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预制临时住房与东日本大地震后学童的湿疹或呼吸道症状:ToMMo 儿童健康研究。

Prefabricated Temporary Housing and Eczema or Respiratory Symptoms in Schoolchildren after the Great East Japan Earthquake: The ToMMo Child Health Study.

机构信息

Department of Disaster Public Health, International Research Institute of Disaster Science, Tohoku University, Sendai, Miyagi, Japan.

Tohoku Medical Megabank Organization, Tohoku University, Sendai, Miyagi, Japan.

出版信息

Disaster Med Public Health Prep. 2019 Dec;13(5-6):905-911. doi: 10.1017/dmp.2019.8.

DOI:10.1017/dmp.2019.8
PMID:31156072
Abstract

OBJECTIVE

We aimed to investigate the association between types of housing and allergic symptoms at 3-4 years following the Great East Japan Earthquake.

METHODS

Our study was based on the ToMMo Child Health Study conducted in 2014 and 2015, a cross-sectional survey of public school children in Miyagi Prefecture, Japan. Of the 46 648 invited schoolchildren in the 2nd to 8th grades, 9884 were included. Presence of eczema, wheezing, and mental health symptoms was defined with questionnaires. To calculate odds ratios (ORs) and 95% CIs for the associations between types of housing and eczema or respiratory symptoms, we fitted generalized linear mixed models, included a random effect for municipality of residence, and adjusted for sex, school grade, survey year, and mental health symptoms.

RESULTS

Prefabricated temporary housing was significantly associated with eczema symptoms (OR, 1.46; 95% CI, 1.06-2.02). Even after adjusting for the presence of mental health symptoms, our analysis produced similar results (OR, 1.42; 95% CI, 1.03-1.96). Conversely, it was not significantly associated with respiratory symptoms (OR, 0.97; 95% CI, 0.61-1.54).

CONCLUSIONS

Children living in prefabricated temporary housing had a higher prevalence of eczema symptoms; however, prevalence of respiratory symptoms was not significantly higher.

摘要

目的

本研究旨在探讨大震后 3-4 年居住类型与过敏症状之间的关联。

方法

本研究基于 2014 年和 2015 年开展的东日本大地震后儿童健康多中心队列研究(ToMMo 研究),该研究为日本宫城县公立学校儿童的横断面调查。在受邀的 2-8 年级 46648 名学生中,共有 9884 名学生入组。通过问卷调查评估湿疹、喘息和心理健康症状的发生情况。为了计算居住类型与湿疹或呼吸道症状之间关联的比值比(OR)及其 95%置信区间(CI),我们拟合了广义线性混合模型,模型中包含居住市町村的随机效应,并对性别、年级、调查年份和心理健康症状进行了调整。

结果

预制临时住房与湿疹症状显著相关(OR,1.46;95%CI,1.06-2.02)。即使在校正了心理健康症状的存在后,我们的分析仍得到了相似的结果(OR,1.42;95%CI,1.03-1.96)。然而,它与呼吸道症状之间并无显著关联(OR,0.97;95%CI,0.61-1.54)。

结论

居住在预制临时住房中的儿童湿疹症状的发生率更高,但呼吸道症状的发生率并无显著升高。

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