Respiratory symptoms and home environment in children: a national survey
Respiratory symptoms and home environment in children: a national survey
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DOI：
10.1136/thx.54.1.27
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发表时间：
1999-01-01
期刊：
影响因子：
10
通讯作者：
Warner, JO
中科院分区：
文献类型：
--
作者：
Burr, ML;Anderson, HR;Warner, JO
背景-呼吸道疾病在儿童期很常见，并可能导致成年后患上慢性疾病；环境因素可能在其因果关系中发挥着重要作用。 方法——作为国际儿童哮喘和过敏研究 (ISAAC) 的一部分，在英国各地对 12-14 岁儿童的呼吸道症状进行了调查。获取了家庭环境某些方面的信息，以评估其作为危险因素的重要性。结果——回应率为 79.3%，93 所学校的 25 393 名儿童参与。在多元回归分析中，喘息在非大都市地区更常见，并且与主动吸烟、被动吸烟、毛茸茸的宠物、瓶装煤气、石蜡和其他不寻常的取暖燃料的存在有关；微小的区域差异依然存在。当前吸烟、既往吸烟和被动吸烟分别占过去12个月喘息的10.4%、6.8%和6.5%，毛茸茸的宠物占5.0%。咳嗽和痰与主动吸烟和被动吸烟以及各种燃料有关；鼻炎也发现了类似的关联，但对于春季和夏季发生的鼻炎则不太一致。燃气烹饪与呼吸道症状关系不大。结论——被动吸烟和主动吸烟都是青春期呼吸道症状的重要原因。宠物似乎会增加喘息和鼻炎的风险，某些不寻常的加热燃料产生的烟雾可能会产生不利影响。家庭环境和地理位置对呼吸道症状的患病率具有独立影响。
Background-Respiratory diseases are common in childhood and may lead to chronic disease in adult life; environmental factors probably play an important part in their causation.Methods-A survey of respiratory symptoms in children aged 12-14 years was conducted throughout Great Britain as part of the International Study of Asthma and Allergies in Childhood (ISAAC). Information was obtained on certain aspects of the home environment in order to assess their importance as risk factors.Results-The response rate was 79.3%, and 25 393 children in 93 schools participated. In a multiple regression analysis, wheeze was reported more often in nonmetropolitan areas and in association with active smoking, passive smoking, the presence of a furry pet, bottled gas, paraffin, and other unusual heating fuels; small regional differences persisted. Current smoking, previous smoking, and passive smoking accounted for 10.4%, 6.8%, and 6.5%, respectively, of wheezing in the past 12 months, and furry pets accounted for 5.0%. Cough and phlegm were associated with active and passive smoking and with the miscellaneous fuels; similar associations were found for rhinitis, but were less consistent for rhinitis occurring in spring and summer. Gas cooking showed little association with respiratory symptoms.Conclusions-Passive as well as active smoking is an important cause of respiratory symptoms in adolescence. Pets seem to increase the risk of wheeze and rhinitis, and fumes from certain unusual heating fuels may have adverse effects. Home environment and geographical location have independent effects on the prevalence of respiratory symptoms.