Skip to main content

Advertisement

Log in

Premature Birth and Asthma Among Young Puerto Rican Children

  • Published:
Population Research and Policy Review Aims and scope Submit manuscript

Abstract

Puerto Rican children are more likely to have asthma than children in any other racial/ethnic group in the United States, yet little research has examined the factors contributing to childhood asthma among Puerto Ricans. Using data from a representative sample of mainland Puerto Rican children, the present study investigates the relationship between preterm birth and early-childhood asthma (i.e., in the first years of life). The roles of other risk factors (i.e., socioeconomic and demographic characteristics, environmental conditions, and maternal health behavior) in the development of asthma in early childhood also are considered. The analysis reveals a relatively high rate of asthma for preterm children as well as differences between term and preterm children in the risk factors for early-childhood asthma. Measures of socioeconomic status and the cleanliness of the home environment are related to asthma for term, but not preterm, children; in contrast, demographic characteristics and maternal health behavior are important risk factors for asthma among preterm children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • C.A. Aligne P. Auinger R.S. Byrd M. Weitzman (2000) ArticleTitleRisk factors for pediatric asthma American Journal of Respiratory and Critical Care Medicine 162 873–877 Occurrence Handle10988098

    PubMed  Google Scholar 

  • D.J.P. Barker (1998) Mothers, babies and health in later life EditionNumber2 Churchill Livingstone London

    Google Scholar 

  • W.S. Beckett K. Belanger J.F. Gent T.R. Holford B.P. Lederer (1996) ArticleTitleAsthma among Puerto Rican Hispanics American Journal of Respiratory and Critical Care Medicine 154 894–899 Occurrence Handle8887582

    PubMed  Google Scholar 

  • J.D. Boardman B.K. Finch R.A. Hummer (2001) ArticleTitleRace/ethnic differences in respiratory problems among a nationally-representative cohort of young children in the United States Population Research and Policy Review 20 IssueID3 187–206 Occurrence Handle10.1023/A:1010686630034

    Article  Google Scholar 

  • R.H. Bradley L. Whiteside D.J. Mundfrom P.H. Casey K.J. Kelleher S.K. Pope (1994) ArticleTitleEarly indications of resilience and their relation to experiences in the home environments of low birthweight, premature children living in poverty Child Development 65 IssueID2 346–360 Occurrence Handle8013226

    PubMed  Google Scholar 

  • O.D. Carter-Pokras P.J. Gergen (1993) ArticleTitleReported asthma among Puerto Rican, Mexican-American, and Cuban children, 1982 through 1984 American Journal of Public Health 83 IssueID4 580–582 Occurrence Handle8460740

    PubMed  Google Scholar 

  • InstitutionalAuthorNameCenters for Disease Control and Prevention (2002) ArticleTitleSurveillance for asthma – United States, 1980–1999 Morbidity and Mortality Weekly Report 51 IssueIDSS01 1–13

    Google Scholar 

  • Centers for Disease Control and Prevention (1997), Report on final natality statistics, 1995, Monthly Vital Statistics Reports 45 (11, supplement)

  • E.F. Crain K.B. Weiss P.E. Bijur M. Hersh L. Westbrook R.E.K. Stein (1994) ArticleTitleAn estimate of the prevalence of asthma and wheezing among inner-city children Pediatrics 94 IssueID3 356–362 Occurrence Handle8065863

    PubMed  Google Scholar 

  • J. Pinal Particledel A. Singer (1997) ArticleTitleGenerations of diversity: Latinos in the United States Population Bulletin 52 IssueID3 1–48 Occurrence Handle10.1006/tpbi.1997.1304 Occurrence Handle12292663

    Article  PubMed  Google Scholar 

  • D.E. Elder R. Hagan S.F. Evans H.R. Benninger N.P. French (1996) ArticleTitleRecurrent wheezing in very preterm infants Archives of Disease in Childhood 74 F165–F171 Occurrence Handle8777678

    PubMed  Google Scholar 

  • G. Flores E. Fuentes-Afflick O. Barbot L. Claudio M. Lara J.A. McLaurin L. Patchter F.R. Gomez F. Mendoza R.B. Valdez A.M. Villarruel R.E. Zambrana R. Greenberg M. Weitzman (2002) ArticleTitleThe health of Latino children: Urgent priorities, unanswered questions, and a research agenda Journal of the American Medical Association 288 IssueID1 82–90 Occurrence Handle10.1001/jama.288.1.82 Occurrence Handle12090866

    Article  PubMed  Google Scholar 

  • F.D. Gilliland Y. Li J.M. Peters (2001) ArticleTitleEffects of maternal smoking during pregnancy and environmental tobacco smoke on asthma and wheezing in children American Journal of Respiratory and Critical Care Medicine 163 429–436 Occurrence Handle11179118

    PubMed  Google Scholar 

  • B.K. Gorman N.S. Landale R.S. Oropesa (2001) ArticleTitlePoverty, insurance, and well-baby care among mainland Puerto Rican children Social Biology 48 IssueID1–2 67–85 Occurrence Handle12194448

    PubMed  Google Scholar 

  • S.L. P.H. Gortmaker Wise (1997) ArticleTitleThe first injustice: Socioeconomic disparities, health services technology, and infant mortality Annual Review of Sociology 23 147–170 Occurrence Handle10.1146/annurev.soc.23.1.147 Occurrence Handle12348279

    Article  PubMed  Google Scholar 

  • J. Grischkan A. Storfer-Isser C.L. Rosen E.K. Larkin L.H. Kirchner A. South D.C. Wilson-Costello R.J. Martin S. Redline (2004) ArticleTitleVariation in childhood asthma among former preterm infants Journal of Pediatrics 144 IssueID3 321–326 Occurrence Handle10.1016/j.jpeds.2003.11.029 Occurrence Handle15001935

    Article  PubMed  Google Scholar 

  • R. Harding (1995) ArticleTitleSustained alterations in postnatal respiratory function following sub-optimal intrauterine conditions Reproduction, Fertility, and Development 7 IssueID3 431–441

    Google Scholar 

  • N.P.W. Halfon Newacheck (1993) ArticleTitleChildhood asthma and poverty: Differential impacts and utilization of health services Pediatrics 91 IssueID1 56–61 Occurrence Handle8416505

    PubMed  Google Scholar 

  • O.K. Hjalmarson Sandberg (2002) ArticleTitleAbnormal lung function in healthy preterm infants American Journal of Respiratory and Critical Care Medicine 165 IssueID1 83–87 Occurrence Handle11779735

    PubMed  Google Scholar 

  • A.R. Hulsmann J.N. Anker Particlevan den (1997) ArticleTitleEvolution and natural history of chronic lung disease of prematurity Monaldi Archives of Chest Disease 52 IssueID3 272–277

    Google Scholar 

  • InstitutionalAuthorNameInstitute of Medicine (2000) Clearing the air: Asthma and indoor air exposures. Committee on the Assessment of Asthma and Indoor Air, Division of Health Promotion and Disease Prevention National Academy Press Washington, D.C

    Google Scholar 

  • Y.J. Kelly B.J. Brabin P.J. Milligan J.A. Reid D. Heaf M.G. Pearson (1996) ArticleTitleClinical significance of cough and wheeze in the diagnosis of asthma Archives of Disease in Childhood 75 IssueID6 489–493 Occurrence Handle9014600

    PubMed  Google Scholar 

  • M.S. Kramer (1987) ArticleTitleIntrauterine growth and gestational duration determinants Pediatrics 80 IssueID4 502–511 Occurrence Handle3658568

    PubMed  Google Scholar 

  • M. Lara H. Morgenstern N. Duan R.H. Brook (1999) ArticleTitleElevated asthma morbidity in Puerto Rican children: A review of possible risk and prognostic factors Western Journal of Medicine 170 75–84 Occurrence Handle10063393

    PubMed  Google Scholar 

  • R.J. Ledogar A. Penchaszadeh C.C. Iglesias Garden L. Garden Acosta (2000) ArticleTitleAsthma and Latino cultures: Different prevalence reported among groups sharing the same environment American Journal of Public Health 90 929–935 Occurrence Handle10846511

    PubMed  Google Scholar 

  • A.A. Litonjua V.J. Carey S.T. Weiss D.R. Gold (1999) ArticleTitleRace, socioeconomic factors, and area of residence are associated with asthma prevalence Pediatric Pulmonology 28 394–401 Occurrence Handle10.1002/(SICI)1099-0496(199912)28:6<394::AID-PPUL2>3.0.CO;2-6 Occurrence Handle10587412

    Article  PubMed  Google Scholar 

  • Mathews, T.J., (1998). Smoking during pregnancy, 1990–1996, National Vital Statistics Reports 47(10). National Center for Health Statistics, Centers for Disease Control and Prevention

  • F.S. Mendoza S.J. Ventura B. Valdez R.O. Castillo L.E. Salvidar K. Baisden R. Martorell (1991) ArticleTitleSelected measures of health status for Mexican-American, mainland Puerto Rican, and Cuban-American children Journal of the American Medical Association 265 IssueID2 227–232 Occurrence Handle10.1001/jama.265.2.227 Occurrence Handle1984152

    Article  PubMed  Google Scholar 

  • R. McConnell K. Berhane F. Gilliland S.J. London T. Islam W.J. Gauderman E. Avol H.G. Margolis J.M. Peters (2002) ArticleTitleAsthma in exercising children exposed to ozone: A cohort study The Lancet 359 IssueID9304 386–391 Occurrence Handle10.1016/S0140-6736(02)07597-9

    Article  Google Scholar 

  • J.E. Miller (2001) ArticleTitlePredictors of asthma in young children: Does reporting source affect our conclusions? American Journal of Epidemiology 154 IssueID3 245–250 Occurrence Handle10.1093/aje/154.3.245 Occurrence Handle11479189

    Article  PubMed  Google Scholar 

  • J.E. Miller (2000) ArticleTitleThe effects of race/ethnicity and income on early childhood asthma prevalence and health care use American Journal of Public Health 90 IssueID3 28–30

    Google Scholar 

  • J.F. Oliveti C.M. Kercsmar S. Redline (1996) ArticleTitlePre- and perinatal risk factors for asthma in inner city African-American children American Journal of Epidemiology 143 IssueID6 570–577 Occurrence Handle8610674

    PubMed  Google Scholar 

  • R.S. Landale N.S. Oropesa (2002) ArticleTitleNonresponse in follow-back surveys of ethnic minority groups: An analysis of the Puerto Rican Maternal and Infant Health Survey Maternal and Child Health Journal 6 49–58 Occurrence Handle10.1023/A:1014368217422 Occurrence Handle11926254

    Article  PubMed  Google Scholar 

  • A. Pelkonen (2000) Bronchial liability in school children born very preterm, Unpublished dissertation University of Helsinki Finland

    Google Scholar 

  • P.K. Pletsch (1991) ArticleTitlePrevalence of cigarette smoking in Hispanic women of childbearing age Nursing Research 40 IssueID2 103–106 Occurrence Handle2003068

    PubMed  Google Scholar 

  • J.L. Schafer (1997) Analysis of incomplete multivariate data Chapman Hall London

    Google Scholar 

  • B.V. Shah B.G. Barnwell G.S. Bieler (1997) SUDAAN User’s Manual. (Release 7.5) Research Triangle Institute Research Triangle Park NC

    Google Scholar 

  • M. Siltanen E. Savilahti M. Pohjavuori M. Kajosaari (2004) ArticleTitleRespiratory symptoms and lung function in relation to atopy in children born preterm Pediatric Pulmonology 37 43–49 Occurrence Handle10.1002/ppul.10402 Occurrence Handle14679488

    Article  PubMed  Google Scholar 

  • U.S. Department of Health and Human Services (2000), Healthy People 2010 (conference volume 11). Washington, D.C.: U.S. Department of Health and Human Services

  • K.B. Weiss P.J. Gergen D.K. Wagener (1993) ArticleTitleBreathing better or wheezing worse? The changing epidemiology of asthma morbidity and mortality Annual Review of Public Health 14 491–513 Occurrence Handle8323600

    PubMed  Google Scholar 

  • M. Weitzman S. Gortmaker A. Sobol J.M. Perrin (1992) ArticleTitleRecent trends in the prevalence and severity of childhood asthma Journal of the American Medical Association 268 2673–2677 Occurrence Handle10.1001/jama.268.19.2673 Occurrence Handle1304735

    Article  PubMed  Google Scholar 

  • M. Weitzman S. Gortmaker A. Sobal (1990) ArticleTitleRacial, social, and environmental risks for childhood asthma American Journal of Diseases of Children 144 IssueID11 1189–1194 Occurrence Handle2239856

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bridget K. Gorman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gorman, B.K., Landale, N.S. Premature Birth and Asthma Among Young Puerto Rican Children. Popul Res Policy Rev 24, 335–358 (2005). https://doi.org/10.1007/s11113-005-8516-x

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11113-005-8516-x

Key words

Navigation