Evidence map›Paper›PMID 23273373›Full record

ArticleThe Science of the total environment2013

Air pollution and respiratory symptoms among children with asthma: vulnerability by corticosteroid use and residence area.

Toby C Lewis, Thomas G Robins, Graciela B Mentz, Xiaohui Zhang, Bhramar Mukherjee, Xihong Lin, Gerald J Keeler, J Timothy Dvonch, Fuyuen Y Yip, Marie S O'Neill and 5 more

Abstract read
In one paragraph

Article in The Science of the total environment, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 12% 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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
  5. Genetic susceptibility to PMFrontiers in immunology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Toby C LewisDepartment of Pediatrics, Division of Pulmonology, University of Michigan Medical School, 1500 E. Medical Center Dr., Ann Arbor, MI 48109-5212, United States. TOBYL@umich.edu
Thomas G Robins
Graciela B Mentz
Xiaohui Zhang
Bhramar Mukherjee
Xihong Lin
Gerald J Keeler
J Timothy Dvonch
Fuyuen Y Yip
Marie S O'Neill
Edith A Parker
Barbara A Israel
Paul T Max
Angela Reyes
Community Action Against Asthma (CAAA) Steering Committee
University of Michigan–Ann Arbor · USMichigan Department of Health and Human Services · USDepartment of Health and Wellness Promotion · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI HANS-JOACHIM LEHMLER · 1990 to 2026
$40.5M
Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
MICHIGAN CENTER FOR THE ENVIRONMENT AND CHILDRENS HEALTHP01ES009589 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISRAEL, BARBARA ANNE · 1999 to 2004
$3.1M
COMMUNITY ORGANIZING NETWORK FOR ENVIRONMENTAL HEALTH (CR01ES010688 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PARKER, EDITH A · 2000 to 2004
$2.3M
Air Pollution, Inflammation and Preterm Birth: A Mechanistic Study in Mexico CityR01ES016932 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI O'NEILL, MARIE SYLVIA · 2008 to 2015
$2.2M
Acute Effects of Diesel Exhaust in Asthmatic ChildrenK23ES013242 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEWIS, TOBY C · 2004 to 2008
$650k
NIEHS NIH HHS K23 ES013242NIEHS NIH HHS K23ES013242NIEHS NIH HHS P01 ES009589NIEHS NIH HHS P01-ES09589NIEHS NIH HHS P30 ES005605NIEHS NIH HHS P30 ES017885NIEHS NIH HHS R01 ES010688NIEHS NIH HHS R01-ES010688NIEHS NIH HHS R01 ES016932NIEHS NIH HHS R01-ES016932
6 · The paper itself

Abstract

rationaleInformation on how ambient air pollution affects susceptible populations is needed to ensure protective air quality standards.

objectivesTo estimate the effect of community-level ambient particulate matter (PM) and ozone (O) on respiratory symptoms among primarily African-American and Latino, lower-income asthmatic children living in Detroit, Michigan and to evaluate factors associated with heterogeneity in observed health effects.

methodsA cohort of 298 children with asthma was studied prospectively from 1999 to 2002. For 14days each season over 11 seasons, children completed a respiratory symptom diary. Simultaneously, ambient pollutant concentrations were measured at two community-level monitoring sites. Logistic regression models using generalized estimating equations were fit for each respiratory symptom in single pollutant models, looking for interactions by area or by corticosteroid use, a marker of more severe asthma. Exposures of interest were: daily concentrations of PM<10μm, <2.5μm, and between 10 and 2.5μm in aerodynamic diameter (PM, PM, and PM respectively), the daily 8-hour maximum concentration of O (8HrPeak), and the daily 1-hour maximum concentration of O (1HrPeak).

resultsOutdoor PM, PM, 8HrPeak, and 1HrPeak O concentrations were associated with increased odds of respiratory symptoms, particularly among children using corticosteroid medication and among children living in the southwest community of Detroit. Similar patterns of associations were not seen with PM.

conclusionsPM and O at levels near or below annual standard levels are associated with negative health impact in this population of asthmatic children. Variation in effects within the city of Detroit and among the subgroup using steroids emphasizes the importance of spatially refined exposure assessment and the need for further studies to elucidate mechanisms and effective risk reduction interventions.

Indexed as

Environmental MonitoringAdrenal Cortex HormonesAir PollutionAsthmaChildCohort StudiesFemaleHumansLogistic ModelsMaleMichiganParticle SizeParticulate MatterSocioeconomic FactorsAdrenal Cortex HormonesParticulate Matter

Identifiers

PMID23273373
PMCPMC4327853
OpenAlexW2065489033

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.