Environmental risk factors for childhood asthma across multiple settings

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dc.contributor.advisorSparks, Johnelle
dc.contributor.authorGordon, Danielle
dc.contributor.committeeMemberPotter, Lloyd
dc.contributor.committeeMemberSánchez-Soto, Gabriela
dc.contributor.committeeMemberSparks, Corey
dc.date.accessioned2024-02-09T21:57:24Z
dc.date.available2024-02-09T21:57:24Z
dc.date.issued2016
dc.descriptionThis item is available only to currently enrolled UTSA students, faculty or staff. To download, navigate to Log In in the top right-hand corner of this screen, then select Log in with my UTSA ID.
dc.description.abstractAsthma is determined by both genetic and environmental factors, yet there is less research that clearly defines and measures different environments in which children spend most of their time. This study examines the association between children's environments (physical and social) and asthma across diverse settings. The study uses data from the National Health and Nutrition Examination Survey collected between 2003 and 2010, the Early Childhood Longitudinal Study-Birth Cohort, and the Early Childhood Longitudinal Study-Kindergarten Cohort 2010-2011 to help fill this gap. The key findings are: (1) young children with asthma are more likely to have elevated lead, although this association is explained by other sociodemographic factors; (2) children living in older homes are at higher risk for elevated lead; (3) for the poorest children, lower maternal education and health insurance predicts elevated lead; (4) preschool children in Head Start are at greater risk of asthma; (5) the effect of child care arrangement is only significantly associated with asthma for low-income children; (6) Kindergarten children attending poorer-quality schools have higher risk of asthma by first grade; and (7) attendance in center-based care prior to school entry, in addition to school-level effects, predicts increased risk of asthma for school-aged children. Disadvantaged children may be restricted to interact in lower quality physical and social environments across multiple settings, which places them at greater vulnerability of poor health. Future research should consider how multiple environmental risk factors impact children's health as they transition to different settings over time rather than focusing on the impact of a single environment.
dc.description.departmentDemography
dc.format.extent160 pages
dc.format.mimetypeapplication/pdf
dc.identifier.isbn9781339718163
dc.identifier.urihttps://hdl.handle.net/20.500.12588/3789
dc.languageen
dc.subjectasthma
dc.subjectchildhood
dc.subjectenvironment
dc.subjectlead
dc.subject.classificationDemography
dc.subject.classificationEnvironmental health
dc.subject.lcshAsthma in children -- Environmental aspects -- United States
dc.subject.lcshAsthma in children -- Economic aspects -- United States
dc.subject.lcshLead -- Health aspects -- United States
dc.titleEnvironmental risk factors for childhood asthma across multiple settings
dc.typeThesis
dc.type.dcmiText
dcterms.accessRightspq_closed
thesis.degree.departmentDemography
thesis.degree.grantorUniversity of Texas at San Antonio
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy

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