Prematurity, atopy, and childhood asthma in Puerto Ricans
Identifieur interne : 005080 ( Main/Exploration ); précédent : 005079; suivant : 005081Prematurity, atopy, and childhood asthma in Puerto Ricans
Auteurs : Christian Rosas-Salazar [États-Unis] ; Sima K. Ramratnam [États-Unis] ; John M. Brehm [États-Unis] ; Yueh-Ying Han [États-Unis] ; Nadia Boutaoui [États-Unis] ; Erick Forno [États-Unis] ; Edna Acosta-Perez [Porto Rico] ; María Alvarez [Porto Rico] ; Angel Colon-Semidey [Porto Rico] ; Glorisa Canino [Porto Rico] ; Juan C. Celedon [États-Unis]Source :
- Journal of allergy and clinical immunology [ 0091-6749 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Porto Rico.
- topic : Enfant, Immunologie.
English descriptors
- KwdEn :
Abstract
Background: Puerto Rican children share a disproportionate burden of prematurity and asthma in the United States. Little is known about prematurity and childhood asthma in Puerto Rican subjects. Objective: We sought to examine whether prematurity is associated with asthma in Puerto Rican children. Methods: We performed a case-control study of 678 children aged 6 to 14 years with (n = 351) and without (n = 327) asthma living in San Juan, Puerto Rico. Prematurity was defined by parental report for our primary analysis. In a secondary analysis, we only included children whose parents reported prematurity that required admission to the neonatal intensive care unit. Asthma was defined as physician-diagnosed asthma and wheeze in the prior year. We used logistic regression for analysis. All multivariate models were adjusted for age, sex, household income, atopy (≥1 positive IgE level to common allergens), maternal history of asthma, and early-life exposure to environmental tobacco smoke. Results: In a multivariate analysis there was a significant interaction between prematurity and atopy on asthma (P = .006). In an analysis stratified by atopy, prematurity was associated with a nearly 5-fold increased odds of asthma in atopic children (adjusted odds ratio, 4.7; 95% CI, 1.5-14.3; P = .007). In contrast, there was no significant association between prematurity and asthma in nonatopic children. Similar results were obtained in our analysis of prematurity requiring admission to the neonatal intensive care unit and asthma. Conclusions: Our results suggest that atopy modifies the estimated effect of prematurity on asthma in Puerto Rican children. Prematurity might explain, in part, the high prevalence of atopic asthma in this ethnic group.
Affiliations:
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Ramratnam</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Pediatric Pulmonary Medicine, Allergy and Immunology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Brehm, John M" sort="Brehm, John M" uniqKey="Brehm J" first="John M." last="Brehm">John M. Brehm</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Pediatric Pulmonary Medicine, Allergy and Immunology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Han, Yueh Ying" sort="Han, Yueh Ying" uniqKey="Han Y" first="Yueh-Ying" last="Han">Yueh-Ying Han</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Pediatric Pulmonary Medicine, Allergy and Immunology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Boutaoui, Nadia" sort="Boutaoui, Nadia" uniqKey="Boutaoui N" first="Nadia" last="Boutaoui">Nadia Boutaoui</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Pediatric Pulmonary Medicine, Allergy and Immunology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Forno, Erick" sort="Forno, Erick" uniqKey="Forno E" first="Erick" last="Forno">Erick Forno</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Pediatric Pulmonary Medicine, Allergy and Immunology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Acosta Perez, Edna" sort="Acosta Perez, Edna" uniqKey="Acosta Perez E" first="Edna" last="Acosta-Perez">Edna Acosta-Perez</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Behavioral Sciences Research Institute and Department of Pediatrics, University of Puerto Rico</s1><s2>San Juan</s2><s3>PRI</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Porto Rico</country><wicri:noRegion>San Juan</wicri:noRegion></affiliation></author><author><name sortKey="Alvarez, Maria" sort="Alvarez, Maria" uniqKey="Alvarez M" first="María" last="Alvarez">María Alvarez</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Behavioral Sciences Research Institute and Department of Pediatrics, University of Puerto Rico</s1><s2>San Juan</s2><s3>PRI</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Porto Rico</country><wicri:noRegion>San Juan</wicri:noRegion></affiliation></author><author><name sortKey="Colon Semidey, Angel" sort="Colon Semidey, Angel" uniqKey="Colon Semidey A" first="Angel" last="Colon-Semidey">Angel Colon-Semidey</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Behavioral Sciences Research Institute and Department of Pediatrics, University of Puerto Rico</s1><s2>San Juan</s2><s3>PRI</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Porto Rico</country><wicri:noRegion>San Juan</wicri:noRegion></affiliation></author><author><name sortKey="Canino, Glorisa" sort="Canino, Glorisa" uniqKey="Canino G" first="Glorisa" last="Canino">Glorisa Canino</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Behavioral Sciences Research Institute and Department of Pediatrics, University of Puerto Rico</s1><s2>San Juan</s2><s3>PRI</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Porto Rico</country><wicri:noRegion>San Juan</wicri:noRegion></affiliation></author><author><name sortKey="Celedon, Juan C" sort="Celedon, Juan C" uniqKey="Celedon J" first="Juan C." last="Celedon">Juan C. Celedon</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Pediatric Pulmonary Medicine, Allergy and Immunology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author></analytic><series><title level="j" type="main">Journal of allergy and clinical immunology</title><title level="j" type="abbreviated">J. allergy clin. immunol.</title><idno type="ISSN">0091-6749</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of allergy and clinical immunology</title><title level="j" type="abbreviated">J. allergy clin. immunol.</title><idno type="ISSN">0091-6749</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Asthma</term><term>Atopy</term><term>Child</term><term>Immunology</term><term>Immunopathology</term><term>Prematurity</term><term>Puerto Rico</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atopie</term><term>Asthme</term><term>Prématurité</term><term>Enfant</term><term>Porto Rico</term><term>Immunologie</term><term>Immunopathologie</term><term>Enfance</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Porto Rico</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term><term>Immunologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Puerto Rican children share a disproportionate burden of prematurity and asthma in the United States. Little is known about prematurity and childhood asthma in Puerto Rican subjects. Objective: We sought to examine whether prematurity is associated with asthma in Puerto Rican children. Methods: We performed a case-control study of 678 children aged 6 to 14 years with (n = 351) and without (n = 327) asthma living in San Juan, Puerto Rico. Prematurity was defined by parental report for our primary analysis. In a secondary analysis, we only included children whose parents reported prematurity that required admission to the neonatal intensive care unit. Asthma was defined as physician-diagnosed asthma and wheeze in the prior year. We used logistic regression for analysis. All multivariate models were adjusted for age, sex, household income, atopy (≥1 positive IgE level to common allergens), maternal history of asthma, and early-life exposure to environmental tobacco smoke. Results: In a multivariate analysis there was a significant interaction between prematurity and atopy on asthma (P = .006). In an analysis stratified by atopy, prematurity was associated with a nearly 5-fold increased odds of asthma in atopic children (adjusted odds ratio, 4.7; 95% CI, 1.5-14.3; P = .007). In contrast, there was no significant association between prematurity and asthma in nonatopic children. Similar results were obtained in our analysis of prematurity requiring admission to the neonatal intensive care unit and asthma. Conclusions: Our results suggest that atopy modifies the estimated effect of prematurity on asthma in Puerto Rican children. Prematurity might explain, in part, the high prevalence of atopic asthma in this ethnic group.</div></front></TEI><affiliations><list><country><li>Porto Rico</li><li>États-Unis</li></country><region><li>Pennsylvanie</li></region><settlement><li>Pittsburgh</li></settlement><orgName><li>Université de Pittsburgh</li></orgName></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Rosas Salazar, Christian" sort="Rosas Salazar, Christian" uniqKey="Rosas Salazar C" first="Christian" last="Rosas-Salazar">Christian Rosas-Salazar</name></region><name sortKey="Boutaoui, Nadia" sort="Boutaoui, Nadia" uniqKey="Boutaoui N" first="Nadia" last="Boutaoui">Nadia Boutaoui</name><name sortKey="Brehm, John M" sort="Brehm, John M" uniqKey="Brehm J" first="John M." last="Brehm">John M. Brehm</name><name sortKey="Celedon, Juan C" sort="Celedon, Juan C" uniqKey="Celedon J" first="Juan C." last="Celedon">Juan C. Celedon</name><name sortKey="Forno, Erick" sort="Forno, Erick" uniqKey="Forno E" first="Erick" last="Forno">Erick Forno</name><name sortKey="Han, Yueh Ying" sort="Han, Yueh Ying" uniqKey="Han Y" first="Yueh-Ying" last="Han">Yueh-Ying Han</name><name sortKey="Ramratnam, Sima K" sort="Ramratnam, Sima K" uniqKey="Ramratnam S" first="Sima K." last="Ramratnam">Sima K. Ramratnam</name></country><country name="Porto Rico"><noRegion><name sortKey="Acosta Perez, Edna" sort="Acosta Perez, Edna" uniqKey="Acosta Perez E" first="Edna" last="Acosta-Perez">Edna Acosta-Perez</name></noRegion><name sortKey="Alvarez, Maria" sort="Alvarez, Maria" uniqKey="Alvarez M" first="María" last="Alvarez">María Alvarez</name><name sortKey="Canino, Glorisa" sort="Canino, Glorisa" uniqKey="Canino G" first="Glorisa" last="Canino">Glorisa Canino</name><name sortKey="Colon Semidey, Angel" sort="Colon Semidey, Angel" uniqKey="Colon Semidey A" first="Angel" last="Colon-Semidey">Angel Colon-Semidey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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