Asthma in Black African, Black Caribbean and South Asian adolescents in the MRC DASH study: a cross sectional analysis

BMC Pediatrics

Research Article

Seeromanie Harding¹  Melissa J Whitrow¹ 

[1] Social and Public Health Sciences Unit, Medical Research Council, Glasgow, UK;

关键词: Asthma;    Ethnic Minority Group;    Asthma Prevalence;    Atopic Asthma;    Total Difficulty Score;   

DOI  :  10.1186/1471-2431-10-18

 received in 2009-03-26, accepted in 2010-03-25,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundEthnic differences in the prevalence of asthma among children in the UK are under-researched. We aimed to determine the ethnic differences in the prevalence of asthma and atopic asthma in children from the main UK ethnic groups, and whether differences are associated with differential distributions in social and psychosocial risk factors.Methods6,643 pupils aged 11-13 years, 80% ethnic minorities. Outcomes were asthma/wheeze with (atopic) and without hay fever/eczema. Risk factors examined were family history of asthma, length of residence in the UK, socioeconomic disadvantage, tobacco exposure, psychological well-being, and body mass index (BMI).ResultsThere was a pattern of lower prevalence of asthma in Black African boys and girls, and Indian and Bangladeshi girls compared to White UK. The overall prevalence was higher in Mixed Black Caribbean/White boys, with more atopic asthma in Black Caribbean boys and Mixed Black Caribbean/White boys due to more hayfever. Poor psychological well-being and family history of asthma were associated with an increased risk of asthma within each ethnic group. UK residence for ≤ 5 years was protective for Black Caribbeans and Black Africans. Increased BMI was associated with an increased reporting of asthma for Black Africans. Adjustments for all variables did not remove the excess asthma reported by Black Caribbean boys (atopic) or Mixed Black Caribbean/White boys.ConclusionThe protective effect of being born abroad accounted for ethnic differences in some groups, signalling a role for socio-environmental factors in patterning ethnic differences in asthma in adolescence.

【 授权许可】

CC BY   
© Whitrow and Harding; licensee BioMed Central Ltd. 2010