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首页> 外文会议>Annual conference of the International Society of Exposure Science >TRENDS IN RISK FACTORS AND HEALTH STATUS OF EKATERINBURG PRESCHOOL CHILDREN IN 2001-2011: FINDING SETS OF RISK FACTORS THAT HAVE MOST NEGATIVE HEALTH EFFECT
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TRENDS IN RISK FACTORS AND HEALTH STATUS OF EKATERINBURG PRESCHOOL CHILDREN IN 2001-2011: FINDING SETS OF RISK FACTORS THAT HAVE MOST NEGATIVE HEALTH EFFECT

机译：EKATERINBURG学龄前儿童的危险因素趋势和健康状况：2001-2011年：对健康影响最为显着的危险因素集

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Background: Temporal trends in risk factors (RF) are well-defined and multidirectional whereas their health impact is not always obvious. This study aims to analyze the trends in the health status and RF, development of methods to identify the set of RF having most negative health effect and formulation of management decisions. Methods: We conducted study of most prevalent kinds of diseases in preschool age children and RF in 2001-2011 in Ekaterinburg (Russia). Analyzed RF included indoor air pollution (gas stoves usage, tobacco smoke) environmental pollution (outdoor air and the drink water quality); socioeconomic factors (mother education level, child's physical activity level). 2215 preschool age children were examined. The Classification tree method and the logistic regression analysis were applied for examine a link between RF and children health (CH). NO2 concentration in outdoor air was estimated from Land Use Regression models. Results: 10-year long study found such trends as increasing the number of cars in 2,1 times, some improving the quality of drink water. The prevalence of cardiovascular and musculoskeletal system diseases has noticeably increased. Methods to determine combinations of RF negatively affecting health and to find the social factors that can offset the negative impact of environmental pollution on CH were elaborated.Examples: combination of high level of outdoor air pollution with gas stove in the flat and physical inactivity in children lead to increase the prevalence of respiratory diseases by 2,4 times. The combination of a physical activity in children with higher maternal education and nonsmoking mother can offset the negative health effects of indoor air pollution from gas combustion. The prevalence of cardiovascular diseases could be reduced in 2,1 times. Conclusions: During study period we have observed multidirectional and well-defined trends in RF and in the diseases prevalence. Detected sets of RF can be used by public health practitioners to allocate of limited resources for CH improvement.
机译：背景：危险因素（RF）的时间趋势是定义明确的且是多向的，但它们对健康的影响并不总是显而易见的。这项研究旨在分析健康状况和RF的趋势，开发方法以识别具有最不利健康影响的RF集合以及制定管理决策。方法：我们对叶卡捷琳堡（俄罗斯）的2001-2011年学龄前儿童和RF中最流行的疾病进行了研究。分析的射频包括室内空气污染（燃气灶的使用，烟草烟雾），环境污染（室外空气和饮用水水质）;社会经济因素（母亲的教育水平，儿童的身体活动水平）。检查了2215名学龄前儿童。分类树方法和逻辑回归分析被用于检验RF和儿童健康（CH）之间的联系。根据土地利用回归模型估算室外空气中的NO2浓度。结果：长达10年的长期研究发现了这样的趋势，例如汽车数量增加了2，1倍，有一些改善了饮用水的质量。心血管和肌肉骨骼系统疾病的患病率显着增加。阐述了确定对健康有负面影响的RF组合并找到可以抵消环境污染对CH的负面影响的社会因素的方法。导致呼吸道疾病的患病率增加2.4倍。对受过较高母亲教育的孩子和不吸烟的母亲进行体育锻炼可以抵消气体燃烧对室内空气污染的不利健康影响。心血管疾病的患病率可降低2.1倍。结论：在研究期间，我们观察到了RF和疾病患病率的多方向性和明确的趋势。公共卫生从业人员可以使用检测到的RF集来分配有限的资源来改善CH。

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