Neighborhood differences in exposure and sensitization to cockroach, mouse, dust mite, cat, and dog allergens in New York City

被引:90
作者
Olmedo, Omar [1 ]
Goldstein, Inge F. [2 ]
Acosta, Luis [1 ]
Divjan, Adnan [1 ]
Rundle, Andrew G. [2 ]
Chew, Ginger L. [1 ]
Mellins, Robert B. [5 ]
Hoepner, Lori [1 ,3 ]
Andrews, Howard [3 ,4 ]
Lopez-Pintado, Sara [4 ]
Quinn, James W. [7 ]
Perera, Frederica P. [1 ]
Miller, Rachel L. [1 ,5 ,6 ]
Jacobson, Judith S. [2 ]
Perzanowski, Matthew S. [1 ]
机构
[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Environm Hlth Sci, New York, NY 10032 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY 10032 USA
[3] Columbia Univ, Mailman Sch Publ Hlth, Data Coordinating Ctr, New York, NY 10032 USA
[4] Columbia Univ, Mailman Sch Publ Hlth, Dept Biostat, New York, NY 10032 USA
[5] Columbia Univ, Coll Phys & Surg, Dept Pediat, New York, NY 10032 USA
[6] Columbia Univ, Coll Phys & Surg, Dept Med, Div Pulm, New York, NY 10032 USA
[7] Columbia Univ, Inst Social & Econ Res & Policy, New York, NY 10032 USA
基金
美国国家卫生研究院;
关键词
Asthma; urban; cockroach; mouse; dust mite; allergy; INNER-CITY; ENVIRONMENTAL INTERVENTION; NATIONAL PREVALENCE; INDOOR ALLERGENS; ASTHMA; CHILDREN; RISK; WHEEZE; OWNERSHIP; MORBIDITY;
D O I
10.1016/j.jaci.2011.02.044
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Background: Asthma prevalence varies widely among neighborhoods within New York City. Exposure to mouse and cockroach allergens has been suggested as a cause. Objective: To test the hypotheses that children living in high asthma prevalence neighborhoods (HAPNs) would have higher concentrations of cockroach and mouse allergens in their homes than children in low asthma prevalence neighborhoods (LAPNs), and that these exposures would be related to sensitization and asthma. Methods: In the New York City Neighborhood Asthma and Allergy Study, a case-control study of asthma, children 7 to 8 years old from HAPNs (n = 120) and LAPNs (n = 119) were recruited through the same middle-income health insurance plan. Children were classified as asthma cases (n = 128) or controls without asthma (n = 111) on the basis of reported symptoms or medication use. Allergens were measured in bed dust. Results: HAPN homes had higher Bla g 2 (P = .001), Mus m 1 (P = .003), and Fel d 1 (P = .003) and lower Der f 1 (P = .001) than LAPN homes. Sensitization to indoor allergens was associated with asthma, but relevant allergens differed between LAPNs and HAPNs. Sensitization to cockroach was more common among HAPN than LAPN children (23.7% vs 10.8%; P = .011). Increasing allergen exposure was associated with increased probability of sensitization (IgE) to cockroach (P < .001), dust mite (P = .009), and cat (P = .001), but not mouse (P = .58) or dog (P = .85). Conclusion: These findings further demonstrate the relevance of exposure and sensitization to cockroach and mouse in an urban community and suggest that cockroach allergen exposure could contribute to the higher asthma prevalence observed in some compared with other New York City neighborhoods. (J Allergy Clin Immunol 2011;128:284-92.)
引用
收藏
页码:284 / U291
页数:16
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