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学校环境干预项目。

School Environmental Intervention Programs.

机构信息

Division of Pediatric Allergy and Immunology, Massachusetts General Hospital for Children, Boston, Mass; Harvard Medical School, Boston, Mass.

Harvard Medical School, Boston, Mass; Division of Allergy and Immunology, Boston Children's Hospital, Boston, Mass.

出版信息

J Allergy Clin Immunol Pract. 2018 Jan-Feb;6(1):22-29. doi: 10.1016/j.jaip.2017.10.002.

DOI:10.1016/j.jaip.2017.10.002
PMID:29310758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5773264/
Abstract

Exposure to indoor allergens and pollutants plays a significant part in the development of asthma and its associated morbidity. Inner-city children with asthma are disproportionately affected by these exposures with increased asthma morbidity. Although years of previous research have linked exposures in the urban home environment with significant childhood asthma disease, many of these allergens are also present in inner-city school environments. Therefore, evaluation of the school environment of patients with asthma is also essential. School-based environmental interventions may offer benefit for this problem and has the potential to help many children with asthma at once in a cost-effective manner. It is important that environmental health researchers continue to assess which interventions are most practical and result in the greatest measurable improvements.

摘要

室内过敏原和污染物的暴露在哮喘的发展及其相关发病率中起着重要作用。患有哮喘的城市内儿童受这些暴露的影响不成比例,哮喘发病率增加。尽管多年的先前研究已经将城市家庭环境中的暴露与儿童哮喘疾病显著相关,但这些过敏原也存在于城市学校环境中。因此,评估哮喘患者的学校环境也是必不可少的。基于学校的环境干预措施可能对这个问题有益,并有可能以具有成本效益的方式同时帮助许多哮喘儿童。环境健康研究人员继续评估哪些干预措施最实用并带来最大可衡量的改善是很重要的。

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本文引用的文献

1
Nitrogen dioxide exposure in school classrooms of inner-city children with asthma.市区哮喘儿童的学校教室中二氧化氮暴露情况。
J Allergy Clin Immunol. 2018 Jun;141(6):2249-2255.e2. doi: 10.1016/j.jaci.2017.08.028. Epub 2017 Oct 5.
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The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned.学校内城区哮喘干预研究:设计、原理、方法及经验教训
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4
Indoor fungal diversity in primary schools may differently influence allergic sensitization and asthma in children.小学室内真菌多样性可能对儿童的过敏致敏和哮喘产生不同影响。
Pediatr Allergy Immunol. 2017 Jun;28(4):332-339. doi: 10.1111/pai.12704. Epub 2017 Mar 22.
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Indoor Environmental Control Practices and Asthma Management.室内环境控制措施与哮喘管理
Pediatrics. 2016 Nov;138(5). doi: 10.1542/peds.2016-2589.
6
Mouse Sensitization and Exposure Are Associated with Asthma Severity in Urban Children.城市儿童的哮喘严重程度与小鼠致敏和暴露有关。
J Allergy Clin Immunol Pract. 2017 Jul-Aug;5(4):1008-1014.e1. doi: 10.1016/j.jaip.2016.10.020. Epub 2016 Dec 5.
7
Association Between Allergen Exposure in Inner-City Schools and Asthma Morbidity Among Students.市中心学校的过敏原暴露与学生哮喘发病率之间的关联。
JAMA Pediatr. 2017 Jan 1;171(1):31-38. doi: 10.1001/jamapediatrics.2016.2543.
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Exposure to traffic-related air pollution and risk of development of childhood asthma: A systematic review and meta-analysis.交通相关空气污染暴露与儿童哮喘发病风险:系统评价和荟萃分析。
Environ Int. 2017 Mar;100:1-31. doi: 10.1016/j.envint.2016.11.012. Epub 2016 Nov 21.
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Asthma exacerbations and traffic: examining relationships using link-based traffic metrics and a comprehensive patient database.哮喘急性发作与交通:使用基于路段的交通指标和综合患者数据库研究两者关系。
Environ Health. 2016 Nov 3;15(1):102. doi: 10.1186/s12940-016-0184-2.
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School Environmental Intervention to Reduce Particulate Pollutant Exposures for Children with Asthma.学校环境干预措施以减少哮喘儿童的颗粒物污染物暴露
J Allergy Clin Immunol Pract. 2017 Jan-Feb;5(1):154-159.e3. doi: 10.1016/j.jaip.2016.07.018. Epub 2016 Sep 15.