Does neighborhood social and environmental context impact race/ethnic disparities in childhood asthma?

Mackenzie Brewer, Rachel Tolbert Kimbro, Justin T. Denney, Kristin M. Osiecki, Brady Moffett, Keila Lopez

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Utilizing over 140,000 geocoded medical records for a diverse sample of children ages 2–12 living in Houston, Texas, we examine whether a comprehensive set of neighborhood social and environmental characteristics explain racial and ethnic disparities in childhood asthma. Adjusting for all individual risk factors, as well as neighborhood concentrated disadvantage, particulate matter, ozone concentration, and race/ethnic composition, reduced but did not fully attenuate the higher odds of asthma diagnosis among black (OR=2.59, 95% CI=2.39, 2.80), Hispanic (OR=1.22, 95% CI=1.14, 1.32) and Asian (OR=1.18, 95% CI=1.04, 1.33) children relative to whites.

Original languageEnglish (US)
Pages (from-to)86-93
Number of pages8
JournalHealth and Place
Volume44
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

Bibliographical note

Funding Information:
This project was supported by the Houston Endowment and by Rice University's Faculty Initiatives Fund and Social Sciences Research Institute grants to the authors. These sponsors had no involvement in the data collection, analysis, writing, or decision to submit this article for publication.

Publisher Copyright:
© 2017 Elsevier Ltd

Keywords

  • Childhood asthma
  • Disparities
  • Environment
  • Neighborhoods
  • Race/ethnicity

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