Radhika S Raghunathan, Sara B Johnson, Kristin M Voegtline, David W Sosnowski, Molly Kuehn, Nicholas S Ialongo, Rashelle J Musci
Longitudinal patterns of adversity from childhood to adolescence: Examining associations with mental health through emerging adulthood using a random-intercept latent transition analysis
Developmental psychology
determine whether school infrastructure associated health academic outcomes among elementary school children asthma conducted retrospective cohort study linked medical academic facilities data large midatlantic school district united states k5 students asthma enrolled states childrens health insurance program included estimated associations infrastructure quality students school assessed engineering firm summer 2011 represented facility condition index fci asthma health outcomes absenteeism standardized test scores math reading 2 academic years thereafter total 6558 students identified majority nonhispanic black across 130 schools schools 97130 75 poor worse condition clusteradjusted models accounting demographics grade schoolspecific area deprivation inhaled corticosteroid use one standard deviation increase fci corresponding greater infrastructure deficiency associated higher rates asthmarelated hospitalizations incidence rate ratio irr 116 95 confidence interval ci 103 132 absenteeism irr 105 95 ci 101 108 lower scores math mean difference md 33 95 ci 55 12 reading md 30 95 ci 51 09 differences rates asthmarelated emergency visits steroid prescriptions children asthma attending schools poorer infrastructure worse health academic outcomes public policy emphasizing reinvestment school infrastructure may potential means addressing asthma disparities