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.
Bibliographical noteFunding 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.
- Childhood asthma