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王婷婷, 史浩楠, 刘茜, 万广圣. 乌鲁木齐学龄前儿童哮喘和喘息样呼吸困难情况及其影响因素分析[J]. 中国公共卫生, 2021, 37(2): 260-264. DOI: 10.11847/zgggws1125733
引用本文: 王婷婷, 史浩楠, 刘茜, 万广圣. 乌鲁木齐学龄前儿童哮喘和喘息样呼吸困难情况及其影响因素分析[J]. 中国公共卫生, 2021, 37(2): 260-264. DOI: 10.11847/zgggws1125733
WANG Ting-ting, SHI Hao-nan, LIU Qian, . Prevalence and influencing factors of asthma and wheezing among preschool children in Urumqi city: a cross-sectional survey[J]. Chinese Journal of Public Health, 2021, 37(2): 260-264. DOI: 10.11847/zgggws1125733
Citation: WANG Ting-ting, SHI Hao-nan, LIU Qian, . Prevalence and influencing factors of asthma and wheezing among preschool children in Urumqi city: a cross-sectional survey[J]. Chinese Journal of Public Health, 2021, 37(2): 260-264. DOI: 10.11847/zgggws1125733

乌鲁木齐学龄前儿童哮喘和喘息样呼吸困难情况及其影响因素分析

Prevalence and influencing factors of asthma and wheezing among preschool children in Urumqi city: a cross-sectional survey

  • 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3 678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3 678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。

     

    Abstract:
      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 self-administered questionnaire survey among 4 000 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 3 678 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.

     

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