This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lanphear, B. P.
Right arrow Articles by Byrd, R. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lanphear, B. P.
Right arrow Articles by Byrd, R. S.
Related Collections
Right arrow Allergy & Dermatology

PEDIATRICS Vol. 107 No. 3 March 2001, pp. 505-511

Residential Exposures Associated With Asthma in US Children

Received Feb 2, 2000; accepted Jun 19, 2000.

Bruce P. Lanphear*, C. Andrew AligneDagger , Peggy AuingerDagger , Michael WeitzmanDagger , and Robert S. Byrd§

From the * Children's Hospital Medical Center, Cincinnati, Ohio; Dagger  Department of Pediatrics, University of Rochester School of Medicine, and the American Academy of Pediatrics Center for Child Health Research, Rochester, New York; and § Department of Pediatrics, University of California at Davis, Sacramento, California.

Objective.  Residential exposures are recognized risk factors for childhood asthma, but the relative contribution of specific risk factors and the overall contribution of housing to asthma in US children is unknown. The objective of this study was to identify risk factors and estimate the population attributable risk of residential exposures for doctor-diagnosed asthma for US children.

Methods.  A cross-sectional survey was conducted from 1988 to 1994. Survey participants were 8257 children who were <6 years old and who participated in the Third National Health and Nutrition Examination Survey, a survey of the health and nutritional status of children and adults in the United States. The main outcome measure was doctor-diagnosed asthma, as reported by the parent.

Results.  Six percent of children had doctor-diagnosed asthma. The prevalence of asthma was higher among boys (6.7%) than girls (5.1%) and was higher among black children (8.9%) than white children (5.2%). Risk factors for doctor-diagnosed asthma included a family history of atopy (odds ratio [OR]: 2.2; 95% confidence interval [CI]: 1.5, 3.1), child's history of allergy to a pet (OR: 24.2; 95% CI: 8.4, 69.5), exposure to environmental tobacco smoke (OR: 1.8; 95% CI: 1.2-2.6), use of a gas stove or oven for heat (OR: 1.8; 95% CI: 1.02-3.2), and presence of a dog in the household (OR: 1.6; 95% CI: 1.1, 2.3). The population attributable risk of >= 1 residential exposure for doctor-diagnosed asthma in US children <6 years old was 39.2%, or an estimated 533 000 excess cases, whereas having a family history of atopy accounted for 300 000. The attributable cost of asthma as a result of residential exposures for children <6 years old was $402 million (95% CI: $296-$507 million) annually.

Conclusions.  The elimination of identified residential risk factors, if causally associated with asthma, would result in a 39% decline in doctor-diagnosed asthma among US children <6 years old.  Key words:  NHANES, children, pediatric, prevention, epidemiology, allergic rhinitis, medical costs, day care, housing, pets and environment.




This article has been cited by other articles:


Home page
 Occup. Environ. Med.Home page
M Simoni, E Lombardi, G Berti, F Rusconi, S La Grutta, S Piffer, M G Petronio, C Galassi, F Forastiere, G Viegi, et al.
Mould/dampness exposure at home is associated with respiratory disorders in Italian children and adolescents: the SIDRIA-2 Study
Occup. Environ. Med., September 1, 2005; 62(9): 616 - 622.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
D. A. Meyers, M. J. Larj, and L. Lange
Genetics of Asthma and COPD: Similar Results for Different Phenotypes
Chest, August 1, 2004; 126(2_suppl_1): 105S - 110S.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
R. N. Rubin, L. Navon, and P. A. Cassano
Relationship of Serum Antioxidants to Asthma Prevalence in Youth
Am. J. Respir. Crit. Care Med., February 1, 2004; 169(3): 393 - 398.
[Abstract] [Full Text] [PDF]

Home page
 Occup. Environ. Med.Home page
G Emenius, G Pershagen, N Berglind, H-J Kwon, M Lewne, S L Nordvall, and M Wickman
NO2, as a marker of air pollution, and recurrent wheezing in children: a nested case-control study within the BAMSE birth cohort
Occup. Environ. Med., November 1, 2003; 60(11): 876 - 881.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
P. Auinger, B. P. Lanphear, H. J. Kalkwarf, and M. E. Mansour
Trends in Otitis Media Among Children in the United States
Pediatrics, September 1, 2003; 112(3): 514 - 520.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
E. M. Roberts
Does Your Child Have Asthma?: Parent Reports and Medication Use for Pediatric Asthma
Arch Pediatr Adolesc Med, May 1, 2003; 157(5): 449 - 455.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
M D Eisner, E H Yelin, P P Katz, G Earnest, and P D Blanc
Exposure to indoor combustion and adult asthma outcomes: environmental tobacco smoke, gas stoves, and woodsmoke
Thorax, November 1, 2002; 57(11): 973 - 978.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. Randolph
Residential Exposures Associated with Asthma in US Children
Pediatrics, August 1, 2002; 110(2): 446 - 447.
[Full Text] [PDF]

Home page
 Health Educ BehavHome page
J. Krieger, C. Allen, A. Cheadle, S. Ciske, J. K. Schier, K. Senturia, and M. Sullivan
Using Community-Based Participatory Research to Address Social Determinants of Health: Lessons Learned from Seattle Partners for Healthy Communities
Health Educ Behav, June 1, 2002; 29(3): 361 - 382.
[Abstract] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
J. A. Finkelstein, A. Fuhlbrigge, P. Lozano, E. N. Grant, R. Shulruff, K. E. Arduino, and K. B. Weiss
Parent-Reported Environmental Exposures and Environmental Control Measures for Children With Asthma
Arch Pediatr Adolesc Med, March 1, 2002; 156(3): 258 - 264.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
M. A. Rodriguez, M. A. Winkleby, D. Ahn, J. Sundquist, and H. C. Kraemer
Identification of Population Subgroups of Children and Adolescents With High Asthma Prevalence: Findings From the Third National Health and Nutrition Examination Survey
Arch Pediatr Adolesc Med, March 1, 2002; 156(3): 269 - 275.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. E. Brady
Day Care and Asthma?
Pediatrics, November 1, 2001; 108(5): 1237 - 1237.
[Full Text]

Home page
 PediatricsHome page
B. P. Lanphear, R. S. Kahn, O. Berger, P. Auinger, S. M. Bortnick, and R. W. Nahhas
Contribution of Residential Exposures to Asthma in US Children and Adolescents
Pediatrics, June 1, 2001; 107(6): e98 - 98.
[Abstract] [Full Text] [PDF]