作者: Kelly Quinn , Jay S. Kaufman , Arjumand Siddiqi , Karin B. Yeatts
DOI: 10.1007/S11524-010-9465-1
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摘要: Asthma disproportionately affects non-whites in urban areas and those of low socioeconomic status, yet asthma's social patterning is not well-explained by known risk factors. We hypothesized that disadvantaged populations experience acute chronic housing stressors which produce psychological stress impact health through biological behavioral pathways. examined eight outcomes: six child respiratory outcomes as well parent general health, using data from 682 low-income, Chicago parents diagnosed undiagnosed asthmatic children. created a continuous exposure, representing material, emotional dimensions stressors, weighted their parent-reported difficulty. compared the 75th to 25th quartile exposure adjusted binomial negative regression models. Higher risks rates poor were associated with higher for outcomes. The difference (RD) poor/fair was larger children [RD = 6.28 (95% CI 1.22, 11.35)] than [RD = 3.88 −1.87, 9.63)]. incidence rate (IRD) exercise intolerance nearly one extra day per 2 weeks group [IRD = 0.88 0.41, 1.35)]; one-third waking at night [IRD = 0.32 0.01, 0.63)]; 6 months unplanned medical visits [IRD = 0.30 0.059, 0.54)]. Results contribute conceptualization “social pollutant” role disparities. Interventions improve asthma must address individuals' reactions while we seek structural solutions residential inequities.