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青少年期的邻里条件和资源与家中的潮湿和虫害。

Neighborhood Conditions and Resources in Mid-Childhood and Dampness and Pests at Home in Adolescence.

机构信息

Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA; Division of Emergency Medicine, Boston Children's Hospital, Boston, MA; Departments of Pediatrics and Emergency Medicine, Harvard Medical School, Boston, MA.

Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School, Harvard University and Harvard Pilgrim Health Care Institute, Boston, MA; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA.

出版信息

J Pediatr. 2023 Nov;262:113625. doi: 10.1016/j.jpeds.2023.113625. Epub 2023 Jul 16.

Abstract

OBJECTIVE

To examine prospectively associations of neighborhood opportunity with the presence of dampness or pests in the home environment during early adolescence.

STUDY DESIGN

We geocoded residential addresses from 831 children (mean age 7.9 years, 2007-2011) in the Project Viva cohort. We linked each address with census tract-level Child Opportunity Index scores, which capture neighborhood conditions and resources influencing child heath including educational, health, environmental, and socioeconomic factors. Our primary outcome was presence of dampness or pests in the home in early adolescence (mean age 13.2 years, 2013-2016). Secondary outcomes included current asthma and lung function testing results. Mixed-effects regression models estimated longitudinal associations of Child Opportunity Index scores with outcomes, adjusting for individual and family sociodemographics.

RESULTS

Children residing in neighborhoods with greater overall opportunity were less likely to live in homes with dampness or pests approximately 5 years later (aOR 0.85 per 20-unit increase in Child Opportunity Index percentile rank, 95% CI 0.73-0.998). We observed no significant associations in adjusted models of overall neighborhood opportunity with current asthma or lung function. Lower school poverty or single-parent households and greater access to healthy food or economic resource index were associated with lower odds of a home environment with dampness or pests.

CONCLUSIONS

More favorable neighborhood conditions in mid-childhood were associated with lower likelihood of living in a home with dampness or pests in the early adolescence.

摘要

目的

前瞻性研究邻里机会与青少年早期家庭环境中潮湿或害虫存在的关系。

研究设计

我们对来自 831 名儿童(平均年龄 7.9 岁,2007-2011 年)的住宅地址进行地理编码。我们将每个地址与包含影响儿童健康的邻里条件和资源的普查区层面儿童机会指数得分相联系,包括教育、健康、环境和社会经济因素。我们的主要结局是青少年早期家中存在潮湿或害虫(平均年龄 13.2 岁,2013-2016 年)。次要结局包括当前哮喘和肺功能测试结果。混合效应回归模型估计儿童机会指数得分与结局的纵向关系,调整个体和家庭社会人口统计学因素。

结果

居住在整体机会较大的邻里的儿童,大约 5 年后家中出现潮湿或害虫的可能性较小(Child Opportunity Index 百分位排名每增加 20 个单位,比值比为 0.85,95%置信区间为 0.73-0.998)。在调整后的整体邻里机会模型中,我们没有观察到哮喘或肺功能与整体邻里机会的显著关联。较低的学校贫困率或单亲家庭比例以及更高的获得健康食品或经济资源指数,与家中潮湿或害虫的可能性降低有关。

结论

儿童中期更有利的邻里条件与青少年早期家中潮湿或害虫的可能性降低有关。

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