Evidence map›Paper›PMID 27876585›Full record

ArticleAcademic pediatrics2017

Pediatric Asthma Health Disparities: Race, Hardship, Housing, and Asthma in a National Survey.

Helen K Hughes, Elizabeth C Matsui, Megan M Tschudy, Craig E Pollack, Corinne A Keet

Abstract read
In one paragraph

Article in Academic pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 1 pooled it
10.8field-weighted citation impact, top 2% 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

88 citing papers in PubMed, 1 synthesis or guideline pooled it, 192 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Influence of social support on asthma self-management in adolescents.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021
    Trial
  4. Characterization of Stress in Low-Income, Inner-City Mothers of Children with Poorly Controlled Asthma.Journal of urban health : bulletin of the New York Academy of Medicine · 2017
    Trial
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  14. Clinical correlations with unmet social needs in critically ill children with asthma.The journal of allergy and clinical immunology. Global · 2025
    Article
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28 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Helen K HughesDepartment of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address: hkinsma1@jhmi.edu.
Elizabeth C MatsuiDepartment of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Md.
Megan M TschudyDepartment of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Md.
Craig E PollackDivision of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, Md.
Corinne A KeetDepartment of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Md.
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

Mouse Allergen and Asthma Intervention TrialU01AI083238 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MATSUI, ELIZABETH C. · 2010 to 2014
$7.9M
The effect of a housing mobility program on environmental exposures and asthma morbidity among low-income minority childrenR01ES026170 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI KEET, CORINNE, MATSUI, ELIZABETH C. · 2016 to 2025
$6.8M
Environmental Control as Add-on Therapy in Urban Children with AsthmaR01ES023447 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI MATSUI, ELIZABETH C. · 2014 to 2018
$3.4M
Mentoring in Patient-Oriented Research on Asthma and the Indoor EnvironmentK24AI114769 · NIAID · UNIVERSITY OF TEXAS AT AUSTIN · PI MATSUI, ELIZABETH C. · 2015 to 2023
$1.6M
Genetic and Environmental Determinants of Food AllergyK23AI103187 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KEET, CORINNE · 2012 to 2016
$684k
Temporal Trends in Food Sensitization in U.S. ChildrenR21AI107085 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KEET, CORINNE · 2013 to 2014
$426k
NIAID NIH HHS K23 AI103187NIAID NIH HHS K24 AI114769NIAID NIH HHS R21 AI107085NIAID NIH HHS U01 AI083238NIEHS NIH HHS R01 ES023447NIEHS NIH HHS R01 ES026170
6 · The paper itself

Abstract

objectiveWe sought to determine if racial disparities in pediatric asthma are explained by material hardship and home ownership.

methodsWe performed a secondary analysis of the 2011 American Housing Survey. A total of 33,201 households with children age 6 to 17 years were surveyed regarding childhood asthma diagnosis and emergency department (ED) visits for asthma (for the youngest child with asthma in the household). Material hardship included poor housing quality, housing crowding, lack of amenities, and no vehicle access. We used logistic regression to determine the association between race, material hardship, and asthma diagnosis or ED visits, adjusting for potential confounders.

resultsNon-Hispanic black heads of household had a higher odds of having a child diagnosed with asthma in the home compared with non-Hispanic white heads of household (odds ratio, 1.72; 95% confidence interval [CI], 1.50-1.96), and a higher odds of ED visits for asthma (odds ratio, 3.02; 95% CI, 2.29-3.99). The race-asthma association was decreased but not eliminated after adjusting for material hardship and home ownership (ED visit adjusted odds ratio [AOR], 2.07; 95% CI, 1.50-2.86). Poor housing quality was independently associated with asthma diagnosis (AOR, 1.45; 95% CI, 1.28-1.66) and ED visits (AOR, 1.59; 95% CI, 1.21-2.10). Home ownership was associated with a lower odds of asthma-related ED visits (AOR, 0.62; 95% CI, 0.46-0.84).

conclusionsObserved racial disparities in pediatric asthma are lessened after controlling for material hardship. Poor housing quality in particular is strongly associated with asthma morbidity. Policy makers could target improving housing quality as a means of potentially reducing asthma disparities.

Indexed as

Health Status DisparitiesAdolescentAdultAgedAsianAsthmaBlack or African AmericanChildEducational StatusEmergency Service, HospitalEthnicityFamily CharacteristicsFemaleHispanic or LatinoHousingHumansasthmahealth care disparitieshousingpediatricspoverty

Identifiers

PMID27876585
PMCPMC5337434
OpenAlexW2555301138

What OpenQuestion holds

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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.