Sastry Jayagowri, Agawane Shubhangi, Rajan Mangala, Black Kathleen, Laumbach Robert, Ramagopal Maya
Global and Women's Health Research Unit, Division of Planetary Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Department of Community Medicine, Smt. Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India.
Lung India. 2021 Jul-Aug;38(4):307-313. doi: 10.4103/lungindia.lungindia_120_20.
Environmental exposures have a significant effect on respiratory and sleep symptoms in young children. Although the effect of air pollution on the respiratory symptoms in young children is well-established, less is known about the effect of household environmental characteristics and practices on wheeze and sleep concerns.
The aim of this pilot study is to explore the association between household environmental characteristics and practices with the symptoms of wheezing and sleep concerns in the past year in a convenience sample of young Indian children.
A detailed questionnaire about the child's home environment and respiratory and sleep symptoms was administered to the caregivers of 190 outpatients aged between 6 months and 5 years old at a teaching hospital.
Indoor environmental characteristics and cleaning techniques were analyzed for the association with wheeze and sleep disorders. Half (50%) of the cohort had the symptoms of wheezing and 21% had occasional or frequent sleep concerns. Sleeping with a stuffed toy was significantly associated with both wheezing and sleep concerns (P = 0.05).
: Sleeping with a stuffed toy was a risk factor for wheeze and a risk factor for sleep disorders independent of wheeze.
环境暴露对幼儿的呼吸和睡眠症状有显著影响。虽然空气污染对幼儿呼吸症状的影响已得到充分证实，但关于家庭环境特征和行为对喘息及睡眠问题的影响却知之甚少。
本试点研究旨在探讨印度幼儿便利样本中，家庭环境特征和行为与过去一年喘息症状及睡眠问题之间的关联。
在一家教学医院，对190名年龄在6个月至5岁之间的门诊患儿的照料者进行了一份关于孩子家庭环境以及呼吸和睡眠症状的详细问卷调查。
分析了室内环境特征和清洁技术与喘息及睡眠障碍之间的关联。该队列中有一半（50%）的儿童有喘息症状，21%的儿童偶尔或经常有睡眠问题。抱着填充玩具睡觉与喘息和睡眠问题均显著相关（P = 0.05）。
抱着填充玩具睡觉是喘息的一个风险因素，也是独立于喘息之外的睡眠障碍风险因素。
