Evidence map›Paper›PMID 40588377›Full record

ArticleBMJ open2025

Residing in a low-income-low-food-access neighbourhood and asthma in early and middle childhood in the Environmental influences on Child Health Outcomes (ECHO) program: a multisite cohort study.

Veronica A Wang, Rima Habre, Patrick H Ryan, Soma Datta, Heike Luttmann-Gibson, Jeff Blossom, Izzuddin M Aris, Aruna Chandran, Amii M Kress, Frank Gilliland and 20 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing 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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

30 authors.

Veronica A WangEnvironmental Health, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA vwang@hsph.harvard.edu.ORCID http://orcid.org/0000-0001-6820-7911
Rima HabreUniversity of Southern California Keck School of Medicine, Los Angeles, California, USA.
Patrick H RyanDivision of Epidemiology and Biostatistics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Soma DattaChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Heike Luttmann-GibsonEnvironmental Health, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.
Jeff BlossomCenter for Geographic Analysis, Harvard University, Cambridge, Massachusetts, USA.
Izzuddin M ArisDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.
Aruna ChandranDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Amii M KressDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Frank GillilandUniversity of Southern California Keck School of Medicine, Los Angeles, California, USA.
Carrie BretonUniversity of Southern California Keck School of Medicine, Los Angeles, California, USA.
Shohreh F FarzanUniversity of Southern California Keck School of Medicine, Los Angeles, California, USA.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Donghai LiangGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Jean M KerverDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, Michigan, USA.
Catherine J KarrDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, Washington, USA.
Leslie D LevePrevention Science Institute, University of Oregon, Eugene, Oregon, USA.ORCID http://orcid.org/0000-0003-3061-4524
Dana DabeleaDepartment of Epidemiology and Department of Pediatrics, Colorado School of Public Health, University of Colorado School of Medicine, Aurora, Colorado, USA.
Margaret R KaragasDepartment of Epidemiology, Geisel School of Medicine and Children's Environmental Health and Disease Prevention Research Center at Dartmouth, Dartmouth Medical School, Lebanon, New Hampshire, USA.
Deborah H BennettDepartment of Public Health Sciences, University of California Davis, Davis, California, USA.
Flory L NkoyDepartment of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Judy AschnerHackensack Meridian School of Medicine, Hackensack, New Jersey, USA.
T Michael O'SheaDepartment of Pediatrics, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Cindy T McEvoyDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health and Science University, Portland, Oregon, USA.
Emily A KnappDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Holly B SchuhDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Rachel L MillerIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Diane R GoldEnvironmental Health, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.
Antonella ZanobettiEnvironmental Health, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.
ECHO Cohort Consortium

Funding

ECHODAC (Environmental Influences on Child Health Outcomes Data Analysis Center)U24OD023382 · OD · JOHNS HOPKINS UNIVERSITY · PI Diane J Catellier, LISA P JACOBSON · 2016 to 2026
$148.4M
Wisconsin Infant Study Cohort (WISC) ECHO Pediatric Follow-UpUH3OD023282 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI James E. Gern · 2018 to 2026
$64.8M
The NYU Children’s Health & Environment Study: an ECHO CohortUH3OD023305 · OD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Akhgar Ghassabian, Leonardo Trasande · 2018 to 2026
$59.5M
Mount Sinai ECHO site for Perinatal Environment and Development StudiesUH3OD023337 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KECIA Nicole CARROLL, Robert O Wright · 2018 to 2026
$54.1M
Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
A prospective study of critical environmental exposures in formative early life that impact lifelong health in rural US children: the New Hampshire Birth Cohort StudyUH3OD023275 · OD · DARTMOUTH COLLEGE · PI MARGARET Rita KARAGAS, Juliette Madan · 2018 to 2026
$44.3M
The ECHO Measurement Core: A Framework and Resource for Assessing Environmental Exposure and Child HealthU24OD023319 · OD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Courtney K Blackwell, RICHARD GERSHON · 2016 to 2026
$43.7M
XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI Nicole Ann Errett · 1995 to 2026
$42.5M
Prenatal and Early Childhood Pathways To Health:  An Integrated Model of Chemical and Social Exposures, Biological Mechanisms, and Sex-Specific Effects on Neurodevelopment and Respiratory OutcomesUH3OD023271 · OD · UNIVERSITY OF WASHINGTON · PI BUSH, NICOLE RENEE, KARR, CATHERINE J · 2018 to 2022
$37.3M
Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI A. Clementina Mesaros · 2006 to 2026
$35.3M
ECHO Laboratory Core at Vanderbilt for Integrated Sample Biobanking and ProcessingU24OD035523 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Suman Ranjan Das, NATASHA Bassam HALASA · 2023 to 2026
$32.8M
NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30 ES007033NIEHS NIH HHS P30 ES007048NIEHS NIH HHS P30 ES013508NIEHS NIH HHS T32 ES007069NIEHS NIH HHS U24 ES026539NIH HHS U24 OD023319NIH HHS U24 OD023382NIH HHS U24 OD035523NIH HHS UG3 OD023249NIH HHS UG3 OD023251NIH HHS UG3 OD023271NIH HHS UG3 OD023282NIH HHS UG3 OD023365NIH HHS UG3 OD035508NIH HHS UG3 OD035509NIH HHS UG3 OD035513NIH HHS UG3 OD035516NIH HHS UG3 OD035517NIH HHS UG3 OD035518NIH HHS UG3 OD035519NIH HHS UG3 OD035521NIH HHS UG3 OD035526NIH HHS UG3 OD035527NIH HHS UG3 OD035528NIH HHS UG3 OD035529NIH HHS UG3 OD035532NIH HHS UG3 OD035533NIH HHS UG3 OD035536NIH HHS UG3 OD035537NIH HHS UG3 OD035540NIH HHS UG3 OD035542NIH HHS UG3 OD035543NIH HHS UG3 OD035544NIH HHS UG3 OD035546NIH HHS UG3 OD035550NIH HHS UH3 OD023244NIH HHS UH3 OD023248NIH HHS UH3 OD023249NIH HHS UH3 OD023251NIH HHS UH3 OD023253NIH HHS UH3 OD023268NIH HHS UH3 OD023271NIH HHS UH3 OD023272NIH HHS UH3 OD023275NIH HHS UH3 OD023279NIH HHS UH3 OD023282NIH HHS UH3 OD023285NIH HHS UH3 OD023286NIH HHS UH3 OD023287NIH HHS UH3 OD023288NIH HHS UH3 OD023289NIH HHS UH3 OD023290NIH HHS UH3 OD023305NIH HHS UH3 OD023313NIH HHS UH3 OD023318NIH HHS UH3 OD023320NIH HHS UH3 OD023328NIH HHS UH3 OD023332NIH HHS UH3 OD023337NIH HHS UH3 OD023342NIH HHS UH3 OD023344NIH HHS UH3 OD023347NIH HHS UH3 OD023348NIH HHS UH3 OD023365NIH HHS UH3 OD023389NIH HHS UH3 OD035509NIH HHS UH3 OD035516NIH HHS UH3 OD035518NIH HHS UH3 OD035528NIH HHS UH3 OD035533NIH HHS UH3 OD035536NIH HHS UH3 OD035543
6 · The paper itself

Abstract

importanceAccess to healthy and affordable foods may play a role in reducing inflammation and in healthy pulmonary immune system development.

objectiveTo investigate the association between residing in a low-income and low-food-access (LILA) neighbourhood and risk of childhood asthma. A positive association was hypothesised. DESIGN, SETTING AND

participantsThis prospective cohort study consists of 16 012 children from 35 longitudinal studies in the Environmental influences on Child Health Outcomes programme (children born 1998-2021) from across the contiguous USA. We conducted survival analyses adjusted for child sex, race/ethnicity, maternal education, gestational smoking, and parental history of asthma. EXPOSURES: Several commonly used geospatial food access metrics were linked to residential locations including: LILA census tracts where the nearest supermarket is >1 mile in urban and >10 miles in rural areas (LILA MAIN OUTCOMESS AND MEASURES: Asthma incidence in cumulative early and middle childhood.

resultsResiding in a LILA CONCLUSION AND RELEVANCE: Limited residential food access was associated with higher childhood asthma incidence, especially among female and Hispanic children and those with lower maternal education. Our findings support multipronged efforts to increase access to healthy and affordable food options and lower food insecurity in LILA neighbourhoods.

Indexed as

AsthmaFood SupplyNeighborhood CharacteristicsPovertyResidence CharacteristicsChildChild HealthChild, PreschoolFemaleHumansInfantLongitudinal StudiesMaleProspective StudiesRisk FactorsUnited StatesAsthmaChildCommunity child healthPUBLIC HEALTH

Identifiers

PMID40588377
PMCPMC12211854

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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.