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Breathing Room: Industrial Zoning and Asthma Incidence Using School District Health Records in the City of Santa Ana, California

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Listed:
  • Kelton Mock

    (Program in Medical Education for the Latino Community, University of California Irvine School of Medicine, Irvine, CA 92617, USA)

  • Anton M. Palma

    (Institute for Clinical & Translational Science, University of California Irvine, Irvine, CA 92697, USA)

  • Jun Wu

    (Department of Environmental and Occupational Health, Program in Public Health, University of California Irvine Susan and Henry Samueli College of Health Sciences, Irvine, CA 92617, USA)

  • John Billimek

    (Program in Medical Education for the Latino Community, Health Policy Research Institute, Department of Family Medicine, University of California Irvine, Irvine, CA 92617, USA)

  • Kim D. Lu

    (Department of Pediatrics, University of California Irvine School of Medicine, Irvine, CA 92617, USA)

Abstract

Background: Traffic and industrial emissions are associated with increased pediatric asthma morbidity. However, few studies have examined the influence of city industrial zoning on pediatric asthma outcomes among minoritized communities with limited access to air monitoring. Methods: In this cross-sectional analysis of 39,974 school-aged students in Santa Ana, CA, we investigated the effect of proximity to areas zoned for industrial use on pediatric asthma prevalence, physical fitness, school attendance, and standardized test scores. Results: The study population was 80.6% Hispanic, with 88.2% qualifying for free/reduced lunch. Compared to students living more than 1 km away from industrial zones, those living within 0.5 km had greater odds of having asthma (adjusted OR 1.21, 95% CI 1.09 to 1.34, p < 0.001). Among children with asthma, those living between 0.5–1.0 km had greater odds of being overweight or obese (aOR 1.47, 95% CI 1.00, 2.15, p = 0.047). Industrial zone proximity was not significantly associated with worse fitness and academic outcomes for students with asthma. Conclusion: These findings suggest that industrial zone proximity is associated with increased pediatric asthma in a predominantly Latino community in Southern California.

Suggested Citation

  • Kelton Mock & Anton M. Palma & Jun Wu & John Billimek & Kim D. Lu, 2022. "Breathing Room: Industrial Zoning and Asthma Incidence Using School District Health Records in the City of Santa Ana, California," IJERPH, MDPI, vol. 19(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4820-:d:794839
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    References listed on IDEAS

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    1. Michael L Anderson, 2020. "As the Wind Blows: The Effects of Long-Term Exposure to Air Pollution on Mortality," Journal of the European Economic Association, European Economic Association, vol. 18(4), pages 1886-1927.
    2. Angelica I. Tiotiu & Plamena Novakova & Denislava Nedeva & Herberto Jose Chong-Neto & Silviya Novakova & Paschalis Steiropoulos & Krzysztof Kowal, 2020. "Impact of Air Pollution on Asthma Outcomes," IJERPH, MDPI, vol. 17(17), pages 1-29, August.
    3. Esha Bansal & Donatella Placidi & Shaye Carver & Stefano Renzetti & Augusto Giorgino & Giuseppa Cagna & Silvia Zoni & Chiara Fedrighi & Miriana Montemurro & Manuela Oppini & Michele Conversano & Stefa, 2019. "Metabolic Outcomes in Southern Italian Preadolescents Residing Near an Industrial Complex: The Role of Residential Location and Socioeconomic Status," IJERPH, MDPI, vol. 16(11), pages 1-16, June.
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    1. Souad Mahmoud Al Okla & Fatima Al Zahra Khamis Al Rasbi & Hawida Said Al Marhubi & Shima Salim Al Mataani & Yusra Mohammed Al Sawai & Hasa Ibrahim Mohammed & Muna Ali Salim Al Mamari & Salwa Abdullah , 2024. "The Impact of Air Pollution on Asthma Severity among Residents Living near the Main Industrial Complex in Oman: A Cross-Sectional Study," IJERPH, MDPI, vol. 21(5), pages 1-26, April.

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