Housing Environments and Child Health Conditions Among Recent Mexican Immigrant Families: A Population-Based Study
First Online: 18 May 2009 DOI:
10.1007/s10903-009-9261-8 Cite this article as: Litt, J.S., Goss, C., Diao, L. et al. J Immigrant Minority Health (2010) 12: 617. doi:10.1007/s10903-009-9261-8 Abstract
The influx of immigrants to urban areas throughout the United States has raised concerns about accessibility of safe, affordable housing and the health consequences of poor-quality housing, particularly among immigrant children. We conducted a population-based study of home environmental conditions among recently immigrated Mexican families (weighted
n = 473), generally of low socioeconomic status, and the health conditions of their children, in an urban industrial area north of Denver, Colorado. The majority of recent immigrants had low socioeconomic status; virtually all had household incomes below the Colorado median ($50,841). Approximately one quarter of homes were overcrowded. Adverse environmental conditions were present across recent immigrant homes. These conditions include dampness or mold (44%), pests (28%), and minimal to no ventilation potential (26%), all of which are associated with asthma and atopic diseases. At least one of these three environmental hazards was found in 67% of homes; multiple hazards were present in 27% of homes. Children of recent immigrant families had active symptoms within the past 12 months suggestive of asthma (4%) and atopic disorders (10%); however, fewer than 2% had been diagnosed with these conditions. The prevalence of asthma and atopic symptoms among Mexican immigrant children, albeit lower than in other low income and minority communities, is partially explained by housing conditions. Many of the conditions identified (e.g., pest infestation, mold resulting from plumbing leaks, and lack of exhaust fans) are amenable to low cost interventions. Solutions to address unhealthy housing conditions among recent immigrants must be multi-faceted and include strategies that target household-level improvements and access to health care. Keywords Healthy housing Urban Asthma Environment Immigrant References
Cummins SK, Jackson RJ. The built environment and children’s health. Pediatr Clin North Am. 2001;48:1241–51.
Schill M, Friedman S, Rosenbaum E. The housing conditions of immigrants in New York. J Hous Res. 1998;9(2):201–35.
Krieger J, Higgins DL. Housing and health: time again for public health action. Am J Public Health. 2002;92:758–68.
Fullilove MT, Fullilove RE III. What’s housing got to do with it? Am J Public Health. 2000;90:183–4.
Capps R, Fix M, Ost J, Reardon-Anderson J, Passel J. The health and well-being of young children of immigrants, Urban Institute 2004 Report. The Urban Institute; 2004. p. i-42.
Carter-Pokras O, Gergen P. Reported asthma among Puerto Rican, Mexican-American and Cuban Children, 1982–1984. Am J Public Health. 1993;83:580–2.
Srinivasan S, O’Fallon LR, Dearry A. Creating healthy communities, healthy homes, healthy people: initiating a research agenda on the built environment and public health. Am J Public Health. 2003;93:1446–50.
Flores G, Fuentes-Afflick E, Barbot O, Carter-Pokras O, Claudio L, Lara M, et al. The health of Latino children: urgent priorities, unanswered questions, and a research agenda. JAMA. 2002;288:82–90.
Gwyther M, Jenkins M. Migrant farmworker children: health status, barriers to care, and nursing innovations in health care industry. J Pediatr Health Care. 1998;12:60–6.
Carter-Pokras O, Zambrana R, Poppell C, Logie L, Guerrero-Preston R. The environmental health of Latino children. J Pediatr Health Care. 2006;21:307–14.
Early J, Davis S, Quandt S, Rao P, Snively B, Arcury T. Housing characteristics of farmworker families in North Carolina. J Immigr Minor Health. 2006;8:173–84.
Rottem M, Szyper-Kravitz M, Shoenfeld Y. Atopy and asthma in migrants. Int Arch Allergy Immunol. 2005;136:198–204.
Holguin F, Mannino D, Anto J, Mott J, Ford E, Teague G, et al. Country of birth as a risk factor for asthma among Mexican Americans. Am J Respir Crit Care Med. 2005;171:103–8.
American Academy of Pediatrics Committee on Community Health Services. Health care for children of migrant families. Pediatrics. 1989;84:739–40.
Institute of Medicine. Clearing the air: asthma and indoor air exposures. Washington, DC: National Academies Press; 2000.
Breysse P, Farr N, Galke W, Lanphear B, Morley R, Bergofsky L. The relationship between housing and health: children at risk. Environ Health Perspect. 2004;112:1583–8.
Institute of Medicine, Committee on Damp Indoor Spaces and Health. Damp indoor spaces and health. Washington, DC: National Academy of Science; 2004.
Gilmour M, Jaakkola MS, London SJ, Nel AE, Rogers CA. How exposure to environmental tobacco smoke, outdoor air pollutants, and increased pollen burdens influences the incidence of asthma. Environ Health Perspect. 2006;114:627–33.
Beavers L, D’Amico J. Children in immigrant families: US and state-level findings from the 2000 census. KIDS COUNT/PRB Report on Census 2000. Balitmore, MD: Annie E.Casey Foundation and the Population Reference Bureau; 2005. p 1–27.
U.S. Census. Summary File 3 (SF 3); 2001.
Asher M. International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. Eur Respir J. 1985;8:483–91.
International Study of Asthma and Allergies in Childhood Steering Committee. Worldwide variation in prevalence of systems of asthma, allergic rhinoconjunctivitis, and atopic eczema. Lancet. 1998;351:1220–1.
Von Mutius E. Epidemiology of asthma: ISAAC—International Study of Asthma and Allergies in Childhood. Pediatr Allergy Immunol. 1996;7:54–6.
International Study of Asthma and Allergies in Childhood Steering Committee. Worldwide variations in the prevalence of asthma symptoms: The International Study of Asthma and Allergies in Childhood. Eur Respir J. 1998;12:315–35.
Ponsonby A, Couper D, Dwyer T. Exercise-induced bronchial hyperresponsiveness and parental ISAAC questionnaire responses. Eur Respir J. 1996;9:1356–62.
Shaw R, Woodman K, Ayson M. Measuring the prevalence of bronchial hyper-responsiveness in children. Int J Epidemiol. 1995;24:597–602.
Jenkins M. Validation of a questionnaire and bronchial hyperresponsiveness against respiratory physician assessment in the diagnosis of asthma. Int J Epidemiol. 1996;25:609–16.
Braun-Fahrlander C. Validation of a Rhinitis Symptom Questionnaire (ISAAC) in a population of Swiss school children. Pediatr Allergy Immunol. 1997;8:75–82.
Dharmage S, Bailey M, Raven J. A reliable and valid home visit report for studies of asthma in young adults. Indoor Air. 1999;9:188–92.
CDC. The burden of chronic diseases and their risk factors; National and State Perspectives. Dept. of Health and Human Services; 2002. p 1–198.
Weinhold B. Lead in Mexican children: pottery use slows reductions in blood. Environ Health Perspect. 2004;112:A569.
Colorado Department of Public Health and Environment. Colorado Child Health Survey Questionnaire. 2004.
. Accessed 14 May 2009.
Apte MG, Fisk WJ, Daisey JM. Associations between indoor CO
concentrations and sick building syndrome symptoms in U.S. Office Buildings: an analysis of the 1994–1996 BASE study data. Indoor Air. 2000;10:246–57.
Seppanen OA, Fisk WJ, Mendell MJ. Association of ventilation rates and CO
concentrations with health and other responses in commercial and institutional buildings. Indoor Air. 1999;9:226–52.
US Census Bureau. American Community Survey; 2006.
Bureau of Labor Statistics. Local Area Unemployment Statistics (LAUS) data; 5-9-2008.
Crain EF, Wlater M, O’Connor G, Mitchell H, Gruchalla RS, Kattan M, et al. Home and allergic characteristics of children with asthma in seven US urban communities and design of an environmental intervention: the Inner City Asthma Study. Environ Health Perspect. 2002;110:939–45.
Gruchalla RS, Pongracic J, Plaut M, Evans RIII, Visness CM, Walter M, et al. Inner City Asthma Study: relationships among sensitivity, allergen exposure, and asthma morbidity. J Allergy Clin Immunol. 2005;115(3):478–85.
Rosenstreich DL, Eggleston P, Kattan M, Baker D, Slavin RG, Gergen P, et al. The role of cockroach allergy and exposure to cockroach allergen in causing morbidity among inner-city children with asthma. N Engl J Med. 1997;336:1356–63.
Rodriguez MA, Winkleby MA, Ahn D, Sundquist J, Kraemer HC. Identification of population subgroups of children and adolescents with high asthma prevalence: findings from the third National Health and Nutrition Examination Survey. Arch Pediatr Adolesc Med. 2002;156(3):269–75.
Leaderer BP, Belanger K, Triche E, Holford T, Gold DR, Kim Y, et al. Dust mite, cockroach, cat, and dog allergen concentrations in homes of asthmatic children in the Northeastern United States: impact of socioeconomic factors and population density. Environ Health Perspect. 2002;110:419.
Yeatts K, Davis KJ, Sotir M, Herget C, Shy C. Who gets diagnosed with asthma? frequent wheeze among adolescents with and without a diagnosis of asthma. Pediatrics. 2003;111:1046–54.
Cohen RT, Celedon JC. Asthma in Hispanics in the United States. Clin Chest Med. 2006;27(3):401–12.
Eldeirawi K, McConnell R, Freels S, Persky VW. Associations of place of birth with asthma and wheezing in Mexican American children. J Allergy Clin Immunol. 2005;116:42–8.
Martin MA, Shalowitz MU, Mijanovich T, Clark-Kauffman E, Perez E, Berry CA. The effects of acculturation on asthma burden in a community sample of Mexican American schoolchildren. Am J Public Health. 2007;97:1290–6.
Brugge D, Lee A, Woodin M, Rioux C. Native and foreign born as predictors of pediatric asthma in an Asian immigrant population: a cross sectional survey. Environ Health. 2007;6:13.
Brim SN, Rudd RA, Funk RH, Callahan DB. Asthma prevalence among US children in underrepresented minority populations: American Indian/Alaska Native, Chinese, Filipino, and Asian Indian. Pediatrics. 2008;122:e217–22.
Powell CVE, Nolan TM, Carlin JB, Bennett CM, Johnson PDR. Respiratory symptoms and duration of residence in immigrant teenagers living in Melbourne, Australia. Arch Dis Child. 1999;81:159–62.
Gibson P, Henry R, Shah S, Powell H, Wang H. Migration to a western country increases asthma symptoms but not eosinophilic airway inflammation. Pediatr Pulmonol. 2003;36:209–15.
Subramanian SV, Jun H-J, Kawachi I, Wright RJ. Contribution of race/ethnicity and country of origin to variations in lifetime reported asthma: evidence for a nativity advantage. Am J Public Health. 2009;99:690–7.
Fisk WJ, Lei-Gomez Q, Mendell MJ. Meta-analyses of the associations of respiratory health effects with dampness and mold in homes. Indoor Air. 2007;17:284–96.
Jacobs DE, Kelly T, Sobolewski J. Linking public health, housing and indoor environmental policy: successes and challenges at local and federal agencies in the United States. Environ Health Perspect. 2007;115:976–82.
Klitzman S, Caravanos J, Belanoff C, Rothenberg L. A multihazard, multistrategy approach to home remediation: results of a Pilot Study. Environ Res. 2005;99:294–306.
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