环境风险因素与住院儿童中喘息控制之间的关联:一项跨部门研究
Attique Manzoor1, Hamza A Chaudhry2, Jain Ambo3
1Medicine and Surgery, Faisalabad Medical University, Faisalabad, PAK.
Cureus
|August 22, 2025
概括
像室内吸烟和生物质燃料使用这样的环境暴露与巴基斯坦儿童喘控制不佳有关. 需要采取公共卫生干预措施解决这些因素, 以更好地治疗儿童喘.
科学领域:
- 儿童呼吸系统医学
- 环境健康
- 公共卫生
背景情况:
- 喘是儿童的主要慢性呼吸道疾病,环境因素被怀疑无法控制.
- 巴基斯坦关于儿童喘生态风险因素的本地化数据很少.
- 这项研究主要针对住院的儿童,
研究的目的:
- 调查巴基斯坦住院儿童的环境暴露与喘控制之间的关系.
- 确定导致儿童喘控制不良的特定环境风险因素.
- 提供有针对性的公共卫生干预的证据.
主要方法:
- 一项从2月到2025年5月在巴基斯坦医院进行的横截面研究.
- 便捷抽样包括385名 (5至17岁) 患有反复喘息的儿童.
- 通过人口统计,喘控制问卷 (ACQ) 和ISAAC环境问卷采访收集的数据;使用回归和相关性分析SPSS.
主要成果:
- 较差的喘控制与较高的环境风险得分 (β = - 0. 120, p = 0. 006),较年轻的年龄和女性性别有关.
- 控制不足的重要预测因素包括室内吸烟 (β=0.140,p=0.003),木/煤燃料使用 (β=-0.170,p=0.003) 和物暴露 (β=0.130,p=0.011).
- 较弱的正相关性 (r=0.131, p=0.010) 表明与较差的喘控制相关的环境暴露较大.
结论:
- 环境暴露 (室内吸烟,物,生物质燃料) 与巴基斯坦儿童喘控制之间存在温和但重要的关联.
- 调查结果强调需要采取公共卫生措施和对护理人员的文化敏感教育.
- 减轻可改变的环境因素对于巴基斯坦的儿童喘管理至关重要.
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