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Biology, Social Environment, and Health: How Family History and Social Conditions Affect Adult Asthma

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  • Bridget K. Gorman
  • Rathi Asaithambi

Abstract

Objective. We examine how multiple measures of both biological (family history of asthma) and social risk factors (home environment quality, socioeconomic status, and demographic characteristics) influence asthma risk among U.S. adults. Method. Using logistic regression models, we analyze data from a sample of 6,337 adults from the 2003–2004 National Asthma Survey. Results. Prevalence rates of current asthma are four times higher among adults with a family history of asthma, and the odds of having asthma are influenced most strongly by having asthmatic parents or grandparents (and, to a lesser extent, asthmatic siblings). We also find that social factors, especially characteristics of the home environment, significantly increase the odds of suffering from asthma as an adult. Conclusion. Our results show that all measures of family history are strongly linked to adult asthma prevalence, even when social factors are controlled. Social factors are also important, but very little of this is as a mediating influence that links family history and adult asthma; rather, family and social conditions have mostly independent effects.

Suggested Citation

  • Bridget K. Gorman & Rathi Asaithambi, 2008. "Biology, Social Environment, and Health: How Family History and Social Conditions Affect Adult Asthma," Social Science Quarterly, Southwestern Social Science Association, vol. 89(3), pages 728-750, September.
    • Handle: RePEc:bla:socsci:v:89:y:2008:i:3:p:728-750
    DOI: 10.1111/j.1540-6237.2008.00557.x
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    1. Klinnert, M.D. & Price, M.R. & Liu, A.H. & Robinson, J.L., 2002. "Unraveling the ecology of risks for early childhood asthma among ethnically diverse families in the southwest," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 792-798.
    2. מחקר - ביטוח לאומי, 2006. "Summary for 2005," Working Papers 29, National Insurance Institute of Israel.
    3. Ledogar, R.J. & Penchaszadeh, A. & Garden, C.C.I. & Acosta, L.G., 2000. "Asthma and Latino cultures: Different prevalence reported among groups sharing the same environment," American Journal of Public Health, American Public Health Association, vol. 90(6), pages 929-935.
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    1. John Gibson & Riccardo Scarpa & Halahingano Rohorua, 2013. "Respiratory Health of Pacific Island Immigrants and Preferences for Indoor Air Quality Determinants in New Zealand," Working Papers in Economics 13/09, University of Waikato.
    2. Fletcher, Jason M. & Green, Jeremy C. & Neidell, Matthew J., 2010. "Long term effects of childhood asthma on adult health," Journal of Health Economics, Elsevier, vol. 29(3), pages 377-387, May.

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