Associations between indoor environmental smoke and respiratory symptoms among preschool children in Shanghai, China  

作　　者：LIU Wei HUANG Chen HU Yu ZOU ZhiJun SUNDELL Jan 

机构地区：[1]School of Environment and Architecture, University of Shanghai for Science and Technology [2]Department of Building Science, Tsinghua University

出　　处：《Chinese Science Bulletin》2013年第34期4211-4216,共6页

基　　金：supported by the Leading Academic Discipline Project of Shanghai Municipal Education Commission(J50502);the NationalNatural Science Foundation of China(51108263 and 51278302);the Shanghai Municipal and District Bureau of Education for their supports

摘　　要：Whether indoor environmental smoke is harmful for preschool children’s respiratory health in a society where female smoking is rare has not been determined.This study is part of a cross-sectional study(CCHH study-phase one in Shanghai)and investigated associations between parental smoking and incense-burning and respiratory symptoms among 4–6 year old children in Shanghai,China.A number of 13335 valid questionnaires(response rate:85.3%)were analyzed.A number of 56.1%(as reported by a parent)of preschool children in Shanghai are exposed to environmental tobacco smoke(ETS).A number of 40.3%of fathers and0.9%of mothers are smokers.A number of 53.7%and 12.6%of Shanghai residents have used mosquito-repellent incense and incensation respectively.Children exposed to any parental smoking have higher prevalence of wheeze and croup than those not exposed.Current maternal smoking has a significant and positive association with wheeze(in the last 12 months,AOR,95%CI:1.83,1.11–2.99).However,paternal smoking either currently or at child’s birth had only weak associations with wheeze and croup.Incense-burning(mosquito-repellent incense and incensation)had significant and negative association with doctor-diagnosed asthma(AOR,95%CI:0.85,0.73–0.99)and hay fever(AOR,95%CI:0.80,0.70–0.93).The results indicate that maternal smoking perhaps is a stronger risk factor for children’s respiratory health than paternal smoking.Whether indoor environmental smoke is harmful for preschool children＇s respiratory health in a society where female smoking is rare has not been determined. This study is part of a cross-sectional study （CCHH study-phase one in Shanghai） and investigated associations between parental smoking and incense-burning and respiratory symptoms among 4-6 year old children in Shanghai, China. A number of 13335 valid questionnaires （response rate： 85.3%） were analyzed. A number of 56.1% （as reported by a parent） of preschool children in Shanghai are exposed to environmental tobacco smoke （ETS）. A number of 40.3% of fathers and 0.9% of mothers are smokers. A number of 53.7% and 12.6% of Shanghai residents have used mosquito-repellent incense and incensation respectively. Children exposed to any parental smoking have higher prevalence of wheeze and croup than those not exposed. Current maternal smoking has a significant and positive association with wheeze （in the last 12 months, AOR, 95% CI： 1.83, 1.11-2.99）. However, paternal smoking either currently or at child＇s birth had only weak associations with wheeze and croup. Incense-buming （mosquito-repellent incense and incensation） had significant and negative association with doctor-diagnosed asthma （AOR, 95% CI： 0.85, 0.73-0.99） and hay fever （AOR, 95% CI： 0.80, 0.70-0.93）. The results indicate that maternal smoking perhaps is a stronger risk factor for children＇ s respiratory health than paternal smoking.

关 键 词：学龄前儿童 呼吸道症状 室内环境 烟草烟雾 弱关联 上海 中国 呼吸系统健康 

分 类 号：R725.6[医药卫生—儿科]