TY - JOUR
T1 - Domestic violence is associated with adult and childhood asthma prevalence in India
AU - Subramanian, S. V.
AU - Ackerson, Leland K.
AU - Subramanyam, Malavika A.
AU - Wright, Rosalind J.
N1 - Funding Information:
S.V.S. is supported by the National Institutes of Health Career Development Award (NHLBI 1 K25 HL081275); L.A. is supported by the Harvard Education Program in Cancer Prevention and Control (NIH/NCI 5 R25 CA057711-12R). R.J.W. is supported by R01 HL080674 and R01 HL64108. No direct financial support was available for this study. We acknowledge the support of Macro International (www.measuredhs.com) for providing us access to the 1998–99 Indian National Family Health Survey data.
PY - 2007/6
Y1 - 2007/6
N2 - Background: Little is known on the influence of stressful psychosocial circumstances in predicting asthma. We examine the link between asthma prevalence and domestic violence (DV) in a nationally representative sample of adults and children in India. Methods: Analyses were based onthe 1998-99 cross-sectional nationally representative Indian National Family Health Survey administered in 92486 households. Individual-level prevalence of asthma was the primary outcome for this study. Exposure to DV was based on women's self-report of DV. Results: In adjusted models, women who experienced DV either recently or in the past were at greater risk of being asthmatic [odds ratio (OR) range 1.26-1.37], compared with those who did not report any abuse. In households where women reported to have experienced DV, asthma risk was higher for all individuals in those households (OR range 1.15-1.19). The association between household DV and individual risk for asthma was also observed in gender-stratified analysis, and also in age-stratified analysis, with strong association observed in age groups of under-five, 5-14, 15-24 and 25-44 years. Conclusions: We find a consistent association between being exposed to, and having experienced, DV and asthma prevalence. Stress-induced mechanisms, partially captured through violence and social circumstances, may be a critical explanatory link in furthering our understanding of the social disparities in asthma.
AB - Background: Little is known on the influence of stressful psychosocial circumstances in predicting asthma. We examine the link between asthma prevalence and domestic violence (DV) in a nationally representative sample of adults and children in India. Methods: Analyses were based onthe 1998-99 cross-sectional nationally representative Indian National Family Health Survey administered in 92486 households. Individual-level prevalence of asthma was the primary outcome for this study. Exposure to DV was based on women's self-report of DV. Results: In adjusted models, women who experienced DV either recently or in the past were at greater risk of being asthmatic [odds ratio (OR) range 1.26-1.37], compared with those who did not report any abuse. In households where women reported to have experienced DV, asthma risk was higher for all individuals in those households (OR range 1.15-1.19). The association between household DV and individual risk for asthma was also observed in gender-stratified analysis, and also in age-stratified analysis, with strong association observed in age groups of under-five, 5-14, 15-24 and 25-44 years. Conclusions: We find a consistent association between being exposed to, and having experienced, DV and asthma prevalence. Stress-induced mechanisms, partially captured through violence and social circumstances, may be a critical explanatory link in furthering our understanding of the social disparities in asthma.
UR - http://www.scopus.com/inward/record.url?scp=34547830390&partnerID=8YFLogxK
U2 - 10.1093/ije/dym007
DO - 10.1093/ije/dym007
M3 - Article
C2 - 17329314
AN - SCOPUS:34547830390
SN - 0300-5771
VL - 36
SP - 569
EP - 579
JO - International Journal of Epidemiology
JF - International Journal of Epidemiology
IS - 3
ER -