Air Pollution and Otitis Media in Children: A Systematic Review of Literature

被引：43

作者：

Bowatte, Gayan ^{[1
,2
]}

Tham, Rachel ^{[1
]}

Perret, Jennifer L. ^{[1
]}

Bloom, Michael S. ^{[3
,4
,5
]}

Dong, Guanghui ^{[5
]}

Waidyatillake, Nilakshi ^{[1
]}

Bui, Dinh ^{[1
]}

Morgan, Geoffrey G. ^{[6
]}

Jalaludin, Bin ^{[7
]}

Lodge, Caroline J. ^{[1
]}

Dharmage, Shyamali C. ^{[1
]}

机构：

[1] Univ Melbourne, Sch Populat & Global Hlth, Allergy & Lung Hlth Unit, Ctr Epidemiol & Biostat, Melbourne, Vic 3010, Australia

[2] Natl Inst Fundamental Studies, Kandy 20000, Sri Lanka

[3] SUNY Albany, Dept Environm Hlth Sci, Sch Publ Hlth, Rensselaer, NY 12144 USA

[4] SUNY Albany, Dept Epidemiol & Biostat, Sch Publ Hlth, Rensselaer, NY 12144 USA

[5] Sun Yat Sen Univ, Guangzhou Key Lab Environm Pollut & Hlth Risk Ass, Sch Publ Hlth, Dept Prevent Med, Guangzhou 510080, Guangdong, Peoples R China

[6] Univ Sydney, Univ Ctr Rural Hlth, Sch Publ Hlth, Sydney, NSW 2480, Australia

[7] South Western Sydney Local Hlth Dist, Hlth People & Places Unit, Liverpool, NSW 2170, Australia

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2018年 / 15卷 / 02期

基金：

英国医学研究理事会;

关键词：

middle ear infection; otitis media; air pollution; EMERGENCY-DEPARTMENT VISITS; CHILDHOOD EAR INFECTION; RESPIRATORY SYMPTOMS; EPITHELIAL-CELLS; SMOKE PARTICLES; HEALTH; EXPOSURE; QUALITY; LIFE; POLLUTANTS;

D O I：

10.3390/ijerph15020257

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Young children are particularly vulnerable to otitis media (OM) which globally affects over 80% of children below the age of 3 years. Although there is convincing evidence for an association between environmental tobacco smoke exposure and OM in children, the relationship with ambient air pollution is not clear. We aimed to systematically review the literature on the relationship between ambient air pollution exposure and OM in children. A systematic search was performed in PubMed and EMBASE databases. Of 934 references identified, 24 articles were included. There is an increasing body of evidence supporting an association between higher ambient air pollution exposure and a higher risk of OM in children. While NO2 showed the most consistent association with OM, other specific pollutants showed inconsistent associations. Studies were mainly conducted in high/middle income countries with limited evidence from low-income countries. Although there was a general consensus that higher air pollution exposure is associated with a greater prevalence of OM, the evidence for associations with specific pollutants is inconsistent. More well-designed studies on associations between specific air pollutants as risk factors for OM are warranted, especially in low income countries with high air pollution levels.

引用

页数：19

共 53 条

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