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Lara J Akinbami - One of the best experts on this subject based on the ideXlab platform.
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changing trends in Asthma Prevalence among children
Pediatrics, 2016Co-Authors: Lara J Akinbami, Alan E Simon, Lauren M RossenAbstract:BACKGROUND: Childhood Asthma Prevalence doubled from 1980 to 1995 and then increased more slowly from 2001 to 2010. During this second period, racial disparities increased. More recent trends remain to be described. METHODS: We analyzed current Asthma Prevalence using 2001–2013 National Health Interview Survey data for children ages 0 to 17 years. Logistic regression with quadratic terms was used to test for nonlinear patterns in trends. Differences between demographic subgroups were further assessed with multivariate models controlling for gender, age, poverty status, race/ethnicity, urbanicity, and geographic region. RESULTS: Overall, childhood Asthma Prevalence increased from 2001 to 2009 followed by a plateau then a decline in 2013. From 2001 to 2013, multivariate logistic regression showed no change in Prevalence among non-Hispanic white and Puerto Rican children and those in the Northeast and West; increasing Prevalence among 10- to 17-year-olds, poor children, and those living in the South; increasing then plateauing Prevalence among 5- to 9-year-olds, near-poor children, and non-Hispanic black children; and increasing then decreasing Prevalence among 0- to 4-year-olds, nonpoor, and Mexican children and those in the Midwest. Non-Hispanic black-white disparities stopped increasing, and Puerto Rican children remained with the highest Prevalence. CONCLUSIONS: Current Asthma Prevalence ceased to increase among children in recent years and the non-Hispanic black-white disparity stopped increasing due mainly to plateauing Prevalence among non-Hispanic black children.
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trends in racial disparities for Asthma outcomes among children 0 to 17 years 2001 2010
The Journal of Allergy and Clinical Immunology, 2014Co-Authors: Jeanne E Moorman, Lara J Akinbami, Alan E Simon, Kenneth C SchoendorfAbstract:Background Racial disparities in childhood Asthma have been a long-standing target for intervention, especially disparities in hospitalization and mortality. Objectives Describe trends in racial disparities in Asthma outcomes using both traditional population-based rates and at-risk rates (based on the estimated number of children with Asthma) to account for Prevalence differences between race groups. Methods Estimates of Asthma Prevalence and outcomes (emergency department [ED] visits, hospitalizations, and deaths) were calculated from national data for 2001 to 2010 for black and white children. Trends were calculated using weighted loglinear regression, and changes in racial disparities over time were assessed using Joinpoint. Results Disparities in Asthma Prevalence between black and white children increased from 2001 to 2010; at the end of this period, black children were twice as likely as white children to have Asthma. Population-based rates showed that disparities in Asthma outcomes remained stable (ED visits and hospitalizations) or increased (Asthma attack Prevalence, deaths). In contrast, analysis with at-risk rates, which account for differences in Asthma Prevalence, showed that disparities in Asthma outcomes remained stable (deaths), decreased (ED visits, hospitalizations), or did not exist (Asthma attack Prevalence). Conclusions Using at-risk rates to assess racial disparities in Asthma outcomes accounts for Prevalence differences between black and white children, and adds another perspective to the population-based examination of Asthma disparities. An at-risk rate analysis shows that among children with Asthma, there is no disparity for Asthma attack Prevalence and that progress has been made in decreasing disparities in Asthma ED visit and hospitalization rates.
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national surveillance of Asthma united states 2001 2010
Vital & health statistics. Series 3 Analytical and epidemiological studies [U.S. Dept. of Health and Human Services Public Health Service National Cen, 2012Co-Authors: Jeanne E Moorman, Hatice S Zahran, Lara J Akinbami, Cathy M Bailey, Michael E King, Carol A JohnsonAbstract:BACKGROUND: Asthma is prevalent but treatable: adherence to evidence-based treatment lessens impairment and lowers the risk of future exacerbations. OBJECTIVE: This report details recent trends in Asthma Prevalence, health care use, and mortality since 2001 and presents an overview of trends since 1980. METHODS: Asthma Prevalence estimates were obtained from the National Health Interview Survey (2001-2010). Physician office visit data were obtained from the National Ambulatory Medical Care Survey, hospital outpatient department and emergency department (ED) visit data from the National Hospital Ambulatory Medical Care Survey, hospitalization data from the National Hospital Discharge Survey, and death data from the National Vital Statistics System (2001-2009). Two types of rates were calculated: population-based rates based on the total population and risk-based rates based on the population with Asthma. RESULTS: Current Asthma Prevalence increased from 2001 to 2010. There were no significant changes in rates for hospital outpatient department visits, ED visits, or hospitalizations, whereas risk-based rates for private physician office visits declined. Asthma death rates decreased from 2001 to 2009. Over the long term, Asthma Prevalence rose more slowly after 2001 than during 1980-1996, Asthma hospitalizations declined since 1984 and deaths declined since 1999. Disparities by race and sex for adverse outcomes remained high despite these declines. CONCLUSION: Since 2001, Asthma Prevalence increased, risk-based rates for visits to private physician offices and deaths declined, and risk-based rates for other types of ambulatory visits and for hospitalizations showed no clear trend.
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trends in Asthma Prevalence health care use and mortality in the united states 2001 2010
NCHS data brief, 2012Co-Authors: Lara J Akinbami, Jeanne E Moorman, Hatice S Zahran, Cathy M Bailey, Michele King, Carol A JohnsonAbstract:: Asthma Prevalence increased from 2001 to 2010: An estimated 25.7 million persons had Asthma in 2010. Certain demographic groups had higher Asthma Prevalence: children aged 0–17 years, females, black persons, persons of multiple race, Puerto Rican persons, and persons with a family income below the poverty level. This report examines rates for Asthma outcomes (health care encounters and death) for persons with Asthma rather than for the general population. Rates for the general population represent the burden of Asthma in the United States. Rates for the population with Asthma take into account changes in Asthma Prevalence over time and differences in Asthma Prevalence among demographic groups. From 2001 to 2009, rates for ED visits and hospitalizations per 100 persons with Asthma remained stable, while rates for Asthma visits in primary care settings (physician offices or hospital outpatient departments) and Asthma deaths declined. For the period 2007–2009, Asthma visit rates (per 100 persons with Asthma) in primary care settings for black persons were similar to those for white persons, but rates for Asthma ED visits, hospitalizations, and death (per 1,000) were higher. Compared with adults, children aged 0–17 years had a higher rate for Asthma visits in primary care settings and EDs, but had a similar hospitalization rate and a lower Asthma death rate.
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Asthma Prevalence health care use and mortality united states 2005 2009
National health statistics reports, 2011Co-Authors: Lara J Akinbami, Jeanne E MoormanAbstract:Objectives—This report presents recent data on Asthma Prevalence and health care use. Additional data on school and work absences and Asthma management practices are also presented. Where possible, differences are examined by age, sex, race or ethnicity, geographic region, poverty status, and urbanicity. Methods—Data from the National Health Interview Survey, the National Ambulatory Medical Care Survey, the National Hospital Ambulatory Medical Care Survey, the National Hospital Discharge Survey, and the National Vital Statistics System were used to calculate national estimates. The most recent data available from each system are presented, and 3-year annual averages are used to increase the reliability of estimates for subgroups where necessary. Results—In 2009, current Asthma Prevalence was 8.2% of the U.S. population (24.6 million people); within population subgroups it was higher among females, children, persons of non-Hispanic black and Puerto Rican race or ethnicity, persons with family income below the poverty level, and those residing in the Northeast and Midwest regions. In 2008, persons with Asthma missed 10.5 million school days and 14.2 million work days due to their Asthma. In 2007, there were 1.75 million Asthma-related emergency department visits and 456,000 Asthma hospitalizations. Asthma emer gency visit and hospitalization rates were higher among females than males, among children than adults, and among black than white persons. Despite the high burden from adverse impacts, use of some Asthma management strategies based on clinical guidelines for the treatment of Asthma remained below the targets set by the Healthy People 2010 initiative.
Jeanne E Moorman - One of the best experts on this subject based on the ideXlab platform.
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trends in racial disparities for Asthma outcomes among children 0 to 17 years 2001 2010
The Journal of Allergy and Clinical Immunology, 2014Co-Authors: Jeanne E Moorman, Lara J Akinbami, Alan E Simon, Kenneth C SchoendorfAbstract:Background Racial disparities in childhood Asthma have been a long-standing target for intervention, especially disparities in hospitalization and mortality. Objectives Describe trends in racial disparities in Asthma outcomes using both traditional population-based rates and at-risk rates (based on the estimated number of children with Asthma) to account for Prevalence differences between race groups. Methods Estimates of Asthma Prevalence and outcomes (emergency department [ED] visits, hospitalizations, and deaths) were calculated from national data for 2001 to 2010 for black and white children. Trends were calculated using weighted loglinear regression, and changes in racial disparities over time were assessed using Joinpoint. Results Disparities in Asthma Prevalence between black and white children increased from 2001 to 2010; at the end of this period, black children were twice as likely as white children to have Asthma. Population-based rates showed that disparities in Asthma outcomes remained stable (ED visits and hospitalizations) or increased (Asthma attack Prevalence, deaths). In contrast, analysis with at-risk rates, which account for differences in Asthma Prevalence, showed that disparities in Asthma outcomes remained stable (deaths), decreased (ED visits, hospitalizations), or did not exist (Asthma attack Prevalence). Conclusions Using at-risk rates to assess racial disparities in Asthma outcomes accounts for Prevalence differences between black and white children, and adds another perspective to the population-based examination of Asthma disparities. An at-risk rate analysis shows that among children with Asthma, there is no disparity for Asthma attack Prevalence and that progress has been made in decreasing disparities in Asthma ED visit and hospitalization rates.
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national surveillance of Asthma united states 2001 2010
Vital & health statistics. Series 3 Analytical and epidemiological studies [U.S. Dept. of Health and Human Services Public Health Service National Cen, 2012Co-Authors: Jeanne E Moorman, Hatice S Zahran, Lara J Akinbami, Cathy M Bailey, Michael E King, Carol A JohnsonAbstract:BACKGROUND: Asthma is prevalent but treatable: adherence to evidence-based treatment lessens impairment and lowers the risk of future exacerbations. OBJECTIVE: This report details recent trends in Asthma Prevalence, health care use, and mortality since 2001 and presents an overview of trends since 1980. METHODS: Asthma Prevalence estimates were obtained from the National Health Interview Survey (2001-2010). Physician office visit data were obtained from the National Ambulatory Medical Care Survey, hospital outpatient department and emergency department (ED) visit data from the National Hospital Ambulatory Medical Care Survey, hospitalization data from the National Hospital Discharge Survey, and death data from the National Vital Statistics System (2001-2009). Two types of rates were calculated: population-based rates based on the total population and risk-based rates based on the population with Asthma. RESULTS: Current Asthma Prevalence increased from 2001 to 2010. There were no significant changes in rates for hospital outpatient department visits, ED visits, or hospitalizations, whereas risk-based rates for private physician office visits declined. Asthma death rates decreased from 2001 to 2009. Over the long term, Asthma Prevalence rose more slowly after 2001 than during 1980-1996, Asthma hospitalizations declined since 1984 and deaths declined since 1999. Disparities by race and sex for adverse outcomes remained high despite these declines. CONCLUSION: Since 2001, Asthma Prevalence increased, risk-based rates for visits to private physician offices and deaths declined, and risk-based rates for other types of ambulatory visits and for hospitalizations showed no clear trend.
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trends in Asthma Prevalence health care use and mortality in the united states 2001 2010
NCHS data brief, 2012Co-Authors: Lara J Akinbami, Jeanne E Moorman, Hatice S Zahran, Cathy M Bailey, Michele King, Carol A JohnsonAbstract:: Asthma Prevalence increased from 2001 to 2010: An estimated 25.7 million persons had Asthma in 2010. Certain demographic groups had higher Asthma Prevalence: children aged 0–17 years, females, black persons, persons of multiple race, Puerto Rican persons, and persons with a family income below the poverty level. This report examines rates for Asthma outcomes (health care encounters and death) for persons with Asthma rather than for the general population. Rates for the general population represent the burden of Asthma in the United States. Rates for the population with Asthma take into account changes in Asthma Prevalence over time and differences in Asthma Prevalence among demographic groups. From 2001 to 2009, rates for ED visits and hospitalizations per 100 persons with Asthma remained stable, while rates for Asthma visits in primary care settings (physician offices or hospital outpatient departments) and Asthma deaths declined. For the period 2007–2009, Asthma visit rates (per 100 persons with Asthma) in primary care settings for black persons were similar to those for white persons, but rates for Asthma ED visits, hospitalizations, and death (per 1,000) were higher. Compared with adults, children aged 0–17 years had a higher rate for Asthma visits in primary care settings and EDs, but had a similar hospitalization rate and a lower Asthma death rate.
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Asthma incidence among children and adults findings from the behavioral risk factor surveillance system Asthma call back survey united states 2006 2008
Journal of Asthma, 2012Co-Authors: Rachel A Winer, Theresa Harrington, Jeanne E Moorman, Hatice S ZahranAbstract:Background. Asthma, a chronic respiratory condition affecting 8.2% of the US population (2009), causes significant societal and economic burden, resulting in missed school/work days, activity limitations, and increased healthcare utilization. Annual Asthma Prevalence estimates are available from national surveys, but these surveys have not routinely collected Asthma incidence data that are important for identifying risk factors and trends in rates of disease onset. The Asthma Call-back Survey (ACBS), implemented in 2006, provides detailed Asthma data that supplement Behavioral Risk Factor Surveillance System (BRFSS) data. We analyzed BRFSS and ACBS data to estimate annual Asthma incidence and to determine whether these rates differed by age group, sex, and race/ethnicity. Methods. BRFSS and ACBS data from the participating states during 2006–2008 (24 states and District of Columbia [DC] in 2006; 34 states and DC in 2007 and 2008) were analyzed to calculate 12-month incidence rates. Incident cases of asthm...
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Asthma Prevalence health care use and mortality united states 2005 2009
National health statistics reports, 2011Co-Authors: Lara J Akinbami, Jeanne E MoormanAbstract:Objectives—This report presents recent data on Asthma Prevalence and health care use. Additional data on school and work absences and Asthma management practices are also presented. Where possible, differences are examined by age, sex, race or ethnicity, geographic region, poverty status, and urbanicity. Methods—Data from the National Health Interview Survey, the National Ambulatory Medical Care Survey, the National Hospital Ambulatory Medical Care Survey, the National Hospital Discharge Survey, and the National Vital Statistics System were used to calculate national estimates. The most recent data available from each system are presented, and 3-year annual averages are used to increase the reliability of estimates for subgroups where necessary. Results—In 2009, current Asthma Prevalence was 8.2% of the U.S. population (24.6 million people); within population subgroups it was higher among females, children, persons of non-Hispanic black and Puerto Rican race or ethnicity, persons with family income below the poverty level, and those residing in the Northeast and Midwest regions. In 2008, persons with Asthma missed 10.5 million school days and 14.2 million work days due to their Asthma. In 2007, there were 1.75 million Asthma-related emergency department visits and 456,000 Asthma hospitalizations. Asthma emer gency visit and hospitalization rates were higher among females than males, among children than adults, and among black than white persons. Despite the high burden from adverse impacts, use of some Asthma management strategies based on clinical guidelines for the treatment of Asthma remained below the targets set by the Healthy People 2010 initiative.
Kenneth C Schoendorf - One of the best experts on this subject based on the ideXlab platform.
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trends in racial disparities for Asthma outcomes among children 0 to 17 years 2001 2010
The Journal of Allergy and Clinical Immunology, 2014Co-Authors: Jeanne E Moorman, Lara J Akinbami, Alan E Simon, Kenneth C SchoendorfAbstract:Background Racial disparities in childhood Asthma have been a long-standing target for intervention, especially disparities in hospitalization and mortality. Objectives Describe trends in racial disparities in Asthma outcomes using both traditional population-based rates and at-risk rates (based on the estimated number of children with Asthma) to account for Prevalence differences between race groups. Methods Estimates of Asthma Prevalence and outcomes (emergency department [ED] visits, hospitalizations, and deaths) were calculated from national data for 2001 to 2010 for black and white children. Trends were calculated using weighted loglinear regression, and changes in racial disparities over time were assessed using Joinpoint. Results Disparities in Asthma Prevalence between black and white children increased from 2001 to 2010; at the end of this period, black children were twice as likely as white children to have Asthma. Population-based rates showed that disparities in Asthma outcomes remained stable (ED visits and hospitalizations) or increased (Asthma attack Prevalence, deaths). In contrast, analysis with at-risk rates, which account for differences in Asthma Prevalence, showed that disparities in Asthma outcomes remained stable (deaths), decreased (ED visits, hospitalizations), or did not exist (Asthma attack Prevalence). Conclusions Using at-risk rates to assess racial disparities in Asthma outcomes accounts for Prevalence differences between black and white children, and adds another perspective to the population-based examination of Asthma disparities. An at-risk rate analysis shows that among children with Asthma, there is no disparity for Asthma attack Prevalence and that progress has been made in decreasing disparities in Asthma ED visit and hospitalization rates.
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trends in childhood Asthma Prevalence health care utilization and mortality
Pediatrics, 2002Co-Authors: Lara J Akinbami, Kenneth C SchoendorfAbstract:Objectives. Our objective was to use national data to produce a comprehensive description of trends in childhood Asthma Prevalence, health care utilization, and mortality to assess changes in the disease burden among US children. Methods. Five data sources from the National Center for Health Statistics were used to describe trends in Asthma for children aged 0 to 17 years from 1980 to the most recent year for which data were available. These included the National Health Interview Survey (NHIS), the National Ambulatory Medical Care Survey, the National Hospital Ambulatory Medical Care Survey, the National Hospital Discharge Survey, and the Mortality Component of the National Vital Statistics System. Results. Asthma Prevalence increased by an average of 4.3% per year from 1980 to 1996, from 3.6% to 6.2%. The peak Prevalence was 7.5% in 1995. In 1997, Asthma attack Prevalence was 5.4%, but changes in the NHIS design in 1997 preclude comparison to previous estimates. Asthma attack Prevalence remained level from 1997 to 2000. After a decrease between 1980 and 1989, the Asthma office visit rate increased by an average of 3.8% per year from 1989 to 1999. The Asthma hospitalization rate grew by 1.4% per year from 1980 to 1999. Although childhood Asthma deaths are rare, the Asthma death rate increased by 3.4% per year from 1980 to 1998. Children aged 0 to 4 years had the largest increase in Prevalence and had greater health care use, but adolescents had the highest mortality. The Asthma burden was borne disproportionately by black children throughout the period. Racial disparities were largest for Asthma hospitalizations and mortality: compared with white children, in 1998–1999, black children were >3 times as likely to be hospitalized and in 1997–1998 >4 times as likely to die from Asthma. Conclusions. Recent data suggest that the burden from childhood Asthma may have recently plateaued after several years of increasing, although additional years of data collection are necessary to confirm a change in trend. Racial and ethnic disparities remain large for Asthma health care utilization and mortality.
S V Subramanian - One of the best experts on this subject based on the ideXlab platform.
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revisiting the hispanic health paradox the relative contributions of nativity country of origin and race ethnicity to childhood Asthma
Journal of Immigrant and Minority Health, 2015Co-Authors: Marlene Camachorivera, Gary G Bennett, S V SubramanianAbstract:This study examined the relationship between race and Hispanic ethnicity, maternal and child nativity, country of origin and Asthma among 2,558 non-Hispanic white and Hispanic children across 65 Los Angeles neighborhoods. A series of two-level multilevel models were estimated to examine the independent effects of race, ethnicity, and country of origin on childhood Asthma. Lifetime Asthma Prevalence was reported among 9 % of children, with no significant differences between Hispanics and non-Hispanic whites overall. However, in fully adjusted models, Hispanic children of non-Mexican origin reported higher odds of Asthma compared to non-Hispanic white children. A protective nativity effect was also observed among children of foreign born mothers compared to US born mothers. Our study provides evidence in support of the heterogeneity of childhood Asthma by Hispanic ethnicity and maternal nativity. These findings suggest moving beyond solely considering racial/ethnic classifications which could mask subgroups at increased risk of childhood Asthma.
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time trends in racial and ethnic disparities in Asthma Prevalence in the united states from the behavioral risk factor surveillance system brfss study 1999 2011
American Journal of Public Health, 2015Co-Authors: Nandita Bhan, Ichiro Kawachi, Maria M Glymour, S V SubramanianAbstract:Objectives. We examined whether racial/ethnic disparities in the United States increased over time.Methods. We analyzed data from 3 868 956 adults across the United States from the Behavioral Risk Factor Surveillance System from 1999 to 2011. We used random intercepts models (individuals nested in states) to examine racial/ethnic disparities and time trends in Asthma lifetime and its current Prevalence, adjusted for covariates. We also investigated the heterogeneity in Asthma Prevalence by ethnicity of the major zone of residence.Results. Lifetime and current Asthma Prevalence were higher among non-Hispanic Black populations, with time trends highlighting increasing differences over time (b = 0.0078; 95% confidence interval [CI] = 0.0043, 0.0106). Lower odds ratios (ORs) of Asthma were noted for Hispanic populations (OR = 0.74; 95% CI = 0.73, 0.76). Hispanics in states with more Puerto Rican residents reported greater risks of Asthma (OR = 1.55; 95% CI = 1.24, 1.93) compared with Hispanics in states with ...
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neighborhood incarceration rate and Asthma Prevalence in new york city a multilevel approach
American Journal of Public Health, 2013Co-Authors: Joseph W Frank, S V Subramanian, Clemens S Hong, Emily A WangAbstract:Objectives. We examined the association between neighborhood incarceration rate and Asthma Prevalence and morbidity among New York City adults.Methods. We used multilevel modeling techniques and data from the New York City Community Health Survey (2004) to analyze the association between neighborhood incarceration rate and Asthma Prevalence, adjusting for individual-level sociodemographic, behavioral, and environmental characteristics. We examined interactions between neighborhood incarceration rate, respondent incarceration history, and race/ethnicity.Results. The mean neighborhood rate of incarceration was 5.4% (range = 2.1%–12.8%). Neighborhood incarceration rate was associated with individual-level Asthma Prevalence (odds ratio [OR] = 1.06; 95% confidence interval [CI] = 1.03, 1.10) in unadjusted models but not after adjustment for sociodemographic characteristics (OR = 1.01; 95% CI = 0.98, 1.04). This association did not differ according to respondent race/ethnicity.Conclusions. Among New York City a...
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contribution of race ethnicity and country of origin to variations in lifetime reported Asthma evidence for a nativity advantage
American Journal of Public Health, 2009Co-Authors: S V Subramanian, Ichiro Kawachi, Rosalind J WrightAbstract:Objectives. We assessed the relative contribution of Hispanic ethnicity, country of origin, and nativity to lifetime Prevalence of Asthma among mothers and children enrolled in the Project on Human Development in Chicago Neighborhoods.Methods. We used multilevel models to analyze data from wave 3 of the Project on Human Development in Chicago Neighborhoods study (2000 to 2001). Mothers reported physician-diagnosed Asthma for themselves and their children. Maternal race, ethnicity, country of origin, and nativity were the predictors of interest.Results. We found substantial heterogeneity in lifetime Asthma within Hispanic subgroups for mothers and children. Hispanics of non-Mexican origin had greater odds of having Asthma than did non-Hispanic Whites; respondents of Mexican origin did not differ from non-Hispanic Whites. Odds of experiencing Asthma were more strongly related to nativity than to race, Hispanic ethnicity, or country of origin. Only immigrant Mexicans reported Asthma Prevalence lower than tha...
Kees De Hoogh - One of the best experts on this subject based on the ideXlab platform.
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ambient air pollution traffic noise and adult Asthma Prevalence a bioshare approach
European Respiratory Journal, 2017Co-Authors: Wilma L Zijlema, Dany Doiron, Kees De Hoogh, Marta Blangiardo, Paul R Burton, Isabel Fortier, Amadou Gaye, John S GulliverAbstract:We investigated the effects of both ambient air pollution and traffic noise on adult Asthma Prevalence, using harmonised data from three European cohort studies established in 2006–2013 (HUNT3, Lifelines and UK Biobank). Residential exposures to ambient air pollution (particulate matter with aerodynamic diameter ≤10 µm (PM 10 ) and nitrogen dioxide (NO 2 )) were estimated by a pan-European Land Use Regression model for 2007. Traffic noise for 2009 was modelled at home addresses by adapting a standardised noise assessment framework (CNOSSOS-EU). A cross-sectional analysis of 646 731 participants aged ≥20 years was undertaken using DataSHIELD to pool data for individual-level analysis via a “compute to the data” approach. Multivariate logistic regression models were fitted to assess the effects of each exposure on lifetime and current Asthma Prevalence. PM 10 or NO 2 higher by 10 µg·m −3 was associated with 12.8% (95% CI 9.5–16.3%) and 1.9% (95% CI 1.1–2.8%) higher lifetime Asthma Prevalence, respectively, independent of confounders. Effects were larger in those aged ≥50 years, ever-smokers and less educated. Noise exposure was not significantly associated with Asthma Prevalence. This study suggests that long-term ambient PM 10 exposure is associated with Asthma Prevalence in western European adults. Traffic noise is not associated with Asthma Prevalence, but its potential to impact on Asthma exacerbations needs further investigation.
