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. Author manuscript; available in PMC: 2026 Mar 13.
Published in final edited form as: J Allergy Clin Immunol. 2025 Mar 13;156(3):627–639. doi: 10.1016/j.jaci.2025.02.036

Table 3.

Education COI domain and individual-level characteristic-specific incidence unadjusted and adjusted* rate ratios (IRRs) of ARE by multivariate regression model

Unadjusted IRR (95% CI) P value Adjusted IRR (95% CI) P value
Education COI domain categories
High/very high Reference Reference
Moderate 1.13 (0.90, 1.42) 0.31 1.05 (0.83, 1.32) 0.72
Low 1.68 (1.36, 2.08) <0.01 1.25 (1.00, 1.58) 0.05
Very low 2.02 (1.65, 2.47) <0.01 1.29 (1.02, 1.63) 0.03
Individual level characteristics
Maternal education
≥Bachelor’s** Reference Reference
Some college 1.76 (1.42, 2.19) <0.01 1.25 (1.01, 1.57) 0.05
HS degree 1.71 (1.25, 2.32) <0.01 1.13 (0.83, 1.55) 0.44
<HS 1.64 (1.10, 2.42) 0.03 1.15 (0.76, 1.72) 0.51
Decade born
1990–1999 Reference Reference
2000–2009 2.23 (1.54, 3.22) <0.01 2.45 (1.61, 3.74) <0.01
2010–2018 4.15 (2.64, 6.54) <0.01 2.38 (1.47, 3.86) <0.01
Child age (years)
10–18 Reference Reference
5–9 2.85 (2.23, 3.66) <0.01 5.21 (4.01,6.76) <0.01
2–4 12.51 (9.88, 15.83) <0.01 25.17 (19.64, 32.25) <0.01
Child race, ethnicity
Non-Hispanic White Reference Reference
Non-Hispanic Black 2.67 (2.22, 3.21) <0.01 1.99 (1.61,2.46) <0.01
Hispanic White 1.01 (0.72, 1.43) 0.94 1.15 (0.81, 1.65) 0.43
Hispanic Black 3.09 (1.86, 5.12) <0.01 1.95 (1.15, 3.30) 0.01
Other 1.47 (1.19, 1.83) <0.01 1.36 (1.08, 1.72) <0.01
Census region
West Reference Reference
Northeast 4.68 (3.36, 6.52) <0.01 4.40 (3.13, 6.19) <0.01
Midwest 3.66 (2.53, 5.29) <0.01 3.87 (2.65, 5.66) <0.01
South 5.18 (3.39, 7.91) <0.01 4.05 (2.59, 6.34) <0.01
Child sex
Female Reference Reference
Male 1.41 (1.21, 1.64) <0.01 1.36 (1.17, 1.59) <0.01
Parental history of asthma
None Reference Reference
Either or both 2.80 (2.37, 3.32) <0.01 2.52 (2.12, 2.99) <0.01
*

Adjusted IRR estimates were derived from models adjusting for all variables in the table.

**

≥Bachelor’s refers to bachelors, master’s, some professional, or doctorate degree. Other refers to Non-Hispanic Other; Hispanic Other; Other or unknown.

Abbreviations: ARE: Asthma with recurrent exacerbations; CI: Confidence interval; COI: Child opportunity index; HS: high school; IRRs: incidence rate ratios. Model controls for the clustering effect of cohorts by using a fixed effect representing groups of cohorts found to have common characteristics using the RELATE package in R.