Evidence map›Paper›PMID 33964299›Full record

ArticleThe Journal of allergy and clinical immunology2021

Pediatric asthma incidence rates in the United States from 1980 to 2017.

Christine C Johnson, Suzanne L Havstad, Dennis R Ownby, Christine L M Joseph, Alexandra R Sitarik, Jocelyn Biagini Myers, Tebeb Gebretsadik, Tina V Hartert, Gurjit K Khurana Hershey, Daniel J Jackson and 12 more

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Trial
  2. Associations between genetic ancestry and allergic outcomes at 10 years among Black children.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  3. Individual and combined effects of indoor home exposures and ambient PMEnvironmental epidemiology (Philadelphia, Pa.) · 2026
    Article
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  5. Article
  6. The PRIMERO birth cohort: Design and baseline characteristics.The journal of allergy and clinical immunology. Global · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Relationships between lung function, allergy, and wheezing in urban children.The Journal of allergy and clinical immunology · 2024
    Article
  14. Viral and non-viral episodes of wheezing in early life and the development of asthma and respiratory phenotypes among urban children.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2024
    Article
  15. Adopting electric school buses in the United States: Health and climate benefits.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Impact of Spirometry Race-Correction on Preadolescent Black and White Children.The journal of allergy and clinical immunology. In practice · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Christine C JohnsonHenry Ford Health System, Detroit, Mich. Electronic address: cjohnso1@hfhs.org.
Suzanne L HavstadHenry Ford Health System, Detroit, Mich.
Dennis R OwnbyDivision of Allergy and Immunology, Augusta University, Augusta, Ga.
Christine L M JosephHenry Ford Health System, Detroit, Mich.
Alexandra R SitarikHenry Ford Health System, Detroit, Mich.
Jocelyn Biagini MyersCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Tebeb GebretsadikVanderbilt University School of Medicine, Nashville, Tenn.
Tina V HartertVanderbilt University School of Medicine, Nashville, Tenn.
Gurjit K Khurana HersheyCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Daniel J JacksonDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Robert F LemanskeDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Lisa J MartinCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Edward M ZorattiHenry Ford Health System, Detroit, Mich.
Cynthia M VisnessRho, Inc, Chapel Hill, NC.
Patrick H RyanCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Diane R GoldDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Mass; Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass.
Fernando D MartinezAsthma and Airways Research Center, University of Arizona, Tucson, Ariz; Division of Pulmonary and Sleep Medicine, Department of Pediatrics, College of Medicine, University of Arizona, Tucson, Ariz.
Rachel L MillerIcahn Schol of Medicine at Mount Sinai, New York, NY.
Christine M SeroogyDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Anne L WrightAsthma and Airways Research Center, University of Arizona, Tucson, Ariz; Division of Pulmonary and Sleep Medicine, Department of Pediatrics, College of Medicine, University of Arizona, Tucson, Ariz.
James E GernDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Children’s Respiratory and Environmental Workgroup in the ECHO Consortium

Funding

Transplantation GroupUM2AI117870 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI DAVID, GLORIA · 2015 to 2023
$208.1M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Inner City Asthma consortium 3 (ICAC3)UM1AI114271 · NIAID · UNIVERSITY OF WISCONSIN-MADISON · PI GERN, JAMES E., JACKSON, DANIEL J · 2014 to 2021
$79.4M
Wisconsin Infant Study Cohort (WISC) ECHO Pediatric Follow-UpUH3OD023282 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI James E. Gern · 2018 to 2026
$64.8M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Steven N. Chillrud · 1998 to 2026
$44.7M
ZIPRASIDONE (GEODON) AUGMENTATION IN SEROTONIN REUPTAKE INHIBITOR-RESISTANT OBM01RR000071 · NCRR · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI KOLEVZON, ALEXANDER · 1985 to 2009
$41.5M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI VINING, EILEEN PATRICE · 1985 to 2007
$37.3M
SOUTHWEST ENVIRONMENTAL HEALTH SCIENCES CENTERP30ES006694 · NIEHS · UNIVERSITY OF ARIZONA · PI George S Watts · 1994 to 2026
$36.7M
NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1 TR001079NCATS NIH HHS UL1 TR002345NCATS NIH HHS UL1 TR003098NCRR NIH HHS M01 RR000052NCRR NIH HHS M01 RR000071NCRR NIH HHS M01 RR000533NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1 RR025771NHLBI NIH HHS P01 HL070831NHLBI NIH HHS R01 HL056177NHLBI NIH HHS R01 HL113010NHLBI NIH HHS R01 HL132523NHLBI NIH HHS R01 HL141845NHLBI NIH HHS U10 HL064305NIAID NIH HHS HHSN272200900052CNIAID NIH HHS HHSN272201000052INIAID NIH HHS K01 AI070606NIAID NIH HHS N01 AI025482NIAID NIH HHS N01 AI025496NIAID NIH HHS P01 AI089473NIAID NIH HHS R01 AI021256NIAID NIH HHS R01 AI035786NIAID NIH HHS R01 AI050681NIAID NIH HHS R01 AI051598NIAID NIH HHS R01 AI061774NIAID NIH HHS R01 AI110450NIAID NIH HHS R21 AI059415NIAID NIH HHS R21 AI069271NIAID NIH HHS R21 AI080066NIAID NIH HHS R56 AI050681NIAID NIH HHS U19 AI095227NIAID NIH HHS UM1 AI114271NIAID NIH HHS UM2 AI117870NICHD NIH HHS R01 HD061879NICHD NIH HHS R01 HD082147NICHD NIH HHS R03 HD067427NIDDK NIH HHS R01 DK113003NIEHS NIH HHS P01 ES009600NIEHS NIH HHS P30 ES006694NIEHS NIH HHS P30 ES009089NIEHS NIH HHS R01 ES008977NIEHS NIH HHS R01 ES011170NIEHS NIH HHS R01 ES013163NIEHS NIH HHS R01 ES019890NIEHS NIH HHS R21 ES022321NIH HHS UG3 OD023282NIH HHS UG3 OD023290NIH HHS UH3 OD023282NIH HHS UH3 OD023290NIMH NIH HHS R01 MH061879
6 · The paper itself

Abstract

backgroundFew studies have examined longitudinal asthma incidence rates (IRs) from a public health surveillance perspective.

objectiveOur aim was to calculate descriptive asthma IRs in children over time with consideration for demographics and parental asthma history.

methodsData from 9 US birth cohorts were pooled into 1 population covering the period from 1980 to 2017. The outcome was earliest parental report of a doctor diagnosis of asthma. IRs per 1,000 person-years were calculated.

resultsThe racial/ethnic backgrounds of the 6,283 children studied were as follows: 55% European American (EA), 25.5% African American (AA), 9.5% Mexican-Hispanic American (MA) and 8.5% Caribbean-Hispanic American (CA). The average follow-up was 10.4 years (SD = 8.5 years; median = 8.4 years), totaling 65,291 person-years, with 1789 asthma diagnoses yielding a crude IR of 27.5 per 1,000 person-years (95% CI = 26.3-28.8). Age-specific rates were highest among children aged 0 to 4 years, notably from 1995 to 1999, with a decline in EA and MA children in 2000 to 2004 followed by a decline in AA and CA children in 2010 to 2014. Parental asthma history was associated with statistically significantly increased rates. IRs were similar and higher in AA and CA children versus lower but similar in EA and MA children. The differential rates by sex from birth through adolescence principally resulted from a decline in rates among males but relatively stable rates among females.

conclusionsUS childhood asthma IRs varied dramatically by age, sex, parental asthma history, race/ethnicity, and calendar year. Higher rates in the 0- to 4-year-olds group, particularly among AA/CA males with a parental history of asthma, as well as changes in rates over time and by demographic factors, suggest that asthma is driven by complex interactions between genetic susceptibility and variation in time-dependent environmental and social factors.

Indexed as

Sex FactorsSocioeconomic FactorsAdolescentAsthmaChildCohort StudiesFemaleFollow-Up StudiesGene-Environment InteractionHumansIncidenceMalePublic Health SurveillanceUnited StatesYoung AdultEpidemiologyIRsparental historypediatric asthmasextimeUnited States

Identifiers

PMID33964299
PMCPMC8631308

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.