Document Type
Article
Publication Date
7-23-2024
Abstract
Causes of asthma exacerbation in children have been studied extensively at the individual level, but contributions of neighborhood-level factors are less explored. We test which distinctive residential characteristics produce variation in uncontrolled asthma among pediatric patients. We extracted electronic medical record data from pediatric patients living in Southern California and used multilevel modeling techniques to isolate which neighborhood characteristics drive inequitable asthma control. Above and beyond the individual-level factors known to predict inadequate disease control, neighborhoods with greater concentration of non-Hispanic black residents (odds ratios [OR] = 1.02; 95% confidence interval [CI]: 0.99-1.03; P < .05), higher proportions of female-headed households (OR = 1.01; 95% CI: 0.99-1.01; P < .05), and higher levels of ambient air pollution (OR = 1.05; 95% CI: 1.01-1.10; P < .001) associate with greater odds of asthma exacerbation. The interplay between community characteristics and asthma management during childhood is complex, and place-based initiatives are needed to narrow the gap in asthma exacerbation.
Recommended Citation
Kranjac AW, Kain ZN, Ehwerhemuepha L, Weiss M, Jenkins BN. Neighborhood Socioeconomic Context Predicts Pediatric Asthma Exacerbation. Clinical Pediatrics. 2024;0(0). https://doi.org/10.1177/00099228241262997
Peer Reviewed
1
Copyright
The authors
Included in
Demography, Population, and Ecology Commons, Inequality and Stratification Commons, Medicine and Health Commons, Pediatrics Commons, Race and Ethnicity Commons, Respiratory Tract Diseases Commons
Comments
This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Clinical Pediatrics in 2024 following peer review. This article may not exactly replicate the final published version. The definitive publisher-authenticated version is available online at https://doi.org/10.1177/00099228241262997.