ArticleEnvironmental research2013
Relative exposure to swine animal feeding operations and childhood asthma prevalence in an agricultural cohort.
Article in Environmental research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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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.
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
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.
- A systematic review of animal feeding operations including concentrated animal feeding operations (CAFOs) for exposure, health outcomes, and environmental justice.Environmental research · 2024Pooled it
- Toll-like receptor 2 coordinates induction of IL-22 in lung macrophages following organic dust-induced inflammation.Frontiers in physiology · 2026Article
- Swine production intensity and swine-specific fecal contamination of household surfaces at residences of industrial livestock operation workers and community residents, North Carolina, USA.The Science of the total environment · 2025Article
- Nasopharyngeal microbiota is influenced by agricultural air pollution in individuals with and without COPD.Scientific reports · 2025Article
- Health disparities associated with exposure to animal feeding operations, including concentrated animal feeding operations (CAFOs), in North Carolina, Pennsylvania, and Virginia, USA.Environmental research letters : ERL [Web site] · 2025Article
- Associations between acquired antimicrobial resistance genes in the upper respiratory tract and livestock farm exposures: a case-control study in COPD and non-COPD individuals.The Journal of antimicrobial chemotherapy · 2024Article
- Proximity to Swine Farming Operations as a Risk Factor for Eosinophilic Esophagitis.JPGN reports · 2023Article
- Effects of Ambient Air Pollutants on Hospital Admissions among Children Due to Asthma and Wheezing-Associated Lower Respiratory Infections in Mysore, India: A Time Series Study.Children (Basel, Switzerland) · 2023Article
- Respiratory and allergic health effects in children living near agriculture: A review.The Science of the total environment · 2022Review
- Exposure to concentrated animal feeding operations (CAFOs) and risk of mortality in North Carolina, USA.The Science of the total environment · 2021Article
- Relation of repeated exposures to air emissions from swine industrial livestock operations to sleep duration and awakenings in nearby residential communities.Sleep health · 2021Article
- Sex-Specific Differences in Resolution of Airway Inflammation inFrontiers in pharmacology · 2021Article
- Influence of Childhood Exposure to a Farming Environment on Age at Asthma Diagnosis in a Population-Based Study.Journal of asthma and allergy · 2021Article
- Morbidity Rates in an Area with High Livestock Density: A Registry-Based Study Including Different Groups of Patients with Respiratory Health Problems.International journal of environmental research and public health · 2020Observational
- Methacholine induced airway contraction in porcine precision cut lung slices from indoor and outdoor reared pigs.American journal of translational research · 2020Article
- Estimated time-varying exposures to air emissions from animal feeding operations and childhood asthma.International journal of hygiene and environmental health · 2020Article
- Applying an environmental public health lens to the industrialization of food animal production in ten low- and middle-income countries.Globalization and health · 2019Article
- Patients with overlapping diagnoses of asthma and COPD: is livestock exposure a risk factor for comorbidity and coexisting symptoms and infections?BMC pulmonary medicine · 2019Article
- Rural Residence and Chronic Obstructive Pulmonary Disease Exacerbations. Analysis of the SPIROMICS Cohort.Annals of the American Thoracic Society · 2018Article
- Spatial Variation of Endotoxin Concentrations Measured in Ambient PMEnvironmental health perspectives · 2018Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Large swine animal feeding operations (AFOs) have become the model of livestock production throughout the United States. Epidemiological studies have consistently shown an increase in adverse respiratory symptoms among workers at AFOs. However, the impact on communities surrounding these facilities is still being investigated. We evaluated the association between relative environmental exposure to AFOs and the prevalence of prescribed medication for wheeze and/or childhood asthma in rural Iowa. Demographic and health information on 565 children aged 0-17 was obtained from a previous population-based cohort study while data on the AFOs were collected from publically available tax records. We created a metric of each child's relative environmental exposure to swine CAFOs which incorporated the size of the AFO as well as distance and wind direction. We determined the association between self-reported prescription medication for wheeze and/or self-reported physician diagnosed asthma and relative exposure while controlling for recognized risk factors using correlated logistic regression. The prevalence of childhood asthma in the cohort was 11.0% while 22.7% of children had been previously prescribed medication for wheeze or had a lifetime asthma diagnosis. Children with a larger relative environmental exposure to AFOs had a significantly increased odds of both outcomes (OR=1.51, p=0.014 asthma; OR=1.38, p=0.023 asthma or medication for wheeze). When stratified into exposure quartiles a linear trend was observed with asthma or medication for wheeze as the dependent variable but not with asthma alone. This study is the first to investigate children's cumulative relative exposure to smaller AFOs and adds to the growing volume of literature supporting a link between proximity to swine AFOs and adverse respiratory health.
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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.