Hauptman Marissa, Phipatanakul Wanda
aDivision of General Pediatrics bDivision of Allergy and Immunology, Boston Children's Hospital cHarvard Medical School dRegion 1 New England Pediatric Environmental Health Specialty Unit, Boston, Massachusetts, USA.
Curr Opin Allergy Clin Immunol. 2016 Apr;16(2):135-41. doi: 10.1097/ACI.0000000000000250.
It has been well studied that aeroallergen, mold, and airborne pollutant exposure in the inner-city home environment is associated with significant childhood asthma morbidity. Although the home environment has been extensively studied, the school environment is less well understood.
In this article, we discuss the relationship between environmental exposures within the school and daycare environment and pediatric asthma morbidity and novel environmental interventions designed to help mitigate pediatric asthma morbidity.
Studies assessing environmental exposures outside the home environment and interventions to mitigate these exposures have the potential to reduce pediatric asthma morbidity. Further study in this area should focus on the complex cost benefit analyses of environmental interventions outside the home setting, while controlling for the home environment.
已有充分研究表明，城市家庭环境中的空气过敏原、霉菌和空气传播污染物暴露与儿童哮喘的高发病率相关。尽管对家庭环境进行了广泛研究，但对学校环境的了解较少。
在本文中，我们讨论了学校和日托环境中的环境暴露与儿童哮喘发病率之间的关系，以及旨在帮助减轻儿童哮喘发病率的新型环境干预措施。
评估家庭外环境暴露及减轻这些暴露的干预措施的研究，有可能降低儿童哮喘发病率。该领域的进一步研究应侧重于家庭外环境干预措施的复杂成本效益分析，同时控制家庭环境因素。
