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

Zhang, Yinping; Li, Baizhan; Huang, Chen; Yang, Xu; Qian, Hua; Deng, Qihong; Zhao, Zhuohui; Li, Angui; Zhao, Jingdong; Zhang, Xin; Qu, Fang; Hu, Yu; Qin, Yang; Wang, Juan; Zhang, Ming; Wang, Fang; Zheng, Xiaohong; Lu, Chan; Liu, Zhijian; Sun, Yuexia; Mo, Jinhan; Zhao, Yong; Liu, Wei; Wang, Tingting; Norbäck, Dan; Bornehag, Carl‐Gustaf; Sundell, Jan

doi:10.1007/s11434-013-5914-z

Cited by 243 publications

(195 citation statements)

References 64 publications

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“…During past decades, most developing countries such as China witnessed a rapid increase in the prevalence of childhood asthma and allergies that deserves more attention (Ait-Khaled et al, 2007;Zhang et al, 2013). Although it is largely accepted that gene-environment interactions contribute to the development of asthma and allergies, the changing environment is likely responsible for the rapid increase in the prevalence (London, 2007).…”

Section: Introductionmentioning

confidence: 99%

Exposure to outdoor air pollution during trimesters of pregnancy and childhood asthma, allergic rhinitis, and eczema

Deng

et al. 2016

Environmental Research

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256

118

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Section: Introductionmentioning

confidence: 99%

Exposure to outdoor air pollution during trimesters of pregnancy and childhood asthma, allergic rhinitis, and eczema

Deng

et al. 2016

Environmental Research

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256

118

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“…Recent research suggests that changes in the indoor environment are of greater importance than genetic changes and outdoor environmental pollution [12,13]. Studies have reported that home environmental factors including decoration materials, furniture materials, dampness and house location as well as lifestyle behaviors are associated with children's AR [13e16].…”

Section: Introductionmentioning

confidence: 99%

“…To explore potential home environmental risk factors for allergic diseases in China, an epidemiological multiple-centre study of asthma and allergies among children (China, Children, Homes, Health, CCHH) was initiated in 2010 [13]. The present study is a part of CCHH.…”

Section: Introductionmentioning

confidence: 99%

Home environment in relation to allergic rhinitis among preschool children in Beijing, China: A cross-sectional study

Wang

Zhang

et al. 2015

Building and Environment

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“…The present study is a part of an epidemiological multi-center study of asthma and allergies among children in China (China, Children, Homes, Health, CCHH) (Zhang et al, 2013). The questionnaires were distributed to the children's parents or guardians by the teachers in 54 randomly selected kindergartens in Chongqing during December 2010 to April 2011 (Wang et al, 2014).…”

Section: Study Populationmentioning

confidence: 99%

Associations between parental health, early life factors and asthma, rhinitis and eczema among pre-school children in Chongqing, China

Wang

Li²,

Yu³

et al. 2016

GJHS

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Purpose: To study associations between parental factors and children's asthma, rhinitis and eczema. Methods:Parents of 3-6 years old children in Chongqing, China answered a questionnaire on parental history of asthma/allergies, parental symptoms and children's asthma, rhinitis and eczema. Associations were analyzed by multiple logistic regression. Results:Among 4250 children (response rate: 74.5%), 8.4% had doctor-diagnosed asthma (DD asthma); 6.2% doctor-diagnosed allergic rhinitis (DD rhinitis); 20.4% wheeze; 19.4% cough; 37.9% rhinitis and 13.6% eczema. Among reporting parents (females 70.4%, males 29.6%), 16.2% were smokers; 47.4% reported rhinitis; 54.2% cough; 47.8% skin symptoms; 70.5% fatigue and 48.7% headache.Parental asthma/allergy was associated with children's DD asthma (OR=3.64) and DD rhinitis (OR=4.23). The associations were stronger for paternal asthma/allergy. Rural children had less DD rhinitis and current rhinitis. Children of mothers who were salespersons during pregnancy had more rhinitis (OR=1.49), children of teachers had more DD rhinitis (OR=2.09) and cough (OR=1.66), children of office workers had more DD rhinitis (OR=2.04) and children of mothers working in hospitals had more DD asthma (OR=2.47). Parental current symptoms were associated with wheeze, cough, rhinitis and eczema among the children with ORs ranging from 1.37 to 2.28 (all p<0.001). Conclusions:Parental asthma/allergy can be a risk factor for asthma or allergy, especially paternal asthma/allergy. Growing up in rural areas can be beneficial for rhinitis. Mother's occupation during pregnancy may influence children's asthma and rhinitis. In questionnaires studies on children's asthma or allergies, the reporting parent's gender and current medical symptoms may influence the results.Keywords: Pre-school children, asthma, rhinitis, eczema, home environment, rural childhood, occupation, validation, fatigue, headache IntroductionChildren's asthma and allergies has increased globally (Chen, 2003;Asher et al., 2006). The international Study of Asthma and Allergies in Childhood (ISAAC) has compared asthma and allergy between different countries (The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee, 1998), and analyzed associations with the home environment (Brunekreef et al., 2012). A recent review suggested that the rise in the prevalence of allergic disorders globally is associated with the whole civilizational progress, which is a complex interplay between immune response, invading pathogens, diversity of environmental factors and genetic background (Rutkowski et al., 2014).Parental factors can influence the prevalence of asthma, rhinitis and eczema in their children in different ways.

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

Cited by 243 publications

References 64 publications

Exposure to outdoor air pollution during trimesters of pregnancy and childhood asthma, allergic rhinitis, and eczema

Exposure to outdoor air pollution during trimesters of pregnancy and childhood asthma, allergic rhinitis, and eczema

Home environment in relation to allergic rhinitis among preschool children in Beijing, China: A cross-sectional study

Associations between parental health, early life factors and asthma, rhinitis and eczema among pre-school children in Chongqing, China

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