School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Environ Sci Pollut Res Int. 2018 Nov;25(33):33455-33463. doi: 10.1007/s11356-018-3304-4. Epub 2018 Sep 28.
We examined the factors associated with mother-reported wheeze and dry cough in children living in Tembisa, a residential and industrial community in South Africa. A cross-sectional sample of parents reported wheezing and dry cough in children (aged 1 to 26 months) by completing the standardised International Study of Asthma and Allergies in Childhood questionnaire with additional questions concerning tobacco use, income, living conditions, and mothers' educational level. Data were analysed using chi-square, univariate, and multivariable logistic regressions. Of the 493 children who participated, 81 (16.4%) had wheeze ever and 186 (37.7%) had dry cough ever. We observed that children had a higher probability of wheezing if mothers had lived in the area for longer periods (aOR 1.05; 95% CI 1.01-1.08). Children who had trucks passing on their streets frequently were more likely to have had dry cough ever compared to those with no trucks passing on their streets (aOR 3.88; 95% CI 2.29-6.57). In Tembisa, dry cough in a child was associated with the frequency of trucks passing in front of the child's home. Children were also more likely have wheeze if their mothers had been living in the community for longer times.
我们研究了居住在南非坦比萨(一个住宅和工业区)的儿童中,母亲报告的喘息和干咳与哪些因素有关。通过完成标准化的《儿童哮喘和过敏国际研究》问卷,加上有关烟草使用、收入、生活条件和母亲教育程度的额外问题,对父母报告的 1 至 26 个月大儿童的喘息和干咳进行了横断面抽样调查。使用卡方检验、单变量和多变量逻辑回归对数据进行分析。在 493 名参与的儿童中,81 名(16.4%)曾有过喘息,186 名(37.7%)曾有过干咳。我们观察到,如果母亲在该地区居住时间较长,儿童喘息的可能性更高(优势比 1.05;95%置信区间 1.01-1.08)。与没有卡车经过的街道相比,卡车经常经过其街道的儿童更有可能曾经有过干咳(优势比 3.88;95%置信区间 2.29-6.57)。在坦比萨,儿童干咳与卡车经过家门口的频率有关。如果母亲在社区居住时间较长,儿童也更有可能喘息。