title: Does neighborhood social and environmental context impact race/ethnic disparities in childhood asthma?
abstract: Utilizing over 140,000 geocoded medical records for a diverse sample of children ages 2-12 living in Houston, Texas, we examine whether a comprehensive set of neighborhood social and environmental characteristics explain racial and ethnic disparities in childhood asthma. Adjusting for all individual risk factors, as well as neighborhood concentrated disadvantage, particulate matter, ozone concentration, and race/ethnic composition, reduced but did not fully attenuate the higher odds of asthma diagnosis among black (OR=2.59, 95% CI=2.39, 2.80), Hispanic (OR=1.22, 95% CI=1.14, 1.32) and Asian (OR=1.18, 95% CI=1.04, 1.33) children relative to whites.
authors.affiliation: Rice University, 6100 Main St., Houston, TX 77005, USA. Electronic address: mbb4@rice.edu.
authors.forename: Mackenzie
authors.initials: M
authors.lastname: Brewer
authors.affiliation: Rice University, 6100 Main St., Houston, TX 77005, USA. Electronic address: rtkimbro@rice.edu.
authors.forename: Rachel Tolbert
authors.initials: RT
authors.lastname: Kimbro
authors.affiliation: Rice University, 6100 Main St., Houston, TX 77005, USA.
authors.forename: Justin T
authors.initials: JT
authors.lastname: Denney
authors.affiliation: University of Illinois Springfield, One University Plaza, Springfield, IL 62703-5407, USA. Electronic address: kosiec3@uis.edu.
authors.forename: Kristin M
authors.initials: KM
authors.lastname: Osiecki
authors.affiliation: Baylor College of Medicine and Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, USA. Electronic address: bsmoffet@txch.org.
authors.forename: Brady
authors.initials: B
authors.lastname: Moffett
authors.affiliation: Baylor College of Medicine and Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, USA. Electronic address: knlopez@bcm.edu.
authors.forename: Keila
authors.initials: K
authors.lastname: Lopez
mesh_terms: D001249:Asthma / Q000453:epidemiology* / Q000208:ethnology*; D002648:Child; D002675:Child, Preschool; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D010126:Ozone; D052638:Particulate Matter; D044469:Racial Groups / Q000706:statistics & numerical data*; D012111:Residence Characteristics; D012307:Risk Factors; D012959:Socioeconomic Factors; D013781:Texas / Q000453:epidemiology / Q000208:ethnology
chemical_list: D052638:Particulate Matter; D010126:Ozone
keywords: Childhood asthma; Disparities; Environment; Neighborhoods; Race/ethnicity