Social disadvantage and asthma control in children

Paediatr Respir Rev. 2014 Sep;15(3):256-62; quiz 262-3. doi: 10.1016/j.prrv.2014.04.017. Epub 2014 May 16.


This review discusses various aspects of social disadvantage and their association with poor asthma control, including socioeconomic status, exposure to psychosocial stress and violence, minority affiliation, environmental concerns such as allergens and pollution, and poverty in rural settings. Each of these elements has been linked with worsened asthma outcomes in children. Known and hypothesized mechanisms behind these associations are described in an effort to further understand the complex entity of poorly controlled asthma among socially deprived children. Intervention studies to improve asthma outcomes in these vulnerable populations are also described.

Keywords: Asthma; Ethnic Groups; Paediatrics; Psychological; Social Class; Socioeconomic Factors; Stress.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Asthma / etiology
  • Asthma / prevention & control*
  • Child
  • Environmental Exposure
  • Humans
  • Risk Factors
  • Socioeconomic Factors