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School attendance and daily respiratory symptoms in children: influence of moisture damage

机译:儿童上学和日常呼吸道症状:湿气损害的影响

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摘要

We investigated the effect of weekends and school holidays on the daily frequency and severity of respiratory and other symptoms among children attending schools with (index) or without (reference) moisture damage in Spain, the Netherlands, and Finland. Throughout 1 year, parents of 419 children with a respiratory condition attending index (n=15) or reference (n=10) primary schools completed three symptom diaries. We assessed associations between lower respiratory tract, upper respiratory tract or allergy, and other symptom scores and school day, weekend, or summer holiday using mixed regression models stratified by country and moisture damage. We evaluated interactions between moisture damage and type of day. We combined country-specific estimates (incidence rate ratios [IRRs] and 95% confidence interval [CI]) in meta-analyses. Symptom scores were lower during weekends and holiday. Lower respiratory tract symptoms were statistically significantly less common during holiday with strongest effect in index schools (IRR=0.7; CI=0.6-0.8). Reporting of other symptoms was more reduced during holiday in index (IRR=0.6; CI=0.4-0.9) than in reference (IRR=0.95; Cl=0.8-1.2) schools (interaction P<.01). In conclusion, symptoms were less frequent and/or severe during summer holiday and weekends. This pattern was stronger among children attending moisture-damaged schools, suggesting potential improvement in moisture damage-related symptoms during school breaks.
机译:我们调查了周末和学校假期对在西班牙,荷兰和芬兰有(指数)或没有(参考)湿气损害的在校儿童的日常呼吸频率和严重程度以及其他症状的影响。在整个1年中,有419名有呼吸道疾病就读指数(n = 15)或参考(n = 10)小学的儿童的父母完成了三本症状日记。我们使用按国家和湿度损害分层的混合回归模型评估了下呼吸道,上呼吸道或过敏与其他症状评分与上课日,周末或暑假之间的关联。我们评估了水分损害与日间类型之间的相互作用。我们在荟萃分析中结合了特定国家/地区的估算值(发生率[IRR]和95%置信区间[CI])。在周末和假日期间症状评分较低。假日期间,下呼吸道症状在统计学上不常见,在指数学校中效果最明显(IRR = 0.7; CI = 0.6-0.8)。休假期间,指数中的其他症状的报告(IRR = 0.6; CI = 0.4-0.9)比参考学校(IRR = 0.95; Cl = 0.8-1.2)要少(交互作用P <.01)。总之,在暑假和周末,症状较少见和/或较严重。在受湿气损坏的学校上学的儿童中这种模式更强,表明在放学期间与湿气损害相关的症状可能得到改善。

著录项

  • 来源
    《Indoor Air》 |2017年第2期|303-310|共8页
  • 作者单位

    Department of Public Health and Primary Care—Centre for Environment and Health, KU Leuven, Leuven, Belgium,ISGIobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain,University Pompeu Fabra (UPF), Barcelona, Spain,CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain;

    ISGIobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain,University Pompeu Fabra (UPF), Barcelona, Spain,CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain,Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain;

    Department Health Protection, National Institute for Health and Welfare, Kuopio, Finland,Department of Public Health, University of Helsinki, Helsinki, Finland;

    Department Health Protection, National Institute for Health and Welfare, Kuopio, Finland;

    ISGIobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain,University Pompeu Fabra (UPF), Barcelona, Spain,CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain,CIBER Respiratorio (CIBERES), Madrid, Spain;

    Division of Environmental Epidemiology, Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands;

    Division of Environmental Epidemiology, Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands;

    Department Health Protection, National Institute for Health and Welfare, Kuopio, Finland;

    Department Health Protection, National Institute for Health and Welfare, Kuopio, Finland;

    Division of Environmental Epidemiology, Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands;

    ISGIobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain,University Pompeu Fabra (UPF), Barcelona, Spain,CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain,Netherlands Institute for Health Services Research (NIVEL), Utrecht,The Netherlands;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    children; daily symptoms; dampness; mold; respiratory health; school attendance;

    机译:孩子们日常症状;潮湿模子;呼吸健康;学校出勤率;

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