Evidence map›Paper›PMID 29485894›Full record

SynthesisAnnals of the American Thoracic Society2018

Environmental Concerns for Children with Asthma on the Navajo Nation.

Ashley A Lowe, Bruce Bender, Andrew H Liu, Teshia Solomon, Aaron Kobernick, Wayne Morgan, Lynn B Gerald

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Annals of the American Thoracic Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 19% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Asthma among Sámi in Sweden: a population-based register study.International journal of circumpolar health · 2026
    Article
  3. Outcomes of the Navajo Community Asthma Program during the COVID-19 pandemic.The journal of allergy and clinical immunology. Global · 2026
    Article
  4. Article
  5. Social determinants of respiratory health from birth: still of concern in the 21st century?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  6. Article
  7. COVID-19 on the Navajo Nation: experiences of Diné families of children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  8. Structural Racism and the Social Determinants of Health in Asthma.Advances in experimental medicine and biology · 2023
    Article
  9. Article
  10. Evaluation of indoor PMJournal of exposure science & environmental epidemiology · 2022
    Article
  11. Article
  12. Article
  13. Structural racism and its pathways to asthma and atopic dermatitis.The Journal of allergy and clinical immunology · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Ashley A Lowe1 Asthma & Airway Disease Research Center, Tucson, Arizona.ORCID 0000-0001-6252-0368
Bruce Bender3 National Jewish Health, Denver, Colorado.
Andrew H Liu3 National Jewish Health, Denver, Colorado.
Teshia Solomon6 University of Arizona Native American Training and Research Center, Tucson, Arizona.
Aaron Kobernick8 University of Utah School of Medicine, Salt Lake City, Utah.
Wayne Morgan1 Asthma & Airway Disease Research Center, Tucson, Arizona.
Lynn B Gerald1 Asthma & Airway Disease Research Center, Tucson, Arizona.
University of Arizona · USNational Jewish Health · USUniversity of Utah · US

Funding

An Asthma Collaboration to Reduce Childhood Asthma Disparities on the Navajo NationU01HL138689 · NHLBI · NATIONAL JEWISH HEALTH · PI BENDER, BRUCE GEORGE, GERALD, LYNN B · 2017 to 2022
$8.2M
A community toolkit to improve asthma care for rural childrenU34HL130762 · NHLBI · NATIONAL JEWISH HEALTH · PI BENDER, BRUCE GEORGE · 2015 to 2015
$381k
NHLBI NIH HHS U01 HL138689NHLBI NIH HHS U34 HL130762
6 · The paper itself

Abstract

rationaleNavajo children living on the reservation have high rates of asthma prevalence and severity. Environmental influences may contribute to asthma on the Navajo Nation and are inadequately understood.

objectivesWe performed a comprehensive, integrative literature review to determine the environmental factors that may contribute to increased asthma prevalence and severity among Navajo children living on the reservation.

methodsA systematic search was conducted in four databases regarding the environmental risk factors for asthma in Navajo children living on the reservation. Relevant studies between 1990 and 2017 were examined. Nonexperimental literature was also integrated into the review to describe the environmental injustices that have historically, disproportionately, and systematically affected the Navajo people, thus contributing to respiratory disparities among Navajo children.

resultsEight studies met inclusion criteria for systematic review; however, limited research regarding environmental risk factors specific to asthma and Navajo children living on the reservation was identified. Our integrative review indicated both indoor and outdoor environmental risk factors commonly found on the Navajo reservation appear to be important determinants of asthma.

conclusionsFuture research should examine indoor and outdoor air pollution from wood-burning stoves and cook stoves, coal combustion, tobacco and traditional ceremonial smoke, diesel exhaust exposure from long bus rides, indoor allergens, ambient pollutants, and regional dusts. Comprehensive mitigation efforts created in partnership with the Navajo Nation are necessary to address less-recognized risk factors as well as the common risk factors known to contribute to increased childhood asthma prevalence and severity.

Indexed as

Indians, North AmericanAir PollutionAsthmaChildEnvironmental ExposureHumansMorbidityUnited StatesAmerican IndianasthmaNative AmericanNavajo

Identifiers

PMID29485894
PMCPMC6207133
OpenAlexW2792978033

What OpenQuestion holds

Textmetadata
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.