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Association between socioeconomic status and the development of asthma: Analyses of income trajectories

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  • Kozyrskyj, A.L.
  • Kendall, G.E.
  • Jacoby, P.
  • Sly, P.D.
  • Zubrick, S.R.

Abstract

Objectives. Using data on 2868 children born in the Western Australian Pregnancy Cohort (Raine) Study, we examined the association between changes in family socioeconomic status and childhood asthma. Methods. We determined the likelihood (odds ratio) of a child having asthma at ages 6 and 14 years for 4 family-income trajectories (chronic low, increasing, decreasing, and never low) over the child's lifetime. The trajectories were created from longitudinal latent-class models. Results. We found a 2-fold increased risk of asthma at age 14 years among children who had lived in a low-income family since birth, especially for girls. Asthma was less likely to occur in children born to single parents; income rose over time in many of these families. Compared with children in chronic lowincome families, children in households with increasing incomes had a 60% lower risk of asthma. Single-point measures of low income were not found to be associated with asthma. Conclusions. Chronic exposure to a low-income environment from birth was associated with the development of persistent asthma. There was also a protective effect against asthma among those children whose families had moved out of poverty.

Suggested Citation

  • Kozyrskyj, A.L. & Kendall, G.E. & Jacoby, P. & Sly, P.D. & Zubrick, S.R., 2010. "Association between socioeconomic status and the development of asthma: Analyses of income trajectories," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 540-546.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.150771_5
    DOI: 10.2105/AJPH.2008.150771
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    Cited by:

    1. Kim, Dong Ha & Um, Myung-Yong, 2018. "The relationships among family income, parental depression, and adolescent aggression in South Korea: A latent growth mediation model," Children and Youth Services Review, Elsevier, vol. 84(C), pages 168-175.
    2. Rita C. Ribeiro-Silva & Deborah C. Malta & Laura C. Rodrigues & Dandara O. Ramos & Rosemeire L. Fiaccone & Daiane B. Machado & Maurício L. Barreto, 2018. "Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012)," IJERPH, MDPI, vol. 15(12), pages 1-17, December.
    3. Needham, Belinda L. & Straight, Bilinda & Hilton, Charles E. & Olungah, Charles Owuor & Lin, Jue, 2021. "Family socioeconomic status and child telomere length among the Samburu of Kenya," Social Science & Medicine, Elsevier, vol. 283(C).
    4. Meghan B Azad & Yuri Lissitsyn & Gregory E Miller & Allan B Becker & Kent T HayGlass & Anita L Kozyrskyj, 2012. "Influence of Socioeconomic Status Trajectories on Innate Immune Responsiveness in Children," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-9, June.
    5. Elham Erfanian & Alan R. Collins, 2019. "Air Quality and Asthma Hospitalization: Evidence of PM2.5 Concentrations in Pennsylvania Counties," Working Papers Working Paper 2019-01, Regional Research Institute, West Virginia University.
    6. Riser, Quentin H. & Rouse, Heather L. & Dorius, Cassandra J., 2023. "Association between early income variation around poverty thresholds, income trajectories, and birth, child, and family characteristics," Children and Youth Services Review, Elsevier, vol. 145(C).
    7. Erfanian, Elham & Collins, Alan R., 2020. "Air Quality and Asthma Hospitalization Rates: Evidence of PM2.5 Concentrations in Pennsylvania Counties," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 50(1), January.
    8. Fabrizio Bernardi & Risto Conte Keivabu, 2023. "Poor air at school and educational inequalities by family socioeconomic status," MPIDR Working Papers WP-2023-014, Max Planck Institute for Demographic Research, Rostock, Germany.
    9. Tyler P. Pittman & Candace I. J. Nykiforuk & Javier Mignone & Piush J. Mandhane & Allan B. Becker & Anita L. Kozyrskyj, 2012. "The Association Between Community Stressors and Asthma Prevalence of School Children in Winnipeg, Canada," IJERPH, MDPI, vol. 9(2), pages 1-17, February.

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