Effects of home environment and lifestyles on prevalence of atopic eczema among children in Wuhan area of China

Zhang, Ming; Wu, Yang; Yuan, Ye; Zhou, ESheng; Sundell, Jan; Sun, Yuexia; Yang, Xu

doi:10.1007/s11434-013-5685-6

Cited by 18 publications

(13 citation statements)

References 25 publications

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“…In a 2010 survey of preschool children in 10 Chinese cities, Zhang et al [ 5 ] found a prevalence of eczema in 13.3% of children in Urumqi in the past 12 months, and Wang et al [ 6 ] found a previous prevalence of eczema in 15% of children in 2011. These results along with the findings in other cities such as Wuhan [ 15 ] and Shenyang [ 4 ] indicate that Urumqi has a relatively low prevalence of eczema, which may be related to the environmental conditions in Urumqi.…”

Section: Discussionsupporting

confidence: 62%

Prevalence and influencing risk factors of eczema among preschool children in Urumqi city: a cross-sectional survey

et al. 2021

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Background Eczema is a chronic inflammatory disease associated with impaired quality of life. We identified indoor environmental risk factors, to provide strong evidence for the prevention and control of eczema in preschool children. Methods Using a cross-sectional study with stratified random cluster sampling, we conducted a self-administered questionnaire survey among 8153 parents of children aged 2–8 years in 60 kindergartens in six districts of Urumqi city during August 2019. Results Among 8153 preschool children, 12.0% of the children have been diagnosed with eczema. Multivariate logistic regression analysis showed that caesarean section (odds ratio [OR] = 1.18, 95% confidence interval [CI]: 1.03–1.36), being an only child (OR = 1.36, 95% CI: 1.18–1.57), presence of mould or moisture in the mother’s home before pregnancy (OR = 1.53, 95% CI: 1.17–2.00), presence of flies or mosquitoes in the dwelling currently (OR = 1.31, 95% CI: 1.10–1.55), pets kept in the child’s home currently (OR = 1.23, 95% CI: 1.01–1.51), presence of pets during child’s first year (OR = 1.45, 95% CI: 1.14–1.85), and family history of eczema (OR = 3.53, 95% CI: 2.98–4.19) are the risk factors for the development of eczema, whereas ethnicity other than the Han Chinese (OR = 0.77, 95% CI: 0.61–0.96) is a protective factor for eczema. Conclusion Preschool children in Urumqi are at a high risk of eczema, particularly those of the Han Chinese ethnicity. Parents should be attentive to the indoor living environment of children and take actions to reduce indoor humidity, pest control and elimination, and avoid raising pets to reduce the risk of development of eczema in children.

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Section: Discussionsupporting

confidence: 62%

Prevalence and influencing risk factors of eczema among preschool children in Urumqi city: a cross-sectional survey

et al. 2021

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“…The questionnaire was tested in a pilot study of 100 children in Chongqing in April 2010, and thereafter adjusted to improve readability. For details about questionnaire design, see articles for specific CCHH cities [58][59][60][61][62][63][64][65][66][67][68]. …”

Section: Questionnaire Design and Pilot Studymentioning

confidence: 99%

Ten cities cross-sectional questionnaire survey of children asthma and other allergies in China

et al. 2013

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“…Zhao, Z. [18], Wang, T. [19], Zhang, M. [20], Zheng, X. [21], Wang, H. [22] et al conducted cross-sectional survey in Taiyuan, Urumqi, Wuhan, Nanjing, Chongqing and other cities in China during 2011e2012.…”

Section: Introductionmentioning

confidence: 99%

Home dampness-related exposures increase the risk of common colds among preschool children in Shanghai, China: Modified by household ventilation

Sun

Huang

Zou

et al. 2017

Building and Environment

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a b s t r a c tFew studies have estimated the effects of dampness-related exposures and its interaction effects with poor household ventilation on common colds of preschool children. During April 2011eApril 2012, we conducted a cross-sectional survey on home environment and childhood health and collected 13,335 parents-reported questionnaires of 4e6 year-old children in Shanghai, China. In this paper, we investigated associations between the incidence and duration of common colds among these children during the past 12 months before the survey and frequency of opening windows, as well as household dampness-related exposures (indicated by six dampness indicators). Significantly higher incidence (!3 times) and longer duration (!2 weeks) of common cold were found among children with than without these dampness exposures (p-value <0.01 for mold spots and p-value <0.001 for all other indicators). The number of dampness-related indicators had a positive and strong dose-response relationship with common colds (p-trend <0.01). Low frequency of ventilation was also a risk factor for children common colds. After adjusted for the potential confounders in the multiple logistic regression analyses, all dampness-related indicators were significantly associated with the increased odds of common colds and the highest odds ratios was 1.21 (95% CI: 1.16e1.27). We also found that dampness-related exposures and household ventilation habits (p-value for interaction <0.001) had a strong interaction effect on the incidence and duration of common cold. The stratified analysis of ventilation condition displays that the influence of dampness-related exposures has been modified by ventilation. Therefore, good household ventilation habits may have an effect of modification for dampness-related exposures.

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Effects of home environment and lifestyles on prevalence of atopic eczema among children in Wuhan area of China

Cited by 18 publications

References 25 publications

Prevalence and influencing risk factors of eczema among preschool children in Urumqi city: a cross-sectional survey

Prevalence and influencing risk factors of eczema among preschool children in Urumqi city: a cross-sectional survey

Ten cities cross-sectional questionnaire survey of children asthma and other allergies in China

Home dampness-related exposures increase the risk of common colds among preschool children in Shanghai, China: Modified by household ventilation

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