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Published on: August 7, 2017
Factors contributing to risks for pediatric asthma in rural Saskatchewan
Rebecca J Barry1, William Pickett, Donna C Rennie
1Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario, Canada.
Rural children do not have significantly different asthma rates than small town children. Environmental factors like dampness and obesity are linked to asthma and wheeze, suggesting these explain geographic variations.
Area of Science:
- Environmental Health
- Pediatric Respiratory Health
- Epidemiology
Background:
- Rural children report lower asthma rates than urban counterparts, with unclear reasons.
- Potential explanations include environmental factors, healthcare access, and health risk behaviors.
Purpose of the Study:
- Investigate asthma prevalence and determinants in farm and small town children.
- Examine associations between personal, behavioral, and environmental factors and childhood asthma.
Main Methods:
- Cross-sectional study of 842 school children (ages 6-13) using parental lung health surveys.
- Classified children as farm or small town dwellers.
- Employed multiple logistic regression to analyze asthma and wheeze associations with exposures, adjusting for confounders.
Main Results:
- No significant difference in current asthma (16% vs. 13%) or wheeze (27% vs. 21%) between farm and small town children.
- Dampness was associated with diagnosed asthma (OR=1.85).
- Daycare enrollment showed a protective effect (OR=0.53), while obesity/overweight was linked to wheeze (OR=1.77).
Conclusions:
- Study findings support environmental and health risk behavior explanations for observed geographic variations in asthma.
- Environmental risk factors and obesity are associated with asthma and wheeze in children.
- Further research into environmental exposures and lifestyle factors is warranted.
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