孟加拉国城市地区儿童呼吸道疾病与家庭养鸟有关(CHoBI7 项目)。
Household Bird Ownership is Associated with Respiratory Illness among Young Children in Urban Bangladesh (CHoBI7 Program).
机构信息
International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
出版信息
Am J Trop Med Hyg. 2022 Jan 10;106(3):953-958. doi: 10.4269/ajtmh.21-0725.
There is limited evidence on the association between animal ownership and respiratory illness among young children in low- and middle-income countries. In this study, we examined the association between animal ownership and respiratory illness among children younger than 5 years of age enrolled in a prospective cohort study in urban Bangladesh. This prospective cohort study enrolled 884 participants younger than 5 years of age in Dhaka, Bangladesh. At baseline, trained research assistants administered caregivers of children younger than 5 years of age a questionnaire on household animal ownership. Animal ownership was defined as owning chickens, birds other than chickens, cats, and dogs. Respiratory surveillance was conducted monthly for children based on caregiver-reported coughing, rapid breathing, and difficulty breathing in the past 2 weeks during the 12-month study period. At baseline, 48% of children (424 of 884) had reports of coughing, 5% (40 of 884) had difficulty breathing, 3% (25 of 884) had rapid breathing, and 49% (431 of 884) had reports of any of these three respiratory symptoms. Seventeen percent of children (151 of 884) resided in a household that owned an animal. Children residing in households reporting bird ownership had a significantly greater odds of coughing (odds ratio, 1.14; 95% CI, 1.02-1.28) and any of the three respiratory symptoms in the past 2 weeks (odds ratio, 1.14; 95% CI, 1.02-1.28). Household bird ownership was associated with respiratory illness in young children. These findings suggest that interventions aiming to reduce young children's exposure to domestic animals should extend to include birds other than chickens.
在中低收入国家,有关宠物拥有与幼儿呼吸道疾病之间关联的证据有限。在这项研究中,我们研究了孟加拉国达卡市一个前瞻性队列研究中 5 岁以下儿童的宠物拥有与呼吸道疾病之间的关联。这项前瞻性队列研究纳入了 884 名 5 岁以下的儿童。在基线时,经过培训的研究助理向儿童的照顾者发放了一份有关家庭宠物拥有情况的问卷。宠物拥有定义为拥有鸡、鸡以外的鸟类、猫和狗。在 12 个月的研究期间,根据照顾者报告的过去 2 周内儿童咳嗽、呼吸急促和呼吸困难情况,每月对儿童进行呼吸道监测。在基线时,48%的儿童(884 名儿童中的 424 名)有咳嗽报告,5%(884 名儿童中的 40 名)有呼吸困难,3%(884 名儿童中的 25 名)有呼吸急促,49%(884 名儿童中的 431 名)有这三种呼吸道症状中的任何一种报告。17%的儿童(884 名儿童中的 151 名)居住在拥有宠物的家庭中。居住在报告有鸟类宠物的家庭中的儿童,咳嗽的几率显著更高(比值比,1.14;95%置信区间,1.02-1.28),在过去 2 周内出现任何三种呼吸道症状的几率也更高(比值比,1.14;95%置信区间,1.02-1.28)。家庭养鸟与幼儿呼吸道疾病有关。这些发现表明,旨在减少儿童接触家养动物的干预措施应扩大到包括鸡以外的鸟类。