Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?

<b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Agata Wypych-Ślusarska [verfasserIn] Karolina Krupa-Kotara [verfasserIn] Ewa Niewiadomska [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children

Übergeordnetes Werk:	In: International Journal of Environmental Research and Public Health - MDPI AG, 2005, 19(2022), 15366, p 15366
Übergeordnetes Werk:	volume:19 ; year:2022 ; number:15366, p 15366

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3390/ijerph192215366

Katalog-ID:	DOAJ083664742

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520			\|a <b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants.
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allfields	10.3390/ijerph192215366 doi (DE-627)DOAJ083664742 (DE-599)DOAJ89f5dd0c1bb64136a8aef1d784313198 DE-627 ger DE-627 rakwb eng Agata Wypych-Ślusarska verfasserin aut Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants. health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children Medicine R Karolina Krupa-Kotara verfasserin aut Ewa Niewiadomska verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 15366, p 15366 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:15366, p 15366 https://doi.org/10.3390/ijerph192215366 kostenfrei https://doaj.org/article/89f5dd0c1bb64136a8aef1d784313198 kostenfrei https://www.mdpi.com/1660-4601/19/22/15366 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 15366, p 15366
spelling	10.3390/ijerph192215366 doi (DE-627)DOAJ083664742 (DE-599)DOAJ89f5dd0c1bb64136a8aef1d784313198 DE-627 ger DE-627 rakwb eng Agata Wypych-Ślusarska verfasserin aut Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants. health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children Medicine R Karolina Krupa-Kotara verfasserin aut Ewa Niewiadomska verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 15366, p 15366 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:15366, p 15366 https://doi.org/10.3390/ijerph192215366 kostenfrei https://doaj.org/article/89f5dd0c1bb64136a8aef1d784313198 kostenfrei https://www.mdpi.com/1660-4601/19/22/15366 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 15366, p 15366
allfields_unstemmed	10.3390/ijerph192215366 doi (DE-627)DOAJ083664742 (DE-599)DOAJ89f5dd0c1bb64136a8aef1d784313198 DE-627 ger DE-627 rakwb eng Agata Wypych-Ślusarska verfasserin aut Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants. health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children Medicine R Karolina Krupa-Kotara verfasserin aut Ewa Niewiadomska verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 15366, p 15366 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:15366, p 15366 https://doi.org/10.3390/ijerph192215366 kostenfrei https://doaj.org/article/89f5dd0c1bb64136a8aef1d784313198 kostenfrei https://www.mdpi.com/1660-4601/19/22/15366 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 15366, p 15366
allfieldsGer	10.3390/ijerph192215366 doi (DE-627)DOAJ083664742 (DE-599)DOAJ89f5dd0c1bb64136a8aef1d784313198 DE-627 ger DE-627 rakwb eng Agata Wypych-Ślusarska verfasserin aut Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants. health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children Medicine R Karolina Krupa-Kotara verfasserin aut Ewa Niewiadomska verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 15366, p 15366 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:15366, p 15366 https://doi.org/10.3390/ijerph192215366 kostenfrei https://doaj.org/article/89f5dd0c1bb64136a8aef1d784313198 kostenfrei https://www.mdpi.com/1660-4601/19/22/15366 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 15366, p 15366
allfieldsSound	10.3390/ijerph192215366 doi (DE-627)DOAJ083664742 (DE-599)DOAJ89f5dd0c1bb64136a8aef1d784313198 DE-627 ger DE-627 rakwb eng Agata Wypych-Ślusarska verfasserin aut Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children? 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants. health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children Medicine R Karolina Krupa-Kotara verfasserin aut Ewa Niewiadomska verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 15366, p 15366 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:15366, p 15366 https://doi.org/10.3390/ijerph192215366 kostenfrei https://doaj.org/article/89f5dd0c1bb64136a8aef1d784313198 kostenfrei https://www.mdpi.com/1660-4601/19/22/15366 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 15366, p 15366
language	English
source	In International Journal of Environmental Research and Public Health 19(2022), 15366, p 15366 volume:19 year:2022 number:15366, p 15366
sourceStr	In International Journal of Environmental Research and Public Health 19(2022), 15366, p 15366 volume:19 year:2022 number:15366, p 15366
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children Medicine R
isfreeaccess_bool	true
container_title	International Journal of Environmental Research and Public Health
authorswithroles_txt_mv	Agata Wypych-Ślusarska @@aut@@ Karolina Krupa-Kotara @@aut@@ Ewa Niewiadomska @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	477992463
id	DOAJ083664742
language_de	englisch
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The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. 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author	Agata Wypych-Ślusarska
spellingShingle	Agata Wypych-Ślusarska misc health inequality misc social determinants of health (SDH) misc bronchial asthma misc respiratory symptoms misc environmental factors misc children misc Medicine misc R Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?
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topic_title	Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children? health inequality social determinants of health (SDH) bronchial asthma respiratory symptoms environmental factors children
topic	misc health inequality misc social determinants of health (SDH) misc bronchial asthma misc respiratory symptoms misc environmental factors misc children misc Medicine misc R
topic_unstemmed	misc health inequality misc social determinants of health (SDH) misc bronchial asthma misc respiratory symptoms misc environmental factors misc children misc Medicine misc R
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title	Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?
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title_full	Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?
author_sort	Agata Wypych-Ślusarska
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author_browse	Agata Wypych-Ślusarska Karolina Krupa-Kotara Ewa Niewiadomska
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title_sort	social inequalities: do they matter in asthma, bronchitis, and respiratory symptoms in children?
title_auth	Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?
abstract	<b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants.
abstractGer	<b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants.
abstract_unstemmed	<b<Background:</b< Social inequalities (e.g., poverty and low level of education) generate inequalities in health. <b<Aim:</b< The aim of the study was to determine the relationships between indicators of social inequalities and the frequency of respiratory symptoms, asthma, and bronchitis in children. <b<Material and Methods:</b< In 2019, an epidemiological cross-sectional study on 3237 students from elementary schools in Silesia Voivodships (South Poland) was conducted. The students’ parents completed a questionnaire based on the International Study on Asthma and Allergies in Childhood (ISAAC). Social inequalities in the children’s families were determined according to parents’ education and professional status (working vs. unemployed), self-assessment of economic status, and housing conditions. To determine the influence of social factors on the occurrence of asthma, bronchitis, and respiratory symptoms, the odds ratio (OR) was calculated. <b<Results:</b< Children living in apartments with traces of mold had a higher risk of developing asthma (OR = 1.5, 95%CI: 1.17–1.96; <i<p</i< = 0.002) or bronchitis (OR = 1.4, 95%CI: 1.13–1.72; <i<p</i< = 0.002), wheezing attacks at nights (OR = 1.4; 95%CI: 1.01–1.93), wheezy in the last 12 months (OR = 1.6; 95%CI:1.24–2.08; <i<p</i< < 0.001), and chronic cough (OR = 1.9; 95%CI: 1.49–2.46; <i<p</i< < 0.001). Exposure to environmental tobacco smoke (ETS) was associated with higher risk of cough (OR = 1.5 95%CI: 1.22–1.96; <i<p</i< < 0.001) and dyspnea in the last 12 months (OR = 1.4; 95%CI: 1.04–2.00; <i<p</i< = 0.02). Low socioeconomic status (SES) was associated with increased risk of chronic cough (OR = 1.5; 95%CI: 1.09–2.03; <i<p</i< = 0.009) and increased risk of wheezy in the last 12 months (OR = 1.4; 95%CI: 1.06–1.97; <i<p</i< = 0.008). Asthma and bronchitis were not dependent on parents’ education or professional status. <b<Conclusions:</b< Social inequalities have significant impacts on the occurrence of respiratory symptoms, bronchitis, and asthma in children. Interventions aimed at preventing bronchitis and childhood asthma should also focus on social health determinants.
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title_short	Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?
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Social Inequalities: Do They Matter in Asthma, Bronchitis, and Respiratory Symptoms in Children?

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