Lessons for primary prevention of asthma: foreign-born children have less association of SES and pests with asthma diagnosis

J Immigr Minor Health. 2011 Jun;13(3):462-9. doi: 10.1007/s10903-010-9407-8.

Abstract

There are no proven interventions for primary prevention of asthma. As asthma prevalence varies globally, comparing asthma in native and foreign-born children might provide insights. We pooled data from five cross sectional asthma surveys (N = 962). Place of birth was associated with asthma (OR = 3.4, P < 0.001). In children not born in the US, lower socio-economic status had no significant effect on asthma (OR = 0.71, P = 0.53), while for children born in the US, the effect was significant (OR = 2.1, P = 0.001). The odds ratio for exposure to household pests was significant (OR = 1.6, P < 0.008) for children born in the US but was non-significant for children born outside the US (OR = 0.29, P = 0.11). Our findings are consistent with foreign-born children experiencing protective factors or US born children experiencing detrimental environmental exposures.

MeSH terms

  • Adolescent
  • Animals
  • Asthma / epidemiology
  • Asthma / parasitology
  • Asthma / prevention & control*
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Environmental Exposure / adverse effects
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Mice
  • Periplaneta*
  • Primary Prevention*
  • Rats
  • Social Class*
  • United States / epidemiology