Childhood asthma is particularly prevalent among disadvantaged children and is associated with greater functional consequences. This study described factors associated with childhood asthma in a sample of Latino and non-Latino children. Data were from baseline measures of 791 parent and child dyads involved in a childhood obesity prevention study. Parents completed a self-administered survey assessing childhood factors, demographics, acculturation and child asthma diagnosis. Multivariate mixed effects logistic regression analyses tested for correlates of child asthma and ethnicity interactions. Children were 4–10 years old, half were female, 86.0 percent were US-born and 45.7 percent were overweight or obese. The prevalence of childhood asthma was 11.5 percent. In multivariate analyses, the odds of childhood asthma were greater among children of non-Latino descent (OR = 4.1, CI: 1.8, 9.2), who had health insurance (OR = 11.1, CI: 2.7, 46.4), were male (OR = 1.8; CI: 1.1, 3.1) and born pre-term (OR = 3.0, CI: 1.4, 6.3). This study supports socio-demographic disparities in childhood asthma and evidence of their independent effects.
Abraido-LanzaAFDohrenwendBPNg-MakDSTurnerJB (1999) The Latino mortality paradox: a test of the ‘salmon bias’ and healthy migrant hypotheses. American Journal of Public Health89(10): 1543–1548.
2.
AkinbamiLJ (2006) The state of childhood asthma: United States 1980–2005. Advance Data from Vital and Health Statistics381: 1–24.
3.
AkinbamiLJSchoendorfKC (2002) Trends in childhood asthma: prevalence, health care utilization, and mortality. Pediatrics110(2): 315–322.
4.
AkinbamiLJRhodesJCLaraM (2005) Racial and ethnic differences in asthma diagnosis among children who wheeze. Pediatrics115(5): 1254–1260.
5.
AlmqvistCWormMLeynaertBthe working group of GA2 LEN WP 2.5 ‘Gender’ (2008) Impact of gender on asthma in childhood and adolescence: a GA2 LEN review. Allergy63(1): 47–57.
6.
BergJWahlgrenDRHofstetterCRMeltzerSBMeltzerEOMattGEMartinez-DonateAHovellMF (2004) Latino children with asthma: rates and risks for medical care utilization. Journal of Asthma41(2): 147–157.
7.
California Health Interview Survey (2005) Data Pooled 2003–2005, for San Diego County’s Population under the Age of 65. Los Angeles: CHIS.
8.
ChoudhrySSeiboldMABorrellLNTangHSerebriskyDChapelaRRodriquez-SantanaJRAvilaPCZivERodriguez-CintronWRischNJBurchardEG (2007) Dissecting complex diseases in complex populations: asthma in Latino Americans. Proceedings of the American Thoracic Society4: 226–233.
9.
CollinsJEGillTKChittleboroughCRMartinAJTaylorAWWinefieldH (2008) Mental, emotional and social problems among school children with asthma. Journal of Asthma45(6): 489–493.
10.
CuellarIArnoldBMaldonadoR (1995) Acculturation rating scale for Mexican Americans-II: a revision of the original ARSMA scale. Hispanic Journal of Behavioral Science17(3): 275–304.
11.
DeNavas-WaltCProctorBDSmithJC (2009) Income, poverty, and health insurance coverage in the Unites States: 2008. U.S. Census Bureau, Current Population ReportsP60–236. Washington DC: U.S. Census Bureau.
12.
EldeirawiKMPerskyVW (2006) Associations of acculturation and country of birth with asthma and wheezing in Mexican American youths. Journal of Asthma43(4): 279–286.
13.
ElderJPArredondoEMCampbellNBaqueroBDuerksenSAyalaGCrespoNCSlymenDMcKenzieT (2010) Individual, family, and community environmental correlates of obesity in Latino elementary school children. Journal of School Health80(1): 20–30.
14.
FlahermanVRutherfordGW (2006) A meta-analysis of the effect of high weight on asthma. Archives of Disease in Childhood91: 334–339.
15.
GeraldLBSockriderMMGradRBenderBGBossLPGalantSPGerritsenJJosephCLMKapplanRMMaddenJA (2007) An official ATS workshop report: issues in screening for asthma in children. American Thoracic Society Documents4: 133–141.
16.
HunninghakeGMWeissSTCeledonJC (2006) Asthma in Hispanics. American Journal of Respiratory and Critical Care Medicine173(2): 143–163.
17.
IpSChungMRamanGChewPMaguaNDeVineDTrikalinosTLauJ (2007) Breastfeeding and maternal and infant health outcomes in developed countries: evidence report/technology assessment. Agency for Health Care Research and Quality07–E007.
18.
JaakkolaJJKNafstadPMagnusP (2001) Environmental tobacco smoke, parent atopy, and childhood asthma. Environmental Health Perspectives109(6): 579–582.
19.
MaziakW (2005) The asthma epidemic and our artificial habitats. BMC Pulmonary Medicine5: 5–11.
20.
MoormanJERuddRAJohnsonCAKingMMinorPBaileyCScaliaMRAkinbamiLJ (2007) National surveillance for asthma: United States 1980–2004. MMWR 56(S08): 1–14, 18–54.
21.
National Health and Nutrition Examination Survey (NHANES) (2007) Anthropometric Procedures Manual. Hyatsville, MD: NHNES/NCHS.
22.
OrtegaANCalderonJG (2000) Pediatric asthma among minority populations. Pediatrics12(6): 579–583.
23.
Perez-StableEJRamirezAVillarealRTalaveraGATrapidoESuarezLMartiJMcAlisterA (2001) Cigarette smoking behavior among US Latino men and women from different countries of origin. American Journal of Public Health91(9): 1424–1430.
24.
Pew Hispanic Center (2008) Statistical Portrait of Hispanics in the United States, 2008: Census Bureau’s 2008 American Community Survey. Washington DC: Pew Hispanic Center.
25.
PiperCNGloverSElderKBaekJWilkinsonL (2010) Disparities in access to care among asthmatic children in relation to race and socioeconomic status. Journal of Child Health Care14(3): 271–279.
26.
QuinnKShalowitzMUBerryCAMijanovichTWolfRL (2006) Racial and ethnic disparities in diagnosed and possible undiagnosed asthma among public-school children in Chicago. American Journal of Public Health96(9): 1599–1603.
27.
SharmaAJGrummer-StrawnLMDaleniusKGaluskaDAnandappaMBorlandEMackintoshHSmithR (2009) Obesity prevalence among low-income, preschool-aged children: United States, 1998–2008. MMWR58(28): 769–773.
28.
SimonPAZenZWoldCMHaddockWFieldingJE (2003) Prevalence of childhood asthma and associated morbidity in Los Angeles County: impacts of race/ethnicity and income. Journal of Asthma40(5): 535–543.
29.
US Census Bureau (2008) State and County Quick Facts Report. Washington DC: US Census Bureau.
30.
VrijlandtEJLEGerritsenJBoezenHMDuivermanEJthe Dutch POPS-19 Collaborative Study Group (2005) Gender differences in respiratory symptoms in 19-year-old adults born preterm. Respiratory Research6(1): 117–124.
