Prevalence of Asthma in School Children on the Arizona-Sonora Border

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• 作者：Tara F. Carr ; MD^a ; ^{tcarr@deptofmed.arizona.edu} ; Paloma I. Beamer ; PhD^a ; ^b ; Janet Rothers ; PhD^c ; Debra A. Stern ; MS^a ; Lynn B. Gerald ; PhD^a ; ^b ; Cecilia B. Rosales ; MD ; MS^b ; Yoshira Ornelas Van Horne ; MS^b ; Oksana N. Pivniouk ; MS^d ; Donata Vercelli ; MD^a ; ^d ; Marilyn Halonen ; PhD^d ; Mercedes Gameros ; MD^b ; Fernando D. Martinez ; MD^a ; Anne L. Wright ; PhD^a
• 关键词：Asthma ; Bacterial Load ; Environment ; Mexican Americans ; Socioeconomic Factors ; Wheezing
• 刊名：The Journal of Allergy and Clinical Immunology: In Practice
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：5
• 期：1
• 页码：114-120.e2
• 全文大小：736 K
• 卷排序：5

文摘

Mexican-born children living in the United States have a lower prevalence of asthma than other US children. Although children of Mexican descent near the Arizona (AZ)-Sonora border are genetically similar, differences in environmental exposures might result in differences in asthma prevalence across this region.ObjectiveThe objective of this study was to determine if the prevalence of asthma and wheeze in these children varies across the AZ-Sonora border.MethodsThe International Study of Asthma and Allergy in Children written and video questionnaires were administered to 1753 adolescents from 5 middle schools: Tucson (school A), Nogales, AZ (schools B, C), and Nogales, Sonora, Mexico (schools D, E). The prevalence of asthma and symptoms was compared, with analyses in the AZ schools limited to self-identified Mexican American students.ResultsCompared with the Sonoran reference school E, the adjusted odds ratio (OR) for asthma was significantly higher in US schools A (OR 4.89, 95% confidence interval [CI] 2.72-8.80), B (OR 3.47, 95% CI 1.88-6.42), and C (OR 4.12, 95% CI 1.78-9.60). The adjusted OR for wheeze in the past year was significantly higher in schools A (OR 2.19, 95% CI 1.20-4.01) and B (OR 2.67, 95% CI 1.42-5.01) on the written questionnaire and significantly higher in A (OR 2.13, 95% CI 1.22-3.75), B (OR 1.95, 95% CI 1.07-3.53), and Sonoran school D (OR 2.34, 95% CI 1.28-4.30) on the video questionnaire compared with school E.ConclusionsAsthma and wheeze prevalence differed significantly between schools and was higher in the United States. Environmental factors that may account for these differences could provide insight into mechanisms of protection from asthma.