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May 2002, Vol 92, No. 5 | American Journal of Public Health 792-798
© 2002 American Public Health Association

RESEARCH AND PRACTICE

Unraveling the Ecology of Risks for Early Childhood Asthma Among Ethnically Diverse Families in the Southwest

Mary D. Klinnert, PhD, Marcella R. Price, MSPH, Andrew H. Liu, MD and JoAnn L. Robinson, PhD

Mary D. Klinnert, Marcella R. Price, and Andrew H. Liu are with the National Jewish Medical and Research Center, Denver, Colo. Mary D. Klinnert, Andrew H. Liu, and JoAnn L. Robinson are with the University of Colorado Health Sciences Center, Denver.

Correspondence: Requests for reprints should be sent to Mary Klinnert, PhD, National Jewish Medical and Research Center, 1400 Jackson St, Denver, CO 80206 (e-mail: klinnertm{at}njc.org).

Objectives. We describe the prevalence of asthma risk factors within racial/ethnic and language groups of infants participating in an intervention study for reducing chronic asthma.

Methods. Low-income children aged 9 to 24 months with 3 or more episodes of wheezing illness were enrolled. Baseline information included family and medical histories, allergic status, environmental exposures, emotional environment, and caregiver psychosocial resources.

Results. Racial/ethnic and language groups—European Americans, African Americans, high-acculturated Hispanics, and low-acculturated Hispanics—showed different patterns of risk factors for childhood asthma, with low-acculturated Hispanics showing the most distinctive pattern.

Conclusions. Patterns of covariation of biological and psychosocial risk factors for childhood asthma were associated with racial/ethnic and language status among urban, low-income children.




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