Family socioeconomic status, household tobacco smoke, and asthma attack among children below 12 years of age

Family socioeconomic status, household tobacco smoke, and asthma attack among children below 12 years of age
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12 岁以下儿童的家庭社会经济状况、家庭吸烟和哮喘发作

DOI:
10.1177/1367493513496672
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发表时间:
2014
影响因子:
1.9
通讯作者:
Ly
Ly
中科院分区:
医学4区
文献类型:
--
作者:
C. Strong;Ly

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研究表明,环境烟草烟雾(ETS)或父母吸烟对儿童哮喘的负面影响。然而,关于家庭ETS对儿童哮喘的影响是否存在性别差异,我们知之甚少。我们在台湾进行了一项全国性调查,研究了过去一年哮喘患病率与12岁以下儿童(N = 3761)家庭ETS之间的关系。我们使用多变量回归模型来评估不同性别的家庭ETS与哮喘发作相关性的比值比(OR)和95%置信区间(CI)。在大约3%的样本中,父母报告说他们的孩子在过去一年中有哮喘发作,并得到医生的证实。多因素Logistic回归分析显示,家庭ETS对女孩哮喘发作有预测作用(OR = 3.11,95%CI = 1.24-7.76),但对男孩无预测作用。父亲受教育程度与哮喘发作有显著相关性,女孩(OR = 1.24,95%CI = 1.04-1.47)和男孩(OR = 1.15,95%CI = 1.05-1.26)均如此。家庭收入较低的女孩在过去一年中更有可能发生哮喘发作(OR = .48,95%CI = .27-.87)。家庭ETS和家庭社会经济地位对12岁以下儿童哮喘发作的影响因性别而异。
Studies have demonstrated the negative impact of environmental tobacco smoke (ETS) or parental cigarette smoking on pediatric asthma. Little is known, however, regarding whether there is a gender difference in the effect of household ETS on pediatric asthma. Using a nationwide survey in Taiwan, we examined the relationship between asthma prevalence in the past year and household ETS among children below 12 years of age (N = 3761). We used multivariate regression models to assess odds ratios (ORs) and 95% confidence intervals (CIs) for the association of household ETS and asthma attacks by gender. In about 3% of the sample, parents reported that their children had an asthma attack in the past year, confirmed by physicians. Multivariate logistic regression revealed that household ETS predicted asthma attacks for girls (OR = 3.11, 95%CI = 1.24–7.76) but not for boys. Father’s education was significantly associated with asthma attack for both girls (OR = 1.24, 95%CI = 1.04–1.47) and boys (OR = 1.15, 95%CI = 1.05–1.26). Girls with lower family income were more likely to have had an asthma attack in the last year (OR = .48, 95%CI = .27–.87). The impact of household ETS and family socioeconomic status on asthma attacks differs by gender among children below 12 years.
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