Pet-keeping in early childhood and airway, nose and skin symptoms later in life
Pet-keeping in early childhood and airway, nose and skin symptoms later in life
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DOI：
10.1034/j.1398-9995.2003.00050.x
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发表时间：
2003-09-01
期刊：
影响因子：
12.4
通讯作者：
Janson, S
中科院分区：
文献类型：
--
作者：
Bornehag, CG;Sundell, J;Janson, S
背景：关于儿童时期接触宠物是致敏和过敏症状的危险因素还是保护因素的讨论。本研究旨在调查瑞典幼儿出生时饲养宠物与呼吸道、鼻子和皮肤过敏症状的关系。方法：向14077名1-6岁儿童的父母发出问卷，重点调查过敏症状、家庭环境和其他背景因素，包括养宠物和回避行为。应答率为79%。结果：近十分之一的人因为家庭过敏而不再养宠物，27.3%的人报告了对宠物的回避行为。在一项横断面分析中，目前的宠物饲养具有“保护性”，但这可能是因为人们避免让孩子接触到他们认为是过敏风险因素的东西。在出生时养宠物会导致“喘息”、“哮喘”和“暴露在宠物下的鼻炎”，对于那些有“回避”行为的家庭的孩子来说，这对其他孩子没有“保护作用”。在对回避行为或目前的宠物饲养进行调整后的分析中，也有迹象表明出生时毛茸茸的宠物类型的数量与后来的症状之间存在剂量-反应关系。结论：养宠物在人群中的分布在很大程度上是由回避行为来解释的，这意味着那些养宠物的人主要是那些能忍受它们的人，这表明了一种“健康的养宠物效应”。
Background: It is discussed whether exposure to pets during childhood is a risk or a protective factor for sensitization and allergic symptoms. The aim of this study was to investigate the association between pet-keeping at time of birth and allergic symptoms in airways, nose and skin among young children in Sweden.Methods: A questionnaire was sent to the parents of 14 077 children (1-6 years), the focus being on allergic symptoms, home environment and other background factors including pet-keeping and avoidance behaviour. The response rate was 79%.Results: Almost one-tenth of the population had got rid of pets because of allergy in the family, and 27.3% reported 'avoidance' behaviour towards pets. In a cross-sectional analysis current pet-keeping was 'protective', but this may be due to the fact that people avoid exposing their child to something that they believe is a risk factor for allergies. Pet-keeping at the time of birth was associated with 'wheezing', 'asthma' and 'rhinitis on pet-exposure' later in life for children from families with an 'avoidance' behaviour, and was not 'protective' for other children. There was also an indication of a dose-response relationship between the number of types of furred pets at time of birth and later symptoms in analyses adjusted for avoidance behaviour or current pet-keeping.Conclusion: The distribution of pet-keeping in the population is largely explained by avoidance behaviour, meaning that those who have pets mainly are those who can stand them, indicating a 'healthy pet-keeping effect'.