ArticleRespiratory research2009
Individual-level socioeconomic status is associated with worse asthma morbidity in patients with asthma.
Article in Respiratory research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
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
63 citing papers in PubMed, 4 syntheses or guidelines pooled it, 135 citations in OpenAlex.
- Physical activity, sedentary behaviour, and childhood asthma: a European collaborative analysis.BMJ open respiratory research · 2024Pooled it
- Socioeconomic inequalities in hospitalizations for chronic ambulatory care sensitive conditions: a systematic review of peer-reviewed literature, 1990-2018.International journal for equity in health · 2020Pooled it
- Is pesticide exposure a cause of obstructive airways disease?European respiratory review : an official journal of the European Respiratory Society · 2014Pooled it
- Clinical, economic, and humanistic burden of asthma in Canada: a systematic review.BMC pulmonary medicine · 2013Pooled it
- Socioeconomic status associates with worse asthma morbidity among Black and Latinx adults.The Journal of allergy and clinical immunology · 2022Trial
- Associations of current and life-course smoking and indoor environmental exposures with lung function level in early adulthood.Environmental epidemiology (Philadelphia, Pa.) · 2026Article
- Current perspectives on the psychological stress-immune axis in asthma: Pathophysiology, interventions, and significance for patient care.The World Allergy Organization journal · 2026Review
- Drivers of disparities in asthma exacerbation and healthcare utilization: a quantitative analysis of neighborhood deprivation in Southern California, United States.Preventive medicine reports · 2026Article
- Socioeconomic, Behavioural, and Environmental Determinants of Asthma Inequalities in Europe: A Cross-Sectional Study Using EHIS Data.International journal of environmental research and public health · 2026Article
- Racial and Socioeconomic Differences in Real-World Use of Biologic Therapy for Asthma.Journal of asthma and allergy · 2026Article
- Impact of air pollution and asthma on school attendance and educational attainment: a scoping review.BMJ open respiratory research · 2025Article
- Association between neighborhood deprivation and type 2 diabetes risks among asthma patients: a nationwide population-based cohort study.Scientific reports · 2025Article
- Asthma prevalence and risk factors in Poonch and Rajouri districts, India: an epidemiological and geospatial analysis.Scientific reports · 2025Article
- Asthma underdiagnosis in children: A school-based screening in a low socioeconomic status population.Biomedica : revista del Instituto Nacional de Salud · 2025Article
- High Prevalence of Uncontrolled Asthma and Its Association With Obesity and GERD-Related Symptoms in Syria: A Multicenter Cross-Sectional Study.Health science reports · 2025Article
- Socioeconomic status has direct impact on asthma control: Turkish adult asthma registry.Clinical and translational allergy · 2025Article
- Neighborhood Deprivation and Crime on Asthma Exacerbations and Utilization in Mild Adult Asthma.The journal of allergy and clinical immunology. In practice · 2024Article
- Understanding the determinants of self-reported asthma in Turkey: insights from national data on individual, lifestyle, socioeconomic, and healthcare access factors.BMC pulmonary medicine · 2024Article
- Socioeconomic status, lifestyle and risk of incident dementia: a prospective cohort study of 276730 participants.GeroScience · 2024Article
- Socioeconomic status and emergency department visits in adults with a history of severe childhood asthma: a register-based study.European clinical respiratory journal · 2024Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundLow socioeconomic status (SES) has been linked to higher morbidity in patients with chronic diseases, but may be particularly relevant to asthma, as asthmatics of lower SES may have higher exposures to indoor (e.g., cockroaches, tobacco smoke) and outdoor (e.g., urban pollution) allergens, thus increasing risk for exacerbations.
methodsThis study assessed associations between adult SES (measured according to educational level) and asthma morbidity, including asthma control; asthma-related emergency health service use; asthma self-efficacy, and asthma-related quality of life, in a Canadian cohort of 781 adult asthmatics. All patients underwent a sociodemographic and medical history interview and pulmonary function testing on the day of their asthma clinic visit, and completed a battery of questionnaires (Asthma Control Questionnaire, Asthma Quality of Life Questionnaire, and Asthma Self-Efficacy Scale). General Linear Models assessed associations between SES and each morbidity measure.
resultsLower SES was associated with worse asthma control (F = 11.63, p < .001), greater emergency health service use (F = 5.09, p = .024), and worse asthma self-efficacy (F = 12.04, p < .01), independent of covariates. Logistic regression analyses revealed that patients with <12 years of education were 55% more likely to report an asthma-related emergency health service visit in the last year (OR = 1.55, 95%CI = 1.05-2.27). Lower SES was not related to worse asthma-related quality of life.
conclusionsResults suggest that lower SES (measured according to education level), is associated with several indices of worse asthma morbidity, particularly worse asthma control, in adult asthmatics independent of disease severity. Results are consistent with previous studies linking lower SES to worse asthma in children, and add asthma to the list of chronic diseases affected by individual-level SES.
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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.