摘要
目的了解室内家居环境对儿童青少年呼吸系统健康的影响,为采取相应的干预措施提供参考依据。方法于2016年3-7月采用随机整群抽样方法在广东省中山市城区随机抽取小学和初中各5所共11611名学生进行问卷调查。结果调查的11611名儿童青少年中,持续咳嗽、持续咳痰、喘鸣、医生诊断哮喘和哮喘现患的阳性率分别为2.85%、1.20%、6.93%、5.70%和1.46%;多因素非条件logistic回归分析结果显示,油烟对眼睛产生刺激是儿童青少年患持续咳嗽(OR=1.85,95%CI=1.24~2.78)和医生诊断哮喘(OR=1.45,95%CI=1.05~2.01)的危险因素,居室霉菌是儿童青少年患喘鸣(OR=1.28,95%CI=1.09~1.51)的危险因素,蟑螂是儿童青少年患喘鸣(OR=1.54,95%CI=1.28~1.87)和医生诊断哮喘(OR=1.31,95%CI=1.08~1.60)的危险因素。结论定期清理居室霉菌和灭蟑螂对儿童青少年呼吸系统疾病防控有重要作用。
Objective To explore the effect of home indoor environment on respiratory system health among children and adolescents and to provide a reference for developing corresponding interventions.Methods With random cluster sampling,we conducted a survey among 11611 students in 5 primary and 5 junior high schools in urban regions of Zhongshan city,Guangdong province from March to July in 2016.A modified questionnaire on respiratory health designed by American Thoracic Society(ATS)was used in the study.Results Among all the students(mean age=11.49±2.66 years),the prevalence rate of persistent cough,persistent expectoration,and wheezing were 2.85%,1.20%,and 6.93%and that of physician-diagnosed asthma history and current asthma were 5.70%and 1.46%,respectively.The results of unconditional multivariate logistic regression analysis revealed that for all the students,kitchen fume-related eye irritation was a risk factor for persistent cough(odds ratio[OR]=1.85,95%confidence interval[95%CI]:1.24–2.78)and physician-diagnosed asthma(OR=1.45,95%CI:1.05–2.01);home indoor mold was a risk factor for wheezing(OR=1.28,95%CI:1.09–1.51)and cockroaches in dwelling house was a risk factor for wheezing(OR=1.54,95%CI:1.28–1.87)and physician-diagnosed asthma(OR=1.31,95%CI:1.08–1.60).Conclusion Regularly cleaning mold and eliminating cockroaches in dwelling house play an important role in keeping respiratory system health among children and adolescents.
作者
郭艳
张浩玲
何伦发
吴均恒
GUO Yan;ZHANG Hao-ling;HE Lun-fa(Department of Public Health and Food Hygiene,Zhongshan Municipal Center for Disease Control and Prevention,Zhongshan,Guangdong Province 528403,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2020年第1期56-59,共4页
Chinese Journal of Public Health
基金
中山市科技计划重大项目(2017B1001)
关键词
呼吸系统健康
儿童青少年
室内家居环境
影响
respiratory system health
child and adolescent
home indoor environment
influence