reference |
| CO | 1.102 (1.006–1.206) | .04 | Reference | ||
| Government sponsored or self-pay | 1,413 | NOx | 1.080 (1.005–1.160) | .04 | .38 |
| CO | 1.061 (0.989–1.138) | .10 | .51 | ||
| Unknown | 261 | NOx | 0.886 (0.569–1.379) | .59 | .28 |
| CO | 0.913 (0.591–1.412) | .68 | .41 | ||
| Race/ethnicity | |||||
| White | 1,237 | NOx | 1.145 (1.055–1.243) | .001 | Reference |
| CO | 1.113 (1.027–1.205) | .009 | Reference | ||
| Hispanic | 1,221 | NOx | 1.097 (1.008–1.193) | .03 | .46 |
| CO | 1.081 (0.996–1.173) | .06 | .62 | ||
| Non-Hispanic nonwhite | 310 | NOx | 0.829 (0.624–1.102 | .20 | .03 |
| CO | 0.804 (0.601–1.074) | .14 | .03 | ||
Abbreviations: CI, confidence interval; CO, carbon monoxide; HR, hazard ratio; NOx, nitrogen oxide.
Values are for an interquartile range increase in the air pollutant (NOx, 4.00 ppb; CO, 0.056 ppm) adjusted for sex, age group, race, health insurance status, residence distance to hospital, and poverty. Stratified results are from product term models.
The P value for interaction of air pollution with socioeconomic variables and race/ethnicity. The P value for trend from continuous poverty and median household income is given in parentheses.
The median of Census 2000 block group percentage below the federal poverty level was 14%.
The median of Census 2000 block group of median household income was $45,000.