Abstract
Objective
To examine associations between neighborhood characteristics and asthma prevalence
and severity among low-income children in a large nationally representative sample.
Methods
Data source: 2018 National Survey of Children's Health, limited to low-income children,
ages 0–17 years. We grouped parent responses about neighborhood characteristics into
5 scores: neighborhood support, safety, resources and quality, and a total score.
Logistic regression compared rates and severity of asthma by neighborhood scores,
adjusting for age, sex, race, and income.
Results
Of 8,653 low-income children, those living in neighborhoods with better total neighborhood
scores were significantly less likely to have parent-reported asthma; OR = 0.9, 95%
CI: 0.8–1.0; P = .02, with similar findings for children living in neighborhoods with higher support,
safety, and quality scores. We found no associations between neighborhood scores and
asthma severity in this population.
Conclusions
Favorable neighborhoods are associated with lower parent-reported asthma prevalence
in low-income children but not asthma severity. These data may support providers and
policy makers interested in child asthma in addressing neighborhood improvement.
Keywords
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Article info
Publication history
Published online: January 11, 2022
Accepted:
January 5,
2022
Received:
June 25,
2021
Footnotes
All authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2022 by Academic Pediatric Association
