IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v60y2005i11p2453-2464.html
   My bibliography  Save this article

The influence of neighborhood environment on the incidence of childhood asthma: a multilevel approach

Author

Listed:
  • Juhn, Young J.
  • Sauver, Jennifer St.
  • Katusic, Slavica
  • Vargas, Delfino
  • Weaver, Amy
  • Yunginger, John

Abstract

Some ecological analyses suggest an influence of neighborhood environment on asthma outcomes. However, no previous study has applied a multilevel approach to assess an ecological effect of neighborhood environment on the incidence of childhood asthma accounting for individual risk factors. This study assessed the influence of neighborhood and individual-level factors on the incidence of childhood asthma among all children born in Rochester, Minnesota, between 1976 and 1979. We identified asthmatics among all children born in Rochester, between 1976 and 1983. We applied a multilevel survival model with the frailty term to assess the effects of neighborhood characteristics, such as mean family income per census tract (n=16) from the 1980 census report and the status of whether a census tract faces intersections with major highways or railroads, on asthma incidence. The relative risks (RR) of neighborhood socioeconomic status (SES), the status of whether census tracts face intersections with highways or railroads and the variance of random effect of census tracts were calculated adjusting individual-level covariates for asthma, including gender, birth weight, mother's age at birth and parental educational level at birth. We found that the RR of developing asthma among children living in census tracts facing intersections with highways or railroads was 1.6 (95% CI: 1.1-2.2) compared to those who lived in census tracts not facing intersections, adjusting individual- and neighborhood-level covariates. The variance of the frailty term attributable to census tracts was small (0.0085) and was modified (from 0.004 to 0.0085, 112% change) by adding neighborhood covariates. The overall effects of individual-level factors on asthma incidence were independent of neighborhood environment. The influence of neighborhood environment on childhood asthma in a non-inner-city setting, like Rochester, Minnesota, was small to modest. Incorporating pertinent neighborhood-level covariates into multilevel models needs to be considered in assessing the random effect of clusters.

Suggested Citation

  • Juhn, Young J. & Sauver, Jennifer St. & Katusic, Slavica & Vargas, Delfino & Weaver, Amy & Yunginger, John, 2005. "The influence of neighborhood environment on the incidence of childhood asthma: a multilevel approach," Social Science & Medicine, Elsevier, vol. 60(11), pages 2453-2464, June.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:11:p:2453-2464
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(04)00592-1
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Carter-Pokras, O.D. & Gergen, P.J., 1993. "Reported asthma among Puerto Rican, Mexican-American, and Cuban children, 1982 through 1984," American Journal of Public Health, American Public Health Association, vol. 83(4), pages 580-582.
    2. O'Campo, P. & Xue, X. & Wang, M.-C. & Brien Caughy, M.O., 1997. "Neighborhood risk factors for low birthweight in Baltimore: A multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1113-1118.
    3. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
    4. Wissow, L.S. & Gittelsohn, A.M. & Szklo, M. & Starfield, B. & Mussman, M., 1988. "Poverty, race, and hospitalization for childhood asthma," American Journal of Public Health, American Public Health Association, vol. 78(7), pages 777-782.
    5. Greenland, S., 1989. "Modeling and variable selection in epidemiologic analysis," American Journal of Public Health, American Public Health Association, vol. 79(3), pages 340-349.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Shankardass, Ketan & McConnell, Rob S. & Milam, Joel & Berhane, Kiros & Tatalovich, Zaria & Wilson, John P. & Jerrett, Michael, 2007. "The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children," Social Science & Medicine, Elsevier, vol. 65(8), pages 1792-1806, October.
    2. Timothy W. Collins & Young-an Kim & Sara E. Grineski & Stephanie Clark-Reyna, 2014. "Can Economic Deprivation Protect Health? Paradoxical Multilevel Effects of Poverty on Hispanic Children’s Wheezing," IJERPH, MDPI, vol. 11(8), pages 1-18, August.
    3. Sabel, C.E. & Kihal, W. & Bard, D. & Weber, C., 2013. "Creation of synthetic homogeneous neighbourhoods using zone design algorithms to explore relationships between asthma and deprivation in Strasbourg, France," Social Science & Medicine, Elsevier, vol. 91(C), pages 110-121.
    4. Havard, Sabrina & Deguen, Séverine & Bodin, Julie & Louis, Karine & Laurent, Olivier & Bard, Denis, 2008. "A small-area index of socioeconomic deprivation to capture health inequalities in France," Social Science & Medicine, Elsevier, vol. 67(12), pages 2007-2016, December.
    5. Marlene Camacho-Rivera & Ichiro Kawachi & Gary G Bennett & S V Subramanian, 2014. "Perceptions of Neighborhood Safety and Asthma among Children and Adolescents in Los Angeles: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-7, January.
    6. Abolfazl Mollalo & Moosa Tatar, 2021. "Spatial Modeling of COVID-19 Vaccine Hesitancy in the United States," IJERPH, MDPI, vol. 18(18), pages 1-14, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Auger, Nathalie & Park, Alison L. & Gamache, Philippe & Pampalon, Robert & Daniel, Mark, 2012. "Weighing the contributions of material and social area deprivation to preterm birth," Social Science & Medicine, Elsevier, vol. 75(6), pages 1032-1037.
    2. Cerdá, Magdalena & Buka, Stephen L. & Rich-Edwards, Janet W., 2008. "Neighborhood influences on the association between maternal age and birthweight: A multilevel investigation of age-related disparities in health," Social Science & Medicine, Elsevier, vol. 66(9), pages 2048-2060, May.
    3. Shortt, S. E. D., 2004. "Making sense of social capital, health and policy," Health Policy, Elsevier, vol. 70(1), pages 11-22, October.
    4. Nazeem Muhajarine & Ronald Labonte & Allison Williams & James Randall, 2008. "Person, Perception, and Place: What Matters to Health and Quality of Life," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 85(1), pages 53-80, January.
    5. Anderson, Cameron & Hildreth , John Angus D., 2016. "Striving for superiority: The human desire for status," Institute for Research on Labor and Employment, Working Paper Series qt5pn0f0jm, Institute of Industrial Relations, UC Berkeley.
    6. Tomoki Fujii, 2013. "Geographic decomposition of inequality in health and wealth: evidence from Cambodia," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 11(3), pages 373-392, September.
    7. Johnston, David W. & Lordan, Grace, 2012. "Discrimination makes me sick! An examination of the discrimination–health relationship," Journal of Health Economics, Elsevier, vol. 31(1), pages 99-111.
    8. Yamamura, Eiji, 2011. "Different effects of social capital on health status among residents: Evidence from modern Japan," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 40(5), pages 475-479.
    9. Stefano Bartolini & Francesco Sarracino, 2021. "Happier and Sustainable. Possibilities for a post-growth society," Department of Economics University of Siena 855, Department of Economics, University of Siena.
    10. Michael Marmot, 2001. "Income inequality, social environment, and inequalities in health," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 20(1), pages 156-159.
    11. Jonathan K Burns & Andrew Tomita & Amy S Kapadia, 2014. "Income inequality and schizophrenia: Increased schizophrenia incidence in countries with high levels of income inequality," International Journal of Social Psychiatry, , vol. 60(2), pages 185-196, March.
    12. Tse-Chuan Yang & Stephen A Matthews, 2015. "Death by Segregation: Does the Dimension of Racial Segregation Matter?," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-26, September.
    13. Byoung-Jin Jeon & Kang-Hyun Park, 2022. "The Impact of Social Network Characteristics on Health among Community-Dwelling Older Adults in Korea: Application of Social Network Analysis," IJERPH, MDPI, vol. 19(7), pages 1-9, March.
    14. Khan, Aamir & Walmsley, Terrie & Mukhopadhyay, Kakali, 2019. "Trade Liberalization and Income Inequality: The Case for Pakistan," Conference papers 333125, Purdue University, Center for Global Trade Analysis, Global Trade Analysis Project.
    15. Islam, M. Kamrul & Gerdtham, Ulf-G. & Gullberg, Bo & Lindström, Martin & Merlo, Juan, 2008. "Social capital externalities and mortality in Sweden," Economics & Human Biology, Elsevier, vol. 6(1), pages 19-42, March.
    16. Georg Kanitsar, 2022. "The Inequality-Trust Nexus Revisited: At What Level of Aggregation Does Income Inequality Matter for Social Trust?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(1), pages 171-195, August.
    17. Sirven, Nicolas, 2006. "Endogenous social capital and self-rated health: Cross-sectional data from rural areas of Madagascar," Social Science & Medicine, Elsevier, vol. 63(6), pages 1489-1502, September.
    18. Eiji Yamamura & Yoshiro Tsutsui & Chisako Yamane & Shoko Yamane & Nattavudh Powdthavee, 2015. "Trust and Happiness: Comparative Study Before and After the Great East Japan Earthquake," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 123(3), pages 919-935, September.
    19. Vincent Hildebrand & Philippe Kerm, 2009. "Income inequality and self-rated health status: Evidence from the european community household panel," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 805-825, November.
    20. Fabrice Murtin & Federica Marzo, 2007. "HIV/AIDS and Poverty in South Africa: a Bayesian Estimation," Cahiers de recherche 07-08, Departement d'économique de l'École de gestion à l'Université de Sherbrooke.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:60:y:2005:i:11:p:2453-2464. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.