澳大利亚土著年轻人的围产期和生命早期暴露与肺功能之间的关联:土著出生队列研究
Vidya Navaratnam1,2,3,4, Douglas L Forrester1,3,4,5, Anne B Chang2,6
1Department of Respiratory Medicine, Sir Charles Gardiner Hospital, Perth, Western Australia, Australia.
概括
年轻的土著成年人显示高率的异常肺功能,与早期生活因素,如感染和远程分娩. 一些因素是可修改的,提供了干预机会.
科学领域:
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
- 土著健康土著健康
背景情况:
- 呼吸系统疾病对土著人口造成重大健康负担.
- 有限的数据存在于这个人口群体的精神学赤字及其决定因素.
研究的目的:
- 为了估计年轻的土著成年人中异常螺旋计的流行率.
- 为了识别与肺功能受损相关的围产期和早期生命因素.
主要方法:
- 利用来自澳大利亚原住民出生队伍 (686个澳大利亚土著单身婴儿) 的数据.
- 在年轻成年期评估的螺旋计指数 (FEV1,FVC).
- 采用线性回归来分析生命早期暴露与肺功能之间的关联.
主要成果:
- 近40%的人表现出异常的螺旋计,近50%的人减少了FEV1.
- 诸如学前呼吸系统住院,较年轻的孕产妇年龄,幼儿期超重,远程分娩等因素与肺功能减弱有关.
- 远程分娩与减少FEV1.1的可能性增加了六倍以上.
结论:
- 年轻的土著成年人患有肺功能障碍的患病率很高.
- 在这个人群中,围产期和生命早期的因素显著影响肺功能.
- 已识别的因素是潜在的可修改,这表明了干预的途径.
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