IJE Advance Access originally published online on February 28, 2007
International Journal of Epidemiology 2007 36(3):569-579; doi:10.1093/ije/dym007
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Domestic violence is associated with adult and childhood asthma prevalence in India
1Department of Society, Human Development and Health, Harvard School of Public Health, USA.
2Channing Laboratory, Brigham & Women's Hospital, Harvard Medical School; Department of Society, Human Development and Health, Harvard School of Public Health, USA.
*Corresponding author. 677 Huntington Avenue, KRESGE Bldg, 7th floor, Boston, MA 02115, USA. E-mail: svsubram{at}hsph.harvard.edu
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Abstract |
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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 on the 1998–99 cross-sectional nationally representative Indian National Family Health Survey administered in 92 486 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.
Keywords Asthma, domestic violence (DV), stress, life stages, India
Accepted 12 January 2007
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