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. 1996 Oct;86(10):1406–1409. doi: 10.2105/ajph.86.10.1406

Race, asthma, and persistent wheeze in Philadelphia schoolchildren.

J Cunningham 1, D W Dockery 1, F E Speizer 1
PMCID: PMC1380651  PMID: 8876509

Abstract

OBJECTIVES: Many studies show asthma to be more common in Black than in White children. This study assessed how much of this difference remains after adjustment for other potentially race-associated predictors of asthma. METHODS: We assessed the predictors of active diagnosed asthma and persistent wheeze in 1416 Black and White Philadelphia children aged 9 to 11 years, as reported by parents. RESULTS: Black race remained a significant predictor of active diagnosed asthma (odds ratio [OR] = 2.3; 95% confidence interval [CI] = 1.3, 4.1) but not of persistent wheeze (OR = 1.0; 95% CI = 0.6, 1.8). The excess risk of asthma in Black children was not appreciably altered by adjustment for other demographic and environmental factors. CONCLUSIONS: Black race is an important risk factor for active diagnosed asthma in these urban children, a relationship not explained by social factors. This finding and the lack of an association of race with persistent wheeze after adjustment for social factors suggest that race may be more important to the acquisition of an asthma diagnosis than to the prevalence of the symptoms.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Crain E. F., Weiss K. B., Bijur P. E., Hersh M., Westbrook L., Stein R. E. An estimate of the prevalence of asthma and wheezing among inner-city children. Pediatrics. 1994 Sep;94(3):356–362. [PubMed] [Google Scholar]
  2. Gergen P. J., Mullally D. I., Evans R., 3rd National survey of prevalence of asthma among children in the United States, 1976 to 1980. Pediatrics. 1988 Jan;81(1):1–7. [PubMed] [Google Scholar]
  3. Gold D. R., Rotnitzky A., Damokosh A. I., Ware J. H., Speizer F. E., Ferris B. G., Jr, Dockery D. W. Race and gender differences in respiratory illness prevalence and their relationship to environmental exposures in children 7 to 14 years of age. Am Rev Respir Dis. 1993 Jul;148(1):10–18. doi: 10.1164/ajrccm/148.1.10. [DOI] [PubMed] [Google Scholar]
  4. Horwood L. J., Fergusson D. M., Shannon F. T. Social and familial factors in the development of early childhood asthma. Pediatrics. 1985 May;75(5):859–868. [PubMed] [Google Scholar]
  5. Kaplan B. A., Mascie-Taylor C. G. Asthma and wheezy bronchitis in a British national sample. J Asthma. 1987;24(5):289–296. doi: 10.3109/02770908709070954. [DOI] [PubMed] [Google Scholar]
  6. Kaplan B. A., Mascie-Taylor C. G. Biosocial factors in the epidemiology of childhood asthma in a British national sample. J Epidemiol Community Health. 1985 Jun;39(2):152–156. doi: 10.1136/jech.39.2.152. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Mitchell E. A., Stewart A. W., Pattemore P. K., Asher M. I., Harrison A. C., Rea H. H. Socioeconomic status in childhood asthma. Int J Epidemiol. 1989 Dec;18(4):888–890. doi: 10.1093/ije/18.4.888. [DOI] [PubMed] [Google Scholar]
  8. Schenker M. B., Samet J. M., Speizer F. E. Risk factors for childhood respiratory disease. The effect of host factors and home environmental exposures. Am Rev Respir Dis. 1983 Dec;128(6):1038–1043. doi: 10.1164/arrd.1983.128.6.1038. [DOI] [PubMed] [Google Scholar]
  9. Schwartz J., Gold D., Dockery D. W., Weiss S. T., Speizer F. E. Predictors of asthma and persistent wheeze in a national sample of children in the United States. Association with social class, perinatal events, and race. Am Rev Respir Dis. 1990 Sep;142(3):555–562. doi: 10.1164/ajrccm/142.3.555. [DOI] [PubMed] [Google Scholar]
  10. Silva P. A., Sears M. R., Jones D. T., Holdaway M. D., Hewitt C. J., Flannery E. M., Williams S. Some family social background, developmental, and behavioural characteristics of nine year old children with asthma. N Z Med J. 1987 May 27;100(824):318–320. [PubMed] [Google Scholar]
  11. Strachan D. P., Anderson H. R., Limb E. S., O'Neill A., Wells N. A national survey of asthma prevalence, severity, and treatment in Great Britain. Arch Dis Child. 1994 Mar;70(3):174–178. doi: 10.1136/adc.70.3.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Weiss K. B., Gergen P. J., Crain E. F. Inner-city asthma. The epidemiology of an emerging US public health concern. Chest. 1992 Jun;101(6 Suppl):362S–367S. doi: 10.1378/chest.101.6.362s. [DOI] [PubMed] [Google Scholar]
  13. Weitzman M., Gortmaker S., Sobol A. Racial, social, and environmental risks for childhood asthma. Am J Dis Child. 1990 Nov;144(11):1189–1194. doi: 10.1001/archpedi.1990.02150350021016. [DOI] [PubMed] [Google Scholar]

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