Aungudornpukdee P, Vichit-Vadakan N
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Nepal Med Coll J. 2009 Dec;11(4):241-6.
Thailand has been changed to rapid urbanization and industrialization since 1980s. During 1992 through 1996, the number of industrial factories in Rayong province increased very sharply. The major types of industries are petrol-chemical and plastic production. However, after the petrochemical industry boomed, the higher demand led to an industrial area expansion. The establishment of factories in this area leads to serious environmental and health impacts. The study aims to investigate the factors that affect visual-motor coordination deficit among children, 6-13 years of age, residing near the Petrochemical Industrial Estate, Map Ta Phut, Rayong province. A population-based cross-sectional study was employed for collecting data on neurobehavioral effects using the Digit Symbol Test. The study found one-third of 2,956 children presented with visual-motor coordination deficits. Three factors were identified that caused children to have a higher risk of visual-motor coordination deficits: gender (adjusted OR 1.934), monthly parental income (range of adjusted OR 1.977 - 2.612), and household environmental tobacco smoke (adjusted OR 1.284), while age (adjusted OR 0.874) and living period (adjusted OR 0.954) in study areas were reversed effects on visual-motor coordination deficit among children. The finding indicated that children with visual-motor coordination deficit were affected by gender, monthly parental income, age of children, length of living period, and household environmental tobacco smoke.
自20世纪80年代以来,泰国已转变为快速城市化和工业化进程。在1992年至1996年期间,罗勇府的工业工厂数量急剧增加。主要工业类型为石油化工和塑料生产。然而,石油化工行业繁荣之后,更高的需求导致了工业区的扩张。该地区工厂的建立对环境和健康造成了严重影响。本研究旨在调查居住在罗勇府马塔府特石化工业区附近的6至13岁儿童视觉运动协调缺陷的影响因素。采用基于人群的横断面研究,使用数字符号测试收集神经行为效应数据。研究发现,2956名儿童中有三分之一存在视觉运动协调缺陷。确定了导致儿童出现视觉运动协调缺陷风险较高的三个因素:性别(调整后的比值比为1.934)、父母月收入(调整后的比值比范围为1.977 - 2.612)和家庭环境烟草烟雾(调整后的比值比为1.284),而年龄(调整后的比值比为0.874)和在研究区域的居住时间(调整后的比值比为0.954)对儿童视觉运动协调缺陷有相反的影响。研究结果表明,视觉运动协调缺陷的儿童受到性别、父母月收入、儿童年龄、居住时间长短和家庭环境烟草烟雾的影响。