ArticleSocial science & medicine (1982)2007
The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children.
Article in Social science & medicine (1982), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 46 citations in OpenAlex.
- Socioeconomic and sociodemographic factors associated with asthma related outcomes in early childhood: the Generation R Study.PloS one · 2013Trial
- Factors Related to the Health of Ethnic Hispanic Children in the United States: Application of Multiple Disadvantage Model.Journal of racial and ethnic health disparities · 2026Article
- Exposures in the Indoor Environment and Prevalence of Allergic Conditions in the United States of America.International journal of environmental research and public health · 2021Article
- A Bayesian spatio-temporal analysis of neighborhood pediatric asthma emergency department visit disparities.Health & place · 2020Article
- Cumulative Impact of Environmental Pollution and Population Vulnerability on Pediatric Asthma Hospitalizations: A Multilevel Analysis of CalEnviroScreen.International journal of environmental research and public health · 2019Article
- Spatiotemporal patterns of childhood asthma hospitalization and utilization in Memphis Metropolitan Area from 2005 to 2015.The Journal of asthma : official journal of the Association for the Care of Asthma · 2017Article
- Sparse modeling of spatial environmental variables associated with asthma.Journal of biomedical informatics · 2015Article
- Can economic deprivation protect health? Paradoxical multilevel effects of poverty on Hispanic children's wheezing.International journal of environmental research and public health · 2014Article
- Neighborhood context and the Hispanic health paradox: differential effects of immigrant density on children׳s wheezing by poverty, nativity and medical history.Health & place · 2014Article
- Socioeconomic status and the health of youth: a multilevel, multidomain approach to conceptualizing pathways.Psychological bulletin · 2013Review
- Implications of global climate change for the assessment and management of human health risks of chemicals in the natural environment.Environmental toxicology and chemistry · 2013Article
- The association between community stressors and asthma prevalence of school children in Winnipeg, Canada.International journal of environmental research and public health · 2012Article
- Social environment and asthma: associations with crime and No Child Left Behind programmes.Journal of epidemiology and community health · 2011Article
- Modifiable determinants of hearing impairment in adults.Preventive medicine · 2011Article
- The impact of socioeconomic factors on asthma hospitalization rates by rural classification.Journal of community health · 2011Article
- The need for better public health decisions on chemicals released into our environment.Health affairs (Project Hope) · 2011Review
- Association between socioeconomic status and the development of asthma: analyses of income trajectories.American journal of public health · 2010Article
- School variation in asthma: compositional or contextual?PloS one · 2009Article
- Competing definitions of contextual environments.International journal of health geographics · 2006Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
Spatial variation in childhood asthma and a recent increase in prevalence indicate that environmental factors play a significant role in the etiology of this important disease. Socioeconomic position (SEP) has been associated inversely and positively with childhood asthma. These contradictory results indicate a need for systematic research about SEP and asthma. Pathways have been suggested for effects of SEP on asthma at both the individual and community level. We examined the relationship of prevalent asthma to community-level indicators of SEP among 5762 children in 12 Southern California communities, using a multilevel random effects model. Estimates of community-level SEP were derived by summarizing census block group-level data using a novel method of weighting by the proportion of the block groups included in a community-specific bounding rectangle that contained 95% of local study subjects. Community characteristics included measures of male unemployment, household income, low education (i.e., no high school diploma) and poverty. There was a consistent inverse association between male unemployment and asthma across the inter-quartile range of community unemployment rates, indicating that asthma rates increase as community SEP increases. The results were robust to individual-level confounding, methods for summarizing census block group data to the community level, scale of analysis (i.e., community-level vs. neighborhood-level) and the modeling algorithm. The positive association between SEP and prevalent childhood asthma might be explained by differential access to medical care that remains unmeasured, by the hygiene hypothesis (e.g., lower SES may associate with higher protective exposures to endotoxin in early life), or by SEP acting as a proxy for unmeasured neighborhood characteristics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.