Ambient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.

<h4>Background</h4>Criteria pollutants have been associated with exacerbation of children's asthma, but the role of air toxics in relation to asthma is less clear. Our objective was to evaluate whether exposure to outdoor air toxics in early childhood increased asthma risk or severi...

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Autores principales: Alexis M Stoner, Sarah E Anderson, Timothy J Buckley
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:b7fc6ae69f964313a0cc622007efbcfc2021-11-18T08:54:40ZAmbient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.1932-620310.1371/journal.pone.0075176https://doaj.org/article/b7fc6ae69f964313a0cc622007efbcfc2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24058662/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Criteria pollutants have been associated with exacerbation of children's asthma, but the role of air toxics in relation to asthma is less clear. Our objective was to evaluate whether exposure to outdoor air toxics in early childhood increased asthma risk or severity.<h4>Methods</h4>Air toxics exposure was estimated using the 2002 National Air toxics Assessment (NATA) and linked to longitudinal data (n=6950) from a representative sample of US children born in 2001 and followed through kindergarten-age in the Early Child Longitudinal Study-Birth Cohort (ECLS-B).<h4>Results</h4>Overall, 17.7% of 5.5 year-olds had ever been told by a healthcare professional they had asthma, and 6.8% had been hospitalized or visited an emergency room for an asthma attack. Higher rates of asthma were observed among boys (20.1%), low-income (24.8%), and non-Hispanic black children (30.0%) (p≤0.05). Air toxics exposure was greater for minority race/ethnicity (p<0.0001), low income (p<0.0001), non-rural area (p<0.001). Across all analyses, greater air toxics exposure, as represented by total NATA respiratory hazard index, or when limited to respiratory hazard index from onroad mobile sources or diesel PM, was not associated with a greater prevalence of asthma or hospitalizations (p trend >0.05). In adjusted logistic regression models, children exposed to the highest respiratory hazard index were not more likely to have asthma compared to those exposed to the lowest respiratory hazard index of total, onroad sources, or diesel PM.<h4>Conclusions</h4>Early childhood exposure to outdoor air toxics in a national sample has not previously been studied relative to children's asthma. Within the constraints of the study, we found no evidence that early childhood exposure to outdoor air toxics increased risk for asthma. As has been previously reported, it is evident that there are environmental justice and disparity concerns for exposure to air toxics and asthma prevalence in US children.Alexis M StonerSarah E AndersonTimothy J BuckleyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 9, p e75176 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Alexis M Stoner
Sarah E Anderson
Timothy J Buckley
Ambient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.
description <h4>Background</h4>Criteria pollutants have been associated with exacerbation of children's asthma, but the role of air toxics in relation to asthma is less clear. Our objective was to evaluate whether exposure to outdoor air toxics in early childhood increased asthma risk or severity.<h4>Methods</h4>Air toxics exposure was estimated using the 2002 National Air toxics Assessment (NATA) and linked to longitudinal data (n=6950) from a representative sample of US children born in 2001 and followed through kindergarten-age in the Early Child Longitudinal Study-Birth Cohort (ECLS-B).<h4>Results</h4>Overall, 17.7% of 5.5 year-olds had ever been told by a healthcare professional they had asthma, and 6.8% had been hospitalized or visited an emergency room for an asthma attack. Higher rates of asthma were observed among boys (20.1%), low-income (24.8%), and non-Hispanic black children (30.0%) (p≤0.05). Air toxics exposure was greater for minority race/ethnicity (p<0.0001), low income (p<0.0001), non-rural area (p<0.001). Across all analyses, greater air toxics exposure, as represented by total NATA respiratory hazard index, or when limited to respiratory hazard index from onroad mobile sources or diesel PM, was not associated with a greater prevalence of asthma or hospitalizations (p trend >0.05). In adjusted logistic regression models, children exposed to the highest respiratory hazard index were not more likely to have asthma compared to those exposed to the lowest respiratory hazard index of total, onroad sources, or diesel PM.<h4>Conclusions</h4>Early childhood exposure to outdoor air toxics in a national sample has not previously been studied relative to children's asthma. Within the constraints of the study, we found no evidence that early childhood exposure to outdoor air toxics increased risk for asthma. As has been previously reported, it is evident that there are environmental justice and disparity concerns for exposure to air toxics and asthma prevalence in US children.
format article
author Alexis M Stoner
Sarah E Anderson
Timothy J Buckley
author_facet Alexis M Stoner
Sarah E Anderson
Timothy J Buckley
author_sort Alexis M Stoner
title Ambient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.
title_short Ambient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.
title_full Ambient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.
title_fullStr Ambient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.
title_full_unstemmed Ambient air toxics and asthma prevalence among a representative sample of US kindergarten-age children.
title_sort ambient air toxics and asthma prevalence among a representative sample of us kindergarten-age children.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/b7fc6ae69f964313a0cc622007efbcfc
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