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Mediators of the socioeconomic gradient in outcomes of adult asthma and rhinitis

Author

Listed:
  • Trupin, L.
  • Katz, P.P.
  • Balmes, J.R.
  • Chen, H.
  • Yelin, E.H.
  • Omachi, T.
  • Blanc, P.D.

Abstract

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 SESwere apparent in disease severity and HRQL. Living in a rented house partially mediated the SES gradient for both severity and HRQL (P

Suggested Citation

  • Trupin, L. & Katz, P.P. & Balmes, J.R. & Chen, H. & Yelin, E.H. & Omachi, T. & Blanc, P.D., 2013. "Mediators of the socioeconomic gradient in outcomes of adult asthma and rhinitis," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 31-38.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300938_3
    DOI: 10.2105/AJPH.2012.300938
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    Cited by:

    1. Piero Maestrelli & Paul K. Henneberger & Susan Tarlo & Paola Mason & Piera Boschetto, 2020. "Causes and Phenotypes of Work-Related Asthma," IJERPH, MDPI, vol. 17(13), pages 1-10, June.

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