Public Health
Volume 122, Issue 4 , Pages 434-439 , April 2008

The role of economic and educational factors in asthma: Evidence from the Portuguese Health Survey

  • Pedro Moreira

      Affiliations

    • Faculty of Nutrition and Food Sciences, University of Porto, R. Roberto Frias, 4200 465 Porto, Portugal
    • Research Centre in Physical Activity, Health and Leisure, University of Porto, Porto, Portugal
    • Corresponding Author InformationCorresponding author. Faculty of Nutrition and Food Sciences, University of Porto, R. Roberto Frias, 4200 465 Porto, Portugal. Tel.: +351225074320; fax: +351225074329.
  • ,
  • André Moreira

      Affiliations

    • Department of Immunology, Faculty of Medicine, University of Porto, Porto, Portugal
    • Department of Immunoallergology, University Hospital of São João, Porto, Portugal
  • ,
  • Patrícia Padrão

      Affiliations

    • Faculty of Nutrition and Food Sciences, University of Porto, R. Roberto Frias, 4200 465 Porto, Portugal
  • ,
  • Luís Delgado

      Affiliations

    • Department of Immunology, Faculty of Medicine, University of Porto, Porto, Portugal
    • Department of Immunoallergology, University Hospital of São João, Porto, Portugal

Received 20 September 2006 ,Revised 27 April 2007 ,Accepted 18 July 2007.

References 

  1. Volmer T. The socio-economics of asthma. Pulm Pharm Ther. 2001;14:55–60
  2. Aggarwal AN, Chaudhry K, Chhabra SK, et al. Prevalence and risk factors for bronchial asthma in Indian adults: a multicentre study. Indian J Chest Dis Allied Sci. 2006;48:13–22
  3. Gehring U, Pattenden S, Slachtova H, et al. Parental education and children's respiratory and allergic symptoms in the Pollution and the Young (PATY) study. Eur Respir J. 2006;27:95–107
  4. Braback L, Hjern A, Rasmussen F. Social class in asthma and allergic rhinitis: a national cohort study over three decades. Eur Respir J. 2005;26:1064–1068
  5. Rizwan S, Reid J, Kelly Y, Bundred PE, Pearson M, Brabin BJ. Trends in childhood and parental asthma prevalence in Merseyside, 1991–1998. J Public Health. 2004;26:337–342
  6. Montnemery P, Popovic M, Andersson M, et al. Influence of heavy traffic, city dwelling and socio-economic status on nasal symptoms assessed in a postal population survey. Respir Med. 2003;97:970–977
  7. Barreto A, Preto CV, Rosa MJV, Lobo MC, Chitas P. A situação social em Portugal 1960–1999: indicadores sociais em Portugal e na União Europeia [The social situation in Portugal 1960–1999: social indicators in Portugal and the European Union]. Lisboa: Printer Portuguesa; 2000;
  8. Cesaroni G, Farchi S, Davoli M, Forastierre F, Perucci C. Individual and area-based indicators of socioeconomic status and childhood asthma. Eur Respir J. 2003;4:619–624
  9. Beckett WS, Jacobs DR, Yu X, Iribarren C, Williams OD. Asthma is associated with weight gain in females but not males, independent of physical activity. Am J Respir Crit Care Med. 2001;164:2045–2050
  10. Eagan TM, Gulsvik A, Eide GE, Bakke PS. The effect of educational level on the incidence of asthma and respiratory symptoms. Respir Med. 2004;98:730–736
  11. Berkman LF, Macintyre S. The measurement of social class in health studies: old measures and new formulations. IARC Sci Publ. 1997;138:51–64
  12. Krieger N, Williams DR, Moss NE. Measuring social class in US public health research: concepts, methodologies and guidelines. Annu Rev Public Health. 1997;18:341–378
  13. Turrell G, Western JS, Najman JM. The measurement of social class in health research: problems and prospects. In:  Waddell C,  Petersen AR editor. Just health: inequality in illness, care and prevention. Melbourne: Churchill Livingstone; 1994;p. 87–103
  14. Turrell G, Hewitt B, Patterson C, Oldenburg B. Measuring socio-economic position in dietary research: is choice of socio-economic indicator important?. Public Health Nutr. 2003;6:191–200
  15. Bellisle F. Why should we study human food intake behaviour?. Nutr Metab Cardiovasc Dis. 2003;13:189–193
  16. Liberatos P, Link BG, Kelsey JL. The measurement of social class in epidemiology. Epidemiol Rev. 1988;10:87–121
  17. Hedlund U, Eriksson K, Ronmark E. The socio-economic status is related to the incidence of asthma and respiratory symptoms in adults. Eur Respir J. 2006;28:303–310
  18. Claudio L, Tulton L, Doucette J, Landrigan P. Socioeconomic factors and asthma hospitalization rates in New York City. J Asthma. 1999;36:343–350
  19. Corvalán C, Amigo H, Bustos P, Rona R. Socioeconomic risk factors for asthma in Chilean young adults. Am J Public Health. 2005;95:1375–1381
  20. Claudio L, Stingone JA, Godbold J. Prevalence of childhood asthma in urban communities: the impact of ethnicity and income. Ann Epidemiol. 2006;16:332–340
  21. Von Behren J, Kreutzer R, Hernandez A. Self-reported asthma prevalence in adults in California. J Asthma. 2002;39:429–440
  22. Pérez-Perdomo R, Pérez-Cardona C, Disdier-Flores O, Cintrón Y. Prevalence and correlates of asthma in the Puerto Rican population: behavioral risk factor surveillance system, 2000. J Asthma. 2003;40:465–474
  23. Winkelby MA, Flora JA, Kraemer HC. A community based heart disease intervention program: predictors of change. Am J Public Health. 1994;84:767–772
  24. Moreira P, Padrao P. Educational and economic determinants of food intake in Portuguese adults: a cross-sectional survey. BMC Public Health. 2004;4:58
  25. Lynch JW, Kaplan GA, Salonen JT. Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse. Soc Sci Med. 1997;44:809–819
  26. Mutius E, Schmid S. The PASTURE project: EU support for the improvement of knowledge about risk factors and preventive factors for atopy in Europe. Allergy. 2006;61:407–413
  27. Neidell MJ. Air pollution, health, and socio-economic status: the effect of outdoor air quality on childhood asthma. J Health Econ. 2004;23:1209–1236
  28. Piirilä PL, Keskinen HM, Luukkonen R, Salo SP, Tuppurainen M, Nordman H. Work, unemployment and life satisfaction among patients with diisocyanate induced asthma—a prospective study. J Occup Health. 2005;47:112–118
  29. Peat JK, Woolcock AJ, Leeder SR, Blackburn CR. Asthma and bronchitis in Sydney schoolchildren: II. The effect of social factors and smoking on prevalence. Am J Epidemiol. 1980;111:728–735
  30. Kaplan BA, Mascie-Tayor CG. Asthma and wheezy bronchitis in adolescents: biosocial correlates. J Asthma. 1988;25:125–129
  31. Hamman RF, Halil T, Holland WW. Asthma in school children. Demographic associations and peak expiratory flow rates compared in children with bronchitis. Br J Prev Soc Med. 1975;29:228–238
  32. Dawson B, Horobin G, Illsley R, Mitchell R. A survey of childhood asthma in Aberdeen. Lancet. 1969;1:827–830
  33. Mielck A, Reitmeir P, Wist M. Severity on childhood asthma by socioeconomic status. Int J Epidemiol. 1996;25:388–393
  34. Bellisle F, Monneuse MO, Steptoe A, Wardle J. Weight concerns and eating patterns: a survey of university students. Int J Obes. 1995;19:723–730
  35. Kurth T, Gaziano JM, Berger K, et al. Body mass index and the risk of stroke in men. Arch Intern Med. 2002;162:2557–2662
  36. Wong J, Wong S. Trends in lifestyle cardiovascular risk factors in women: analysis from the Canadian National Population Health Survey. Int J Nurs Stud. 2002;39:229–242
  37. Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. J Am Diet Assoc. 2001;101:28–34
  38. Luder E, Ehrlich RI, Lou WYW, Melnik TA, Kattan M. Body mass index and the risk of asthma in adults. Respir Med. 2004;98:29–37
  39. Clemente L, Moreira P, Almeida MDV. Sensibilidade e especificidade do IMC obtido por auto-relato para avaliar a prevalência de excesso de peso/obesidade [Sensitivity and specificity of self-reported body mass index to evaluate the prevalence of overweight and obesity in college students]. Acta Méd Port. 2004;17:353–358
  40. Schachter LM, Peat JK, Salome CM. Asthma and atopy in overweight children. Thorax. 2003;58:1031–1035
  41. Brenner JS, Kelly CS, Wenger AD, Brich SM, Morrow AL. Asthma and obesity in adolescents: is there an association?. J Asthma. 2001;38:509–515
  42. To T, Vydykhan TN, Dell S, Tassoudji M, Harris JK. Is obesity associated with asthma in young children?. J Pediatr. 2004;144:162–168

PII: S0033-3506(07)00245-4

doi: 10.1016/j.puhe.2007.07.014

Public Health
Volume 122, Issue 4 , Pages 434-439 , April 2008