Asthma Associations in Children Attending a Museum of Science

被引:1
作者
Corlin, Laura [1 ]
Woodin, Mark [2 ]
Newhide, Danny [1 ]
Brown, Erika [1 ]
Diaz, Sarah Valentina [1 ]
Chi, Amy [3 ]
Brugge, Doug [4 ]
机构
[1] Tufts Univ, Sch Arts & Sci, Community Hlth Program, Medford, MA 02155 USA
[2] Tufts Univ, Dept Civil & Environm Engn, Sch Engn, Medford, MA 02155 USA
[3] Tufts Med Ctr, Boston, MA 02111 USA
[4] Tufts Univ, Sch Med, Dept Publ Hlth & Community Med, Boston, MA 02111 USA
来源
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2013年 / 10卷 / 09期
基金
美国国家卫生研究院;
关键词
pediatric; asthma; risk factors; respiratory; family history; allergies; medical history; environment; urban; MIDDLE-CLASS CHILDREN; VITAMIN-D; CHILDHOOD ASTHMA; ALLERGEN EXPOSURE; TOBACCO-SMOKE; RISK-FACTORS; NEONATAL CHARACTERISTICS; COCKROACH ALLERGEN; PARENTAL ATOPY; AIR-POLLUTION;
D O I
10.3390/ijerph10094117
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
We explored the relative strength of environmental and social factors associated with pediatric asthma in middle class families and considered the efficacy of recruitment for an educational study at a science museum. Eligibility criteria were having a child aged 4-12 and English fluency. Our questionnaire included information on demographics, home environment, medical history, and environmental toxicant exposures. Statistically significant associations were found for: child's age (t = -2.46; p = 0.014), allergies (OR = 11.5; 95%CI = 5.9-22.5), maternal asthma (OR = 2.2; 95%CI = 1.2-3.9), parents' education level (OR = 0.5; 95%CI = 0.3-0.9), family income (OR = 2.4; 95%CI = 1.1-5.5), water damage at home (OR = 2.5; 95%CI = 1.1-5.5), stuffed animals in bedroom (OR = 0.4; 95%CI = 0.2-0.7), hospitalization within a week after birth (OR = 3.2; 95%CI = 1.4-7.0), diagnosis of pneumonia (OR = 2.8; 95%CI = 1.4-5.9), and multiple colds in a year (OR = 2.9; 95%CI = 1.5-5.7). Several other associations approached statistical significance, including African American race (OR = 3.3; 95%CI = 1.0-10.7), vitamin D supplement directive (OR = 0.2; 95%CI = 0.02-1.2), mice in the home (OR = 0.5, 95%CI = 0.2-1.1), and cockroaches in the home (OR = 4.3; CI = 0.8-21.6). In logistic regression, age, parents' education, allergies, mold allergies, hospitalization after birth, stuffed animals in the bedroom, vitamin D supplement directive, and water damage in the home were all significant independent predictors of asthma. The urban science museum was a low-resource approach to address the relative importance of risk factors in this population.
引用
收藏
页码:4117 / 4131
页数:15
相关论文
共 51 条
[31]  
Mrazek DA, 1999, PEDIATR PULM, V27, P85, DOI 10.1002/(SICI)1099-0496(199902)27:2<85::AID-PPUL4>3.0.CO
[32]  
2-B
[33]   Study of modifiable risk factors for asthma exacerbations: virus infection and allergen exposure increase the risk of asthma hospital admissions in children [J].
Murray, CS ;
Poletti, G ;
Kebadze, T ;
Morris, J ;
Woodcock, A ;
Johnston, SL ;
Custovic, A .
THORAX, 2006, 61 (05) :376-382
[34]   Ethnic differences in the prevalence of asthma in middle class children [J].
Nelson, DA ;
Johnson, CC ;
Divine, GW ;
Strauchman, C ;
Joseph, CLM ;
Ownby, DR .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 1997, 78 (01) :21-26
[35]   EXPOSURE TO AN AEROALLERGEN AS A POSSIBLE PRECIPITATING FACTOR IN RESPIRATORY ARREST IN YOUNG-PATIENTS WITH ASTHMA [J].
OHOLLAREN, MT ;
YUNGINGER, JW ;
OFFORD, KP ;
SOMERS, MJ ;
OCONNELL, EJ ;
BALLARD, DJ ;
SACHS, MI .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (06) :359-363
[36]   VIRUSES AS PRECIPITANTS OF ASTHMA SYMPTOMS .1. EPIDEMIOLOGY [J].
PATTEMORE, PK ;
JOHNSTON, SL ;
BARDIN, PG .
CLINICAL AND EXPERIMENTAL ALLERGY, 1992, 22 (03) :325-336
[37]   House dust mite allergens - A major risk factor for childhood asthma in Australia [J].
Peat, JK ;
Tovey, E ;
Toelle, BG ;
Haby, MM ;
Gray, EJ ;
Mahmic, A ;
Woolcock, AJ .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1996, 153 (01) :141-146
[38]   Importance of mold allergy in asthma [J].
Portnoy, Jay M. ;
Barnes, Cbarles S. ;
Kennedy, Kevin .
CURRENT ALLERGY AND ASTHMA REPORTS, 2008, 8 (01) :71-78
[39]   The role of cockroach allergy and exposure to cockroach allergen in causing morbidity among inner-city children with asthma [J].
Rosenstreich, DL ;
Eggleston, P ;
Kattan, M ;
Baker, D ;
Slavin, RG ;
Gergen, P ;
Mitchell, H ;
McNiffMortimer, K ;
Lynn, H ;
Ownby, D ;
Malveaux, F .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (19) :1356-1363
[40]   Neonatal characteristics as risk factors for preschool asthma [J].
Schaubel, D ;
Johansen, H ;
Dutta, M ;
Desmeules, M ;
Becker, A ;
Mao, Y .
JOURNAL OF ASTHMA, 1996, 33 (04) :255-264