Changes in children’s lung function over two decades in relation to socioeconomic, parental and household factors in Wuhan, China

Cao, Suzhen; Wen, Dongsen; Li, Sai; Guo, Qian; Duan, Xiaoli; Gong, Jicheng; Xu, Xiangyu; Meng, Xin; Qin, Ning; Wang, Beibei; Zhang, Junfeng Jim

doi:10.21037/jtd-21-158

Cited by 3 publications

(7 citation statements)

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“…Table 5 gives the characteristics of the included articles, seven [14][15][16][17][18]23,28 longitudinal and tthirteen 12,13,[19][20][21][22][24][25][26][27][29][30][31] crosssectional studies. Due to the highly heterogeneous nature of the included studies a meta-analysis was excluded and the study therefore progressed with a tabular synthesis.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

“…This study systematically reviewed the evidence on the association between socioeconomic circumstances and lung function in children, adolescents and young adults considering sex differences. From the 20 papers included, 16 12,[15][16][17][19][20][21][22][23][24][25][26][27][29][30][31] showed that lower socioeconomic circumstances were positively associated with lower lung function in early ages, while four studies 13,14,18,28 reported no association between SES and lung function in children of lower SES. Despite prior evidence suggesting that boys of different age groups experienced greater socioeconomic inequalities, [32][33][34] anthropometric differences did not adequately explain the gender differences caused by socioeconomic differences.…”

Section: Discussionmentioning

confidence: 99%

“…This systematic review search ended with 20 studies [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] included from an initial hit of 513 studies. Following the removal of duplicates, 290 studies were screened (titles and abstracts) and 187 articles were excluded and only 103 were assessed for full eligibility, leaving 20 studies to be included in this systematic review.…”

Section: Study Selectionmentioning

confidence: 99%

“…The main outcome of interest was FEV 1 and it has been the most widely reported index of lung function in the included studies. [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] Moreover, it allows the determination of the FEV / FVC ratio, which is used to detect the presence of airway obstruction and to diagnose lung diseases. All the included studies reported estimates for FEV 1 , either as mean values of volume, [12][13][14]16,17,20,21,23,25,26,28,30 mean difference, 15,18,19,22,24,27,31 or z-scores.…”

Section: Main Outcomementioning

confidence: 99%

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Association Between Lung Function of Children and Their Socioeconomic Conditions: A Systematic Review

Alzayed

2024

IJGM

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This study aims to evaluate the association between socioeconomic conditions and the lung function of children below 18 years old. Design: Systematic review. Methods: PRISMA guidelines were followed to browse relevant studies from 2013 to 2023. Data from the included studies were extracted after the Newcastle-Ottawa risk of bias tool was applied. Main Outcome: Forced expiratory volume in the first second (FEV 1 ) liters. Results: 20 papers with 89,619 participants were included. Logistic regression model for FEV 1 based on multiple SES indices, suggested a positive association between lower respiratory function and a lower SES, with an interquartile odds ratio (OR) of 1.67 (95% CI 1.03-1.34). Conclusion:Children from a lower socioeconomic status (SES) do exhibit lower lung function and addressing the causes of this can contribute to developing preventive public health strategies. Limitations: Lack of appropriate reference values and varied indicators of socioeconomic status in the studies contributed to significant statistical differences. Prospero Registration Number: CRD 42020197658.

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Section: Synthesis Of Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Main Outcomementioning

confidence: 99%

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Association Between Lung Function of Children and Their Socioeconomic Conditions: A Systematic Review

Alzayed

2024

IJGM

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“…A renda familiar tem influência na ocorrência de asma, bem como no acesso e utilização de serviços de saúde e bens que podem contribuir com o controle da doença (2) . Estudo realizado com pais de crianças com asma que avaliou fatores de risco e de benefícios para a função pulmonar identificou que crianças filhas de pais sem renda fixa apresentaram associação com uma menor capacidade vital forçada e volume expiratório forçado no primeiro segundo, indicando comprometimento da função pulmonar (18) .…”

Section: Discussionunclassified

Educational technology for promoting parental self-efficacy in controlling childhood asthma

et al. 2022

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Objective: to verify the self-efficacy of parents and caregivers in controlling childhood asthma before and after an educational intervention and to associate the scores with sociodemographic factors. Methods: quasi-experimental study, with 65 parents and caregivers of children with asthma. The Self-Efficacy and Their Child’s Level of Asthma Control scale – Brazilian version – was used before and 30 days after the intervention with the reading of the booklet “Are you able to control your child’s asthma – let’s learn together?” For the analysis, McNemar’s Chi-square and Wilcoxon statistical tests were used. Results: after 30 days,the effect of the intervention demonstrated statistical significance between high self-efficacy scores and the following variables: marital status (Odds Ratio:2.6;p≤0.001), family income (Odds Ratio:3.4;p≤0.001) and Bolsa Família Program benefit (Odds Ratio:2.9;p≤0.001). Conclusion: the educational booklet was shown to be effective in increasing the self-efficacy of parents and caregivers in the control and management of childhood asthma.

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Environmental and Behavioral Factors in Association with Lung Function Impairment in Children Living in Wuhan, China

Cao

Duan

et al. 2023

IJERPH

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Children’s lung function is a significant predictor of health status throughout their lifetime. This study aims to identify the prevalence of impaired lung function in children and the potential influencing factors in elementary school children of Wuhan, China. Children of 6–12 years old were enrolled from elementary schools in Wuhan, China, in 2018, on the basis of a cross-sectional study design. Information on personal behavior patterns and household characteristics, as well as parental factors, was collected based on a questionnaire survey. Spirometry was used to measure fifteen lung function indicators. Logistic regression models were used to estimate odds ratios of prevalence of impaired lung function with regard to socioeconomic, personal behavior patterns, household, and parental factors, respectively. Four lung function indicators such as FET and EVC in urban children had higher values than in the suburban children after adjusting for confounders (p < 0.05). A higher prevalence of impaired lung function (FEV6, FEV3, EVC, and VC) was found in the children from the rural area than in those from the urban area. A sex difference in FET impairment was observed, however, no significant difference in impairment in other lung function indicators were found between girls and boys. The elevated height and weight of the children was significantly associated with an increased and decreased prevalence of impaired lung function, respectively, particularly both for FEV6, FEV3, FIVC, and FIV1. Opening windows for a longer time in summer was significantly associated with a lower prevalence of impaired FEF25 and MVV, and an extended time of opening windows in winter was significantly associated with a lower prevalence of impaired FEV6. While, opening windows for a longer time in autumn was significantly associated with higher prevalence of impaired FEV6 and FEV1/VC. Home renovations, doing physical exercise for more than 30 min per day, air pollution exposure during commuting, sleeping in own rooms, height stunting, and preterm birth were significantly associated with an increased risk of impaired lung function. Breastfeeding, having a father with a white-collar profession and with a higher education level were positively associated with the lower prevalence of impaired lung function. Impaired lung function is commonly found in school children in Wuhan, nowadays. Breastfeeding, opening windows long-term in summer and winter, higher socioeconomics, and an urban living environment were protective factors for impaired lung function. However, opening windows long-term and using air conditioning short-term in autumn, as well as home renovations, doing physical exercise for more than 30 min per day, preterm birth, height stunting, and air pollution exposure during commuting were regarded as significant risk factors for impaired lung function. Promoting breastfeeding, lengthening window opening times in winter and summer, and controlling household renovation and air pollution exposure during commuting are recommended to reduce the risk of impaired lung function in children in Wuhan.

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Changes in children’s lung function over two decades in relation to socioeconomic, parental and household factors in Wuhan, China

Cited by 3 publications

References 50 publications

Association Between Lung Function of Children and Their Socioeconomic Conditions: A Systematic Review

Association Between Lung Function of Children and Their Socioeconomic Conditions: A Systematic Review

Educational technology for promoting parental self-efficacy in controlling childhood asthma

Environmental and Behavioral Factors in Association with Lung Function Impairment in Children Living in Wuhan, China

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