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Published on: November 4, 2010
Family size, infections, and asthma prevalence in New Zealand children
K L Wickens1, J Crane, T J Kemp
1Wellington Asthma Research Group, Wellington School of Medicine, Wellington South, New Zealand.
Insights
Fewer siblings increase asthma risk in children, while infections like rubeola may offer protection. This study explored family size, childhood infections, and asthma development.
Area of Science:
- Pediatric Allergy and Immunology
- Epidemiology
- Environmental Health
Background:
- Asthma is a significant global health concern in children.
- Family size and childhood infections are hypothesized environmental factors influencing asthma development.
- Understanding these relationships can inform public health strategies.
Purpose of the Study:
- To investigate the association between family composition, childhood infections, and the prevalence of asthma in 7-9 year olds.
- To identify specific factors within family structure and infection history that correlate with asthma risk.
- To control for potential confounders such as atopy and socioeconomic status.
Main Methods:
- A prevalence case-control study design was employed.
- Participants were selected from the Wellington, NZ, arm of the International Study of Asthma and Allergies in Childhood.
- Cases had diagnosed asthma and medication use; controls had no wheezing history or asthma diagnosis.
Main Results:
- A reduced number of siblings was associated with a significantly increased risk of asthma.
- Parent-reported rubeola infection showed an independent association with a decreased risk of asthma.
- Pertussis infection and early-life daycare attendance did not show strong associations with increased asthma risk.
Conclusions:
- Family size, specifically having fewer siblings, is a significant risk factor for childhood asthma.
- Certain childhood infections, like rubeola, may have a protective effect against asthma development.
- Further research is warranted to elucidate the complex interplay between family environment, infections, and pediatric asthma.
Abstract:
We conducted a prevalence case-control study to investigate the relation between family composition, infection, and development of asthma at age 7-9 years. Potential cases (399) and controls (398) were selected from the Wellington, NZ, arm of the International Study of Asthma and Allergies in Childhood, a population-based prevalence study. Further screening questions restricted cases to children with a diagnosis of asthma and current medication use (N = 233) and restricted controls to children without a history of wheezing and no diagnosis of asthma (N = 241). After controlling for confounders (including infections, atopy, and socioeconomic status), family size was strongly related to asthma. Having no siblings [prevalence odds ratio (POR) = 2.51; 95% confidence interval (CI) = 1.05-6.01] or one sibling (POR = 1.86; 95% CI = 1.14-3.03) was associated with an increased risk of asthma compared with having more than one sibling. Parent-reported rubeola infection (and possibly other similar viral exanthems) was independently associated with a decreased risk of asthma (POR = 0.48; 95% CI = 0.27-0.83), but reported pertussis infection (POR = 1.57; 95% CI = 0.58-4.24) and day care attendance in the first year of life (POR = 1.81; 95% CI = 0.93-3.51) were not strongly associated with increased risks of asthma.
Related Concept Videos
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Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
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Asthma III: Clinical Manifestations

