ArticleThe Journal of allergy and clinical immunology2017
Urban residence, neighborhood poverty, race/ethnicity, and asthma morbidity among children on Medicaid.
Article in The Journal of allergy and clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers.
What it found
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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
91 citing papers in PubMed, 167 citations in OpenAlex.
- Changes in caregiver mental health and pediatric asthma control during COVID-19.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Trial
- Implementation of Coach McLungsBMC medical informatics and decision making · 2022Trial
- Patterns and predictors of air purifier adherence in children with asthma living in low-income, urban households.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Trial
- Characteristics of inner-city children with life-threatening asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2019Trial
- Associations of rurality, child opportunity, and distance with use of pediatric asthma specialists.The Journal of allergy and clinical immunology · 2026Article
- Association of Social Drivers of Health With Hospitalizations for Pediatric Asthma.Pediatric pulmonology · 2026Article
- Socioeconomic, Behavioural, and Environmental Determinants of Asthma Inequalities in Europe: A Cross-Sectional Study Using EHIS Data.International journal of environmental research and public health · 2026Article
- Evaluating the impact of discordant and missing demographic information on population health assessments using linked electronic health records and Census Bureau microdata.PLOS digital health · 2026Article
- Mitigating Home Environmental Asthma Triggers in Subsidized Housing: Experiences of Caregivers and Healthcare Workers.Healthcare (Basel, Switzerland) · 2026Article
- Health disparities and industrial emissions: a case study of semiconductor manufacturing and asthma morbidity in Austin, Texas.Population and environment · 2026Article
- Neighborhood disadvantage and the back-to-school epidemic of viral-associated asthma exacerbations.The Journal of allergy and clinical immunology · 2025Article
- Association between income, employment status, and asthma outcomes: a systematic review and meta-analysis.The Lancet regional health. Europe · 2025Article
- The PRIMERO birth cohort: Design and baseline characteristics.The journal of allergy and clinical immunology. Global · 2025Article
- Trends in Neighborhood Opportunity, Hospitalizations, and Costs for Pediatric Asthma.Pediatric pulmonology · 2025Article
- Article
- Integrating geospatial data with birth cohorts to explore social determinants of health and asthma.The Journal of allergy and clinical immunology · 2025Review
- Association of delayed asthma diagnosis with asthma exacerbations in children.The journal of allergy and clinical immunology. Global · 2025Article
- Relationship Between Social Risk Factors and Emergency Department Use: National Health Interview Survey 2016-2018.The western journal of emergency medicine · 2025Article
- Social inequalities in childhood asthma.The World Allergy Organization journal · 2024Review
- Analyzing Racial Disparities in Pediatric Atopic Comorbidity Emergency Department Visitation Using Electronic Health Records.The journal of allergy and clinical immunology. In practice · 2024Article
31 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAlthough poor-urban (inner-city) areas are thought to have high asthma prevalence and morbidity, we recently found that inner cities do not have higher prevalent pediatric asthma. Whether asthma morbidity is higher in inner-city areas across the United States is not known.
objectiveThis study sought to examine relationships between residence in poor and urban areas, race/ethnicity, and asthma morbidity among children with asthma who are enrolled in Medicaid.
methodsChildren aged 5 to 19 enrolled in Medicaid in 2009 to 2010 were included. Asthma was defined by at least 1 outpatient or emergency department (ED) visit with a primary diagnosis code of asthma over the 2-year period. Urbanization status was defined at the county level and neighborhood poverty at the zip-code level. Among children with asthma, logistic models were created to examine the effects of urbanization, neighborhood poverty, and race/ethnicity on rates of asthma outpatient visits, ED visits, and hospitalizations.
resultsThis study included 16,860,716 children (1,534,820 with asthma). Among children enrolled in Medicaid, residence in inner-city areas did not confer increased risk of prevalent asthma in either crude or adjusted analyses, but it was associated with significantly more asthma-related ED visits and hospitalizations among those with asthma in crude analyses (risk ratio, 1.48; 95% CI, 1.24-1.36; and 1.97; 95% CI, 1.50-1.72, respectively) and when adjusted for race/ethnicity, age, and sex (adjusted risk ratio, 1.23; 95% CI, 1.08-1.15; and 1.62; 95% CI, 1.26-1.43). Residence in urban or poor areas and non-Hispanic black race/ethnicity were all independently associated with increased risk of asthma-related ED visits and hospitalizations.
conclusionsResidence in poor and urban areas is an important risk factor for asthma morbidity, but not for prevalence, among low-income US children.
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What OpenQuestion holds
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.