We can speculate about other potential reasons for the low prevalence found in our study; they could be due to genetic/racial factors; to food habits; little use of medicine like antibiotics (potentially changing the intestinal flora); altitude or even emotional/cultural issues. A recent study found a protective effect on asthma severity in young children from families with balanced and supportive interactions and a good social network (Gustafsson et al., 2002). We might expect better family involvement and social networks in the traditional Maya Indian societies, compared to urban slums and peri uran areas where asthma prevalence seems to increase rapidly, a topic for further, multidisciplinary, research.
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