Poverty, dirt, infections and non-atopic wheezing in children from a Brazilian urban center

Autor: Cooper Philip J, Cruz Alvaro A, Prado Matildes, Alvim Sheila, Amorim Leila D, Esquivel Renata, Fiaccone Rosemeire, Cunha Sergio S, Barreto Mauricio L, Santos Darci N, Strina Agostino, Alcantara-Neves Neuza, Rodrigues Laura C
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Respiratory Research, Vol 11, Iss 1, p 167 (2010)
Druh dokumentu: article
ISSN: 1465-9921
DOI: 10.1186/1465-9921-11-167
Popis: Abstract Background The causation of asthma is poorly understood. Risk factors for atopic and non-atopic asthma may be different. This study aimed to analyze the associations between markers of poverty, dirt and infections and wheezing in atopic and non-atopic children. Methods 1445 children were recruited from a population-based cohort in Salvador, Brazil. Wheezing was assessed using the ISAAC questionnaire and atopy defined as allergen-specific IgE ≥0.70 kU/L. Relevant social factors, environmental exposures and serological markers for childhood infections were investigated as risk factors using multivariate multinomial logistic regression. Results Common risk factors for wheezing in atopic and non-atopic children, respectively, were parental asthma and respiratory infection in early childhood. No other factor was associated with wheezing in atopic children. Factors associated with wheezing in non-atopics were low maternal educational level (OR 1.49, 95% CI 0.98-2.38), low frequency of room cleaning (OR 2.49, 95% CI 1.27-4.90), presence of rodents in the house (OR 1.48, 95% CI 1.06-2.09), and day care attendance (OR 1.52, 95% CI 1.01-2.29). Conclusions Non-atopic wheezing was associated with risk factors indicative of poverty, dirt and infections. Further research is required to more precisely define the mediating exposures and the mechanisms by which they may cause non-atopic wheeze.
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