ArticlePediatrics2019
Neighborhood Social Conditions, Family Relationships, and Childhood Asthma.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Disparities in asthma control and treatment: A spotlight on Mexican American children.The Journal of allergy and clinical immunology · 2026Article
- Factors associated with acute unscheduled care visits for asthma in the all of US dataset.The American journal of emergency medicine · 2025Article
- Individual and system-level determinants of caregivers' quality of life among inner-city preschool children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025Article
- Managing childhood asthma with an eye toward environmental, social, and behavioral features.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025Review
- Drivers for low-acuity pediatric emergency department visits in two tertiary hospitals in Switzerland: a cross-sectional, questionnaire-based study.BMC health services research · 2024Article
- Factors Contributing to the Health of 0- to 5-Year-Old Low-Birth-Weight Children in the United States: Application of the Multiple Disadvantage Model.European journal of investigation in health, psychology and education · 2024Article
- Testing the Multiple Disadvantage Model of Health with Ethnic Asian Children: A Secondary Data Analysis.International journal of environmental research and public health · 2022Article
- Impact of caregiver depression on child asthma outcomes in Mexicans and Puerto Ricans.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Article
- Geospatial Analysis of Social Determinants of Health Identifies Neighborhood Hot Spots Associated With Pediatric Intensive Care Use for Life-Threatening Asthma.The journal of allergy and clinical immunology. In practice · 2022Article
- Mobility and social deprivation on primary care utilisation among paediatric patients with asthma.Family medicine and community health · 2021Article
- Elements of Neuroanthropology.Frontiers in psychology · 2021Review
- Chronic stress and asthma in adolescents.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesPoor neighborhood conditions have established associations with poorer child health, but little is known about protective factors that mitigate the effects of difficult neighborhood conditions. In this study, we tested if positive family relationships can buffer youth who live in dangerous and/or disorderly neighborhoods from poor asthma outcomes.
methodsA total of 308 youths (aged 9-17) who were physician-diagnosed with asthma and referred from community pediatricians and/or family practitioners participated in this cross-sectional study. Neighborhood conditions around families' home addresses were coded by using Google Street View images. Family relationship quality was determined via youth interviews. Clinical asthma outcomes (asthma symptoms, activity limitations, and forced expiratory volume in 1 second percentile), asthma management behaviors (family response to asthma symptoms and integration of asthma into daily life), and asthma-relevant immunologic processes (lymphocyte T helper 1 and T helper 2 cytokine production and sensitivity to glucocorticoid inhibition) were assessed via questionnaires, interviews, spirometry, and blood draws.
resultsSignificant interactions were found between neighborhood conditions and family relationship quality (β = |.11-.15|;
conclusionsWhen youth live in dangerous and/or disorderly neighborhoods, high family relationship quality can buffer youth from poor asthma outcomes. Although families may not be able to change their neighborhoods, they may nonetheless be able to facilitate better asthma outcomes in their children through strong family relationships.
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Registered trials
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