Karunanayake Chandima P, Rennie Donna C, Ramsden Vivian R, Fenton Mark, Kirychuk Shelley, Lawson Joshua A, Henderson Raina, Jimmy Laurie, Seeseequasis Jeremy, Abonyi Sylvia, Dosman James A, Pahwa Punam
Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, Canada
College of Nursing, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, Canada
Children (Basel). 2017 Nov 24;4(12):103. doi: 10.3390/children4120103.
Respiratory diseases, such as bronchitis and pneumonia, are common in First Nations children in Canada. The objectives are to determine prevalence and associated risk factors of bronchitis in children 6-17 years old residing in two reserve communities. The cross-sectional study was conducted in 2013 and children from two First Nations reserve communities participated. The outcome was ever presence/absence of bronchitis. Logistic regression analysis was conducted to examine the relationship between bronchitis and the individual and environmental factors. A total of 351 First Nations children participated in the study. The prevalence of bronchitis was 17.9%. While 86.6% had at least one parent who smoked, smoking inside home was 43.9%. Signs of mold and mildew in homes were high. Prevalence of houses with any damage caused by dampness was 42.2%, with 44.2% of homes showing signs of mold or mildew. Significant predictors of increased risk of bronchitis were: being obese; having respiratory allergies; exposed to parental cigarette smoking; and signs of mold and mildew in the home. There are several modifiable risk factors that should be considered when examining preventive interventions for bronchitis including obesity, smoking exposure, and home mold or dampness.
呼吸系统疾病，如支气管炎和肺炎，在加拿大原住民儿童中很常见。目标是确定居住在两个保留地社区的6至17岁儿童支气管炎的患病率及相关风险因素。该横断面研究于2013年进行，来自两个原住民保留地社区的儿童参与其中。结果是曾患/未患支气管炎。进行逻辑回归分析以检验支气管炎与个体及环境因素之间的关系。共有351名原住民儿童参与了该研究。支气管炎的患病率为17.9%。虽然86.6%的儿童至少有一位家长吸烟，但在家中吸烟的比例为43.9%。家中霉菌和霉变迹象较多。因潮湿造成任何损坏的房屋患病率为42.2%，44.2%的房屋有霉菌或霉变迹象。支气管炎风险增加的显著预测因素包括：肥胖；患有呼吸道过敏症；接触父母吸烟；以及家中有霉菌和霉变迹象。在研究支气管炎的预防干预措施时，应考虑几个可改变的风险因素，包括肥胖、吸烟暴露以及家中霉菌或潮湿情况。
