哮喘患儿的社会经济因素与家庭过敏原暴露。
Socioeconomic factors and home allergen exposure in children with asthma.
机构信息
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada.
出版信息
J Pediatr Health Care. 2010 Mar-Apr;24(2):108-15. doi: 10.1016/j.pedhc.2009.03.002. Epub 2009 May 21.
INTRODUCTION
The objective of this study was to determine the association between sociodemographic factors and the elimination of allergen sources from homes of asthmatic children.
METHOD
In a cross-sectional analysis of data from 845 asthmatic children, multiple linear regression investigated the association between socioeconomic factors and failure to reduce allergen sources (i.e., stuffed toys, pets, carpeting, curtains, and cushions); failure to use linen covers; and not laundering linens weekly in hot water. Logistic regression assessed the relationship between socioeconomic status and exposure to environmental tobacco smoke.
RESULTS
Mother's employment status was significantly associated with the quality of the home environment (P = .0002). Homemakers demonstrated fewer poor practices (3.1) compared with full-time or part-time employed mothers (3.6). Children whose mothers reported no post-secondary education were more likely to have environmental tobacco smoke exposure compared with those who had a post-secondary CE education or higher (OR 2.4, 95% CI 1.7, 3.5).
DISCUSSION
Children whose mothers worked at home and were better educated were at reduced risk for exposure to sources of indoor allergens.
简介
本研究的目的是确定社会人口因素与哮喘儿童家庭中过敏原源消除之间的关联。
方法
在对 845 名哮喘儿童进行的横断面数据分析中，多元线性回归分析了社会经济因素与未能减少过敏原源（即填充玩具、宠物、地毯、窗帘和靠垫）、未能使用亚麻布覆盖物以及未能每周用热水清洗亚麻布之间的关系。Logistic 回归评估了社会经济地位与接触环境烟草烟雾之间的关系。
结果
母亲的就业状况与家庭环境质量显著相关（P =.0002）。与全职或兼职就业的母亲（3.6）相比，全职母亲（3.1）的不良做法较少。与接受过中学后 CE 教育或更高学历的母亲相比，母亲报告没有接受过中学后教育的儿童更有可能接触环境烟草烟雾（OR 2.4，95% CI 1.7，3.5）。
讨论
母亲在家工作且教育程度较高的儿童接触室内过敏原源的风险降低。
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