睡眠障碍和呼吸相关症状负担的多层次风险因素在城市儿科社区基样本中
Seyni Gueye-Ndiaye1, Marissa Hauptman1, Xinting Yu1
1Harvard Medical School (S. G.-N., M. H., X. Y., L. L., M. R., C. C.-D., J. O., D. R. G., W. P., and S. R.); the Division of Sleep and Circadian Disorders (S. G.-N., X. Y., L. L., M. R., C. C.-D., and S. R.), Brigham and Women's Hospital; the Division of Pulmonary and Sleep Medicine(S. G.-N.), Boston Children's Hospital; the Division of General Pediatrics (M. H.), Boston Children's Hospital; the Region1 New England Pediatric Environmental Health Specialty Unit (PEHSU) (M. H.); the Department of Statistics (T. S.), Harvard T.H. Chan School of Public Health; the Division of Neurology (J. O.), Boston Children's Hospital; the Department of Medicine (D. R. G.), Brigham and Women's Hospital; the Department of Environmental Medicine (D. R. G. and G. A.), Harvard T.H. Chan School of Public Health; the Department of Occupational and Environmental Health (N. M. and P. S. T.), University of Iowa College of Public Health; the Division of Allergy/Immunology (W. P.), Boston Children's Hospital; and the Department of Epidemiology (S. R.), Harvard T.H. Chan School of Public Health.
环境烟草烟雾 (ETS) 和室内害虫暴露与儿科睡眠呼吸障碍 (SDB) 症状的增加有关. 减少这些暴露可能有助于缓解儿童的睡眠健康差异.
科学领域:
- 环境健康 环境健康
- 儿科健康 儿科健康
- 睡眠医学 睡眠医学
背景情况:
- 儿童睡眠呼吸障碍 (SDB) 不成比例地影响来自低社会经济地位 (SES) 背景的儿童.
- 导致儿科SDB的多层次风险因素尚不清楚.
研究的目的:
- 调查SDB风险因素和儿科SDB症状之间的关联.
- 检查了个人健康状况,家庭SES,室内暴露和社区特征.
主要方法:
- 对303名儿童 (年龄在6-12岁) 的横截面研究.
- 通过护理人员报告,尘埃测定和社区人口普查数据评估的暴露.
- 使用OSA-18问卷测量SDB症状负担.
主要成果:
- 低家庭SES,喘,过敏,环境烟草烟雾 (ETS) 和室内害虫与较高的SDB症状负担有关.
- 即使对其他因素进行调整后,ETS和害虫暴露仍然是SDB症状的重要预测因素.
- 在室内害虫暴露和SDB症状负担之间发现了一种新的关联.
结论:
- 室内害虫暴露,与ETS一起,与儿科SDB症状负担有关.
- 针对家庭ETS和室内过敏原减少的干预措施可以减轻睡眠健康差异.
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