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首页> 外文期刊>Journal of urban health >Multi-Level Socioenvironmental Contributors to Childhood Asthma in New York City: a Cluster Analysis
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Multi-Level Socioenvironmental Contributors to Childhood Asthma in New York City: a Cluster Analysis

机译：纽约市儿童哮喘的多级社会环境贡献者：聚类分析

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Childhood asthma exacerbation remains the leading cause of pediatric emergency department visits and hospitalizations and disproportionately affects Latinx and Black children, compared to non-Latinx White children in NYC. Environmental exposures and socioeconomic factors may jointly contribute to childhood asthma exacerbations; however, they are often studied separately. To better investigate the multiple contributors to disparities in childhood asthma, we compiled data on various individual and neighborhood level socioeconomic and environmental factors, including education, race/ethnicity, income disparities, gentrification, housing characteristics, built environment, and structural racism, from the NYC Department of Health’s KIDS 2017 survey and the US Census’ American Community Survey. We applied cluster analysis and logistic regression to first identify the predominant patterns of social and environmental factors experienced by children in NYC and then estimate whether children experiencing specific patterns are more likely to experience asthma exacerbations. We found that housing and built environment characteristics, such as density and age of buildings, were the predominant features to differentiate the socio-environmental patterns observed in New York City. Children living in neighborhoods with greater proportions of rental housing, high-density buildings, and older buildings were more likely to experience asthma exacerbations than other children. These findings add to the literature about childhood asthma in urban environments, and can assist efforts to target actionable policies and practices that promote health equity related to childhood asthma.
机译：儿童哮喘恶化仍然是儿科急诊部门访问和住院的主要原因，而不成比例地影响拉丁蛋白和黑人儿童，而不是NYC的非拉丁白人儿童。环境暴露和社会经济因素可以共同促进儿童哮喘恶化;但是，它们通常分别研究。为了更好地调查儿童哮喘差异的多个贡献者，我们编制了关于各个个人和邻里社会经济和环境因素的数据，包括教育，种族/种族，收入差异，绅士，住房特征，建造环境和结构种族主义纽约州卫生署2017年的儿童调查和美国人口普查的美国社区调查。我们应用集群分析和逻辑回归，首先识别纽约儿童经历的社会和环境因素的主要模式，然后估计遇到特定模式的儿童是否更可能经历哮喘恶化。我们发现住房和建筑物的内置环境特征，如建筑物的密度和年龄，是区分在纽约市观察到的社会环境模式的主要特征。生活在邻近的儿童更加比例的租赁住房，高密度建筑物和较老的建筑物更有可能体验比其他孩子的哮喘恶化。这些调查结果增加了关于城市环境中儿童哮喘的文献，并可以帮助努力实现促进与儿童哮喘相关的健康股权的可行政策和实践。

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