Differential asthma odds following respiratory infection in children from three minority populations

Severe early-life respiratory illnesses, particularly those caused by respiratory syncytial virus (RSV) and human rhinovirus (HRV), are strongly associated with the development of asthma in children. Puerto Rican children in particular have a strikingly high asthma burden. However, prior studies of...

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Veröffentlicht in:PloS one 2020-05, Vol.15 (5), p.e0231782-e0231782
Hauptverfasser: Wohlford, Eric M, Borrell, Luisa N, Elhawary, Jennifer R, Plotkin, Brian, Oh, Sam S, Nuckton, Thomas J, Eng, Celeste, Salazar, Sandra, LeNoir, Michael A, Meade, Kelley, Farber, Harold J, Serebrisky, Denise, Brigino-Buenaventura, Emerita, Rodriguez-Cintron, William, Kumar, Rajesh, Thyne, Shannon, Seibold, Max A, Rodríguez-Santana, José R, Burchard, Esteban G
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container_end_page e0231782
container_issue 5
container_start_page e0231782
container_title PloS one
container_volume 15
creator Wohlford, Eric M
Borrell, Luisa N
Elhawary, Jennifer R
Plotkin, Brian
Oh, Sam S
Nuckton, Thomas J
Eng, Celeste
Salazar, Sandra
LeNoir, Michael A
Meade, Kelley
Farber, Harold J
Serebrisky, Denise
Brigino-Buenaventura, Emerita
Rodriguez-Cintron, William
Kumar, Rajesh
Thyne, Shannon
Seibold, Max A
Rodríguez-Santana, José R
Burchard, Esteban G
description Severe early-life respiratory illnesses, particularly those caused by respiratory syncytial virus (RSV) and human rhinovirus (HRV), are strongly associated with the development of asthma in children. Puerto Rican children in particular have a strikingly high asthma burden. However, prior studies of the potential associations between early-life respiratory illnesses and asthma in Puerto Rican and other minority populations have been limited. We sought to determine whether early-life respiratory illness was associated with asthma in Puerto Rican, Mexican American, and African American children. Using a logistic regression analysis, we examined the association between early-life respiratory illnesses (report of upper respiratory infection (URI), pneumonia, bronchitis, and bronchiolitis/RSV) within the first two years of life and physician-diagnosed asthma after the age of two in a large cohort of Puerto Rican, Mexican American, and African American children. While early-life respiratory illnesses were associated with greater asthma odds in Puerto Ricans, Mexican Americans, and African Americans, these associations were stronger among Puerto Rican children. Specifically, in Puerto Ricans, the odds was 6.15 (95% CI: 4.21-9.05) if the child reported at least one of the following respiratory illness: URI, pneumonia, bronchitis or bronchiolitis. The odds were also higher in Puerto Ricans when considering these conditions separately. We observed population-specific associations between early-life respiratory illnesses and asthma, which were especially significant and stronger in Puerto Ricans. Taken together with the known high burden of RSV in Puerto Rico, our results may help explain the high burden of asthma in Puerto Ricans.
doi_str_mv 10.1371/journal.pone.0231782
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Puerto Rican children in particular have a strikingly high asthma burden. However, prior studies of the potential associations between early-life respiratory illnesses and asthma in Puerto Rican and other minority populations have been limited. We sought to determine whether early-life respiratory illness was associated with asthma in Puerto Rican, Mexican American, and African American children. Using a logistic regression analysis, we examined the association between early-life respiratory illnesses (report of upper respiratory infection (URI), pneumonia, bronchitis, and bronchiolitis/RSV) within the first two years of life and physician-diagnosed asthma after the age of two in a large cohort of Puerto Rican, Mexican American, and African American children. While early-life respiratory illnesses were associated with greater asthma odds in Puerto Ricans, Mexican Americans, and African Americans, these associations were stronger among Puerto Rican children. Specifically, in Puerto Ricans, the odds was 6.15 (95% CI: 4.21-9.05) if the child reported at least one of the following respiratory illness: URI, pneumonia, bronchitis or bronchiolitis. The odds were also higher in Puerto Ricans when considering these conditions separately. We observed population-specific associations between early-life respiratory illnesses and asthma, which were especially significant and stronger in Puerto Ricans. 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asthma odds following respiratory infection in children from three minority populations</title><author>Wohlford, Eric M ; Borrell, Luisa N ; Elhawary, Jennifer R ; Plotkin, Brian ; Oh, Sam S ; Nuckton, Thomas J ; Eng, Celeste ; Salazar, Sandra ; LeNoir, Michael A ; Meade, Kelley ; Farber, Harold J ; Serebrisky, Denise ; Brigino-Buenaventura, Emerita ; Rodriguez-Cintron, William ; Kumar, Rajesh ; Thyne, Shannon ; Seibold, Max A ; Rodríguez-Santana, José R ; Burchard, Esteban G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-fb48a25fac0396f4b0ecd9141da9841d40b3f02e32f08a954e078f58311741f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>African American children</topic><topic>African Americans</topic><topic>Age</topic><topic>Analysis</topic><topic>Asthma</topic><topic>Biology and life 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Kelley</au><au>Farber, Harold J</au><au>Serebrisky, Denise</au><au>Brigino-Buenaventura, Emerita</au><au>Rodriguez-Cintron, William</au><au>Kumar, Rajesh</au><au>Thyne, Shannon</au><au>Seibold, Max A</au><au>Rodríguez-Santana, José R</au><au>Burchard, Esteban G</au><au>Othumpangat, Sreekumar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential asthma odds following respiratory infection in children from three minority populations</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-05-05</date><risdate>2020</risdate><volume>15</volume><issue>5</issue><spage>e0231782</spage><epage>e0231782</epage><pages>e0231782-e0231782</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Severe early-life respiratory illnesses, particularly those caused by respiratory syncytial virus (RSV) and human rhinovirus (HRV), are strongly associated with the development of asthma in children. Puerto Rican children in particular have a strikingly high asthma burden. However, prior studies of the potential associations between early-life respiratory illnesses and asthma in Puerto Rican and other minority populations have been limited. We sought to determine whether early-life respiratory illness was associated with asthma in Puerto Rican, Mexican American, and African American children. Using a logistic regression analysis, we examined the association between early-life respiratory illnesses (report of upper respiratory infection (URI), pneumonia, bronchitis, and bronchiolitis/RSV) within the first two years of life and physician-diagnosed asthma after the age of two in a large cohort of Puerto Rican, Mexican American, and African American children. While early-life respiratory illnesses were associated with greater asthma odds in Puerto Ricans, Mexican Americans, and African Americans, these associations were stronger among Puerto Rican children. Specifically, in Puerto Ricans, the odds was 6.15 (95% CI: 4.21-9.05) if the child reported at least one of the following respiratory illness: URI, pneumonia, bronchitis or bronchiolitis. The odds were also higher in Puerto Ricans when considering these conditions separately. We observed population-specific associations between early-life respiratory illnesses and asthma, which were especially significant and stronger in Puerto Ricans. Taken together with the known high burden of RSV in Puerto Rico, our results may help explain the high burden of asthma in Puerto Ricans.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32369487</pmid><doi>10.1371/journal.pone.0231782</doi><tpages>e0231782</tpages><orcidid>https://orcid.org/0000-0001-7324-2332</orcidid><orcidid>https://orcid.org/0000-0002-2815-6037</orcidid><orcidid>https://orcid.org/0000-0003-0521-6460</orcidid><orcidid>https://orcid.org/0000-0001-7475-2035</orcidid><orcidid>https://orcid.org/0000-0002-0560-4853</orcidid><orcidid>https://orcid.org/0000-0001-5225-4713</orcidid><orcidid>https://orcid.org/0000-0002-8685-4263</orcidid><orcidid>https://orcid.org/0000-0002-9066-7444</orcidid><orcidid>https://orcid.org/0000-0002-0116-6112</orcidid><orcidid>https://orcid.org/0000-0003-3326-1680</orcidid><orcidid>https://orcid.org/0000-0002-2792-7012</orcidid><oa>free_for_read</oa></addata></record>
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1932-6203
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source DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry
subjects African American children
African Americans
Age
Analysis
Asthma
Biology and life sciences
Bronchiolitis
Bronchitis
Bronchopneumonia
Childhood asthma
Children
Chronic illnesses
Diseases
Epidemiology
Hispanic Americans
Hospitals
Illnesses
Infection
Infections
Lung diseases
Medicine
Medicine and Health Sciences
Mexican Americans
Minority & ethnic groups
Pediatrics
People and places
Physicians
Pneumonia
Populations
Regression analysis
Respiratory diseases
Respiratory syncytial virus
Respiratory tract diseases
Respiratory tract infection
Rhinovirus
Studies
Viruses
title Differential asthma odds following respiratory infection in children from three minority populations
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