| Autor: |
Chambliss SE; Department of Population Health.; Center for Health and Environment: Education and Research, and., Matsui EC; Department of Population Health.; Center for Health and Environment: Education and Research, and.; Department of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, Texas; and., Zárate RA; Department of Population Health., Zigler CM; Center for Health and Environment: Education and Research, and.; Department of Statistics and Data Sciences, The University of Texas at Austin, Austin, Texas. |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of respiratory and critical care medicine [Am J Respir Crit Care Med] 2024 Jul 15; Vol. 210 (2), pp. 178-185. |
| DOI: |
10.1164/rccm.202307-1185OC |
| Abstrakt: |
Rationale: The share of Black or Latinx residents in a census tract remains associated with asthma-related emergency department (ED) visit rates after controlling for socioeconomic factors. The extent to which evident disparities relate to the within-city heterogeneity of long-term air pollution exposure remains unclear. Objectives: To investigate the role of intraurban spatial variability of air pollution in asthma acute care use disparity. Methods: An administrative database was used to define census tract population-based incidence rates of asthma-related ED visits. We estimate the associations between census tract incidence rates and 1 ) average fine and coarse particulate matter, nitrogen dioxide (NO 2 ), and sulfur dioxide (SO 2 ), and 2 ) racial and ethnic composition using generalized linear models controlling for socioeconomic and housing covariates. We also examine for the attenuation of incidence risk ratios (IRRs) associated with race/ethnicity when controlling for air pollution exposure. Measurements and Main Results: Fine and coarse particulate matter and SO 2 are all associated with census tract-level incidence rates of asthma-related ED visits, and multipollutant models show evidence of independent risk associated with coarse particulate matter and SO 2 . The association between census tract incidence rate and Black resident share (IRR, 1.51 [credible interval (CI), 1.48-1.54]) is attenuated by 24% when accounting for air pollution (IRR, 1.39 [CI, 1.35-1.42]), and the association with Latinx resident share (IRR, 1.11 [CI, 1.09-1.13]) is attenuated by 32% (IRR, 1.08 [CI, 1.06-1.10]). Conclusions: Neighborhood-level rates of asthma acute care use are associated with local air pollution. Controlling for air pollution attenuates associations with census tract racial/ethnic composition, suggesting that intracity variability in air pollution could contribute to neighborhood-to-neighborhood asthma morbidity disparities. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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