Department of Environmental Health Science, School of Public Health, University at Albany, State University of New York, 1 University Place, Rensselaer, NY, 12144, USA.
Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, 1 University Place, Rensselaer, NY, 12144, USA.
Int Arch Occup Environ Health. 2017 Nov;90(8):725-739. doi: 10.1007/s00420-017-1235-x. Epub 2017 Jun 9.
Few studies have evaluated teachers' respiratory health, especially its relationship with school/home environment, and school policies. This study assessed asthma and smoking prevalence among teachers in Romania, teacher's perception and knowledge of the school environment, policies and asthma management, and how school and home environment affected asthma, allergy, and respiratory infection symptoms.
This cross-sectional study obtained information from 104 Romanian teachers utilizing teacher questionnaire data for Romania only, as part of the Schools Indoor Pollution and Health: Observatory Network in Europe (SINPHONIE) study, a multicenter European research project conducted between 2010 and 2012. The SINPHONIE questionnaire collected comprehensive information on school and home environment, respiratory symptoms, smoking, and school policies. We used unconditional logistic regression analysis to examine environment-outcome relationships while controlling for socio-demographics and co-exposures.
Our results showed the prevalence of asthma-like symptoms and smoking among teachers in Romania was higher than in other SINPHONIE schools and among US teachers. Factors statistically associated with asthma, allergy, and respiratory infection (all p < 0.05) include perception of health related to poor air quality in school, inappropriate cleaning of ventilation systems, dwelling proximity to busy traffic, and multiple school/home exposures. We also found lack of asthma management and environmental policies in the investigated Romanian schools.
We concluded that multiple school and home environmental factors were related to respiratory and allergic symptoms. High asthma burden and smoking are important public health problems in Romania. Future studies including larger sample size and exposure measurements are needed to confirm our findings.
很少有研究评估教师的呼吸健康状况，尤其是其与学校/家庭环境和学校政策的关系。本研究评估了罗马尼亚教师的哮喘和吸烟流行率、教师对学校环境、政策和哮喘管理的认知和知识，以及学校和家庭环境如何影响哮喘、过敏和呼吸道感染症状。
本横断面研究通过罗马尼亚教师调查问卷获得了 104 名罗马尼亚教师的信息，该问卷是作为 2010 年至 2012 年期间进行的多中心欧洲研究项目“学校室内污染与健康：欧洲观察站网络”（SINPHONIE）研究的一部分，该研究仅在罗马尼亚进行。SINPHONIE 问卷收集了关于学校和家庭环境、呼吸症状、吸烟和学校政策的综合信息。我们使用非条件逻辑回归分析来检查环境与结果的关系，同时控制社会人口统计学和共同暴露因素。
我们的结果表明，罗马尼亚教师的哮喘样症状和吸烟率高于 SINPHONIE 其他学校和美国教师。与哮喘、过敏和呼吸道感染相关的统计学因素（均 p<0.05）包括对学校空气质量差相关健康的感知、通风系统清洁不当、住所靠近繁忙交通、以及学校/家庭的多重暴露。我们还发现调查的罗马尼亚学校缺乏哮喘管理和环境政策。
我们得出结论，多个学校和家庭环境因素与呼吸道和过敏症状有关。高哮喘负担和吸烟是罗马尼亚的重要公共卫生问题。未来的研究需要包括更大的样本量和暴露测量，以证实我们的发现。
