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Neighborhood and Individual Socioeconomic Status and Asthma Incidence in African American Women

Bibliographic Data

ID15315312
AuthorsPatricia F Coogan (0000-0003-3671-7663, Boston University, corresponding author), Nelsy Castro‐Webb (Boston University), Nelsy Castro-Webb, Jeffrey Yu (0000-0003-3067-6813, Boston University), George O'connor (0000-0002-6476-3926, Boston University), George T O'Connor, Julie R Palmer (0000-0002-6534-335X, Boston University), L Rosenberg (0000-0003-2760-2987, Boston University)
Year2016
Volume26
Issue1
Pages113-113
Publication date2016-01-21
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueEthnicity & Disease (JOURNAL)
Journal identifiersISSN: 1049-510X • E-ISSN: 1945-0826
PublisherEthnicity & Disease, Inc (PUBLISHER)
DOI10.18865/ed.26.1.113
OpenAlexW2276850650
LanguageEN
Citations received2
References cited17

Objective : Individual socioeconomic status (SES) has been associated with asthma incidence but whether neighborhood SES has an influence is unknown. We assessed the contributions of neighborhood socioeconomic status (SES), neighborhood housing density, neighborhood racial composition, and individual SES to the development of adult-onset asthma in Black women, accounting for other known or suspected risk factors. Design and Participants : Prospective cohort study conducted among 47,779 African American women followed with biennial health questionnaires from 1995 to 2011. Methods and Main Outcome Measures : Incident asthma was defined as new selfreport of doctor-diagnosed asthma with concurrent use of asthma medication. We assessed neighborhood SES, indicated by census variables representing income, education, and wealth, and housing density and % African American population, as well as individual SES, indicated by highest education of participant/spouse. Cox proportional hazards models were used to derive multivariable hazard ratios (HRs) and 95% CIs for the association of individual SES and neighborhood variables with asthma incidence. Results : During a 16-year follow-up period, 1520 women reported incident asthma. Neighborhood factors were not associated with asthma incidence after control for individual SES, body mass index, and other factors. Compared with college graduates, the multivariable HR for asthma was 1.13 (95% CI 1.00-1.28) for women with some college education and 1.23 (95% CI 1.05- 1.44) for women with no more than a high school education. Conclusions : Individual SES, but not neighborhood SES or other neighborhood factors, was associated with the incidence of adult-onset asthma in this population of African American women. Ethn Dis . 2016;26(1):113-122; doi:10.18865/ ed.26.1.113

Asthma · Body mass index · Cohort · Cohort study · Confidence interval · Environmental health · Hazard ratio · Incidence (geometry · Population · Proportional hazards model · Prospective cohort study · Socioeconomic status · Air Quality and Health Impacts · Climate Change and Health Impacts · Demography · Health disparities and outcomes · Medicine · Gerontology · Internal Medicine

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Unique citing works2
Citations per year0,67
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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