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Int. J. Environ. Res. Public Health 2014, 11(3), 2941-2957;

Social Disparities in Children’s Respiratory Health in El Paso, Texas

Department of Sociology and Anthropology, University of Texas of El Paso, 500 West University Ave, El Paso TX 79968, USA
Department of Sociology, University of Minnesota (Twin Cities), Social Science Building, 267 19th Ave. S., Minneapolis, MN 55455, USA
Department of Social Work, Fayetteville State University, 1200 Murchison Rd, Fayetteville, NC 28301, USA
Department of Criminology, Law and Society, University of California Irvine, 2340 Social Ecology II Irvine, CA 92697, USA
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Received: 21 January 2014 / Revised: 24 February 2014 / Accepted: 3 March 2014 / Published: 11 March 2014
(This article belongs to the Special Issue Eliminating Health Disparities to Achieve Health Equity)
Full-Text   |   PDF [239 KB, uploaded 19 June 2014]


The objectives of this study were to assess prevalence of children’s respiratory health conditions and to measure and describe social disparities in children’s respiratory problems and access to health resources for asthma/wheezing management. Data were collected through a cross-sectional, observational mail survey of all primary caretakers of 4th and 5th grade children in El Paso Independent School District (El Paso, TX, USA). 6295 primary caretakers received surveys at their home address and 1904 surveys were completed and returned for a 30% response rate. El Paso children have high rates of asthma (17%) and allergies (51%). In terms of social disparities, children that are male, not poor, obese, Hispanic, born in El Paso, have a US-born caretaker, and have a caretaker who has lower levels Spanish proficiency have increased odds of respiratory problems. Among children with asthma and wheezing, disparities exist in access to care; those that are poor, with a Spanish-speaking caretaker, or with a foreign-born caretaker had increased odds of seeking care in urgent care center, emergency rooms and hospitals. Results have scholarly and practical implications for broader trends in terms of increasing prevalence of respiratory health problems across multiple scales (from El Paso to the US context to worldwide) and health disparities experienced within the rapidly growing US Hispanic population. View Full-Text
Keywords: asthma; children; social disparities; respiratory health; El Paso, Texas asthma; children; social disparities; respiratory health; El Paso, Texas
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Grineski, S.E.; Collins, T.W.; Chavez-Payan, P.; Jimenez, A.M.; Clark-Reyna, S.; Gaines, M.; Kim, Y.-A. Social Disparities in Children’s Respiratory Health in El Paso, Texas. Int. J. Environ. Res. Public Health 2014, 11, 2941-2957.

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