Evidence map›Paper›PMID 34522104›Full record

ArticleJournal of asthma and allergy2021

Influence of Childhood Exposure to a Farming Environment on Age at Asthma Diagnosis in a Population-Based Study.

Heidi Andersén, Pinja Ilmarinen, Jasmin Honkamäki, Leena E Tuomisto, Hanna Hisinger-Mölkänen, Helena Backman, Bo Lundbäck, Eva Rönmark, Lauri Lehtimäki, Anssi Sovijärvi and 2 more

Abstract read
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Article in Journal of asthma and allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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

12 authors.

Heidi AndersénFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0001-5923-5865
Pinja IlmarinenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Jasmin HonkamäkiFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Leena E TuomistoDepartment of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Etelä-Pohjanmaa, Finland.
Hanna Hisinger-MölkänenFaculty of Medicine, University of Helsinki, Helsinki, Uusimaa, Finland.ORCID 0000-0003-2293-0279
Helena BackmanDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Norrbotten, Sweden.ORCID 0000-0002-0553-8067
Bo LundbäckDepartment of Internal Medicine, Krefting Research Center, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Västra Götaland, Sweden.
Eva RönmarkDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Norrbotten, Sweden.
Lauri LehtimäkiFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0003-1586-4998
Anssi SovijärviFaculty of Medicine, University of Helsinki, Helsinki, Uusimaa, Finland.
Päivi PiiriläFaculty of Medicine, University of Helsinki, Helsinki, Uusimaa, Finland.
Hannu KankaanrantaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0001-5258-0906

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAsthma is a heterogeneous disease, and factors associated with different asthma phenotypes are poorly understood. Given the higher prevalence of farming exposure and late diagnosis of asthma in more rural Western Finland as compared with the capital of Helsinki, we investigated the relationship between childhood farming environment and age at asthma diagnosis.

methodsA cross-sectional population-based study was carried out with subjects aged 20-69 years in Western Finland. The response rate was 52.5%. We included 3864 participants, 416 of whom had physician-diagnosed asthma at a known age and with data on the childhood environment. The main finding was confirmed in a similar sample from Helsinki. Participants were classified as follows with respect to asthma diagnosis: early diagnosis (0-11 years), intermediate diagnosis (12-39 years), and late diagnosis (40-69 years).

resultsThe prevalence of asthma was similar both without and with childhood exposure to a farming environment (11.7% vs 11.3%). Allergic rhinitis, family history of asthma, ex-smoker, occupational exposure, and BMI ≥ 30 kg/m

conclusionOdds were lower for early diagnosis of asthma and higher for late diagnosis of asthma in a childhood farming environment. This suggests a new hypothesis concerning the etiology of asthma when it is diagnosed late.

Indexed as

agricultureearly-diagnosed asthmaintermediate-diagnosed asthmalate-diagnosed asthmaphenotypesrisk factors

Identifiers

PMID34522104
PMCPMC8434911

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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.