摘要
目的探讨新疆乌鲁木齐市学龄前儿童家长报告的喘息样呼吸困难和哮喘的室内环境影响因素,为呼吸道疾病的预防和控制提供依据。方法采用横断面研究方法,于2019年4—8月问卷调查乌鲁木齐市新市区及沙依巴克区20所幼儿园共3678名2~7岁学龄前儿童家长报告的呼吸困难和哮喘发生情况、个体及环境因素,分析个体因素和室内环境因素对学龄前儿童哮喘和呼吸困难的影响。结果乌鲁木齐市新市区、沙依巴克区3678名2~7岁学龄前儿童哮喘患病率为2.5%,呼吸困难患病率为5.5%。多因素logistic回归分析结果显示,家中哮喘史(OR=6.227,95%CI=3.130~12.391)、孩子0~1岁时装修(孩子住所)(OR=2.434,95%CI=1.048~5.655)、孩子当前住所饲养带毛宠物(OR=2.091,95%CI=1.008~4.338)、民族是哮喘的危险因素(OR=1.760,95%CI=1.070~2.895);家中哮喘史(OR=6.056,95%CI=3.042~12.056)、孩子当前住所饲养带毛宠物(OR=2.193,95%CI=1.061~4.534)、民族(OR=1.749,95%CI=1.061~2.882)是呼吸困难的危险因素。结论除了遗传因素,住宅装修是哮喘的危险因素,饲养带毛宠物是哮喘和呼吸困难的危险因素,家长应关注和改进儿童室内生活环境。
Objective To explore parents-reported indoor environment influencing factors of wheezing and asthma among preschool children in Urumqi city of Xinjiang Uygur Autonomous Region and to provide evidences for prevention and control of respiratory diseases in the children.Methods Using stratified random cluster sampling,we conducted a selfadministered questionnaire survey among 4000 parents of 2-7 years old children in 20 kindergartens in two districts of Urumqi city during April-August 2019.The preschoolers′information on wheezing and asthma symptoms and exposure to personal and environmental factors correlated with the symptoms were collected with a self-designed questionnaire.Results For the 3678 preschool children with valid data,the parents-reported prevalence of asthma and wheezing were 2.5%and 5.5%respectively.Multivariate logistic regression analysis revealed following risk factors for asthma:family asthma history(odds ratio[OR]=6.227,95%confidence interval[95%CI]:3.130-12.391),home decoration when a child being one year old and younger(OR=2.434,95%CI:1.048-5.655),furry pets keeping in a child′s home(OR=2.091,95%CI:1.008-4.338),and being an ethnicity other than Han(OR=1.760,95%CI:1.070-2.895);the analysis also demonstrated that family asthma history(OR=6.056,95%CI:3.042-12.056),furry pets keeping in a child′s home(OR=2.193,95%CI:1.061-4.534),and and being an ethnicity other than Han(OR=1.749,95%CI:1.061-2.882)were risk factors for wheezing.Conclusion In addition to genetic factors,home decoration is a risk factor for asthma and keeping furry pets is a risk factor for asthma and wheezing among preschool children in Urumqi city.
作者
王婷婷
史浩楠
刘茜
万广圣
WANG Ting-ting;SHI Hao-nan;LIU Qian(Department of Health Services and Management,School of Nursing and Health Management,Shanghai University of Medicine and Health Sciences,Shanghai 201318,China;不详)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2021年第2期260-264,共5页
Chinese Journal of Public Health
基金
复旦大学公共卫生安全教育部重点实验室开放基金资助(gw2019-1)。
关键词
室内环境
哮喘
喘息
学龄前儿童
indoor environment
asthma
wheezing
preschooler
