全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
科学通报  2013 

家庭环境和生活方式对武汉地区儿童过敏性湿疹患病率的影响

, PP. 2542-2547

Keywords: 儿童,湿疹,家居环境,建筑特征,潮湿,室内空气质量

Full-Text   Cite this paper   Add to My Lib

Abstract:

为了解家庭环境和儿童过敏性湿疹之间的关系,2011年采用横断面问卷调查的方法在武汉地区调查了2400名1~8岁儿童的家长,有效应答率为91.4%.研究结果显示,武汉地区儿童“以往曾经有6个月以上的湿疹症状”的患病率是23.2%,“最近12个月患过湿疹”的患病率是7.4%,“最近12个月因为患湿疹而夜晚无法入睡”的患病率是3.4%.与过敏性湿疹的症状显著相关的危险因素有邻近商业区生活(AOR1.4),潮湿问题(AOR1.3~2.2),感觉发霉和通风不良(AOR1.5),住所发现老鼠(AOR1.8),饲养宠物(AOR1.3),暴露于吸烟环境(AOR1.3)和使用熏香(AOR1.8).与单家独户的住房相比,居住公寓楼房的儿童“过去12个月有湿疹症状”的患病率较高.衣物/床单潮湿,以及感觉发霉和空气不良是“过去12个月有湿疹症状”和“因为皮肤发痒晚上睡不着觉”的风险因素.住所发现老鼠是儿童严重湿疹的危险因素,其比值高达3.1(95CI1.4~6.7).结果表明,城市化、不良生活方式和家庭潮湿问题是武汉地区儿童出现湿疹症状的显著危险因素.

References

[1]  1 Golding J, Peters T J. The epidemiology of childhood eczema: A population-based study of associations. Paediatr Perinat Epidemiol, 1987, 1: 67-79
[2]  5 Asher M I, Montefort S, Bjorksten B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC phases one and three repeat multicountry cross-sectional surveys. Lancet, 2006, 368: 733-743
[3]  6 Myers J M B, Hershey G K K. Eczema in early life: Genetics, the skin barrier, and lessons learned from birth cohort studies. J Pediatr, 2010, 157: 704-714
[4]  7 Asher M I, Stewart A W, Mallol J, et al. Which population level environmental factors are associated with asthma, rhinoconjunctivitis and eczema? Review of the ecological analyses of ISAAC Phase One. Resp Res, 2010, 11: 8
[5]  9 Ring J, Kramer U, Schafer T, et al. Environmental risk factors for respiratory and skin atopy: Results from epidemiological studies in former East and West Germany. Int Arch Allergy Imm, 1999, 118: 403-407
[6]  10 Koskinen O M, Husman T M, Meklin T M, et al. Adverse health effects in children associated with moisture and mold observations in houses. Int J Environ Heal Res, 1999, 9: 143-156
[7]  11 Bornehag C G, Sundell J, Hagerhed-Engman L, et al. ‘Dampness' at home and its association with airway, nose, and skin symptoms among 10851 preschool children in Sweden: A crosssectional study. Indoor Air, 2005, 15 (Suppl 10): 48-55
[8]  13 Bornehag C G, Blomquist G, Gyntelberg F, et al. Dampness in Buildings and Health. Nordic interdisciplinary review of the scientific evidence on associations between exposure to ‘dampness' and health effects, NORDDAMP. Indoor Air, 2001, 11: 72-86
[9]  14 Naydenov K, Popov T, Mustakov T, et al. The association of pet keeping at home with symptoms in airways, nose and skin among Bulgarian children. Pediatr Allergy Immunol, 2008, 19: 702-708
[10]  15 Weiland S K, Bjorksten B, Brunekreef B, et al. Phase II of the international study of asthma and allergies in childhood (ISAAC II): Rationale and methods. Eur Respir J, 2004, 24: 406-412
[11]  16 Sun Y, Sundell J. Life style and home environment are associated with racial disparities of asthma and allergy in Northeast Texas children. Sci Total Environ, 2011, 409: 4229-4234
[12]  18 Schafer T, Heinrich J, Wjst M, et al. Indoor risk factors for atopic eczema in school children from East Germany. Environ Res, 1999, 81: 151-158
[13]  19 Flohr C, Nagel G, Weinmayr G, et al. Lack of evidence for a protective effect of prolonged breastfeeding on childhood eczema: Lessons from the International Study of Asthma and Allergies in Childhood (ISAAC) Phase Two. Brit J Dermatol, 2011, 165: 1280-1289
[14]  20 Behrendt H, Kramer U, Ring J, et al. The role of environmental pollutants in atopic dermatitis. In: Proceedings of Clinical Dermatology 2000: An International Congress, Vancouver, 1996, 114
[15]  21 George A O. Atopic dermatitis in Nigeria. Int J Dermatol, 1989, 28: 237-239
[16]  22 Robinson C L, Baumann L M, Romero K, et al. Effect of urbanization on asthma, allergy and airways inflammation in a developing country setting. Thorax, 2011, 66: 1051-1057
[17]  23 Bornehag C G, Sundell J, Hagerhed L, et al. Pet-keeping in early childhood and airway, nose and skin symptoms later in life. Allergy, 2003, 58: 939-944
[18]  26 Sun Y, Zhang Y, Bao L, et al. Ventilation and dampness in dorms and their associations with allergy among college students in China: A case-control study. Indoor Air, 2011, 21: 277-283
[19]  2 Schultz L F, Holm N V, Henningsen K. Atopic dermatitis: A genetic-epidemiological study in a population-based twin sample. J Am Acad Dermatol, 1986, 15: 487-494
[20]  3 Walling H W, Swick B L. Update on the management of chronic eczema: New approaches and emerging treatment options. Clin Cos Inves Dermatol, 2010, 3: 99-117
[21]  4 Herd R M, Tidman M J, Hunter J A A, et al. The cost of atopic eczema. Brit J Dermatol, 1996, 135: 20-23
[22]  8 Yi O, Kwon H-J, Kim H, et al. Effect of environmental tobacco smoke on atopic dermatitis among children in Korea. Environ Res, 2012, 113: 40-45
[23]  12 Williams H, Robertson C, Stewart A, et al. Worldwide variations in the prevalence of symptoms of atopic eczema in the international study of asthma and allergies in childhood. J Allergy Clin Immunol, 1999, 103: 125-138
[24]  17 McNally N J, Phillips D R, Williams H C. The problem of atopic eczema: Aetiological clues from the environment and lifestyles. Soc Sci Med, 1998, 46: 729-741
[25]  24 Schafer T, Stieger B, Polzius R, et al. Atopic eczema and indoor climate: Results from the children from Lubeck allergy and environment study (KLAUS). Allergy, 2008, 63: 244-246
[26]  25 Miyake Y, Ohya Y, Tanaka K, et al. Home environment and suspected atopic eczema in Japanese infants: The Osaka maternal and child health study. Pediatr Allerg Imm, 2007, 18: 425-432

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133