Decreasing ten-year (2008–2018) trends of the prevalence of childhood asthma and air pollution in Southern Taiwan
| Autor: | Wei Yu Chen, Po Sung Chen, Ching Wei Lin, Jiu Yao Wang, Hui Ju Tsai, Ju Lee |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Allergy Asthma prevalence ISAAC International Study of Asthma and Allergies in Childhood Immunology Air pollution Breastfeeding O3 ozone Article EPA Environmental Protection Administration ppb part per billion PM10 particles with aerodynamic diameter ≤10 μm (PM10 μg/m3) Wheeze Environmental health Trend medicine Immunology and Allergy Risk factor Children Asthma business.industry NO2 nitrogen dioxide pollutant particles with aerodynamic diameter ≤10 μM Respiratory disease PM2.5 particles with aerodynamic diameter ≤2.5(PM10 μg/m3) Odds ratio RC581-607 medicine.disease respiratory tract diseases OR odds ratio ppm part per million CO carbon monoxide SO2 sulfur dioxide Immunologic diseases. Allergy medicine.symptom business Developed country |
| Zdroj: | The World Allergy Organization Journal World Allergy Organization Journal, Vol 14, Iss 5, Pp 100538-(2021) |
| ISSN: | 1939-4551 |
| DOI: | 10.1016/j.waojou.2021.100538 |
| Popis: | Background Asthma is a common pediatric chronic respiratory disease worldwide. Previous studies showed the prevalence of childhood asthma increased in developed countries as well as in Taiwan in the late 20th century. Recently, several reports from different parts of the world showed a reversed trend in this epidemic of childhood asthma prevalence. This study investigated the trend of childhood asthma through serial cross-section questionnaire surveys in the southern part of Taiwan, and identified associated factors related to this trend in elementary school children. Methods We used the Chinese version of the International Study of Asthma and Allergies in Childhood (ISAAC) 29 questionnaire to assess the asthma status of elementary school students aged 6–12 years in Tainan city in 3 independent study periods, namely, 2008–2009, 2010–2012, and 2017–2018. We assessed the trend of “asthma” and “related respiratory symptoms” across 3 study periods. Results Of the 19,633 respondents, 17,545 (89.4%) completed the questionnaires. After adjustment for covariates, the prevalence of asthma and related respiratory symptoms was significantly lower in 2017–2018 than in the 2 earlier periods. Among the protective factors, the increasing rate of breastfeeding might be partly responsible for the observed reduced prevalence of current asthma and exercise-induced wheeze, but not physician-diagnosed asthma. The presence of pets in the house was the risk factor that correlated with the prevalence of nocturnal cough. Pearson correlation analysis showed a significant correlation of the prevalence of physician-diagnosed asthma, current asthma, and exercise-induced wheezing with the concentrations of air pollutant particles with aerodynamic diameter ≤10 μM (PM10) (r = 0.84, 0.77 and 0.81, respectively). Conclusion The prevalence of asthma and related respiratory symptoms has declined in elementary school-age children in southern Taiwan. The increased prevalence of breastfeeding, decreased rate of the presence of pets in the house, and improvement in outdoor air pollution seem to be related to this decreasing trend of asthma in school children. Our findings will provide the scientific base to empower prevention policy to reverse the trend of childhood asthma prevalence. Trial registration N/A |
| Databáze: | OpenAIRE |
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