ADVERSE-EFFECTS OF THE INDOOR ENVIRONMENT ON RESPIRATORY HEALTH IN PRIMARY-SCHOOL CHILDREN
ADVERSE-EFFECTS OF THE INDOOR ENVIRONMENT ON RESPIRATORY HEALTH IN PRIMARY-SCHOOL CHILDREN
复制标题
DOI：
10.1006/enrs.1995.1003
复制
发表时间：
1995-01-01
影响因子：
8.3
通讯作者：
WOUTERS, EFM
中科院分区：
文献类型：
--
作者：
CUIJPERS, CEJ;SWAEN, GMH;WOUTERS, EFM
研究了470名荷兰小学生暴露于室内环境各种因素对呼吸系统健康的影响。我们调查了哪些因素，如家庭潮湿、被动吸烟、不通风的厨房间歇泉或宠物，对儿童的呼吸健康影响最大，以及男孩和女孩对这些室内暴露的气道敏感性是否不同。通过一份由儿童父母填写的书面问卷，获得了有关呼吸道疾病发病率和住房特征的信息。采用强迫振荡法（FOT）和肺活量测定法在学校测量患儿肺功能。在男孩中，所有被调查的肺功能参数都受到儿童一生中暴露于被动吸烟的显著影响。虽然大多不显著，但所有报告的哮喘样症状都与母亲吸烟有关，并呈剂量-反应关系。此外，湿斑（P < 0.05）和霉菌生长（ns）与慢性咳嗽有关，部分肺功能参数虽小但显著受损。在没有通风的厨房间歇泉和宠物中没有观察到一致的模式。虽然女孩被动吸烟（累积剂量）也与肺功能损伤有关，但影响比男孩小，而且并不都很显著。哮喘样症状与父母吸烟剂量之间的关系也不太一致。此外，与湿度指标和宠物没有关联，但未通风的厨房间歇泉与某些阻抗指标的损伤显着相关。这项研究表明，几种室内因素对儿童慢性呼吸道症状和肺功能的患病率有不利影响，其中被动吸烟最明显，潮湿和无通风的厨房间歇泉的存在则不那么明显。男孩对这些暴露的气道敏感性似乎高于女孩。(C) 1995学术出版社，Inc。
Exposure to various factors from the indoor environment on respiratory health of 470 Dutch primary school children was studied. We investigated which of the factors, such as home dampness, passive smoking, unvented kitchen geysers, or pets, affected children's respiratory health the most, and whether airway sensitivity to these indoors exposures differed between boys and girls. Information on respiratory morbidity and characteristics of the housing was obtained by a written questionnaire, completed by the parents of the children. Lung function of the children was measured at school, by forced oscillation technique (FOT) and spirometry. In boys, all investigated lung function parameters were significantly affected by exposure to passive smoking during the child's entire life. Although mostly nonsignificant, all of the reported asthma-like symptoms were related especially to maternal smoking, with a trend of a dose-response relationship. Furthermore, damp stains (P < 0.05) and mold growth (ns) were associated with chronic cough and with small but significant impairments in part of the lung function parameters. No consistent patterns were observed with unvented kitchen geysers and pets. Although passive smoking (cumulative dose) in girls was also associated with lung function impairments, the effects were smaller than those in boys and not all significant. Associations between the asthma-like symptoms and the dose of maternal and paternal smoking also were less consistent. Furthermore, no associations were found with the dampness indicators and with pets, but unvented kitchen geysers were significantly related to impairments in some of the impedance indices. This study shows detrimental effects of several indoor factors on the prevalence of chronic respiratory symptoms and lung function in children, which are most pronounced for passive smoking, and somewhat less pronounced for dampness and the presence of unvented kitchen geysers. Airway sensitivity to these exposures appeared to be higher in boys than in girls. (C) 1995 Academic Press, Inc.