Household incense burning and children's respiratory health: A cohort study in Hong Kong.


Journal

Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590

Informations de publication

Date de publication:
04 2019
Historique:
received: 05 10 2018
accepted: 22 12 2018
pubmed: 18 1 2019
medline: 14 2 2020
entrez: 18 1 2019
Statut: ppublish

Résumé

Incense burning is an important source of indoor air pollution in many Asian regions. We investigated the associations between household incense burning and lung function, lung function growth and respiratory diseases and symptoms in primary school children in Hong Kong. A total of 4041 children (mean age: 9.1 years) were recruited from 27 primary schools in Hong Kong. Information on incense burning and medical history of respiratory diseases and symptoms was collected by questionnaire. Spirometry tests were performed to measure the children's lung function. A follow-up study was carried out after 1-year interval. Linear and logistic regression models were used to investigate the associations between incense burning, lung function, and lung function growth, and respiratory diseases and symptoms, respectively. At baseline, incense burning was associated with 48.6 mL/min [95% confidence interval (CI): -96.7, -0.5] lower maximum mid-expiratory flow (MMEF) in boys. In follow-up, incense burning was associated with reduced peak expiratory flow (PEF) growth in all participants. We also found that incense burning was associated with increased prevalence of bronchitis [odds ratio (OR) = 1.39, 95%CI: 1.11, 1.72] and bronchiolitis (OR = 1.72, 95%CI: 1.14, 2.56). Incense burning was also associated with higher prevalence of pneumonia (OR = 2.79, 95%CI: 1.10, 6.87) and wheezing (OR = 1.49, 95%CI: 1.08, 2.05) in boys, but not in girls. We found that incense burning may adversely affect children's respiratory health. Further studies are warranted to elucidate the underlying mechanisms.

Sections du résumé

BACKGROUND
Incense burning is an important source of indoor air pollution in many Asian regions. We investigated the associations between household incense burning and lung function, lung function growth and respiratory diseases and symptoms in primary school children in Hong Kong.
METHODS
A total of 4041 children (mean age: 9.1 years) were recruited from 27 primary schools in Hong Kong. Information on incense burning and medical history of respiratory diseases and symptoms was collected by questionnaire. Spirometry tests were performed to measure the children's lung function. A follow-up study was carried out after 1-year interval. Linear and logistic regression models were used to investigate the associations between incense burning, lung function, and lung function growth, and respiratory diseases and symptoms, respectively.
RESULTS
At baseline, incense burning was associated with 48.6 mL/min [95% confidence interval (CI): -96.7, -0.5] lower maximum mid-expiratory flow (MMEF) in boys. In follow-up, incense burning was associated with reduced peak expiratory flow (PEF) growth in all participants. We also found that incense burning was associated with increased prevalence of bronchitis [odds ratio (OR) = 1.39, 95%CI: 1.11, 1.72] and bronchiolitis (OR = 1.72, 95%CI: 1.14, 2.56). Incense burning was also associated with higher prevalence of pneumonia (OR = 2.79, 95%CI: 1.10, 6.87) and wheezing (OR = 1.49, 95%CI: 1.08, 2.05) in boys, but not in girls.
CONCLUSIONS
We found that incense burning may adversely affect children's respiratory health. Further studies are warranted to elucidate the underlying mechanisms.

Identifiants

pubmed: 30652429
doi: 10.1002/ppul.24251
doi:

Substances chimiques

Perfume 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

399-404

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Auteurs

Zilong Zhang (Z)

Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

Lixing Tan (L)

Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

Anke Huss (A)

Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands.

Cui Guo (C)

Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

Jeffrey R Brook (JR)

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Lap-Ah Tse (LA)

Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

Xiang Q Lao (XQ)

Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

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