Effects of environmental tobacco smoke on respiratory health of boys and girls from kindergarten: results from 15 districts of northern China
Effects of environmental tobacco smoke on respiratory health of boys and girls from kindergarten: results from 15 districts of northern China
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DOI：
10.1111/j.1600-0668.2007.00495.x
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发表时间：
2007-12-01
期刊：
影响因子：
5.8
通讯作者：
He, Q. -C.
中科院分区：
文献类型：
--
作者：
Dong, G. -H.;Cao, Y.;He, Q. -C.
对中国北方15个地区6053名10岁以下儿童进行了环境烟草烟雾暴露对呼吸道症状影响的调查。对30所幼儿园的儿童家长进行问卷调查，了解儿童持续咳嗽、持续痰、哮喘症状、哮喘、喘息和喘息不伴哮喘的情况。在前2年ETS暴露和当前ETS暴露与持续咳嗽、持续痰、喘息和无哮喘喘息的患病率增加相关。在男孩中，ETS暴露与呼吸道症状和疾病的相关性高于女孩。妊娠期间暴露于ETS与哮喘症状相关[比值比（OR），3.00; 95%置信区间（CI）：1.28-7.03]，（OR，3.38; 95% CI：1.25-9.14），持续咳嗽（OR，1.64; 95%CI：1.13-2.37），持续性痰（OR，1.74; 95% CI：1.01-3.01）、喘息（OR，1.75; 95% CI：1.15-2.68）和喘息不伴哮喘（OR，1.46; 95% CI：1.01-2.37）仅见于男孩。在男孩中，工作日家庭暴露（每天吸烟≥ 10支vs.不吸烟）的哮喘症状和当前哮喘风险增加的校正OR分别为2.04（95% CI：1.01-3.89）和2.76（95% CI：1.06-9.58）。我们的结论是，ETS暴露增加了儿童期呼吸道症状和疾病的发生。男孩可能比女孩更容易受到ETS的影响。
The effects of childhood environmental tobacco smoke (ETS) exposure on respiratory symptoms were investigated in 6053 kindergarten-aged children residing in 15 districts of northern China. Responses to a self-administered questionnaire completed by parents of children from 30 kindergartens were used to ascertain children with persistent cough, persistent phlegm, asthma symptom, current asthma, wheeze and wheeze without asthma. In first 2 years ETS exposure and current ETS exposure were associated with increased prevalence of persistent cough, persistent phlegm, wheeze and wheeze without asthma. Among boys, ETS exposure was associated with more respiratory symptoms and diseases than in girls. ETS exposure during pregnancy was associated with asthma symptom [odds ratio (OR), 3.00; 95% confidence interval (CI): 1.28-7.03], current asthma (OR, 3.38; 95% CI: 1.25-9.14), persistent cough (OR, 1.64; 95% CI: 1.13-2.37), persistent phlegm (OR, 1.74; 95% CI: 1.01-3.01), wheeze (OR, 1.75; 95% CI: 1.15-2.68), and wheeze without asthma (OR, 1.46; 95% CI: 1.01-2.37) only among boys. In boys, the adjusted ORs for increased risk of asthma symptom and current asthma for household exposures (>= 10 cigarettes smoked per day vs. none smoked) during workday were 2.04 (95% CI: 1.01-3.89) and 2.76 (95% CI: 1.06-9.58), respectively. We conclude that ETS exposure increases the occurrence of respiratory symptoms and diseases during childhood. Boys may be more susceptible to ETS than girls.