Gun Violence, African Ancestry, and Asthma: A Case-Control Study in Puerto Rican Children

Exposure to gun violence and African ancestry have been separately associated with increased risk of asthma in Puerto Rican children. The objective of this study was to examine whether African ancestry and gun violence interact on asthma and total IgE in school-aged Puerto Rican children. This is a...

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Veröffentlicht in:Chest 2016-06, Vol.149 (6), p.1436-1444
Hauptverfasser: Rosas-Salazar, Christian, Han, Yueh-Ying, Brehm, John M, Forno, Erick, Acosta-Pérez, Edna, Cloutier, Michelle M, Alvarez, María, Colón-Semidey, Angel, Canino, Glorisa, Celedón, Juan C
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container_end_page 1444
container_issue 6
container_start_page 1436
container_title Chest
container_volume 149
creator Rosas-Salazar, Christian
Han, Yueh-Ying
Brehm, John M
Forno, Erick
Acosta-Pérez, Edna
Cloutier, Michelle M
Alvarez, María
Colón-Semidey, Angel
Canino, Glorisa
Celedón, Juan C
description Exposure to gun violence and African ancestry have been separately associated with increased risk of asthma in Puerto Rican children. The objective of this study was to examine whether African ancestry and gun violence interact on asthma and total IgE in school-aged Puerto Rican children. This is a case-control study of 747 Puerto Rican children aged 9 to 14 years living in San Juan, Puerto Rico (n = 472), and Hartford, Connecticut (n = 275). Exposure to gun violence was defined as the child's report of hearing gunshots more than once, and the percentage of African ancestry was estimated using genome-wide genotypic data. Asthma was defined as parental report of physician-diagnosed asthma and wheeze in the previous year. Serum total IgE (IU/mL) was measured in study participants. Multivariate logistic and linear regressions were used for the analysis of asthma and total IgE, respectively. In multivariate analyses, there was a significant interaction between exposure to gun violence and African ancestry on asthma (P = .001) and serum total IgE (P = .04). Among children exposed to gun violence, each quartile increase in the percentage of African ancestry was associated with approximately 45% higher odds of asthma (95% CI, 1.15-1.84; P = .002) and an approximately 19% increment in total IgE (95% , 0.60-40.65, P = .04). In contrast, there was no significant association between African ancestry and asthma or total IgE in children not exposed to gun violence. Our results suggest that exposure to gun violence modifies the estimated effect of African ancestry on asthma and atopy in Puerto Rican children.
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The objective of this study was to examine whether African ancestry and gun violence interact on asthma and total IgE in school-aged Puerto Rican children. This is a case-control study of 747 Puerto Rican children aged 9 to 14 years living in San Juan, Puerto Rico (n = 472), and Hartford, Connecticut (n = 275). Exposure to gun violence was defined as the child's report of hearing gunshots more than once, and the percentage of African ancestry was estimated using genome-wide genotypic data. Asthma was defined as parental report of physician-diagnosed asthma and wheeze in the previous year. Serum total IgE (IU/mL) was measured in study participants. Multivariate logistic and linear regressions were used for the analysis of asthma and total IgE, respectively. In multivariate analyses, there was a significant interaction between exposure to gun violence and African ancestry on asthma (P = .001) and serum total IgE (P = .04). 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Among children exposed to gun violence, each quartile increase in the percentage of African ancestry was associated with approximately 45% higher odds of asthma (95% CI, 1.15-1.84; P = .002) and an approximately 19% increment in total IgE (95% , 0.60-40.65, P = .04). In contrast, there was no significant association between African ancestry and asthma or total IgE in children not exposed to gun violence. 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subjects Adolescent
Asthma - ethnology
Asthma - etiology
Asthma - immunology
Black or African American
Black People
Case-Control Studies
Child
Environmental Exposure - adverse effects
Environmental Exposure - prevention & control
Female
Firearms
Gene-Environment Interaction
Humans
Immunoglobulin E - analysis
Male
Original Research: Asthma
Puerto Rico - epidemiology
Socioeconomic Factors
Statistics as Topic
United States - epidemiology
Violence - ethnology
Violence - prevention & control
title Gun Violence, African Ancestry, and Asthma: A Case-Control Study in Puerto Rican Children
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