Home risk factors for childhood pneumonia in Nanjing, China  

作　　者：ZHENG XiaoHong QIAN Hua ZHAO YiLi SHEN HongPing ZHAO ZhuoHui SUN YueXia SUNDELL Jan 

机构地区：[1]School of Energy and Environment, Southeast University [2]School of Public Health, Fudan University [3]School of Environmental Science and Engineering, Tianjin University [4]Department of Building Science and Technology, Tsinghua University

出　　处：《Chinese Science Bulletin》2013年第34期4230-4236,82,共7页

基　　金：supported by the National Natural Science Foundation of China(51008063)

摘　　要：Pneumonia is a major cause of childhood morbidity in China.Many studies of rural areas have found an association between pneumonia and air pollution from burning of bio-mass.The present study is of children living in urban,modern homes without burning of bio-mass.In order to investigate potential home risk factors associated with children’s pneumonia,China Child Home Health(CCHH)questionnaires were randomly distributed to parents of 6461 children in 23 kindergartens in all 11 districts of Nanjing,covering urban,suburban,and industrial areas.The 4014 valid questionnaires(response rate 65.7%)were returned and have been analyzed.The lifetime incidence of pneumonia in Nanjing children 1–8 years old is 26.7%.The incidence of croup,asthma and frequent common colds was strongly associated with pneumonia,as was a history of allergies in the family,and persons other than parents(for example grandparents or nanny)taking care of the child.Several home environmental factors,namely,dampness,lack of ventilation,using coal or natural gas(electricity as reference)for cooking,new furniture,and"modern"floor and wall covering materials were also significantly associated with pneumonia.The indoor environment typical of modern apartments in China was a risk factor for pneumonia among children.Pneumonia is a major cause of childhood morbidity in China. Many studies of rural areas have found an association between pneumonia and air pollution from burning of bio-mass. The present study is of children living in urban, modern homes without burning of bio-mass. In order to investigate potential home risk factors associated with children＇s pneumonia, China Child Home Health （CCHH） questionnaires were randomly distributed to parents of 6461 children in 23 kindergartens in all 11 districts of Nanjing, covering urban, suburban, and industrial areas. The 4014 valid questionnaires （response rate 65.7%） were returned and have been analyzed. The lifetime incidence of pneumonia in Nanjing children 1-8 years old is 26.7%. The incidence of croup, asthma and frequent common colds was strongly associated with pneumonia, as was a history of allergies in the family, and per sons other than parents （for example grandparents or nanny） taking care of the child. Several home environmental factors, namely, dampness, lack of ventilation, using coal or natural gas （electricity as reference） for cooking, new furniture, and ＂modern＂ floor and wall covering materials were also significantly associated with pneumonia. The indoor environment typical of modern apart ments in China was a risk factor for pneumonia among children.

关 键 词：危险因素 肺炎 儿童 中国 南京 生物质燃烧 现代家庭 覆盖材料 

分 类 号：R563.1[医药卫生—呼吸系统]