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Reported Neighborhood Traffic and the Odds of Asthma/Asthma-Like Symptoms: A Cross-Sectional Analysis of a Multi-Racial Cohort of Children

Author

Listed:
  • Sarah Commodore

    (Department of Environmental and Occupational Health, Indiana University, Bloomington, IN 47405, USA)

  • Pamela L. Ferguson

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Brian Neelon

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Roger Newman

    (Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC 29425, USA)

  • William Grobman

    (Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL 60611, USA)

  • Alan Tita

    (Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35233, USA)

  • John Pearce

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Michael S. Bloom

    (Department of Global and Community Health, George Mason University, Fairfax, VA 22030, USA)

  • Erik Svendsen

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • James Roberts

    (Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Daniel Skupski

    (Department of Obstetrics and Gynecology, New York-Presbyterian Queens Hospital, Queens, NY 11365, USA
    Department of Obstetrics and Gynecology, Weill Cornell Graduate School of Medical Sciences, Cornell University, New York, NY 10021, USA)

  • Anthony Sciscione

    (Department of Obstetrics and Gynecology, Christiana Care Health System, Wilmington, DE 19899, USA)

  • Kristy Palomares

    (Department of Obstetrics and Gynecology, Saint Peter’s University Hospital, New Brunswick, NJ 08901, USA)

  • Rachel Miller

    (Department of Medicine, Division of Clinical Immunology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA)

  • Ronald Wapner

    (Columbia University Irving Medical Center, Department of Obstetrics and Gynecology, Columbia University, New York, NY 10032, USA)

  • John E. Vena

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Kelly J. Hunt

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

Abstract

Asthma in children poses a significant clinical and public health burden. We examined the association between reported neighborhood traffic (a proxy for traffic-related air pollution) and asthma among 855 multi-racial children aged 4–8 years old who participated in the Environmental Influences on Child Health Outcomes (ECHO) cohort. We hypothesized that high neighborhood traffic density would be associated with the prevalence of asthma. Asthma/asthma-like symptoms (defined as current and/or past physician diagnosed asthma, past wheezing, or nighttime cough or wheezing in the past 12 months) was assessed by parental report. The relationship between neighborhood traffic and asthma/asthma-like symptoms was assessed using logistic regression. The prevalence of asthma/asthma-like symptoms among study participants was 23%, and 15% had high neighborhood traffic. Children with significant neighborhood traffic had a higher odds of having asthma/asthma-like symptoms than children without neighborhood traffic [adjusted OR = 2.01 (95% CI: 1.12, 3.62)] after controlling for child’s race-ethnicity, age, sex, maternal education, family history of asthma, play equipment in the home environment, public parks, obesity and prescribed asthma medication. Further characterization of neighborhood traffic is needed since many children live near high traffic zones and significant racial/ethnic disparities exist.

Suggested Citation

  • Sarah Commodore & Pamela L. Ferguson & Brian Neelon & Roger Newman & William Grobman & Alan Tita & John Pearce & Michael S. Bloom & Erik Svendsen & James Roberts & Daniel Skupski & Anthony Sciscione &, 2020. "Reported Neighborhood Traffic and the Odds of Asthma/Asthma-Like Symptoms: A Cross-Sectional Analysis of a Multi-Racial Cohort of Children," IJERPH, MDPI, vol. 18(1), pages 1-25, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:243-:d:472877
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    References listed on IDEAS

    as
    1. Liliana Cori & Gabriele Donzelli & Francesca Gorini & Fabrizio Bianchi & Olivia Curzio, 2020. "Risk Perception of Air Pollution: A Systematic Review Focused on Particulate Matter Exposure," IJERPH, MDPI, vol. 17(17), pages 1-27, September.
    2. Cushing, L. & Faust, J. & August, L.M. & Cendak, R. & Wieland, W. & Alexeeff, G., 2015. "Racial/ethnic disparities in cumulative environmental health impacts in California: Evidence from a statewide environmental justice screening tool (CalEnviroScreen 1.1)," American Journal of Public Health, American Public Health Association, vol. 105(11), pages 2341-2348.
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