Ethnic and socio-economic differences in the prevalence of wheeze, severe wheeze, asthma, eczema and medication usage at 4 years of age: Findings from the Born in Bradford birth cohort.
Asthma, wheeze and eczema are common in early childhood and cause considerable morbidity. Generally rates of these conditions are higher in high income compared to low income countries. Rates in developed nations are generally higher than in less developed countries. After migration to Western countries, differences in risks of developing these conditions may between migrant and non-migrant may diminish.



A convenience sample of 1648 children of White British, Pakistani or Other ethnicity aged between 4 and 5 years were recruited from the main Born in Bradford cohort. Children's parents or guardians were asked to report on a range of potential risk factors and their associations with wheeze, asthma and eczema. Relationships between ethnicity and disease outcomes were examined using logistic regression after adjustment for other relevant risk factors and confounders.



Ethnic differences in doctor diagnosed asthma were evident, with children of other ethnic Origin being less likely and children of Pakistani origin more likely to have a diagnosis than White British or other origin children, although after adjustment for other risk factors this difference only remained significant for the Other Ethnic group. Ethnic differences were not observed in other outcomes including wheeze in the past 12 months, severe wheeze and taking medications for breathing problems.



In UK born children, traditional risk factors such as gender, family history, socio-economic status and child's medical history may be stronger risk factors than ethnicity or familial migration patterns.
School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK. Electronic address: e.petherick@lboro.ac.uk.
Emily S
ES
Petherick
Centre for Global Non-Communicable Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Neil
N
Pearce
Center for Research in Environmental Epidemiology, Barcelona, Spain.
Jordi
J
Sunyer
Born in Bradford, Bradford Institute for Health Research, Bradford Teaching Hospital NHS Foundation Trust, Bradford Royal Infirmary, Bradford, UK.
John
J
Wright
D044466:Asian People / Q000208:ethnology; D001249:Asthma / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D002675:Child, Preschool; D015331:Cohort Studies; D004485:Eczema / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D012135:Respiratory Sounds / Q000145:classification / Q000209:etiology*; D012307:Risk Factors; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D006113:United Kingdom / Q000453:epidemiology / Q000208:ethnology; D044465:White People / Q000208:ethnology
Asthma; Childhood; Cohort; Eczema; Ethnicity