Crespo Noe C, Ayala Guadalupe X, Vercammen-Grandjean Christopher D, Slymen Donald J, Elder John P
Institute for Behavioral and Community Health (IBACH), Graduate School of Public Health, San Diego State University, San Diego, CA 92123, USA.
J Child Health Care. 2011 Dec;15(4):358-69. doi: 10.1177/1367493510397680. Epub 2011 Oct 12.
Childhood asthma is particularly prevalent among disadvantaged children and is associated with greater functional consequences. This study described factors associated with childhood asthma in a sample of Latino and non-Latino children. Data were from baseline measures of 791 parent and child dyads involved in a childhood obesity prevention study. Parents completed a self-administered survey assessing childhood factors, demographics, acculturation and child asthma diagnosis. Multivariate mixed effects logistic regression analyses tested for correlates of child asthma and ethnicity interactions. Children were 4-10 years old, half were female, 86.0 percent were US-born and 45.7 percent were overweight or obese. The prevalence of childhood asthma was 11.5 percent. In multivariate analyses, the odds of childhood asthma were greater among children of non-Latino descent (OR = 4.1, CI: 1.8, 9.2), who had health insurance (OR = 11.1, CI: 2.7, 46.4), were male (OR = 1.8; CI: 1.1, 3.1) and born pre-term (OR = 3.0, CI: 1.4, 6.3). This study supports socio-demographic disparities in childhood asthma and evidence of their independent effects.
儿童哮喘在弱势儿童中尤为普遍，且与更严重的功能后果相关。本研究描述了拉丁裔和非拉丁裔儿童样本中与儿童哮喘相关的因素。数据来自一项儿童肥胖预防研究中791对亲子二元组的基线测量。父母完成了一项自我管理的调查，评估儿童因素、人口统计学、文化适应和儿童哮喘诊断情况。多变量混合效应逻辑回归分析测试了儿童哮喘的相关因素和种族间的相互作用。儿童年龄在4至10岁之间，一半为女性，86.0%在美国出生，45.7%超重或肥胖。儿童哮喘的患病率为11.5%。在多变量分析中，非拉丁裔血统儿童患儿童哮喘的几率更高（比值比=4.1，置信区间：1.8，9.2），有医疗保险的儿童（比值比=11.1，置信区间：2.7，46.4）、男性儿童（比值比=1.8；置信区间：1.1，3.1）以及早产儿童（比值比=3.�，置信区间：1.4，6.3）患儿童哮喘的几率更高。本研究支持了儿童哮喘中的社会人口学差异及其独立影响的证据。
