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Proximity to major roadways and asthma symptoms in the School Inner-City Asthma Study
Traffic proximity has been associated with adverse respiratory health outcomes. Less is known about the combined impact of residential and school exposures on pediatric asthma. We sought to use spatial analysis methodology to analyze residential and school proximity to major roadways and pediatric a...
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| Published in: | Journal of allergy and clinical immunology 2020-01, Vol.145 (1), p.119-126.e4 |
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| Main Authors: | , , , , , , , |
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| container_end_page | 126.e4 |
| container_issue | 1 |
| container_start_page | 119 |
| container_title | Journal of allergy and clinical immunology |
| container_volume | 145 |
| creator | Hauptman, Marissa Gaffin, Jonathan M. Petty, Carter R. Sheehan, William J. Lai, Peggy S. Coull, Brent Gold, Diane R. Phipatanakul, Wanda |
| description | Traffic proximity has been associated with adverse respiratory health outcomes. Less is known about the combined impact of residential and school exposures on pediatric asthma.
We sought to use spatial analysis methodology to analyze residential and school proximity to major roadways and pediatric asthma morbidity.
The School Inner-City Asthma Study (n = 350) recruited school-aged children with asthma. Each participant's school and home addresses were geocoded, and distances from major roadways were measured to calculate a composite measure accounting for both home and school traffic exposure. Generalized estimating equation models were clustered by subject and adjusted for age, race/ethnicity, sex, income, environmental tobacco smoke, controller medication, upper respiratory tract infections, and seasonality.
The majority of participants (62%) attended schools within 100 m from major roadways, and 40% also resided within 100 m of major roadways. In multivariate analyses major roadway proximity was independently associated with increased asthma symptom days. At greater than the threshold of 100 m, children had 29% less odds of a symptom day over the past 2 weeks for each 100-m increase in distance from a major roadway (odds ratio, 0.71; 95% CI, 0.58-0.87; P |
| doi_str_mv | 10.1016/j.jaci.2019.08.038 |
| format | article |
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We sought to use spatial analysis methodology to analyze residential and school proximity to major roadways and pediatric asthma morbidity.
The School Inner-City Asthma Study (n = 350) recruited school-aged children with asthma. Each participant's school and home addresses were geocoded, and distances from major roadways were measured to calculate a composite measure accounting for both home and school traffic exposure. Generalized estimating equation models were clustered by subject and adjusted for age, race/ethnicity, sex, income, environmental tobacco smoke, controller medication, upper respiratory tract infections, and seasonality.
The majority of participants (62%) attended schools within 100 m from major roadways, and 40% also resided within 100 m of major roadways. In multivariate analyses major roadway proximity was independently associated with increased asthma symptom days. At greater than the threshold of 100 m, children had 29% less odds of a symptom day over the past 2 weeks for each 100-m increase in distance from a major roadway (odds ratio, 0.71; 95% CI, 0.58-0.87; P < .01). Children farther from a major roadway also had significantly less reported health care use (odds ratio, 0.63; 95% CI, 0.47-0.85; P < .01) and were significantly less likely to have poor asthma control (odds ratio, 0.80; 95% CI, 0.69-0.94; P < .01). There was not a meaningful association between distance to a major roadway and lung function outcomes.
Proximity to a major roadway, a composite measure of home and school exposure but primarily driven by home exposure, was associated with greater asthma morbidity. More studies are needed to evaluate the independent effect of school distance to a roadway on asthma morbidity.
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We sought to use spatial analysis methodology to analyze residential and school proximity to major roadways and pediatric asthma morbidity.
The School Inner-City Asthma Study (n = 350) recruited school-aged children with asthma. Each participant's school and home addresses were geocoded, and distances from major roadways were measured to calculate a composite measure accounting for both home and school traffic exposure. Generalized estimating equation models were clustered by subject and adjusted for age, race/ethnicity, sex, income, environmental tobacco smoke, controller medication, upper respiratory tract infections, and seasonality.
The majority of participants (62%) attended schools within 100 m from major roadways, and 40% also resided within 100 m of major roadways. In multivariate analyses major roadway proximity was independently associated with increased asthma symptom days. At greater than the threshold of 100 m, children had 29% less odds of a symptom day over the past 2 weeks for each 100-m increase in distance from a major roadway (odds ratio, 0.71; 95% CI, 0.58-0.87; P < .01). Children farther from a major roadway also had significantly less reported health care use (odds ratio, 0.63; 95% CI, 0.47-0.85; P < .01) and were significantly less likely to have poor asthma control (odds ratio, 0.80; 95% CI, 0.69-0.94; P < .01). There was not a meaningful association between distance to a major roadway and lung function outcomes.
Proximity to a major roadway, a composite measure of home and school exposure but primarily driven by home exposure, was associated with greater asthma morbidity. More studies are needed to evaluate the independent effect of school distance to a roadway on asthma morbidity.
[Display omitted]</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - etiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cities</subject><subject>environmental exposure</subject><subject>Environmental Exposure - adverse effects</subject><subject>environmental health disparities</subject><subject>Female</subject><subject>geographic information systems</subject><subject>Humans</subject><subject>Male</subject><subject>Prospective Studies</subject><subject>school</subject><subject>School Inner-City Asthma Study</subject><subject>Schools</subject><subject>spatial analysis</subject><subject>traffic proximity</subject><subject>Vehicle Emissions - toxicity</subject><issn>0091-6749</issn><issn>1097-6825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kN9KwzAUxoMoOqcv4IXkBVpP2qZtQIQx_AeCwvQ6pEnqUtZmJNm0b2_LdOiNV4dz8n3fyfkhdEEgJkDyqyZuhDRxAoTFUMaQlgdoQoAVUV4m9BBNABiJ8iJjJ-jU-waGPi3ZMTpJCaUFBZigtxdnP01rQo-Dxa1orMPOCvUheo9Fp7DwYdkK7Pt2HWzrselwWGq8kEtrV_ix67SL5qN9thMuwkb1Z-ioFiuvz7_rFL3d3b7OH6Kn5_vH-ewpkhmlISoITWRdpVDpUpAkS4vh41WpdcakqikhMiOkqDVIVUiWg6QqH2YVUwwSYJBO0c0ud72pWq2k7oITK752phWu51YY_velM0v-brc8ZxlL83wISHYB0lnvna73XgJ8hMwbPkLmI2QOJR8gD6bL31v3lh-qg-B6J9DD7VujHffS6E5qZZyWgStr_sv_AhB1j8A</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Hauptman, Marissa</creator><creator>Gaffin, Jonathan M.</creator><creator>Petty, Carter R.</creator><creator>Sheehan, William J.</creator><creator>Lai, Peggy S.</creator><creator>Coull, Brent</creator><creator>Gold, Diane R.</creator><creator>Phipatanakul, Wanda</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0028-8927</orcidid></search><sort><creationdate>20200101</creationdate><title>Proximity to major roadways and asthma symptoms in the School Inner-City Asthma Study</title><author>Hauptman, Marissa ; Gaffin, Jonathan M. ; Petty, Carter R. ; Sheehan, William J. ; Lai, Peggy S. ; Coull, Brent ; Gold, Diane R. ; Phipatanakul, Wanda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-7152cfb30be8a12437682b8ee49cdf511c4117fe0cd7c960c5d61c4b9d9020903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Asthma - etiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cities</topic><topic>environmental exposure</topic><topic>Environmental Exposure - adverse effects</topic><topic>environmental health disparities</topic><topic>Female</topic><topic>geographic information systems</topic><topic>Humans</topic><topic>Male</topic><topic>Prospective Studies</topic><topic>school</topic><topic>School Inner-City Asthma Study</topic><topic>Schools</topic><topic>spatial analysis</topic><topic>traffic proximity</topic><topic>Vehicle Emissions - toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hauptman, Marissa</creatorcontrib><creatorcontrib>Gaffin, Jonathan M.</creatorcontrib><creatorcontrib>Petty, Carter R.</creatorcontrib><creatorcontrib>Sheehan, William J.</creatorcontrib><creatorcontrib>Lai, Peggy S.</creatorcontrib><creatorcontrib>Coull, Brent</creatorcontrib><creatorcontrib>Gold, Diane R.</creatorcontrib><creatorcontrib>Phipatanakul, Wanda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of allergy and clinical immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hauptman, Marissa</au><au>Gaffin, Jonathan M.</au><au>Petty, Carter R.</au><au>Sheehan, William J.</au><au>Lai, Peggy S.</au><au>Coull, Brent</au><au>Gold, Diane R.</au><au>Phipatanakul, Wanda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proximity to major roadways and asthma symptoms in the School Inner-City Asthma Study</atitle><jtitle>Journal of allergy and clinical immunology</jtitle><addtitle>J Allergy Clin Immunol</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>145</volume><issue>1</issue><spage>119</spage><epage>126.e4</epage><pages>119-126.e4</pages><issn>0091-6749</issn><eissn>1097-6825</eissn><abstract>Traffic proximity has been associated with adverse respiratory health outcomes. Less is known about the combined impact of residential and school exposures on pediatric asthma.
We sought to use spatial analysis methodology to analyze residential and school proximity to major roadways and pediatric asthma morbidity.
The School Inner-City Asthma Study (n = 350) recruited school-aged children with asthma. Each participant's school and home addresses were geocoded, and distances from major roadways were measured to calculate a composite measure accounting for both home and school traffic exposure. Generalized estimating equation models were clustered by subject and adjusted for age, race/ethnicity, sex, income, environmental tobacco smoke, controller medication, upper respiratory tract infections, and seasonality.
The majority of participants (62%) attended schools within 100 m from major roadways, and 40% also resided within 100 m of major roadways. In multivariate analyses major roadway proximity was independently associated with increased asthma symptom days. At greater than the threshold of 100 m, children had 29% less odds of a symptom day over the past 2 weeks for each 100-m increase in distance from a major roadway (odds ratio, 0.71; 95% CI, 0.58-0.87; P < .01). Children farther from a major roadway also had significantly less reported health care use (odds ratio, 0.63; 95% CI, 0.47-0.85; P < .01) and were significantly less likely to have poor asthma control (odds ratio, 0.80; 95% CI, 0.69-0.94; P < .01). There was not a meaningful association between distance to a major roadway and lung function outcomes.
Proximity to a major roadway, a composite measure of home and school exposure but primarily driven by home exposure, was associated with greater asthma morbidity. More studies are needed to evaluate the independent effect of school distance to a roadway on asthma morbidity.
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| identifier | ISSN: 0091-6749 |
| ispartof | Journal of allergy and clinical immunology, 2020-01, Vol.145 (1), p.119-126.e4 |
| issn | 0091-6749 1097-6825 |
| language | eng |
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| source | ScienceDirect Journals |
| subjects | Adolescent Age Factors Asthma Asthma - epidemiology Asthma - etiology Child Child, Preschool Cities environmental exposure Environmental Exposure - adverse effects environmental health disparities Female geographic information systems Humans Male Prospective Studies school School Inner-City Asthma Study Schools spatial analysis traffic proximity Vehicle Emissions - toxicity |
| title | Proximity to major roadways and asthma symptoms in the School Inner-City Asthma Study |
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