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标题：Household reporting of childhood respiratory health and air pollution in rural Alaska Native communities
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作者：Desirae N. Ware ; Johnnye Lewis ; Scarlett Hopkins 等
期刊名称：International Journal of Circumpolar Health
印刷版ISSN：1239-9736
电子版ISSN：2242-3982
出版年度：2014
卷号：73
DOI：10.3402/ijch.v73.24324
语种：English
摘要：Background. Air pollution is an important contributor to respiratory disease in children.Objective. To examine associations between household reporting of childhood respiratory conditions and household characteristics related to air pollution in Alaska Native communities.Design. In-home surveys were administered in 2 rural regions of Alaska. The 12-month prevalence of respiratory conditions was summarized by region and age. Odds ratios (ORs) were calculated to describe associations between respiratory health and household and air quality characteristics.Results. Household-reported respiratory health data were collected for 561 children in 328 households. In 1 region, 33.6% of children aged <5 years had a recent history of pneumonia and/or bronchitis. Children with these conditions were 2 times more likely to live in a wood-heated home, but these findings were imprecise. Resident concern with mould was associated with elevated prevalence of respiratory infections in children (ORs 1.6–2.5), while reported wheezing was associated with 1 or more smokers living in the household. Reported asthma in 1 region (7.6%) was lower than national prevalence estimates.Conclusions. Findings suggest that there may be preventable exposures, including wood smoke and mould that affect childhood respiratory disease in these rural areas. Additional research is needed to quantify particulate matter 2.5 microns in aerodynamic diameter or less and mould exposures in these communities, and to objectively evaluate childhood respiratory health.Keywords: air pollution; Alaska; asthma; children; respiratory tract infections; surveys(Published: 9 May 2014)Citation: Int J Circumpolar Health 2014, 73: 24324 - http://dx.doi.org/10.3402/ijch.v73.24324
关键词：public health; epidemiology;air pollution; Alaska Native communities; asthma; children; lower respiratory tract infection (LRTI); surveys;air pollution; respiratory health