Association between indoor environmental risk factors and pneumonia among preschool children in Urumqi:A case-control study
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Published on: August 7, 2017
Chong Zhao1, Li Wang2, Xiaohui Xi3
1Department of Physical Education, Shanghai University of Medicine & Health Sciences, Shanghai, 201318, China.
Insights
Indoor environmental factors like passive smoking, housing type, flooring, and dampness are significant risk factors for pediatric pneumonia. Utilizing fresh air filtration systems can help protect children from this common respiratory illness.
Area of Science:
- Environmental Health
- Pediatrics
- Epidemiology
Background:
- Pediatric pneumonia is a major global health concern, especially in developing nations.
- This study focuses on preschool children in Urumqi, China.
- Investigating the link between indoor environments and childhood pneumonia is crucial.
Purpose of the Study:
- To determine the incidence of pneumonia in Urumqi's preschool children.
- To identify associations between indoor environmental factors and pediatric pneumonia.
- To inform public health strategies for pneumonia prevention.
Main Methods:
- A case-control study involving 1522 preschool children diagnosed with pneumonia.
- A matched control group of children without a history of pneumonia.
- Data collected via questionnaires on housing, passive smoking, flooring, and dampness.
Main Results:
- Cesarean birth, being an only child, early antibiotic use, and maternal passive smoking were risk factors.
- Living in apartments, specific flooring types (laminate, tile/stone/cement), and indoor dampness increased risk.
- Fresh air filtration systems demonstrated a protective effect against pediatric pneumonia.
Conclusions:
- Indoor environmental factors significantly influence pediatric pneumonia incidence.
- Public health interventions should address housing conditions and air quality.
- Further research with broader scope is recommended for comprehensive understanding.
Background:
Pediatric pneumonia presents a significant global health challenge, particularly in low- and middle-income countries. This study aimed to investigate the incidence of pneumonia in preschool children in Urumqi and its association with indoor environmental factors.
Methods:
This case-control study collected data from December 2018 to December 2019 on 1522 preschool children in Urumqi (779 boys and 743 girls) who were diagnosed with pneumonia by a physician. A control group of children who had never had pneumonia was matched in a 1:1 ratio based on gender, age, and ethnicity. Using questionnaires, data were collected on children's general characteristics, passive smoking, types of housing, flooring materials, and indoor dampness, analyzing potential factors associated with the incidence of pediatric pneumonia.
Results:
Multivariate analysis revealed that cesarean birth (odds ratio [OR] = 1.27; 95 % confidence interval [95%CI] = 1.08-1.48), being an only child (OR = 1.32; 95%CI = 1.13-1.55), antibiotic treatment during the first year of life (OR = 2.51; 95%CI = 1.98-3.19), passive smoking during the mother's pregnancy (OR = 1.62; 95%CI = 1.24-2.13), living in multi-family apartment housing (OR = 1.64; 95%CI = 1.28-2.10) and other types of housing (OR = 1.47; 95%CI = 1.09-1.99), laminate flooring (OR = 1.31; 95%CI = 1.01-1.72), and tile/stone/cement flooring flooring (OR = 1.31; 95%CI = 1.06-1.61), and dampness in dwelling (during first year of mother's pregnancy) (OR = 1.30; 95%CI = 1.04-1.63) were risk factors for pediatric pneumonia. The use of fresh air filtration systems in children's residences (OR = 0.66; 95%CI = 0.50-0.86) was identified as a protective factor.
Conclusion:
This study underscores the importance of indoor environmental factors in the prevention of pediatric pneumonia. Public health strategies should consider these factors to reduce the incidence of pneumonia in children. Future research needs to be conducted over a broader geographical range and consider a more comprehensive range of factors influencing pediatric pneumonia.
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