哮喘联盟

   摘要
   目的：个人的社会经济地位(SES)与哮喘的发生率相关，但是邻居的SES是否也会产生影响并不清楚。我们评估了邻居的社会经济地位(SES)、邻居的房屋密度、邻居的人种构成以及个人的SES对黑人女性成人发作性哮喘进展的影响，对于其他已知或者可疑的危险因素做出了解释。
   设计和受试者：在47,779非裔美国女性中间开展了这项前瞻性队列研究，研究从1995年至2011年对受试者进行两年一次的健康状况问卷随访。
   方法和主要的测量结果：哮喘发作定义为医生诊断哮喘并伴有使用哮喘药物治疗的新发自我报告病例。我们评估了邻居的SES，用人口普查的变量表现为收入、学历、财产和住房密度以及非裔美国人所占的百分比，同时也评估了个人的SES，表现为受试者/配偶的最高学历。用Cox比例风险模型导出个人SES和邻居变量与哮喘发生率之间关系的多变量危害比(HRs)和95%置信区间
   结果：在长达16年的随访期间，有1520例女性报告了哮喘发作。经控制个人SES、体重指数和其他因素后，邻居因素与哮喘的发生率无相关性。与大学毕业生相比，接受过一定大学教育的女性哮喘的多变量HR为1.13 (95% CI 1.00-1.28)而接受不高于高中教育的女性为1.23 (95% CI 1.05-1.44)。
   结论：非裔美国女性人群个人的SES而并非邻居的SES或者其他邻居的因素与成人发作性哮喘的发病率相关。
 

（杨冬 审校）
Ethn Dis. 2016 Jan 21;26(1):113-22. doi: 10.18865/ed.26.1.113.


 

Neighborhood and Individual Socioeconomic Status and Asthma Incidence in African American Women.
 

Coogan PF1, Castro-Webb N1, Yu J1, O'Connor GT2, Palmer JR1, Rosenberg L1.
 

Abstract
OBJECTIVE:Individual socioeconomic status (SES) has been associated with asthma incidence but whether neighborhood SES has an influence is unknown. We assessed the contributions of neighborhood socioeconomic status (SES), neighborhood housing density, neighborhood racial composition, and individual SES to the development of adult-onset asthma in Black women, accounting for other known or suspected risk factors.
DESIGN AND PARTICIPANTS:Prospective cohort study conducted among 47,779 African American women followed with biennial health questionnaires from 1995 to 2011.
METHODS AND MAIN OUTCOME MEASURES:Incident asthma was defined as new self-report of doctor-diagnosed asthma with concurrent use ofasthma medication. We assessed neighborhood SES, indicated by census variables representing income, education, and wealth, and housing density and % African American population, as well as individual SES, indicated by highest education of participant/spouse. Cox proportional hazards models were used to derive multivariable hazard ratios (HRs) and 95% CIs for the association of individual SES and neighborhood variables withasthma incidence.
RESULTS:During a 16-year follow-up period, 1520 women reported incident asthma. Neighborhood factors were not associated with asthmaincidence after control for individual SES, body mass index, and other factors. Compared with college graduates, the multivariable HR for asthma was 1.13 (95% CI 1.00-1.28) for women with some college education and 1.23 (95% CI 1.05-1.44) for women with no more than a high school education.
CONCLUSIONS:Individual SES, but not neighborhood SES or other neighborhood factors, was associated with the incidence of adult-onset asthmain this population of African American women.
 

Ethn Dis. 2016 Jan 21;26(1):113-22. doi: 10.18865/ed.26.1.113.