Dong Guang-Hui, Ma Ya-Nan, Ding Hai-Long, Jin Jing, Cao Ying, Zhao Ya-Dong, He Qin-Cheng
Department of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, PR China.
Respiration. 2008;76(1):82-91. doi: 10.1159/000121370. Epub 2008 Mar 13.
Only few studies have assessed the relative impact of housing characteristics and home environmental factors on asthma and asthma-related symptoms in Chinese children, and to our knowledge, few studies have elaborated respiratory symptoms and allergies in this context.
It was the aim of this study to assess the effects of housing characteristics, pet keeping, home decorations and other indoor environmental factors on respiratory health of Chinese children.
We studied 10,784 children (6-13 years old) from 12 districts in Liaoning province, Northeast China. Information on respiratory health, housing characteristics and environmental pollution was obtained by a standard questionnaire from the American Thoracic Society.
Prevalence of asthma-related symptoms was higher for those living along the main stem of traffic, and for those with a house nearby a pollution source. Lower prevalence rates of respiratory morbidity were associated with households with a bigger area of residence and more rooms. Pet keeping was associated with doctor-diagnosed asthma (OR = 1.52; 95% CI 1.25-1.84). Home decorations also increased the risk of doctor-diagnosed asthma (OR = 1.72; 95% CI 1.45-2.04) and current asthma (OR = 1.43; 95% CI 1.06-1.93). Environmental tobacco smoke, pests and visible mold on walls were associated with the occurrence of asthma symptoms.
Home environmental factors are particularly important for the development of respiratory morbidity among children.
仅有少数研究评估了住房特征和家庭环境因素对中国儿童哮喘及哮喘相关症状的相对影响,据我们所知,很少有研究在这种背景下阐述呼吸道症状和过敏情况。
本研究旨在评估住房特征、饲养宠物、家庭装修及其他室内环境因素对中国儿童呼吸健康的影响。
我们对来自中国东北辽宁省12个区的10784名6至13岁儿童进行了研究。通过美国胸科学会的标准问卷获取了有关呼吸健康、住房特征和环境污染的信息。
居住在交通主干道沿线以及居住在污染源附近房屋中的儿童,哮喘相关症状的患病率更高。居住面积较大且房间较多的家庭,呼吸道疾病的患病率较低。饲养宠物与医生诊断的哮喘相关(比值比=1.52;95%置信区间1.25-1.84)。家庭装修也增加了医生诊断哮喘(比值比=1.72;95%置信区间1.45-2.04)和现患哮喘(比值比=1.43;95%置信区间1.06-1.93)的风险。环境烟草烟雾、害虫和墙壁上可见的霉菌与哮喘症状的发生相关。
家庭环境因素对儿童呼吸道疾病的发生尤为重要。