Evidence map›Paper›PMID 40235828›Full record

ArticleJournal of sickle cell disease2025

SCD and asthma comorbidity: the potential role of adverse childhood experiences.

Brandi Pernell, Suzanne E Perumean-Chaney, Teneasha Washington, Jessy Deshane, Elissa Epel, Alan Tita, Monica L Baskin, Emily B Levitan

Abstract read
In one paragraph

Article in Journal of sickle cell disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Brandi PernellDivision of Pediatric Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.ORCID 0000-0001-7599-7595
Suzanne E Perumean-ChaneySchool of Public Health, University of Alabama, Birmingham, AL 35294, United States.ORCID 0000-0001-6194-0862
Teneasha WashingtonSchool of Public Health, University of Alabama, Birmingham, AL 35294, United States.ORCID 0000-0002-0813-3866
Jessy DeshanePulmonary, Allergy & Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, United States.ORCID 0000-0002-6761-5662
Elissa EpelDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA 94107, United States.ORCID 0000-0002-8004-2571
Alan TitaObstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35233, United States.ORCID 0000-0002-7244-9056
Monica L BaskinSchool of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, United States.ORCID 0000-0002-5544-0412
Emily B LevitanSchool of Public Health, University of Alabama, Birmingham, AL 35294, United States.ORCID 0000-0002-5429-3852

Funding

Promotion of Exclusive Breastfeeding in Children with Sickle Cell Disease for Improved Health OutcomesK23HL159280 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Brandi Pernell · 2022 to 2026
$832k
NHLBI NIH HHS K23 HL159280
6 · The paper itself

Abstract

Objectives: Asthma is strongly associated with poor health amongst individuals with SCD. Adverse Childhood Experiences (ACEs) are traumatic experiences occurring before 18 years of age. ACEs occur at the individual and familial (original ACEs) levels and expand to the community level (additional ACEs). Chronic exposure to ACEs leads to toxic stress, inflammation, and risk for chronic illnesses, including asthma. This study examined the relationship between ACEs and asthma among children and adolescents with SCD. Methods: Employing a cross-sectional study design, 75 children/adolescents with SCD were screened for ACEs. Prevalence ratios and logistic regressions were used to test the association and independent relationship between ACEs and asthma. Results: Fifty-nine (78%) participants reported exposure to at least 1 ACE. Adolescents exposed to ≥2 original- or ≥4 expanded ACEs (original + additional) were 1.15 times as likely to have asthma compared to those with no/low ACEs (95% CI: 1.03, 1.28, Conclusion: The findings from this research support our hypothesis that children/adolescents with SCD exposed to a higher number of ACEs have a higher prevalence of asthma compared to low-exposed subjects. This study lays the foundation for future longitudinal and interventional studies aimed to improve SCD-asthma outcomes through ACE-protective mechanisms.

Indexed as

Adverse Childhood Experiences (ACEs)asthmaearly life stressSCDtoxic stresstrauma

Identifiers

PMID40235828
PMCPMC11999690

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LicenceCC BY
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Registered trials

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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.