Incidence rates of childhood asthma with recurrent exacerbations in the US Environmental influences on Child Health Outcomes (ECHO) program

被引:4
|
作者
Miller, Rachel L. [1 ]
Schuh, Holly [3 ]
Chandran, Aruna [3 ]
Aris, Izzuddin M. [4 ,5 ]
Bendixsen, Casper [10 ]
Blossom, Jeffrey [11 ]
Breton, Carrie [12 ]
Camargo Jr, Carlos A. [6 ,7 ]
Canino, Glorisa [13 ]
Carroll, Kecia N. [1 ]
Commodore, Sarah [14 ]
Cordero, Jose F. [15 ]
Dabelea, Dana M. [16 ]
Ferrara, Assiamira [18 ]
Fry, Rebecca C. [19 ]
Ganiban, Jody M. [20 ]
Gern, James E. [21 ]
Gilliland, Frank D. [12 ]
Gold, Diane R. [8 ,9 ]
Habre, Rima [12 ]
Hare, Marion E. [22 ]
Harte, Robyn N. [17 ]
Hartert, Tina [23 ]
Hasegawa, Kohei [7 ]
Hershey, Gurjit K. Khurana [24 ,25 ]
Jackson, Daniel J.
Joseph, Christine [26 ]
Kerver, Jean M. [27 ]
Kim, Haejin [26 ]
Litonjua, Augusto A. [28 ]
Marsit, Carmen J. [30 ]
McEvoy, Cindy [31 ]
Mendonca, Eneida A. [24 ,25 ]
Moore, Paul E.
Nkoy, Flory L. [32 ]
O'Connor, Thomas G. [29 ]
Oken, Emily [4 ,5 ]
Ownby, Dennis [26 ]
Perzanowski, Matthew [2 ]
Rivera-Spoljaric, Katherine [33 ]
Ryan, Patrick H. [24 ,25 ]
Singh, Anne Marie
Stanford, Joseph B. [32 ]
Wright, Rosalind J. [1 ]
Wright, Robert O. [1 ]
Zanobetti, Antonella [9 ]
Zoratti, Edward [26 ]
Johnson, Christine C. [26 ]
机构
[1] Icahn Sch Med Mt Sinai, New York, NY USA
[2] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA
[3] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
[4] Harvard Med Sch, Dept Populat Med, Boston, MA USA
[5] Harvard Pilgrim Hlth Care Inc, Boston, MA USA
[6] Harvard Med Sch, Dept Epidemiol, Boston, MA USA
[7] Harvard Med Sch, Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA USA
[8] Harvard Med Sch, Brigham & Womens Hosp, Boston, MA USA
[9] Harvard TH Chan Sch Publ Hlth, Dept Environm Hlth, Boston, MA USA
[10] Marshfield Clin Res Inst, Marshfield, WI USA
[11] Harvard Univ, Ctr Geog Anal, Cambridge, MA USA
[12] Univ Southern Calif, Keck Sch Med, Los Angeles, CA USA
[13] Univ Puerto Rico, Behav Sci Res Inst, San Juan, PR USA
[14] Med Univ South Carolina, Charleston, SC USA
[15] Univ Georgia, Coll Publ Hlth, Athens, GA USA
[16] Univ Colorado Anschutz Med Campus, Aurora, CO USA
[17] Colorado Sch Publ Hlth, Aurora, CO USA
[18] Kaiser Permanente Northern Calif, Div Res, Oakland, CA USA
[19] Univ North Carolina Chapel Hill, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA
[20] George Washington Univ, Washington, DC USA
[21] Univ Wisconsin, Sch Med & Publ Heath, Madison, WI USA
[22] Univ Tennessee, Hlth Sci Ctr, Memphis, TN USA
[23] Vanderbilt Univ, Sch Med, Nashville, TN USA
[24] Univ Cincinnati, Cincinnati, OH USA
[25] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH USA
[26] Henry Ford Hlth, Detroit, MI USA
[27] Michigan State Univ, Coll Human Med, Dept Epidemiol & Biostat, E Lansing, MI USA
[28] Golisano Childrens Hosp, Dept Pediat, Div Pediat Pulm Med, Rochester, NY USA
[29] Univ Rochester, Med Ctr, Sch Med & Dent, Rochester, NY USA
[30] Emory Univ, Rollins Sch Publ Hlth, Atlanta, GA USA
[31] Oregon Hlth & Sci Univ, Portland, OR USA
[32] Univ Utah Hlth, Salt Lake City, UT USA
[33] Washington Univ, St Louis Childrens Hosp, St Louis, MO USA
基金
美国国家卫生研究院;
关键词
Asthma; recurrent exacerbations; incidence rates; environmental and social determinants of asthma; UNITED-STATES; RISK-FACTORS; PHENOTYPES; AGE;
D O I
10.1016/j.jaci.2023.03.016
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Background: Descriptive epidemiological data on incidence rates (IRs) of asthma with recurrent exacerbations (ARE) are sparse. Objectives: This study hypothesized that IRs for ARE would vary by time, geography, age, and race and ethnicity, irrespective of parental asthma history. Methods: The investigators leveraged data from 17,246 children born after 1990 enrolled in 59 US with 1 Puerto Rican cohort in the Environmental Influences on Child Health Outcomes (ECHO) consortium to estimate IRs for ARE. Results: The overall crude IR for ARE was 6.07 per 1000 person-years (95% CI: 5.63-6.51) and was highest for children aged 2-4 years, for Hispanic Black and non-Hispanic Black children, and for those with a parental history of asthma. ARE IRs were higher for 2-to 4-year-olds in each race and ethnicity category and for both sexes. Multivariable analysis confirmed higher adjusted ARE IRs (aIRRs) for children born 2000-2009 compared with those born 1990-1999 and 2010-2017, 2-4 versus 10-19 years old (aIRR = 15.36; 95% CI: 12.09-19.52), and for males versus females (aIRR = 1.34; 95% CI 1.16-1.55). Black children (non-Hispanic and Hispanic) had higher rates than non-Hispanic White children (aIRR = 2.51; 95% CI 2.10-2.99; and aIRR = 2.04; 95% CI: 1.22-3.39, respectively). Children born in the Midwest, Northeast and South had higher rates than those born in the West (P < .01 for each comparison). Children with a parental history of asthma had rates nearly 3 times higher than those without such history (aIRR = 2.90; 95% CI: 2.43-3.46). Conclusions: Factors associated with time, geography, age, race and ethnicity, sex, and parental history appear to influence the inception of ARE among children and adolescents. (J Allergy Clin Immunol 2023;152:84-93.)
引用
收藏
页码:84 / 93
页数:10
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