Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristics
Background: It was previously found that moving to lower-poverty/higher-opportunity neighborhoods as part of a housing mobility program was associated with improvements in asthma exacerbations and symptoms among children with asthma. Whether some subsets of children with asthma experience a greater...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Journal of Allergy and Clinical Immunology: Global |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772829325000037 |
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| author | Torie L. Grant, MD, MHS Laken C. Roberts Lavigne, PhD, MPH Craig Evan Pollack, MD, MHS Pete Cimbolic, BA Susan Balcer-Whaley, MPH Roger D. Peng, PhD Elizabeth C. Matsui, MD, MHS Corinne A. Keet, MD, PhD |
| author_facet | Torie L. Grant, MD, MHS Laken C. Roberts Lavigne, PhD, MPH Craig Evan Pollack, MD, MHS Pete Cimbolic, BA Susan Balcer-Whaley, MPH Roger D. Peng, PhD Elizabeth C. Matsui, MD, MHS Corinne A. Keet, MD, PhD |
| author_sort | Torie L. Grant, MD, MHS |
| collection | DOAJ |
| description | Background: It was previously found that moving to lower-poverty/higher-opportunity neighborhoods as part of a housing mobility program was associated with improvements in asthma exacerbations and symptoms among children with asthma. Whether some subsets of children with asthma experience a greater improvement in asthma morbidity after moving is unknown. Objective: Our aim was to determine whether the benefits of moving to lower-poverty/higher-opportunity neighborhoods were concentrated in subsets of participants with asthma. Methods: We conducted a secondary analysis of the participants in the Mobility Asthma Project. Generalized estimating equations were used to assess the association between moving and asthma exacerbations and maximum symptom days. Separately, these models were then stratified by sex, age, body mass index, allergic sensitization, asthma severity, and stress before the move to estimate stratum-specific odds ratios for moving. Results: Participants broadly experienced a postmove reduction in odds of an exacerbation and maximum symptom days. Male children and children at a higher asthma controller medication treatment step experienced a greater reduction in maximum symptom days with moving. Conclusion: Children with asthma experience a reduction in odds of an exacerbation and symptoms after moving to lower-poverty/higher-opportunity neighborhoods. These improvements in asthma outcomes are seen regardless of baseline sex, age, body mass index, allergic sensitization, asthma severity, and premove stress. |
| format | Article |
| id | doaj-art-f92373076ccf4cc6bea83ceb1a4330b6 |
| institution | Kabale University |
| issn | 2772-8293 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Allergy and Clinical Immunology: Global |
| spelling | doaj-art-f92373076ccf4cc6bea83ceb1a4330b62025-02-08T05:01:44ZengElsevierJournal of Allergy and Clinical Immunology: Global2772-82932025-05-0142100402Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristicsTorie L. Grant, MD, MHS0Laken C. Roberts Lavigne, PhD, MPH1Craig Evan Pollack, MD, MHS2Pete Cimbolic, BA3Susan Balcer-Whaley, MPH4Roger D. Peng, PhD5Elizabeth C. Matsui, MD, MHS6Corinne A. Keet, MD, PhD7Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md; Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Md; Corresponding author: Torie Grant, MD, MHS, Johns Hopkin University School of Medicine, 600 N Wolfe St, Blalock 430, Baltimore, MD 21287.Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MdDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, Md; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md; School of Nursing, Johns Hopkins School of Nursing, Baltimore, MdBaltimore Regional Housing Partnership, Baltimore, MdDepartment of Population Health, Dell Medical School, University of Texas at Austin, Austin, TexasDepartment of Statistics and Data Sciences, University of Texas at Austin, Austin, TexasDepartment of Population Health, Dell Medical School, University of Texas at Austin, Austin, Texas; Department of Pediatrics, Dell Medical School, University of Texas at Austin, Austin, TexasDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NCBackground: It was previously found that moving to lower-poverty/higher-opportunity neighborhoods as part of a housing mobility program was associated with improvements in asthma exacerbations and symptoms among children with asthma. Whether some subsets of children with asthma experience a greater improvement in asthma morbidity after moving is unknown. Objective: Our aim was to determine whether the benefits of moving to lower-poverty/higher-opportunity neighborhoods were concentrated in subsets of participants with asthma. Methods: We conducted a secondary analysis of the participants in the Mobility Asthma Project. Generalized estimating equations were used to assess the association between moving and asthma exacerbations and maximum symptom days. Separately, these models were then stratified by sex, age, body mass index, allergic sensitization, asthma severity, and stress before the move to estimate stratum-specific odds ratios for moving. Results: Participants broadly experienced a postmove reduction in odds of an exacerbation and maximum symptom days. Male children and children at a higher asthma controller medication treatment step experienced a greater reduction in maximum symptom days with moving. Conclusion: Children with asthma experience a reduction in odds of an exacerbation and symptoms after moving to lower-poverty/higher-opportunity neighborhoods. These improvements in asthma outcomes are seen regardless of baseline sex, age, body mass index, allergic sensitization, asthma severity, and premove stress.http://www.sciencedirect.com/science/article/pii/S2772829325000037Housing mobilityurban asthmachildhood asthmaasthma exacerbationsasthma symptoms |
| spellingShingle | Torie L. Grant, MD, MHS Laken C. Roberts Lavigne, PhD, MPH Craig Evan Pollack, MD, MHS Pete Cimbolic, BA Susan Balcer-Whaley, MPH Roger D. Peng, PhD Elizabeth C. Matsui, MD, MHS Corinne A. Keet, MD, PhD Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristics Journal of Allergy and Clinical Immunology: Global Housing mobility urban asthma childhood asthma asthma exacerbations asthma symptoms |
| title | Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristics |
| title_full | Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristics |
| title_fullStr | Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristics |
| title_full_unstemmed | Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristics |
| title_short | Moving to lower-poverty neighborhoods offers broad benefits for children with asthma, regardless of sex or other baseline characteristics |
| title_sort | moving to lower poverty neighborhoods offers broad benefits for children with asthma regardless of sex or other baseline characteristics |
| topic | Housing mobility urban asthma childhood asthma asthma exacerbations asthma symptoms |
| url | http://www.sciencedirect.com/science/article/pii/S2772829325000037 |
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