Association of housing disrepair indicators with cockroach and rodent infestations in a cohort of pregnant Latina women and their children
Association of housing disrepair indicators with cockroach and rodent infestations in a cohort of pregnant Latina women and their children
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DOI：
10.1289/ehp.7588
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发表时间：
2005-12-01
影响因子：
10.4
通讯作者：
Eskenazi, B
中科院分区：
文献类型：
--
作者：
Bradman, A;Chevrier, J;Eskenazi, B
与恶劣的住房和室内害虫侵扰相关的健康负担可能会特别影响幼儿，因为他们大部分时间都呆在家里。我们对居住在加利福尼亚州萨利纳斯谷的 644 个拉丁裔孕妇及其孩子的家庭完成了环境评估。高住宅密度很常见，39% 的家庭每间居住人数超过 1.5 人。房屋年久失修也很常见：58% 的房屋油漆剥落，43% 的房屋发霉，25% 的房屋有水渍，11% 的房屋有腐烂的木材。 60% 和 32% 的家庭中分别存在蟑螂和啮齿动物。与美国住房和城市发展部的代表性全国调查数据相比，我们样本中的房屋更有可能出现啮齿动物、油漆剥落、水槽漏水以及更高的住宅密度。油漆剥落的情况下，家中啮齿动物侵扰的几率会增加[比值比 (OR) 2.1； 95% 置信区间 (CI)，1.5-3-1]、水渍（OR 1.9；95% CI，1.2-2.7）和霉菌（OR 1.5；95% CI，1.0-2.1）。在油漆剥落（OR 3.8；95% CI，2.7-5.6）、水渍（OR 1.9；95% CI，1.2-2.9）或高住宅密度（OR 2.1；95% CI，1.2-3.8）的情况下，蟑螂侵扰的几率会增加。清洁度低于平均水平的房屋更容易受到这两种类型的感染。 51%的家庭储存或使用杀虫剂，部分是为了控制蟑螂和啮齿动物的侵扰。这些数据表明，不利的住房条件在该社区很常见，并增加了害虫侵扰和家庭杀虫剂使用的可能性。需要采取干预措施来改善这一人群的住房并促进儿童的健康和安全。
Health burdens associated with poor housing and indoor pest infestations are likely to affect young children in particular, who spend most of their time indoors at home. We completed environmental assessments in 644 homes of pregnant Latina women and their children living in the Salinas Valley, California. High residential densities were common, with 39% of homes housing >1.5 persons per room. Housing disrepair was also common: 58% of homes had peeling paint, 43% had mold, 25% hid water damage, and 11% had rotting wood. Evidence of cockroaches and rodents was present in 60% and 32% of homes, respectively. Compared with representative national Survey data from the U.S. Department of Housing and Urban Development, homes in our sample were more likely to have rodents, peeling paint, leaks under sinks, and much higher residential densities. The odds of rodent infestations in homes increased in the presence of peeling paint [odds ratio (OR) 2.1; 95% confidence interval (CI), 1.5-3-1], water damage (OR 1.9; 95% CI, 1.2-2.7), and mold (OR 1.5; 95% CI, 1.0-2.1). The odds of cockroach infestation increased in the presence of peeling paint (OR 3.8; 95% CI, 2.7-5.6), water damage (OR 1.9; 95% CI, 1.2-2.9), or high residential density (OR 2.1; 95% CI, 1.2-3.8). Homes that were less clean than average were more prone to both types of infestations. Pesticides were stored or used in 51% of households, partly to control roach and rodent infestations. These data indicate that adverse housing conditions are common in this community and increase the likelihood of pest infestations and home pesticide use. Interventions to improve housing and promote children's health and safety in this population are needed.