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Cited by 98Indoor Air Quality and Microbial ExposureAsthma and respiratory diseasesOccupational exposure and asthma

Asthma and the home environment of low-income urban children: Preliminary findings from the seattle-king county healthy homes project

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Krieger, James W., Song, Lin, Takaro, Timothy K., Stout, James·2000·Journal of Urban Health
DOI 10.1007/bf02350962PMC PMC3456608
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Abstract

Objectives Childhood asthma is a growing public health concern in low-income urban communities. Indoor exposure to asthma triggers has emerged as an important cause of asthma exacerbations. We describe indoor environmental conditions related to asthma triggers among a low-income urban population in Seattle/King County, Washington, as well as caregiver knowledge and resources related to control of these triggers.Methods Data are obtained from in-person, structured, closed-end interviews with the caretakers of children aged 4-12 years with persistent asthma living in households with incomes less than 200% of poverty. Additional information is collected during a home inspection. The children and their caregivers are participants in the ongoing Seattle-King County Healthy Homes Project, a randomized controlled trial of an intervention to empower low-income families to reduce exposure to indoor asthma triggers. We report findings on the conditions of the homes prior to this intervention among the first 112 enrolled households.Results A smoker was present in 37.5% of homes. Mold was visible in 26.8% of homes, water damage was present in 18.6% of homes, and damp conditions occurred in 64.8% of households, while 39.6% of caregivers were aware that excessive moisture can increase exposures to allergens. Dust-trapping reservoirs were common; 76.8% of children's bedrooms had carpeting. Cockroach infestation in the past 3 months was reported by 23.4% of caregivers, while 57.1% were unaware of the association of roaches and asthma. Only 19.8% of the children had allergy-control mattress covers.Conclusions Many low-income urban children with asthma in King County live in indoor environments that place them at substantial risk of ongoing exposure to asthma triggers. Substandard housing and lack of resources often underlie these exposures. Initiatives involving health educators, outreach workers, medical providers, health care insurers, housing agencies, and elected officials are needed to reduce these exposures.

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Research works printed but not linked: 6

  1. Carr W, Zeitel L, Weiss K. Asthma hospitalization and mortality in New York City. Am J Public Health. 1992;82:59-65.
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  6. Wade S, Weil C, Holden Get al. Psychosocial characteristics of inner-city children with asthma: a description of the NCICAS psychological protocol. Pediatr Pulmonol. 1997;24:263-276.

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Authors
Krieger, J. W., Song, L., Takaro, T. K., & Stout, J.
Affiliations
  • Public Health – Seattle & King County (US)
  • University of Washington (US)
Corresponding author
Krieger, James W.
ORCID
Venue
Journal of Urban Health
Publisher
Springer Science and Business Media LLC
Published
2000-03
Volume
77
Issue
1
Pages
50-67
ISSN
  • 0028-7091 (ISSN-L)
  • 1099-3460
  • 1468-2869
DOI
10.1007/bf02350962
PMC
PMC3456608
OpenAlex
W2033601641
Cited by
98
References
73
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2019: 1 · 2018: 3 · 2016: 5 · 2015: 7 · 2014: 5 · 2013: 5 · 2012: 4
FWCI
4.60
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Urban Health (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Centers for Disease Control and Prevention
  • U.S. Public Health Service (U50/CCU 011820-02)
  • National Institute of Environmental Health Sciences (ES-96-008)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
Keywords
childhood asthma, low-income urban children, indoor air quality, household smoking, cockroach infestation, dust mites, allergen control, caregiver knowledge, housing conditions
MeSH terms
Asthma, Child, Child, Preschool, Community Health Services, Data Collection, Environmental Exposure, Health Promotion, Housing, Humans, Pest Control, Poverty, Washington

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