Ten cities cross-sectional questionnaire survey of children asthma and other allergies in China
Ten cities cross-sectional questionnaire survey of children asthma and other allergies in China
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我国十城市儿童哮喘及其他过敏症横断面问卷调查
DOI：
10.1007/s11434-013-5914-z
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发表时间：
2013-12-01
影响因子：
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通讯作者：
Sundell, Jan
中科院分区：
文献类型：
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作者：
Zhang YinPing;Li BaiZhan;Sundell, Jan
在过去的几十年里，哮喘、鼻炎和湿疹（过敏性或非过敏性）在世界各地都有所增加，特别是在儿童中。室内环境的变化被怀疑是重要原因。在过去的二十年里，中国的室内环境暴露发生了巨大的变化。然而，这种变化及其与儿童哮喘和其他健康方面的关系尚未得到彻底研究。中国，儿童，家园，健康（CCHH），第一阶段，是2010-2012年期间在中国10个城市对48219名1-8岁儿童进行的横断面问卷调查。调查问卷包括国际儿童哮喘和过敏研究（ISAAC）的核心健康问题以及有关住房、生活习惯和户外环境的其他问题。在健康分析中，包括3-6岁的儿童。医生诊断的哮喘患病率从1.7%到9.8%不等（平均6.8%），从1999年的0.91%和2000年的1.50%大幅增加。喘息、鼻炎和特应性湿疹（过去12个月）的患病率分别为13.9%至23.7%、24.0%至50.8%和4.8%至15.8%。太原市所有疾病的患病率最低，上海市最高，除了喘鸣，最高值是乌鲁木齐。我们发现：（1）疾病发病率与环境PM10浓度之间没有明显的关联;（2）在夏季炎热、冬季寒冷的潮湿气候中，疾病发病率较高，但没有中央供暖建筑。这些疾病与按国内生产总值（国内总产值）指数计算的经济状况之间的关系需要进一步研究。
Asthma, rhinitis and eczema (allergic or non-allergic) have increased throughout the world during the last decades, especially among children. Changes in the indoor environment are suspected to be important causes. China has experienced a dramatic change in indoor environmental exposures during the past two decades. However, such changes and their associations with children's asthma and other health aspects have not been thoroughly studied. China, Children, Homes, Health (CCHH), Phase I, was a cross-sectional questionnaire survey of 48219 children 1-8 years old in 10 Chinese cities during 2010-2012. The questionnaire includes the International Study of Asthma and Allergies in Childhood (ISAAC) core health questions and additional questions regarding housing, life habits and outdoor environment. In health analyses, children aged 3-6 years old were included. The prevalences of doctor diagnosed asthma varied from 1.7% to 9.8% (mean 6.8%), a large increase from 0.91% in 1999 and 1.50% in 2000. The prevalence of wheeze, rhinitis and atopic eczema (last 12 months) varied from 13.9% to 23.7%, 24.0% to 50.8% and 4.8% to 15.8%, respectively. Taiyuan had the lowest prevalences of all illnesses and Shanghai the highest, except for wheeze-where the highest value was for Urumqi. We found (1) no obvious association between disease prevalences and ambient PM10 concentrations and (2) higher prevalences of disease in humid climates with hot summers and cold winters, but with no centrally heated buildings. Associations between the diseases and economic status as indexed by Gross Domestic Product (GDP) requires further study.