Evidence map›Paper›PMID 21704362›Full record

ArticleThe Journal of allergy and clinical immunology2011

Associations among maternal childhood socioeconomic status, cord blood IgE levels, and repeated wheeze in urban children.

Michelle J Sternthal, Brent A Coull, Yueh-Hsiu Mathilda Chiu, Sheldon Cohen, Rosalind J Wright

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00269256 (Stress, Environment, and Genetics in Urban Asthma), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT00269256 completednot on this map

Stress, Environment, and Genetics in Urban Asthma

TypeobservationalSponsorBrigham and Women's HospitalRan2005 to 2010Enrolled959ConditionsAsthma, Lung Diseases
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. An Unfortunate Inheritance: Child Asthma in the Aftermath of Redlining.American journal of respiratory and critical care medicine · 2024
    Article
  5. Lower Socioeconomic Status Predicts Increased Proinflammatory Signaling in Late Pregnancy: Evidence From a Filipino Cohort.American journal of human biology : the official journal of the Human Biology Council · 2024
    Article
  6. Article
  7. Article
  8. Exploring latent classes to identify prenatal and early-life sources of racial disparities in allergic disease.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2019
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Outdoor air pollution and asthma.Lancet (London, England) · 2014
    Review
  14. Article
  15. The role of early life viral bronchiolitis in the inception of asthma.Current opinion in allergy and clinical immunology · 2013
    Review
  16. Article
  17. Review
  18. Psychosocial stress and asthma morbidity.Current opinion in allergy and clinical immunology · 2012
    Review
  19. The association between community stressors and asthma prevalence of school children in Winnipeg, Canada.International journal of environmental research and public health · 2012
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Michelle J SternthalDepartment of Environmental and Occupational Medicine & Epidemiology, Harvard School of Public Health, Boston, MA, USA.
Brent A Coull
Yueh-Hsiu Mathilda Chiu
Sheldon Cohen
Rosalind J Wright
Harvard University · USBrigham and Women's Hospital · USCarnegie Mellon University · US

Funding

Training Program in Environmental EpidemiologyT32ES007069 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI LADEN, FRANCINE · 1985 to 2024
$13.9M
Stress, Environment, and Genetics in Urban AsthmaR01HL080674 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROSALIND J · 2005 to 2014
$7.0M
MULTI-LEVEL ANALYSIS OF URBAN CHILDHOOD ASTHMA RISKR01ES010932 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROSALIND J · 2000 to 2004
$3.0M
Asthma Coalition on Community, Environment and StressU01HL072494 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROSALIND J · 2002 to 2003
$1.5M
NHLBI NIH HHS R01 HL080674NHLBI NIH HHS U01 HL072494NIEHS NIH HHS R01 ES010932NIEHS NIH HHS R01 ES10932NIEHS NIH HHS T32 ES007069NIEHS NIH HHS T32-ES07069-29
6 · The paper itself

Abstract

backgroundIndependent of current socioeconomic status (SES), past maternal SES might influence asthma outcomes in children.

objectiveWe examined associations among the mother's SES in the first 10 years of her life (maternal childhood SES), increased cord blood IgE levels (upper 20% [1.37 IU/mL]), and repeated wheeze (≥ 2 episodes by age 2 years) in an urban pregnancy cohort (n = 510).

methodsData on sociodemographics, discrimination, financial strain, community violence, interpersonal trauma, and other negative events were obtained prenatally. Prenatal household dust was assayed for cockroach and murine allergens, and traffic-related air pollution was estimated by using spatiotemporal land-use regression. Maternal childhood SES was defined by parental home ownership (birth to 10 years). Maternally reported child wheeze was ascertained at 3-month intervals from birth. Using structural equation models, we examined whether outcomes were dependent on maternal childhood SES directly versus indirect relationships operating through (1) cumulative SES-related adversities, (2) the mother's socioeconomic trajectory (adult SES), and (3) current prenatal environmental exposures.

resultsMothers were largely Hispanic (60%) or black (28%), 37% had not completed high school, and 56% reported parental home ownership. When associations between low maternal childhood SES and repeated wheeze were examined, there were significant indirect effects operating through adult SES and prenatal cumulative stress (β = 0.28, P = .003) and pollution (β = 0.24, P = .004; P value for total indirect effects ≤ .04 for both pathways). Low maternal childhood SES was directly related to increased cord blood IgE levels (β = 0.21, P = .003). Maternal cumulative adversity (interpersonal trauma) was also associated with increased cord blood IgE levels (β = 0.19, P = .01), although this did not explain maternal childhood SES effects.

conclusionLower maternal childhood SES was associated with increased cord blood IgE levels and repeated wheeze through both direct and indirect effects, providing new insights into the role of social inequalities as determinants of childhood respiratory risk.

Indexed as

Social ClassUrban PopulationAdultAsthmaChild, PreschoolFemaleFetal BloodHumansImmunoglobulin EInfantInfant, NewbornPregnancyPrenatal Exposure Delayed EffectsRespiratory SoundsRiskStress, PsychologicalImmunoglobulin E

Identifiers

PMID21704362
PMCPMC3593081
OpenAlexW1996820942

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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.