Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in China

The main aim was to study associations between asthma, allergic rhinitis and eczema among adults across China and dampness and mold at home. Young adults (N = 40,279) in eight cities in China answered a questionnaire in 2010–2012 (response rate 75.0%). Data on asthma, allergic rhinitis, eczema and t...

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Main Authors: Juan Wang, Zhuohui Zhao, Yinping Zhang, Baizhan Li, Chen Huang, Xin Zhang, Qihong Deng, Chan Lu, Hua Qian, Xu Yang, Yuexia Sun, Jan Sundell, Dan Norbäck
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:Environment International
Online Access:http://www.sciencedirect.com/science/article/pii/S0160412019308086
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author Juan Wang
Zhuohui Zhao
Yinping Zhang
Baizhan Li
Chen Huang
Xin Zhang
Qihong Deng
Chan Lu
Hua Qian
Xu Yang
Yuexia Sun
Jan Sundell
Dan Norbäck
author_facet Juan Wang
Zhuohui Zhao
Yinping Zhang
Baizhan Li
Chen Huang
Xin Zhang
Qihong Deng
Chan Lu
Hua Qian
Xu Yang
Yuexia Sun
Jan Sundell
Dan Norbäck
author_sort Juan Wang
collection DOAJ
description The main aim was to study associations between asthma, allergic rhinitis and eczema among adults across China and dampness and mold at home. Young adults (N = 40,279) in eight cities in China answered a questionnaire in 2010–2012 (response rate 75.0%). Data on asthma, allergic rhinitis, eczema and the home environment was assessed by the questionnaire. Climate data was obtained from China Meteorological Administration and the website of Weather Underground. Health associations were analyzed by two-level logistic regression models, adjusting for covariates. Totally 1.6% had asthma, 6.6% allergic rhinitis and 2.2% eczema. Mold odor was associated with asthma (OR = 1.90) and allergic rhinitis (OR = 1.25–1.44). Window pane condensation in winter was associated with asthma (OR = 1.39), allergic rhinitis (OR = 1.26–1.58) and eczema (OR = 1.36–1.77). Presence of mold spots or damp stains was related to asthma (OR = 1.58–2.49), allergic rhinitis (OR = 1.35–1.76) and eczema (OR = 1.47–1.70). Water damage was related to asthma (OR = 1.69–1.82), allergic rhinitis (OR = 1.40–1.45) and eczema (OR = 1.44–1.96). Damp bed clothing was related to asthma (OR = 1.23), allergic rhinitis (OR = 1.23) and eczema (OR = 1.35). A higher dampness score was associated with increased odds ratios for diseases. Those living in older buildings had more asthma (OR = 1.39–1.76) and allergic rhinitis (OR = 1.16–1.21). Those living in suburban or rural areas had less asthma, allergic rhinitis and eczema as compared to those living in urban areas (OR values from 0.24 to 0.66). Stronger health associations with dampness and mold were found in southern China and in newer buildings (constructed after 2005). In conclusion, dampness and mold at home can be risk factors for asthma, allergic rhinitis and eczema among adults in China. Living in older buildings can be risk factors for asthma or allergic rhinitis while living in less urbanized areas can be protective. Keywords: Asthma, Allergic rhinitis, Eczema, Dampness, Mold, Climate
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spelling doaj.art-6091f52c328840c38da871d686b323ab2022-12-21T22:38:23ZengElsevierEnvironment International0160-41202019-09-01130Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in ChinaJuan Wang0Zhuohui Zhao1Yinping Zhang2Baizhan Li3Chen Huang4Xin Zhang5Qihong Deng6Chan Lu7Hua Qian8Xu Yang9Yuexia Sun10Jan Sundell11Dan Norbäck12Department of Medical Sciences, Uppsala University, Uppsala, Sweden; Corresponding author.Department of Environmental Health, Fudan University, Shanghai, ChinaSchool of Architecture, Tsinghua University, Beijing, ChinaJoint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, China; National Centre for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, ChinaDepartment of Building Environment and Energy Engineering, School of environment and Architecture, University of Shanghai for Science and Technology, Shanghai, ChinaResearch Centre for Environmental Science and Engineering, Shanxi University, Taiyuan, ChinaXiangya School of Public Health, Central South University, Changsha, China; School of Energy Science and engineering, Central South University, Changsha, ChinaXiangya School of Public Health, Central South University, Changsha, China; School of Energy Science and engineering, Central South University, Changsha, ChinaSchool of Energy Environment, Southeast University, Nanjing, ChinaCollege of Life Sciences, Central China Normal University, Wuhan, ChinaSchool of Environmental Science and Engineering, Tianjin University, Tianjin, ChinaSchool of Environmental Science and Engineering, Tianjin University, Tianjin, ChinaDepartment of Medical Sciences, Uppsala University, Uppsala, SwedenThe main aim was to study associations between asthma, allergic rhinitis and eczema among adults across China and dampness and mold at home. Young adults (N = 40,279) in eight cities in China answered a questionnaire in 2010–2012 (response rate 75.0%). Data on asthma, allergic rhinitis, eczema and the home environment was assessed by the questionnaire. Climate data was obtained from China Meteorological Administration and the website of Weather Underground. Health associations were analyzed by two-level logistic regression models, adjusting for covariates. Totally 1.6% had asthma, 6.6% allergic rhinitis and 2.2% eczema. Mold odor was associated with asthma (OR = 1.90) and allergic rhinitis (OR = 1.25–1.44). Window pane condensation in winter was associated with asthma (OR = 1.39), allergic rhinitis (OR = 1.26–1.58) and eczema (OR = 1.36–1.77). Presence of mold spots or damp stains was related to asthma (OR = 1.58–2.49), allergic rhinitis (OR = 1.35–1.76) and eczema (OR = 1.47–1.70). Water damage was related to asthma (OR = 1.69–1.82), allergic rhinitis (OR = 1.40–1.45) and eczema (OR = 1.44–1.96). Damp bed clothing was related to asthma (OR = 1.23), allergic rhinitis (OR = 1.23) and eczema (OR = 1.35). A higher dampness score was associated with increased odds ratios for diseases. Those living in older buildings had more asthma (OR = 1.39–1.76) and allergic rhinitis (OR = 1.16–1.21). Those living in suburban or rural areas had less asthma, allergic rhinitis and eczema as compared to those living in urban areas (OR values from 0.24 to 0.66). Stronger health associations with dampness and mold were found in southern China and in newer buildings (constructed after 2005). In conclusion, dampness and mold at home can be risk factors for asthma, allergic rhinitis and eczema among adults in China. Living in older buildings can be risk factors for asthma or allergic rhinitis while living in less urbanized areas can be protective. Keywords: Asthma, Allergic rhinitis, Eczema, Dampness, Mold, Climatehttp://www.sciencedirect.com/science/article/pii/S0160412019308086
spellingShingle Juan Wang
Zhuohui Zhao
Yinping Zhang
Baizhan Li
Chen Huang
Xin Zhang
Qihong Deng
Chan Lu
Hua Qian
Xu Yang
Yuexia Sun
Jan Sundell
Dan Norbäck
Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in China
Environment International
title Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in China
title_full Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in China
title_fullStr Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in China
title_full_unstemmed Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in China
title_short Asthma, allergic rhinitis and eczema among parents of preschool children in relation to climate, and dampness and mold in dwellings in China
title_sort asthma allergic rhinitis and eczema among parents of preschool children in relation to climate and dampness and mold in dwellings in china
url http://www.sciencedirect.com/science/article/pii/S0160412019308086
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