Lower respiratory illness in infants and low socioeconomic status

Infants from families of low socioeconomic status are said to suffer higher rates of lower respiratory illness, but this assertion has not been carefully examined. We studied the frequency and determinants of lower respiratory illness in infants of different socioeconomic status (n = 393) by analyzi...

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Veröffentlicht in:American journal of public health (1971) 1992-08, Vol.82 (8), p.1119-1126
Hauptverfasser: Margolis, P A, Greenberg, R A, Keyes, L L, LaVange, L M, Chapman, R S, Denny, F W, Bauman, K E, Boat, B W
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container_end_page 1126
container_issue 8
container_start_page 1119
container_title American journal of public health (1971)
container_volume 82
creator Margolis, P A
Greenberg, R A
Keyes, L L
LaVange, L M
Chapman, R S
Denny, F W
Bauman, K E
Boat, B W
description Infants from families of low socioeconomic status are said to suffer higher rates of lower respiratory illness, but this assertion has not been carefully examined. We studied the frequency and determinants of lower respiratory illness in infants of different socioeconomic status (n = 393) by analyzing data from a community-based cohort study of respiratory illness during the first year of life in central North Carolina. The incidence of lower respiratory illness was 1.41 in the low socioeconomic group, 1.26 in the middle group, and 0.67 in the high group. The prevalence of persistent respiratory symptoms was 39% in infants in the low socioeconomic group, 24% in infants in the middle group, and 14% in infants in the high group. The odds of persistent respiratory symptoms in infants of low and middle socioeconomic status were reduced after controlling for environmental risk factors for lower respiratory illness. Enrollment in day care was associated with an increased risk of persistent symptoms among infants of high but not low socioeconomic status. Infants of low socioeconomic status are at increased risk of persistent respiratory symptoms. This risk can be partly attributed to environmental exposures, most of which could be changed.
doi_str_mv 10.2105/AJPH.82.8.1119
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We studied the frequency and determinants of lower respiratory illness in infants of different socioeconomic status (n = 393) by analyzing data from a community-based cohort study of respiratory illness during the first year of life in central North Carolina. The incidence of lower respiratory illness was 1.41 in the low socioeconomic group, 1.26 in the middle group, and 0.67 in the high group. The prevalence of persistent respiratory symptoms was 39% in infants in the low socioeconomic group, 24% in infants in the middle group, and 14% in infants in the high group. The odds of persistent respiratory symptoms in infants of low and middle socioeconomic status were reduced after controlling for environmental risk factors for lower respiratory illness. Enrollment in day care was associated with an increased risk of persistent symptoms among infants of high but not low socioeconomic status. Infants of low socioeconomic status are at increased risk of persistent respiratory symptoms. This risk can be partly attributed to environmental exposures, most of which could be changed.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>1636832</pmid><doi>10.2105/AJPH.82.8.1119</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; PAIS Index; Periodicals Index Online; EBSCOhost Business Source Complete; EBSCOhost Education Source; PubMed Central; Alma/SFX Local Collection
subjects Acute Disease
Babies
Biological and medical sciences
Child Day Care Centers
Chronic Disease
Cohort analysis
Cohort Studies
Female
Humans
Incidence
Infant
Infant, Newborn
Logistic Models
Low income groups
Male
Medical disorders
Medical sciences
North Carolina - epidemiology
Pneumology
Poverty
Prevalence
Public health
Respiratory diseases
Respiratory Sounds
Respiratory system
Respiratory system : syndromes and miscellaneous diseases
Respiratory Tract Diseases - epidemiology
Risk Factors
Social Class
Socioeconomic factors
title Lower respiratory illness in infants and low socioeconomic status
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