WOOD-BURNING STOVES AND LOWER RESPIRATORY-TRACT INFECTION IN AMERICAN-INDIAN CHILDREN
WOOD-BURNING STOVES AND LOWER RESPIRATORY-TRACT INFECTION IN AMERICAN-INDIAN CHILDREN
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DOI：
10.1001/archpedi.1990.02150250117047
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发表时间：
1990-01-01
影响因子：
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通讯作者：
ARENA, VC
中科院分区：
文献类型：
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作者：
MORRIS, K;MORGANLANDER, M;ARENA, VC
一些研究表明，家庭使用烧木柴的炉子是幼儿下呼吸道感染的独立危险因素。为了在使用烧柴炉灶的人群中验证这一假设，我们研究了被诊断为肺炎或细支气管炎的纳瓦霍儿童。我们将每个病例（≤24个月大）与一个性别和年龄相同的孩子一起被视为良好的儿童护理或轻微的健康问题，我们采访了一位成年看护人关于家族史和环境暴露。分析58个病例对照对，我们发现，家庭使用烧木柴的炉子，最近的呼吸道疾病暴露，哮喘家族史，肮脏的地板，以及家中缺乏自来水增加了下呼吸道感染的风险。然而，在多元逻辑回归分析中，只有使用烧木柴的炉子和呼吸道疾病暴露与较高的风险独立相关。
Some studies suggest that home use of wood-burning stoves is an independent risk factor for lower respiratory tract infection in young children. To test this hypothesis in a population with a high prevalence of wood-burning stove use, we studied Navajo children with diagnosed pneumonia or bronchiolitis. We matched each case (.ltoreq. 24 months of age) with a child of identical sex and age who was seen for well-child care or a minor health problem, and we interviewed an adult caretaker about family history and environmental exposures. Analyzing 58 case-control pairs, we found that home wood-burning stove use, recent respiratory illness exposure, family history of asthma, dirt floors, and lack of running water in the home increased the risk of lower respiratory tract infection. On multiple logistic regression analysis, however, only wood-burning stove use and respiratory illness exposure were independently associated with higher risk.