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Air pollution and children’s respiratory health: a scoping review of socioeconomic status as an effect modifier

Author

Listed:
  • Dalia M. Munoz-Pizza

    (Universidad Autonoma de Baja California)

  • Mariana Villada-Canela

    (Universidad Autonoma de Baja California)

  • M. A. Reyna

    (Universidad Autonoma de Baja California)

  • José Luis Texcalac-Sangrador

    (Center for Population Health Research, National Institute of Public Health)

  • Álvaro R. Osornio-Vargas

    (Faculty of Medicine & Dentistry, University of Alberta)

Abstract

Objectives Air pollution is a leading environmental risk, and socioeconomic status (SES) is postulated as an effect modifier, especially in children. There is a growing interest in exploring this modifier. The present manuscript reviews SES as an effect modifier in children’s respiratory health. Methods A search in the PubMed and SCOPUS databases was conducted in September 2017 to identify studies with the inclusion criteria of being centred on children, respiratory outcomes, air pollutants and SES measurement. Results A total of 17 studies were included. Twelve used single SES variables, and the remaining studies included composite SES indices. Household income (9) and parental education (8) were frequently evaluated. The significance of the effect modifier was found in nine studies that demonstrated a higher risk for individuals living in a lower SES. Sources of heterogeneity included SES measurement, health outcomes and geographical aggregation. Conclusions The results suggest a higher modification in the effect of SES, generally indicating greater risk for children in lower SES. Children’s characteristics need to be more carefully theorized and measured in this area, including the use of transdisciplinary approaches.

Suggested Citation

  • Dalia M. Munoz-Pizza & Mariana Villada-Canela & M. A. Reyna & José Luis Texcalac-Sangrador & Álvaro R. Osornio-Vargas, 0. "Air pollution and children’s respiratory health: a scoping review of socioeconomic status as an effect modifier," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-12.
    • Handle: RePEc:spr:ijphth:v::y::i::d:10.1007_s00038-020-01378-3
    DOI: 10.1007/s00038-020-01378-3
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    References listed on IDEAS

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    1. Corvalán, C. & Amigo, H. & Bustos, P. & Rona, R.J., 2005. "Socioeconomic risk factors for asthma in Chilean young adults," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1375-1381.
    2. Oakes, J. Michael & Rossi, Peter H., 2003. "The measurement of SES in health research: current practice and steps toward a new approach," Social Science & Medicine, Elsevier, vol. 56(4), pages 769-784, February.
    3. Yap, P.-S. & Gilbreath, S. & Garcia, C. & Jareen, N. & Goodrich, B., 2013. "The influence of socioeconomic markers on the association between fine particulate matter and hospital admissions for respiratory conditions among children," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 695-702.
    4. Adam Wagstaff & Naoko Watanabe, 2003. "What difference does the choice of SES make in health inequality measurement?," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 885-890, October.
    5. Tarik Benmarhnia & Lynda Rey & Yuri Cartier & Christelle Clary & Séverine Deguen & Astrid Brousselle, 2014. "Addressing equity in interventions to reduce air pollution in urban areas: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(6), pages 933-944, December.
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