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Socioeconomic and Sociodemographic Factors Associated with Asthma Related Outcomes in Early Childhood: The Generation R Study

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  • Esther Hafkamp-de Groen
  • Agnes M M Sonnenschein-van der Voort
  • Johan P Mackenbach
  • Liesbeth Duijts
  • Vincent W V Jaddoe
  • Henriëtte A Moll
  • Albert Hofman
  • Johan C de Jongste
  • Hein Raat

Abstract

Rationale: Few studies have analyzed the association of socioeconomic and sociodemographic factors with asthma related outcomes in early childhood, including Fraction of exhaled Nitric Oxide (FeNO) and airway resistance (Rint). We examined the association of socioeconomic and sociodemographic factors with wheezing, asthma, FeNO and Rint at age 6 years. Additionally, the role of potential mediating factors was studied. Methods: The study included 6717 children participating in The Generation R Study, a prospective population-based cohort study. Data on socioeconomic and sociodemographic factors, wheezing and asthma were obtained by questionnaires. FeNO and Rint were measured at the research center. Statistical analyses were performed using logistic and linear regression models. Results: At age 6 years, 9% (456/5084) of the children had wheezing symptoms and 7% (328/4953) had asthma. Children from parents with financial difficulties had an increased risk of wheezing (adjusted Odds Ratio (aOR) = 1.63, 95% Confidence Interval (CI):1.18–2.24). Parental low education, paternal unemployment and child's male sex were associated with asthma, independent of other socioeconomic or sociodemographic factors (aOR = 1.63, 95% CI:1.24–2.15, aOR = 1.85, 95% CI:1.11–3.09, aOR = 1.58, 95% CI:1.24–2.01, respectively). No socioeconomic or gender differences in FeNO were found. The risks of wheezing, asthma, FeNO and Rint measurements differed between ethnic groups (p

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  • Esther Hafkamp-de Groen & Agnes M M Sonnenschein-van der Voort & Johan P Mackenbach & Liesbeth Duijts & Vincent W V Jaddoe & Henriëtte A Moll & Albert Hofman & Johan C de Jongste & Hein Raat, 2013. "Socioeconomic and Sociodemographic Factors Associated with Asthma Related Outcomes in Early Childhood: The Generation R Study," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-9, November.
    • Handle: RePEc:plo:pone00:0078266
    DOI: 10.1371/journal.pone.0078266
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    1. Patrick, D.L. & Cheadle, A. & Thompson, D.C. & Diehr, P. & Koepsell, T. & Kinne, S., 1994. "The validity of self-reported smoking: A review and meta-analysis," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1086-1093.
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