Socioeconomic status and asthma prevalence in young adults -: The European Community Respiratory Health Survey

被引:137
作者
Basagaña, X
Sunyer, J
Kogevinas, M
Zock, JP
Duran-Tauleria, E
Jarvis, D
Burney, P
Anto, JM
机构
[1] Inst Municipal Invest Med, Resp & Environm Hlth Res Unit, E-08003 Barcelona, Spain
[2] Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain
[3] Kings Coll London, Dept Publ Hlth Sci, London WC2R 2LS, England
关键词
adult; asthma; education; prevalence; social class;
D O I
10.1093/aje/kwh186
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The authors assessed the association between asthma prevalence and socioeconomic status at both the individual and center levels simultaneously .by using data from 32 centers in 15 countries. Included were 10,971 subjects aged 20-44 years selected from the general population and interviewed in 1991-1992. Socioeconomic status at both the individual and aggregated levels was measured on the basis of occupation and educational level. Associations were assessed by using multilevel models adjusted for age, sex, body mass index, parental asthma, childhood respiratory infections, presence of immunoglobulin E to common allergens, rhinitis, smoking, and occupational exposure to irritants. Asthma prevalence was higher in lower socioeconomic groups, whether defined by educational level (odds ratio for finishing full-time studies-<16 vs. >19 years = 1.28, 95% confidence interval: 1.00, 1.64) or social class (odds ratio for semiskilled and unskilled manual workers vs. professional/managerial = 1.51, 95% confidence interval: 1.20, 1.90), regardless of atopic status. The relation was consistent between centers. Irrespective of individual socioeconomic status, subjects living in areas in which educational levels were lower had a higher risk of asthma (p < 0.05). This center-level association partially explained geographic differences in asthma prevalence, but considerable heterogeneity still remained. The authors concluded that community influences of living in a low-educational area are associated with asthma, independently of subjects' own educational level and social class.
引用
收藏
页码:178 / 188
页数:11
相关论文
共 53 条
[1]  
[Anonymous], MULTILEVEL TECHNIQUE
[2]  
[Anonymous], 1997, Constructing classes: towards a new' social classification for the UK
[3]  
Bozicevic I, 2000, COLLEGIUM ANTROPOL, V24, P325
[4]   Asthma, rhinitis and air pollution: is traffic to blame? [J].
Brunekreef, B ;
Sunyer, J .
EUROPEAN RESPIRATORY JOURNAL, 2003, 21 (06) :913-915
[5]  
BURNEY PGJ, 1989, EUR RESPIR J, V2, P940
[6]   THE EUROPEAN-COMMUNITY-RESPIRATORY-HEALTH-SURVEY [J].
BURNEY, PGJ ;
LUCZYNSKA, C ;
CHINN, S ;
JARVIS, D ;
VERMEIRE, P ;
DAHL, R ;
NIELSEN, N ;
MAGNUSSEN, H ;
WICHMANN, H ;
PAPAGEORGIOU, N ;
ANTO, J ;
CAPELASTEGUI, A ;
CASTILLO, J ;
MALDONADO, J ;
MORATALLA, J ;
QUIROS, R ;
BOUSQUET, J ;
NEUKIRCH, F ;
PIN, I ;
TAYTARD, A ;
TECULESCU, D ;
PRICHARD, J ;
BUGIANI, M ;
DEMARCO, R ;
CASCIO, VL ;
RIJCKEN, B ;
AVILA, R ;
LOUREIRO, C ;
MARQUES, A ;
BURR, M ;
HALL, R ;
HARRISON, B ;
STARK, J ;
FLOREY, C ;
POPP, W ;
GISLASON, T ;
GULSVIK, A ;
ACKERMANNLIEBRICH, U ;
LINDHOLM, N ;
BOMAN, G ;
ROSENHALL, L ;
AITKHALED, N ;
ABRAMSON, M ;
MANFREDA, J ;
CHOWGULE, R ;
CRANE, J ;
STEPANOV, I ;
BUIST, S .
EUROPEAN RESPIRATORY JOURNAL, 1994, 7 (05) :954-960
[7]  
Chan-Yeung M, 1999, ASTHMA WORKPLACE, P129
[8]   The outcome of asthma related to workplace irritant exposures - A comparison of irritant-induced asthma and irritant aggravation of asthma [J].
Chatkin, JM ;
Tarlo, SM ;
Liss, G ;
Banks, D ;
Broder, I .
CHEST, 1999, 116 (06) :1780-1785
[9]   Different slopes for different folks: Socioeconomic and racial/ethnic disparities in asthma and hay fever among 173,859 US men and women [J].
Chen, JT ;
Krieger, N ;
Van Den Eeden, SK ;
Quesenberry, CP .
ENVIRONMENTAL HEALTH PERSPECTIVES, 2002, 110 :211-216
[10]   COMMUNICATION WITHIN LOW-INCOME FAMILIES AND THE MANAGEMENT OF ASTHMA [J].
CLARK, NM ;
LEVISON, MJ ;
EVANS, D ;
WASILEWSKI, Y ;
FELDMAN, CH ;
MELLINS, RB .
PATIENT EDUCATION AND COUNSELING, 1990, 15 (02) :191-201