Abstract
Respiratory disease and its complication are the cause of children deaths worldwide every year. Several epidemiological studies pointed out an association between quality of residential in inner city and risk of children health. However, few studies had been focused in high-polluted urban area in low to middle income countries. A cross-sectional study was conducted to investigate the association between residential environments and respiratory symptoms including asthma among 658 primary school children living in urban area of Bangkok Thailand. The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire was modified to access symptoms during the past 12 months. Binary logistic regression model was performed. Living near garment and clothing shop is associated with shortness of breath (AOR = 1.846; 95% CI 1.034, 3.297). Vectors in home is related to dry cough at night (AOR = 1.505; 95% CI 1.052, 2.153) and phlegm (AOR = 1.414; 95% CI 1.014, 1.973). Wall dampness is increased odd of having wheezing or whistling (asthma) in the chest (AOR = 1.921; 95% CI 1.141, 3.235). Children age, gender, and a family history of asthma were modified the associations. Our finding may provide strategies focusing on living environment improvement with a specific group of children to address respiratory disease prevention.
Highlights
Respiratory disease and its complication are the cause of children deaths worldwide every year
Running nose without cold was reported in the highest numbers, and shortness of breath was reported in the lowest numbers
Our study evaluated the association between residential environment and respiratory symptoms in an urban area of Bangkok, where the concentration of air pollution was the highest
Summary
Respiratory disease and its complication are the cause of children deaths worldwide every year. A cross-sectional study was conducted to investigate the association between residential environments and respiratory symptoms including asthma among 658 primary school children living in urban area of Bangkok Thailand. Source of exposure to unhealth environment among children are their home condition, school, and outdoor e nvironment[7] Housing environments, such as household m old[8], dampness, pets, vectors (i.e., cockroach and rat), carpets, and curtains have been found to be significant risk factors for respiratory and asthma symptoms[9]. Few studies have focused on residential environments and respiratory and asthma symptoms in children living in the cities of low-to middle-income countries. Because of the increased understanding of respiratory and asthma symptoms, it is crucial to gain better knowledge of the link between residential environments and the risk of respiratory and asthma symptoms among children living in highly polluted urban areas of Thailand
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