Mediators of the Socioeconomic Gradient in Outcomes of Adult Asthma and Rhinitis

Bibliographic Data

ID11032071
AuthorsLaura Trupin (0000-0003-4046-200X, At the time the work for this article was conducted, all authors were with the Department of Medicine, University of California, San Francisco. John R. Balmes was also affiliated with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, and Paul D. Blanc with the Cardiovascular Research Institute, University of California, San Francisco.), Patricia P Katz (At the time the work for this article was conducted, all authors were with the Department of Medicine, University of California, San Francisco. John R. Balmes was also affiliated with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, and Paul D. Blanc with the Cardiovascular Research Institute, University of California, San Francisco.), Patricia Katz (0000-0002-8146-2519, University of San Francisco), John R Balmes (0000-0002-2246-7002, At the time the work for this article was conducted, all authors were with the Department of Medicine, University of California, San Francisco. John R. Balmes was also affiliated with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, and Paul D. Blanc with the Cardiovascular Research Institute, University of California, San Francisco.), Hubert Chen (0000-0002-6630-239X, At the time the work for this article was conducted, all authors were with the Department of Medicine, University of California, San Francisco. John R. Balmes was also affiliated with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, and Paul D. Blanc with the Cardiovascular Research Institute, University of California, San Francisco.), Edward H Yelin (At the time the work for this article was conducted, all authors were with the Department of Medicine, University of California, San Francisco. John R. Balmes was also affiliated with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, and Paul D. Blanc with the Cardiovascular Research Institute, University of California, San Francisco.), Theodore A Omachi (0000-0001-9167-768X, University of San Francisco), Theodore Omachi (At the time the work for this article was conducted, all authors were with the Department of Medicine, University of California, San Francisco. John R. Balmes was also affiliated with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, and Paul D. Blanc with the Cardiovascular Research Institute, University of California, San Francisco.), Paul D Blanc (0000-0001-9043-175X, At the time the work for this article was conducted, all authors were with the Department of Medicine, University of California, San Francisco. John R. Balmes was also affiliated with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, and Paul D. Blanc with the Cardiovascular Research Institute, University of California, San Francisco.)
Year2013
Volume103
Issue2
Pagese31-e38
Publication date2013-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300938
PMID23237178
PMCIDPMC3558775
OpenAlexW1981922950
LanguageEN
Citations received1
References cited47

Objectives. We estimated the extent to which socioeconomic status (SES) gradients in adult asthma and rhinitis outcomes can be explained by home and neighborhood environmental factors. Methods. Using survey data for 515 adults with either asthma or rhinitis, or both, we examined environmental mediators of SES associations with disease severity, using the Severity of Asthma Scale, and health-related quality of life (HRQL), using the Rhinasthma Scale. We defined SES on the basis of education and household income. Potential environmental mediators included home type and ownership, exposures to allergens and irritants, and a summary measure of perceived neighborhood problems. We modeled each outcome as a function of SES, and controlled for age, gender, and potential mediators. Results. Gradients in SES were apparent in disease severity and HRQL. Living in a rented house partially mediated the SES gradient for both severity and HRQL (P Conclusions. Differences in home and neighborhood environments partially explained associations of SES with adult asthma and rhinitis outcomes

Asthma · Environmental health · Geography · Household income · Population · Quality of life (healthcare) · Scale (ratio) · Socioeconomic status · Allergic Rhinitis and Sensitization · Asthma and respiratory diseases · Demography · Immunology · Indoor Air Quality and Microbial Exposure · Medicine · Gerontology

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