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中国上海13335名学龄前儿童中家庭潮湿相关暴露与儿童湿疹的关联:一项横断面研究。

Associations between home dampness-related exposures and childhood eczema among 13,335 preschool children in Shanghai, China: A cross-sectional study.

作者信息

Cai Jiao, Liu Wei, Hu Yu, Zou Zhijun, Shen Li, Huang Chen

机构信息

Department of Building Environment and Energy Engineering, School of Environment and Architecture, University of Shanghai for Science and Technology, 516 Jungong Road, Yangpu District, Shanghai, PR China.

Tongji Architectural Design (Group) Company Limited (TJAD), Shanghai, PR China.

出版信息

Environ Res. 2016 Apr;146:18-26. doi: 10.1016/j.envres.2015.12.009. Epub 2015 Dec 18.

Abstract

From April 2011 to April 2012, we conducted a cross-sectional study in Shanghai, China. A total of 13,335 modified ISAAC questionnaires (response rate: 85.3%) were returned by parents or guardians for 4-6 year-old children. Six dampness-related indicators (visible mold spots, visible damp stains, damp bed clothing, water damage, window pane condensation, and moldy odor) were used to evaluate home dampness-related exposures. In the present study, we applied logistic regression model to reveal associations, dose-response relationships, and statistical interaction effects of these dampness-related exposures, with childhood eczema, during lifetime since birth (ever) and in the last 12 months before the questionnaire. The dampness-related indicators were frequently reported in the perinatal and current residences. Prevalences of eczema ever and in the last 12 months were 22.9% and 13.2%, respectively. The dampness-related indicators were robustly associated and dose-response related with increased risk of eczema ever and in the last 12 months in the logistic regression analyses, with adjusted for potential confounders. Specifically, in the perinatal residence, visible mold spots or damp stains could increase 46% (OR, 95% CI: 1.46, 1.29-1.66) odds of childhood eczema (ever); in the current residence, visible mold spots and visible damp stains could increase 34% (1.34, 1.14-1.58) and 38% (1.38, 1.22-1.56) odds of childhood eczema (ever), respectively. Associations were not appreciably different between boys and girls, nor were they different between children with and without parental history of atopy. In conclusion, perinatal and current dampness-related exposures in the residence perhaps are risk factors for childhood eczema.

摘要

2011年4月至2012年4月,我们在中国上海开展了一项横断面研究。共收到13335份针对4至6岁儿童的经修改的国际儿童哮喘及过敏研究(ISAAC)问卷(回复率:85.3%),问卷由家长或监护人返回。使用六个与潮湿相关的指标(可见霉菌斑、可见潮湿污渍、被褥潮湿、水损、窗玻璃结露和发霉气味)来评估家庭中与潮湿相关的暴露情况。在本研究中,我们应用逻辑回归模型来揭示这些与潮湿相关的暴露情况与儿童湿疹在自出生以来的一生中(曾经)以及在问卷填写前的最后12个月内的关联、剂量反应关系和统计交互作用。与潮湿相关的指标在围产期住所和当前住所中经常被报告。曾经患湿疹和在过去12个月内患湿疹的患病率分别为22.9%和13.2%。在逻辑回归分析中,在对潜在混杂因素进行调整后,与潮湿相关的指标与曾经患湿疹和在过去12个月内患湿疹风险增加之间存在强有力的关联和剂量反应关系。具体而言,在围产期住所,可见霉菌斑或潮湿污渍可使儿童湿疹(曾经)的患病几率增加46%(比值比,95%置信区间:1.46,1.29 - 1.66);在当前住所,可见霉菌斑和可见潮湿污渍可分别使儿童湿疹(曾经)的患病几率增加34%(1.34,1.14 - 1.58)和38%(1.38,1.22 - 1.56)。男孩和女孩之间的关联没有明显差异,有和没有父母特应性病史的儿童之间也没有差异。总之,住所中围产期和当前与潮湿相关的暴露可能是儿童湿疹的危险因素。

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