ArticleThorax1999
Geographical and socioeconomic variation in the prevalence of asthma symptoms in English and Scottish children.
Article in Thorax, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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25 citing papers in PubMed, 92 citations in OpenAlex.
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- The Relation between Asthma Control and Quality of Life in Children.International journal of pediatrics · 2018Article
- "Attacks" or "Whistling": Impact of Questionnaire Wording on Wheeze Prevalence Estimates.PloS one · 2015Article
- High prevalence of asthma symptoms in Warao Amerindian children in Venezuela is significantly associated with open-fire cooking: a cross-sectional observational study.Respiratory research · 2013Observational
- The Saudi initiative for asthma - 2012 update: Guidelines for the diagnosis and management of asthma in adults and children.Annals of thoracic medicine · 2012Article
- Asthma prevalence among 16- to 18-year-old adolescents in Saudi Arabia using the ISAAC questionnaire.BMC public health · 2012Article
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- Socio-spatial inequalities and the distribution of cash benefits to asthmatic children in Norway.International journal of health geographics · 2009Article
- Parental attitudes towards the management of asthma in ethnic minorities.Archives of disease in childhood · 2007Article
- Risk factors for accident and emergency (A&E) attendance for asthma in inner city children.Thorax · 2007Article
- Ecological study of socio-economic indicators and prevalence of asthma in schoolchildren in urban Brazil.BMC public health · 2007Article
- Low birthweight and asthma among young urban children.American journal of public health · 2006Article
- Socioeconomic risk factors for asthma in Chilean young adults.American journal of public health · 2005Article
- Deprivation, smoking, and quality of life in asthma.Archives of disease in childhood · 2005Article
- Article
- The demographic and social class basis of inequality in self reported morbidity: an exploration using the Health Survey for England.Journal of epidemiology and community health · 2004Article
- Early respiratory and skin symptoms in relation to ethnic background: the importance of socioeconomic status; the PIAMA study.Archives of disease in childhood · 2002Article
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- Deteriorated housing contributes to high cockroach allergen levels in inner-city households.Environmental health perspectives · 2002Article
- The challenge of preventing environmentally related disease in young children: community-based research in New York City.Environmental health perspectives · 2002Article
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThere has been controversy over the relation between poverty and asthma in the community. The aim of this analysis was to disentangle geographical and socioeconomic variation in asthma symptoms.
methodsThe analysis is based on parental reports of symptoms from data collected in 1990 and 1991. Children aged 5-11 years from three populations (English representative sample, Scottish representative sample, and an English inner city sample) were included. Of 17 677 eligible children, between 14 490 (82.0%) and 15 562 (88.0%) children were available for analysis according to symptom group.
resultsWheezy symptoms were less prevalent in the Scottish sample than in the English samples and asthma attacks were most prevalent in the English representative sample. Asthma attacks were less prevalent in inner city areas than in the English representative sample (OR 0.79, 95% CI 0.66 to 0.95), but persistent wheeze and other respiratory symptoms were more prevalent (OR 1.95, 95% CI 1.65 to 2.32 and OR 1.67, 95% CI 1.52 to 1.84, respectively). The prevalence of persistent wheeze was higher in children whose father's social class was low and in those living in areas with a high Townsend score (an index of poverty) than in other children (p<0.001). Of the 14 areas with the highest Townsend score, 13 had an OR above 1 and six had an OR significantly higher than the reference area.
conclusionsPersistent wheeze is more prevalent in poor areas than in less deprived areas. This may indicate that poverty is associated with severe asthma or that a high percentage of persistent asthma symptoms in inner city areas are unrecognised and untreated.
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