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Adverse Childhood Experiences and Association With Pediatric Asthma Severity in the 2016–2017 National Survey of Children's Health
- Source :
- Academic pediatrics, vol 21, iss 6, Acad Pediatr
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Objectives Prior studies have found that adverse childhood experiences (ACEs) are associated with asthma prevalence and onset, presumably related to stress and increased inflammation. We hypothesized that ACEs may be associated with asthma severity as well. We studied the 2016–2017 US National Survey of Children's Health dataset to explore the relationship between ACEs and pediatric asthma severity. Methods We analyzed children ages 0 to 17 years old who had current caregiver-reported asthma diagnosed by a healthcare provider. We reported descriptive characteristics using chi-square analysis of variance (ANOVA) and used multivariable regression analysis to assess the relationship of cumulative and individual ACEs with asthma severity. Survey sampling weights and SAS survey procedures were implemented to produce nationally representative results. Results Our analysis included 3691 children, representing a population of 5,465,926. Unadjusted analysis demonstrated that ACEs – particularly household economic hardship, parent/guardian served time in jail, witnessed household violence, or victim/witness of neighborhood violence – were each associated with higher odds of moderate/severe caregiver-reported asthma. After controlling for confounders possibly associated with both exposure (ACEs) and outcome (asthma severity), children who witnessed parent/adult violence had higher adjusted odds of caregiver-reported moderate/severe asthma. (1.67, confidence interval 1.05–2.64, P = .03) Conclusions Intrafamilial witnessed household violence is significantly associated with caregiver-reported moderate/severe asthma.
- Subjects :
- Adult
Adolescent
pediatrics
Population
Survey sampling
Article
Odds
Paediatrics and Reproductive Medicine
03 medical and health sciences
0302 clinical medicine
Adverse Childhood Experiences
2.3 Psychological
030225 pediatrics
Humans
Medicine
030212 general & internal medicine
Aetiology
Child
Preschool
education
Association (psychology)
Poverty
Lung
Asthma
Pediatric
Violence Research
Peace
education.field_of_study
business.industry
Confounding
Infant, Newborn
Child Health
Infant
asthma
Newborn
medicine.disease
Justice and Strong Institutions
Confidence interval
Cross-Sectional Studies
Child, Preschool
Pediatrics, Perinatology and Child Health
Respiratory
Analysis of variance
social and economic factors
business
Demography
Subjects
Details
- ISSN :
- 18762859
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Academic Pediatrics
- Accession number :
- edsair.doi.dedup.....a4e9537c9261a286d974b773946a69ab