RESPIRATORY HEALTH-EFFECTS OF HOME DAMPNESS AND MOLDS AMONG CANADIAN CHILDREN

RESPIRATORY HEALTH-EFFECTS OF HOME DAMPNESS AND MOLDS AMONG CANADIAN CHILDREN
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DOI:
10.1093/oxfordjournals.aje.a116072
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发表时间:
1991-07-15
影响因子:
5
通讯作者:
FRANKLIN, CA
FRANKLIN, CA
中科院分区:
医学2区
文献类型:
--
作者:
DALES, RE;ZWANENBURG, H;FRANKLIN, CA

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1988年,作者对加拿大30个社区的室内环境对健康的影响进行了一项基于问卷的研究。本文主要研究幼儿呼吸健康与室内潮湿、霉菌的关系。共收到问卷17962份,回收问卷14948份,占83.2%。生活在移动房屋、帐篷和船上的儿童以及患有囊性纤维化的儿童被排除在外,剩下13495名儿童被纳入研究小组。住房存量分布如下:81%为一户独立住宅,6%为一户附属住宅,13%为两户或两户以上住宅。霉菌占32.4%,洪水占24.1%,湿气占14.1%。在报告有霉菌或潮湿的家庭中,所有呼吸道症状的患病率始终较高;即,调整后的优势比从支气管炎的1.32(95%可信区间1.06-1.39)到咳嗽的1.89(95%可信区间1.58-2.26)不等。家中潮湿或霉菌的患病率为37.8%,表明这是一个重要的公共卫生问题。发病机制有待进一步研究阐明。
In 1988, the authors conducted a questionnaire-based study on the health effects of the indoor environment in 30 Canadian communities. This paper focuses on the association between the respiratory health of young children and home dampness and molds. A total of 17,962 parents or guardians of schoolchildren received a questionnaire, and 14,948 (83.2%) questionnaires were returned. Children living in mobile homes, tents, and boats were excluded as were those with cystic fibrosis, leaving 13,495 children included in the study group. The housing stock was distributed as follows: 81% were one-family detached homes, 6% were one-family attached homes, and 13% were buildings for two or more families. Molds were reported in 32.4%, flooding in 24.1%, and moisture in 14.1% of the homes. Prevalences of all respiratory symptoms were consistently higher in homes with reported molds or dampness; i.e., adjusted odds ratios ranged from 1.32 (95% confidence interval 1.06-1.39) for bronchitis to 1.89 (95% confidence interval 1.58-2.26) for cough. The prevalence of home dampness or molds, 37.8%, indicates that it is an important public health issue. Further studies are required to elucidate the pathogenesis.