Different slopes for different folks: socioeconomic and racial/ethnic disparities in asthma and hay fever among 173,859 U.S. men and women.
Open Access
- 1 April 2002
- journal article
- Published by Environmental Health Perspectives in Environmental Health Perspectives
- Vol. 110 (suppl 2), 211-216
- https://doi.org/10.1289/ehp.02110s2211
Abstract
Although allergic diseases such as asthma and hay fever are a major cause of morbidity in industrialized countries, most studies have focused on patterns of prevalence among children and adolescents, with relatively few studies on variations in prevalence by race/ethnicity and socioeconomic position among adults. Our study examined racial/ethnic and socioeconomic patterns in the prevalence of asthma overall, asthma with hay fever, asthma without hay fever, and hay fever overall, in a population of 173,859 women and men in a large prepaid health plan in northern California. Using education as a measure of socioeconomic position, we found evidence of a positive gradient for asthma with hay fever with increasing level of education but an inverse gradient for asthma without hay fever. Hay fever was also strongly associated with education. Compared with their White counterparts, Black women and men were more likely to report asthma without hay fever, and Black women were less likely to have asthma with hay fever. Asian men were also more likely to report asthma with hay fever, and Asian women and men were much more likely to have hay fever. Racial/ethnic disparities in prevalence of allergic diseases were largely independent of education. We discuss implications for understanding these social inequalities in allergic disease risk in relation to possible differences in exposure to allergens and determinants of immunologic susceptibility and suggest directions for future research.Keywords
This publication has 36 references indexed in Scilit:
- Serious childhood respiratory infections and asthma in adult life. A population based studyAnnals of Allergy, Asthma & Immunology, 1999
- Changing prevalence of allergic rhinitis and asthmaAnnals of Allergy, Asthma & Immunology, 1999
- Is Infant Immunization a Risk Factor for Childhood Asthma or Allergy?Epidemiology, 1997
- Asthma and migrationRespirology, 1996
- Epidemiology of hay fever: towards a community diagnosisClinical and Experimental Allergy, 1995
- Prospective study of risk factors for early and persistent wheezing in childhoodEuropean Respiratory Journal, 1995
- Best Subsets Logistic RegressionPublished by JSTOR ,1989
- Hay fever, hygiene, and household size.BMJ, 1989
- Association of Asthma with Serum IgE Levels and Skin-Test Reactivity to AllergensNew England Journal of Medicine, 1989
- Educational and social characteristics of children with asthmaArchives of Disease in Childhood, 1973