Impact on lung function among children exposed to home new surface materials: The seven Northeastern Cities Study in China
Impact on lung function among children exposed to home new surface materials: The seven Northeastern Cities Study in China
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接触家庭新型表面材料对儿童肺功能的影响：中国东北七城市研究
DOI：
10.1111/ina.12541
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发表时间：
2019-05-01
期刊：
影响因子：
5.8
通讯作者：
Dong, Guang-Hui
中科院分区：
文献类型：
--
作者：
Hu, Li-Wen;Gurram, Namratha;Dong, Guang-Hui
我们进行了一项横断面研究，以调查最近的家庭装修暴露与儿童肺功能之间的关系。我们在东北7个城市的24个区随机招募了7326名在校儿童。我们通过问卷调查收集了父母关于家庭装修的信息，并通过训练有素的专业人员收集的肺活量计记录收集了儿童的肺功能测量，并表示为1秒用力呼气量（FEV1）、用力肺活量（FVC）、最大呼气中流量（MMEF）和呼气峰值流量（PEF）。我们发现，在过去2年中进行过家庭装修的患者中，肺功能下降的几率比在过去2年中没有进行过家庭装修的患者高（FVC比值比[or] = 1.84 [95%CI: 1.58, 2.15]; FEV1: or = 2.82 [95%CI: 2.36, 3.36]; PEF: or = 1.51 [95%CI: 1.24, 1.83]; MMEF: or = 1.90 [95%CI: 1.60, 2.24]）。与接触其他表面材料的儿童相比，接触新聚氯乙烯（PVC）地板的儿童的这种关联更强。我们的结果在对每种类型的装修材料的分析中是一致的。总之，最近的家庭装修暴露与儿童肺功能不良有关。需要采取措施保护房主及其家人在装修期间和装修后免受呼吸道危害。
We conducted a cross-sectional study to investigate the associations between recent home renovation exposure and lung function in children. We randomly recruited 7326 school children residing in 24 districts from seven cities in northeastern China. We collected information about home renovations from parents using a questionnaire and lung function measurements from children using spirometer recordings gathered by trained professionals and expressed as the forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), maximal mid-expiratory flow (MMEF), and peak expiratory flow (PEF). We identified higher odds of diminished lung function among these with home renovation in the previous 2 years compared to those without home renovation in the previous 2 years, for FVC (odds ratios [ORs] = 1.84 [95%CI: 1.58, 2.15]; FEV1: ORs = 2.82 [95%CI: 2.36, 3.36]; PEF: ORs = 1.51 [95%CI: 1.24, 1.83]; and MMEF: ORs = 1.90 [95%CI: 1.60, 2.24]). The associations were stronger among children exposed to new polyvinyl chloride (PVC) flooring compared to children exposed to other surface materials. Our results were consistent throughout the analysis of each type of renovation materials. In conclusion, recent home renovation exposure was associated with poor lung function among children. Strategies to protect home owners and their families from respiratory hazards during and after renovation are required.