Environmental risk factor assessment: a multilevel analysis of childhood asthma in China
Environmental risk factor assessment: a multilevel analysis of childhood asthma in China
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环境危险因素评估：中国儿童哮喘的多层次分析
DOI：
10.1007/s12519-013-0413-5
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发表时间：
2013-05
期刊：
影响因子：
--
通讯作者：
Xiao-Ming Shen
中科院分区：
文献类型：
--
作者：
Shi-Ning Deng;Shi-Ning Deng;Xiao-Ming Shen;Xiao-Ming Shen
背景中国社会经济环境的快速变化及其多样性模式提出了一个问题：社会环境因素如何影响中国儿童哮喘。我们进行了多层次分析的基础上，2005年的全国调查，了解环境因素与哮喘之间的关联，并提供见解，制定预防strategies.MethodsA多中心，横断面调查进行了2018年的学龄儿童选择从中国8个城市。从8个城市39个中心的学校随机抽取6-13岁儿童。多水平分析，以评估个人水平和城市水平的危险因素。结果市级环境因素分析显示，GDP [调整后的比值比（OR）=1.88]、空气动力学直径≤10 μm的颗粒物（PM10）（调整后的OR=1.37）和平均湿度（调整后的OR =1.33）是较强的危险因素。对这些因素的进一步分析将GDP分解为两个主要因素，第一个是以城市建设、能源消耗、二氧化氮浓度为代表的因素，第二个是以卫生系统覆盖率为代表的因素。这表明，GDP的负面影响超过其对asthene.ConclusionsThe儿童哮喘的患病率在中国的八个城市显着不同的积极影响。GDP、PM10和平均湿度等社会环境因素是控制个体属性的强风险因素，表明中国需要在公共卫生和经济发展之间取得平衡。
BackgroundRapid changes in socioeconomic environment and their diverse patterns in China raise a question: how socio-environmental factors affect childhood asthma in China. We performed a multilevel analysis based on a 2005 national survey to understand the association between environmental factors and asthma, and to provide insights on developing prevention strategies.MethodsA multi-center, cross-sectional survey was conducted in 2018 school-aged children chosen from eight Chinese cities. Children of 6–13 years old were chosen randomly from schools of 39 centers in 8 cities. The multilevel analysis was made to assess both individual-level and city-level risk factors. The effect of gross domestic product (GDP) was further investigated by analysis of the factors.ResultsAnalysis of city-level environmental factors showed that GDP [adjusted odds ratio (OR)=1.88], particulate matter with aerodynamic diameter ≤10 μm (PM10) (adjusted OR=1.37), and average humidity (adjusted OR=1.33) were strong risk factors. Further analysis of the factors decomposed GDP into two major factors, the first represented by urban construction, energy consumption, nitrogen dioxide concentration, and the second represented by health-system coverage. This suggested that the negative effects of GDP outweighed its positive effects on asthma.ConclusionsThe prevalence of childhood asthma varies significantly in the eight Chinese cities. Socioenvironmental factors such as GDP, PM10and average humidity are strong risk factors controlling individual attributes, suggesting that balance is needed between public health and economic development in China.
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DOI：
10.1016/j.scitotenv.2006.11.030
发表时间：
2007-02
期刊：
The Science of the total environment
影响因子：
--
作者：
Chang-hong Chen;Bing-heng Chen;Bingyan Wang;Cheng Huang;J. Zhao;Yixiu Dai;H. Kan
通讯作者：
Chang-hong Chen;Bing-heng Chen;Bingyan Wang;Cheng Huang;J. Zhao;Yixiu Dai;H. Kan
DOI：
--
发表时间：
2004-02
期刊：
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases
影响因子：
--
作者：
Yu-zhi Chen
通讯作者：
Yu-zhi Chen
DOI：
10.1183/09031936.96.09102087
发表时间：
1996-10
期刊：
The European respiratory journal
影响因子：
--
作者：
JP Watson;P. Cowen;RA Lewis
通讯作者：
JP Watson;P. Cowen;RA Lewis
影响因子：
6.3
作者：
C. Salmond;P. Crampton;S. Hales;S. Lewis;N. Pearce
通讯作者：
C. Salmond;P. Crampton;S. Hales;S. Lewis;N. Pearce
影响因子：
168.9
作者：
Liu, Yuanli;Rao, Keqin;Gakidou, Emmanuela
通讯作者：
Gakidou, Emmanuela