Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.

<h4>Background</h4>Recent studies have emphasized the role of psychosocial stressors as a determinant of asthma, and neighborhoods can be a potential source of such stressors. We investigated the association between parental perception of neighborhood safety and reported lifetime asthma...

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Autores principales:	S V Subramanian, Malinda H Kennedy
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2009
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/71f29b25ee2c458097592f05932f6304
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spelling	oai:doaj.org-article:71f29b25ee2c458097592f05932f63042021-11-25T06:21:50ZPerception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.1932-620310.1371/journal.pone.0006091https://doaj.org/article/71f29b25ee2c458097592f05932f63042009-06-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19564923/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Recent studies have emphasized the role of psychosocial stressors as a determinant of asthma, and neighborhoods can be a potential source of such stressors. We investigated the association between parental perception of neighborhood safety and reported lifetime asthma among children.<h4>Methodology/principal findings</h4>Data for the study came from the 2003-04 National Survey of Children Health (NSCH); a nationally representative cross-sectional sample of children aged 0-17 years. Demographic, socioeconomic and behavioral covariates were included in the study. Models were estimated after taking account of weighting and complex survey design. Parental report of whether the child has ever been diagnosed with asthma by a physician was used to define the outcome. Parental report of perception of neighborhood safety was the main exposure. In unadjusted models, the odds ratio (OR) for reporting asthma associated with living in neighborhoods that were perceived to be sometimes or never safe was 1.36 (95% confidence intervals [CI] 1.21, 1.53) compared to living in neighborhoods that were perceived to be always safe. Adjusting for covariates including exposure to second hand tobacco smoke, mother's self-rated health, child's physical activity and television viewing attenuated this association (OR 1.25, 95% CI 1.08, 1.43). In adjusted models, the increased odds ratio for reporting asthma was also higher among those who perceived neighborhoods as being usually safe (OR 1.15 95% CI 1.06, 1.26), as compared to always safe, suggestive of a dose-response relationship, with the differentials for usually safe and never safe being statistically significant (p = 0.009).<h4>Conclusion</h4>Psychosocial stressors may be important risk factors that may impact the pathogenesis of asthma and/or contribute to asthma morbidity by triggering exacerbations through neuroimmunologic mechanisms, as well as social mechanisms.S V SubramanianMalinda H KennedyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 4, Iss 6, p e6091 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q S V Subramanian Malinda H Kennedy Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.
description	<h4>Background</h4>Recent studies have emphasized the role of psychosocial stressors as a determinant of asthma, and neighborhoods can be a potential source of such stressors. We investigated the association between parental perception of neighborhood safety and reported lifetime asthma among children.<h4>Methodology/principal findings</h4>Data for the study came from the 2003-04 National Survey of Children Health (NSCH); a nationally representative cross-sectional sample of children aged 0-17 years. Demographic, socioeconomic and behavioral covariates were included in the study. Models were estimated after taking account of weighting and complex survey design. Parental report of whether the child has ever been diagnosed with asthma by a physician was used to define the outcome. Parental report of perception of neighborhood safety was the main exposure. In unadjusted models, the odds ratio (OR) for reporting asthma associated with living in neighborhoods that were perceived to be sometimes or never safe was 1.36 (95% confidence intervals [CI] 1.21, 1.53) compared to living in neighborhoods that were perceived to be always safe. Adjusting for covariates including exposure to second hand tobacco smoke, mother's self-rated health, child's physical activity and television viewing attenuated this association (OR 1.25, 95% CI 1.08, 1.43). In adjusted models, the increased odds ratio for reporting asthma was also higher among those who perceived neighborhoods as being usually safe (OR 1.15 95% CI 1.06, 1.26), as compared to always safe, suggestive of a dose-response relationship, with the differentials for usually safe and never safe being statistically significant (p = 0.009).<h4>Conclusion</h4>Psychosocial stressors may be important risk factors that may impact the pathogenesis of asthma and/or contribute to asthma morbidity by triggering exacerbations through neuroimmunologic mechanisms, as well as social mechanisms.
format	article
author	S V Subramanian Malinda H Kennedy
author_facet	S V Subramanian Malinda H Kennedy
author_sort	S V Subramanian
title	Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.
title_short	Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.
title_full	Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.
title_fullStr	Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.
title_full_unstemmed	Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.
title_sort	perception of neighborhood safety and reported childhood lifetime asthma in the united states (u.s.): a study based on a national survey.
publisher	Public Library of Science (PLoS)
publishDate	2009
url	https://doaj.org/article/71f29b25ee2c458097592f05932f6304
work_keys_str_mv	AT svsubramanian perceptionofneighborhoodsafetyandreportedchildhoodlifetimeasthmaintheunitedstatesusastudybasedonanationalsurvey AT malindahkennedy perceptionofneighborhoodsafetyandreportedchildhoodlifetimeasthmaintheunitedstatesusastudybasedonanationalsurvey
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Perception of neighborhood safety and reported childhood lifetime asthma in the United States (U.S.): a study based on a national survey.

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