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[中国安徽省芜湖市区0 - 24个月儿童过敏性疾病的危险因素]

[Risk factors for allergic diseases in children aged 0-24 months in the Wuhu urban area, Anhui Province, China].

作者信息

Wang Shou-Gui, Zhang Xiang-Sheng, Zhao Yan-Fang, Sun Li, Pan Xi-Tao, Wan Ning

机构信息

Department of Child Health Care, Wuhu Maternal and Child Health Care Hospital, Wuhu, Anhui 241000, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2017 Mar;19(3):303-307. doi: 10.7499/j.issn.1008-8830.2017.03.010.

Abstract

OBJECTIVE

To investigate the prevalence of allergic diseases in children aged 0-24 months in the Wuhu urban area of Anhui Province and risk factors for allergic diseases.

METHODS

Cluster random sampling was performed to select 600 children aged 0-24 months and their mothers from the Wuhu urban area, and a questionnaire survey was conducted to collect the data of disease history, family history, mothers' conditions during pregnancy, and child-rearing situation. Univariate analysis and multivariate logistic regression analysis were performed for such data.

RESULTS

Among the 597 children included in the analysis, 56 (9.4%) were diagnosed with allergic diseases in the past. The univariate analysis showed that the age, use of antipyretic and analgesic drugs, a history of allergy in the father or grandparents, and the consumption of fish, shrimps, crabs, and shellfish during pregnancy were significantly associated with past allergic diseases (P<0.05). The multivariate logistic regression analysis showed that the age and a history of allergy in the father or grandparents were positively associated with past allergic diseases (OR=4.0-4.9, 2.7, and 2.4 respectively; P<0.05), while frequent consumption of fish, shrimps, crabs, and shellfish during pregnancy was negatively associated with past allergic diseases (OR=0.3; P<0.05).

CONCLUSIONS

A family history of allergy is an independent risk factor for allergic diseases in children aged 0-24 months in the Wuhu urban area of Anhui Province, while frequent consumption of fish, shrimps, crabs, and shellfish during pregnancy is a protective factor.

摘要

目的

调查安徽省芜湖市区0 - 24个月儿童过敏性疾病的患病率及其危险因素。

方法

采用整群随机抽样方法,从芜湖市区选取600名0 - 24个月儿童及其母亲,进行问卷调查,收集疾病史、家族史、母亲孕期情况及育儿情况等数据,并对这些数据进行单因素分析和多因素logistic回归分析。

结果

纳入分析的597名儿童中,既往有56名(9.4%)被诊断为过敏性疾病。单因素分析显示,年龄、使用退热镇痛药、父亲或祖父母有过敏史以及孕期食用鱼虾蟹贝类与既往过敏性疾病显著相关(P<0.05)。多因素logistic回归分析显示,年龄以及父亲或祖父母有过敏史与既往过敏性疾病呈正相关(OR分别为4.0 - 4.9、2.7和2.4;P<0.05),而孕期频繁食用鱼虾蟹贝类与既往过敏性疾病呈负相关(OR = 0.3;P<0.05)。

结论

过敏家族史是安徽省芜湖市区0 - 24个月儿童过敏性疾病的独立危险因素,而孕期频繁食用鱼虾蟹贝类是保护因素。

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本文引用的文献

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Atopic dermatitis and the atopic march revisited.特应性皮炎与特应性进程再探。
Allergy. 2014 Jan;69(1):17-27. doi: 10.1111/all.12268. Epub 2013 Oct 14.

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