Asthma Prevalence and Severity in Arab American Communities in the Detroit Area, Michigan
Tóm tắt
Immigrant populations provide a unique intersection of cultural and environmental risk factors implicated in asthma etiology. This study focuses on asthma prevalence and severity in 600 Arab American households in metro Detroit, the largest immigrant reception zone for Arab Americans in North America. The survey method introduced a number of novel features: (a) a ranking scheme for the key environmental risk factors for asthma was used to derive an aggregated environmental risk index (ERI) for each household, and (b) an aggregate measure of asthma severity based on symptom frequency and intensity. Environmental risk factors and surrogates for socioeconomic status (SES) were found to be stronger predictors of asthma prevalence than asthma severity, while demographic variables such as English fluency and birth in the United States were better predictors of asthma severity than asthma prevalence. These results suggest that SES variables may be more reflective of environmental exposures in communities involved in this study, while English fluency and birth in the United States may be linked to health care access and utilization behavior that can influence the asthma management. We also found a significant relationship between asthma prevalence and degree of acculturation. Asthma prevalence was highest among moderately acculturated immigrants compared with new immigrants and those who were well acculturated, suggesting that among Arab Americans in the Detroit area, risk factors associated with new immigrant status are replaced by “western” risk factors as the population becomes more acculturated.
Tài liệu tham khảo
Meliker JR, Nriagu JO, Hammad AS, Savoie KL, Jamil H, Devries JM: Spatial clustering of emergency department visits by asthmatic children in an urban area: Southwest Detroit, Michigan. Ambul Child Health 2001; 7:297–312
Beasley R, Crane J, Lai CK, Pearce N: Prevalence and etiology of asthma. J Allergy Clin Immunol 2000; 105 (2, Pt 2):S466–S472
Tobias A, Soriano JB, Chinn S, Anto JM, Sunyer J, Burney P: European Community Respiratory Health Survey. Symptoms of asthma, bronchial responsiveness and atopy in immigrants and emigrants in Europe. Eur Respir J. 2001; 18(3):459–465
Powell CV, Nolan TM, Carlin JB, Bennett CM, Johnson PD: Respiratory symptoms and duration of residence in immigrant teenagers living in Melbourne, Australia. Arch Dis Childhood 1999; 81(2):159–162
Strachan DP, Anderson HR, Limb ES, O’Neil A, Wells N: A national survey of asthma prevalence, severity, and treatment in Great Briatin. Arch Dis. Childhood 1994; 70:174–178
Leung RC, Carlin JB, Burdon JG, Czarny D: Asthma, allergy and atopy in Asian immigrants in Melbourne. Med J Austr 1994; 61(7):418–425
Eggleston PA: Environmental causes of asthma in inner city children. The National Cooperative Inner City Asthma Study. Clin Rev Allergy Immunol 2000; 18(3):311–324
Nriagu JO, Robins T, Gary L, Liggans G, Davila R, Supuwood K, Harvey C, Jinabhai CC, Naido R: Prevalence of asthma and respiratory symptoms in south-central Durban, South Africa. Eur J Epidemiol 1999; 15:747–755
Sarafino EP, Goldfedder J. 1995. Genetic factors in the presence, severity, and triggers of asthma. Arch Dis Childhood 1995; 73(2):112–116
Sarafino EP: Connections among parent and child atopic illnesses. Pediatr Allergy Immunol 2000; 11:80–86
Parker EA, Israel BA, Williams M, Brakefield-Caldwell W, Lewis TC, Robins T, Ramirez E, Rowe Z, Keeler G: Community action against asthma: Examining the partnership process of a community-based participatory research project. J Gen Int Med 2003; 18(7):558–567
O’Fallon LR, Dearry A: Community-based participatory research as a tool to advance environmental health sciences. Environ Health Perspect 2002; 110(Suppl 2):155–159
Johnson M: Risk factors for asthma among Arab American immigrants in the Metro Detroit area. Doctoral Thesis. 2005
Keeler GJ, Dvonch T, Yip FY, Parker EA, Isreal BA, Marsik FJ, Morishita M, Barres JA, Robins TG, Brakefield-Caldwell W, Sam M: Assessment of personal and community-level exposures to particulate matter among children with asthma in Detroit, Michigan, as part of Community Action Against Asthma (CAAA). Environ Health Perspect 2002; 110(Suppl 2):173–181
Clark NM, Brown RW, Parker E, Robins TG, Remick DG Jr, Philbert MA, Keeler GJ, Israel BA: Childhood asthma. Environ Health Perspect 1999; 107(Suppl 3):421–429
Clark NM, Brown R, Joseph CL, Anderson EW, Liu M, Valerio M, Gong M: Issues in identifying asthma and estimating prevalence in an urban school population. J Clin Epidemiol. 2002; 55(9):870–881
Joseph CL, Foxman B, Leickly FE, Peterson E, Ownby D: Prevalence of possible undiagnosed asthma and associated morbidity among urban schoolchildren. J Pediatr 1996; 129(5):735–742
American College of Allergy, Asthma and Immunology (ACAAI): Nationwide Asthma Screening Program. 2003. Available at http://allergy.mcg.edu/lifeQuality/nasp.html
University of Michigan Health Services: 2004. Available at http://www.med.umich.edu/wheas/test.htm
Robins TG, Parker EA, Israel BA, Brown RW, Lewis TC, CAAA Steering Committee: Use of a screening questionnaire to estimate prevalence of diagnosed and undiagnosed asthma among minority children in Detroit. Presentation at American Thoracic Society Presentation: San Francisco, CA; 2001
Joffres M, Williams T, Sabo B, Fox RA: Environmental sensitivities: Prevalence of major symptoms in a referral center: The Nova Scotia Environmental Sensitivities Research Center study. Environ Health Perspect 2001; 109:161–165
Savoie K, Nriagu J: Air Pollution Health Risk Assessment of the Arab American Community in Dearborn, Michigan. Report to US EPA, Region 5, Air and Radiation Division; 1999
Mannino DM, Homa DM, Akinbami LJ, Moorman JE, Gwynn C, Redd SC: Surveillance for asthma–United States, 1980–1999. Morb Mortal Wkly Rep. Surveillance Summaries 2002; 51(1):1–13
Rhodes L, Bailey CM, Moorman JE: Surveillance for asthma–United States, 1980–1999. Morb Mortal Wkly Rep. Surveillance Summaries 2004; 53(07):145–148
CDC National Center for Chronic Disease Prevention and Health Promotion: The Selected Metropolitan/Micropolitan Area Risk Trends (SMART); 2002. Project: http://apps. nccd.cdc.gov/brfss-smart/MMSARiskChart.asp?yr = 2002& MMSA = 26&cat = AS&qkey = 290&grp = 0
Rhodes L, Moorman JE, Redd SC, Mannino DM: Self-reported asthma prevalence and control among adults—United States, 2001. Morb Mortal Wkly Rep. Surveillance Summaries 2003; 52(17):381–384
WHO Regional Office for the Eastern Mediterranean: Non-communicable disease s-regional situation report; 2004 Available at http://www.emro.who.int/ncd/NCD-Regional Situation-Asthma.htm
Silverman RA, Stevenson L, Hastings HM: Age-related seasonal patterns of emergency department visits for acute asthma in an urban environment. Ann Emergency Med 2003; 42(4):577–586
Crighton EJ, Mamdani MM, Upshur RE: A population based time series analysis of asthma hospitalisations in Ontario, Canada: 1988 to 2000. BMC Health Serv Res 2001; 1(1):7
Kimbell-Dunn M, Pearce N, Beasley R: Seasonal variation in asthma hospitalizations and death rates in New Zealand. Respirology 2000; 5(3):241–246
Nichols T, Hansell A, Strachan D: The contribution of ‘holiday deaths’ to seasonal variations in asthma mortality in England and Wales. Clin Exp Allergy1999; 29(10):1415–1417
Dales RE, Schweitzer I, Toogood JH, Drouin M, Yang W, Dolovich J, Boulet J: Respiratory infections and the autumn increase in asthma morbidity. Eur Respir J 1996; 9(1):72–77
Kimes D, Levine E, Timmins S, Weiss SR, Bollinger ME, Blaisdell C: Temporal dynamics of emergency department and hospital admissions of pediatric asthmatics. Environ Res 2004; 94(1):7–17
Gergen PJ, Mitchell H, Lynn H: Understanding the seasonal pattern of childhood asthma: Results from the National Cooperative Inner-City Asthma Study (NCICAS). J Pediatr 2002; 141(5):631–6
Bardana EJ, Jr: Indoor pollution and its impact on respiratory health. Ann Allergy Asthma Immunol 2001; 87(6, Suppl 3):33–40
Lanphear BP, Kahn RS, Berger O, Auinger P, Bortnick SM, Nahhas RW: Contribution of residential exposures to asthma in us children and adolescents. Pediatrics 2001; 107(6):E98
Lanphear BP, Aligne CA, Auinger P, Weitzman M, Byrd RS: Residential exposures associated with asthma in US children. Pediatrics 2001; 107(3):505–511
Maier WC, Arrighi HM, Morray B, Llewellyn C, Redding GJ: Indoor risk factors for asthma and wheezing among Seattle school children. Environ Health Perspect 1997; 105(2):208–214
McConnell R, Berhane K, Gilliland F, Islam T, Gauderman WJ, London SJ, Avol E, Rappaport EB, Margolis HG, Peters JM: Indoor risk factors for asthma in a prospective study of adolescents. Epidemiology 2002; 13(3):288–295
Somerville M, Mackenzie I, Owen P, Miles D: Housing and health: Does installing heating in their homes improve the health of children with asthma? Public Health 2000; 114(6):434–439
Johnston SL, Holgate ST. Asthma: Critical Issues. London: Blackwell; 2002
Lemanske RF, Jr: Issues in understanding pediatric asthma: Epidemiology and genetics. J Allergy Clinical Immunol. 2002; 109(6, Suppl):S521–S524
Hjern A, Haglund B, Bremberg S, Ringback-Weitoft G: Social adversity, migration and hospital admissions for childhood asthma in Sweden. Acta Paediatrica 1999; 88(10):1107–1112
Aber JL, Bennett NG, Conley DC, Li J: The effects of poverty on child health and development. Ann Rev Public Health 1997; 18:463–483
Schwartz J, Gold D, Dockery DW, Weiss ST, Speizer FE: Predictors of asthma and persistent wheeze in a national sample of children in the United States. Am Rev Respir Dis 1990; 142:555–562
Krieger J, Higgins DL: Housing and health: Time again for public health action. Am J Public Health 2002; 92(5):758–768
Lester MR, Schneider LC: Atopic diseases and upper respiratory infections. Curr Opin Pediatrics 2000; 12(5):511–519
Grant EN, Alp H, Weiss KB: The challenge of inner-city asthma. Curr Opin Pulmon Med1999; 5(1):27–34
Miller JE: The effects of race/ethnicity and income on early childhood asthma prevalence and health care use. Am J Public Health 2000; 90(3):428–430
Rodriguez MA, Winkleby MA, Ahn D, Sundquist J, Kraemer HC: Identification of population subgroups of children and adolescents with high asthma prevalence: Findings from the third natinal health ad nutrition examination survey. Arch Pediatr Adolesc Med. 2002; 156(3)269–275
Newachek PW, Halfon N: Prevalence, impact, and trends in childhood disability due to asthma. Arch Pediatr Adolesc Med 2000; 154:287–293
Woodruff PG, Prescott SL, Holt PG, Fahy JV: Antenatal factors in the development of atopy and asthma. In: Johnson SL, Holgate ST, ed. London: Blackwell; pp.116–137; 2002
Jarvis D, Chinn S, Luczynska C, Burney P: Association of respiratory symptoms and lung function in young adults with use of domestic gas appliances. Lancet 1996; 347(8999):426–431
Peters JM, Avol E, Navidi W, London SJ, Gauderman WJ, Lurmann F, Linn WS, Margolis H, Rappaport E, Gong H, Thomas DC: A study of twelve Southern California communities with differing levels and types of air pollution. I. Prevalence of respiratory morbidity. Am J Respir Crit Care Med 1999; 159(3):760–767
Malo JL, Chan-Yeung M: Occupational asthma. J. Allergy Clin Immun 2001; 108(3):317–328
McDonnell WF, Abbey DE, Nishino N, Lebowitz MD: Long-term ambient ozone concentration and the incidence of asthma in nonsmoking adults: The AHSMOG Study. Environ Res 1999; 80(2, Pt 1):110–121
Lara M, Morgenstern H, Duan N, Brook RH: Elevated asthma morbidity in Puerto Rican children: A review of possible risk and prognostic factors. Western J Med 1999; 170(2):75–84
Ledogar RJ, Penchaszadeh A, Garden CCI, Acosta LG: Asthma and Latino cultures: Different prevalence reported among groups sharing the same environment. Am J Public Health 2000; 90(6):929–935
Johnson CC, Ownby DR, Zoratti EM, Alford SH, Williams LK, Joseph CL: Environmental epidemiology of pediatric asthma and allergy. Epidemiol Rev 2002; 24(2):154–175
Douwes J, Pearce N: Asthma and the westernization ‘package.’ Int J Epidemiol 2002; 31(6):1098–1102
Gern JE, Lemanske RF, Jr, Busse WW: Early life origins of asthma. J Clin Invest 1999; 104(7):837–843
Martinez FD: Maturation of immune responses at the beginning of asthma. J Allergy Clin Immunol 1999; 103(3, Pt 1):355–361
Martinez FD: Gene by environment interactions in the development of asthma. Clin Exp Allergy 1998; (28, Suppl 5):21–25
Spector SL, Surette ME: Diet and asthma: Has the role of dietary lipids been overlooked in the management of asthma? Ann Allergy Asthma Immunol 2003; 90(4):371–377