Evidence map›Paper›PMID 21730351›Full record

ArticleThorax2011

Effect of urbanisation on asthma, allergy and airways inflammation in a developing country setting.

Colin L Robinson, Lauren M Baumann, Karina Romero, Juan M Combe, Alfonso Gomez, Robert H Gilman, Lilia Cabrera, Guillermo Gonzalvez, Nadia N Hansel, Robert A Wise and 3 more

Abstract read
In one paragraph

Article in Thorax, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Prevalence and risk factors for allergic rhinitis in two resource-limited settings in Peru with disparate degrees of urbanization.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2015
    Trial
  3. 25-hydroxy vitamin D levels are associated with childhood asthma in a population-based study in Peru.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2015
    Trial
  4. Trial
  5. Article
  6. Article
  7. Environmental Influences on Atopic Eczema.Journal of environmental science and public health · 2024
    Article
  8. Review
  9. EAST in Children with Allergic rhinitis: Experience from Indian Tertiary Centre.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Risk factors associated with rhinitis, allergic conjunctivitis and eczema among schoolchildren in Uganda.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
    Article
  20. Household food insecurity is associated with asthma control in Peruvian children living in a resource-poor setting.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Colin L RobinsonDivision of Pulmonary and Critical Care, Johns Hopkins University, 1830 Monument Street, Fifth Floor, Baltimore, MD 21205, USA.
Lauren M Baumann
Karina Romero
Juan M Combe
Alfonso Gomez
Robert H Gilman
Lilia Cabrera
Guillermo Gonzalvez
Nadia N Hansel
Robert A Wise
Kathleen C Barnes
Patrick N Breysse
William Checkley

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
Genetic Susceptibility to Asthma and IndoorAir Pollution in PeruR01ES018845 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI HANSEL, NADIA N · 2010 to 2014
$3.8M
Short term training: Infectious Diseases & Tropical Diseases in PeruT35AI065385 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GILMAN, ROBERT H · 2006 to 2010
$325k
Acute Lung Injury: Application of Novel Approaches to Longitudinal Data AnalysisK99HL096955 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CHECKLEY, WILLIAM · 2009 to 2010
$269k
Genetic analysis of organophosphate metabolism in NC farmworkersR03ES015803 · NIEHS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HOWARD, TIMOTHY D · 2007 to 2008
$147k
FIC NIH HHS R24 TW007988NHLBI NIH HHS HHSN268200900033CNHLBI NIH HHS (K99HL096955NHLBI NIH HHS K99 HL096955NIAID NIH HHS T35 AI065385NIAID NIH HHS T35AI065385NIEHS NIH HHS ES015803NIEHS NIH HHS R01 ES018845NIEHS NIH HHS R01ES018845NIEHS NIH HHS R03 ES015803
6 · The paper itself

Abstract

backgroundAsthma is a growing public health problem in developing countries. However, few studies have studied the role of urbanisation in this phenomenon. It was hypothesised that children living in a peri-urban setting in Peru have higher rates of asthma and allergy than rural counterparts.

methods1441 adolescents aged 13-15 years were enrolled from two settings: a peri-urban shanty town in Lima (n = 725) and 23 rural villages in Tumbes (n = 716). Participants filled in questionnaires on asthma and allergy symptoms, environmental exposures and sociodemographics, and underwent spirometry, and exhaled nitric oxide (eNO) and allergy skin testing. Indoor particulate matter (PM) concentrations were measured in 170 households.

resultsLima adolescents had higher rates of lifetime wheezing (22% vs 10%), current asthma symptoms (12% vs 3%) and physician-diagnosed asthma (13% vs 2%; all p <0.001). Current rhinitis (23% vs 12%), eczema (12% vs 0.4%), atopy (56% vs 38%), personal history of cigarette smoking (7.4% vs 1.3%) and mean indoor PM (31 vs 13 μg/m(3)) were also higher in Lima (all p < 0.001). The peri-urban environment of Lima was associated with a 2.6-fold greater odds (95% CI 1.3 to 5.3) of asthma in multivariable regression. Forced expiratory volumes were higher and FEV(1)/FVC (forced expiratory volume in 1 s/forced vital capacity) ratios were lower in Lima (all p < 0.001). Higher eNO values in Lima (p < 0.001) were attributable to higher rates of asthma and atopy.

conclusionsPeri-urban adolescents had more asthma, atopy and airways inflammation and were exposed to more indoor pollution. The findings provide evidence of the risks posed to lung health by peri-urban environments in developing countries.

Indexed as

UrbanizationAdolescentAir Pollution, IndoorAsthmaDeveloping CountriesEnvironmental ExposureFemaleHumansHypersensitivityMaleNitric OxideParticle SizePeruPrevalenceRegression AnalysisRisk FactorsNitric Oxide

Identifiers

PMID21730351
PMCPMC5523938

What OpenQuestion holds

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Registered trials

None linked

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.