Risk Factors Indoors and Prevalences of Childhood Respiratory Health in Four Countries in Western and Central Europe

Abstract

Abstract The prevalence of respiratory symptoms and risk factors were gathered in four study centres in Western and Central Europe as part of an EU-funded multi-centre study addressing the use of small area methods in air pollution epidemiology (SAVI-AH). The study was carried out in Prague (CZ), Poznan (PL), Huddersfield (UK) and Amsterdam (NL). Prevalences of respiratory symptoms and risk factors between the centres were compared, and associations between risk factors and respiratory symptoms were calculated. Respiratory health was assessed by a self-administered questionnaire, distributed among parents or guardians of schoolchildren between the age of 7 and 11 years. Life-time wheezing and attacks of shortness of breath showed highest prevalences in Huddersfield (30% and 14%, respectively); usual cough showed highest prevalence in Poznan (27%). Differences in prevalence between the centres were found for the potential determinants “age” (due to different age ranges), “gas cooking” (highest in Amsterdam and Poznan), gas/coal heating (lowest in Central European centres), home dampness (highest in Western European centres), disturbance by traffic (highest in urban centres), maternal smoking (highest in Central European centres), family history (highest in Huddersfield) and education (highest in Huddersfield). The prevalence of pets in the home differed only slightly between the study centres. Of the potential deteminants studied, gender, family history of allergic diseases, dampness of the home and, to a lesser extent, passive smoking were important risk factors for life-time prevalence of respiratory symptoms in schoolchildren.