Summary: | 碩士 === 高雄醫學院 === 公共衛生學研究所 === 86 === By using the video edition of International Study of Asthma and
Allergy in Children(ISAAC),we studied the prevalence of asthma
and wheeze from 13,097 junior high school students aged 11 to
16, living in the area of Kaohsiung and Pintung of Taiwan.
Along with the study, we also examined relevant factors by
making analyses of education levels of the children''s parents,
air pollution, passive smoking, and residence environment.
Besides, we also measured the lung function of the school
children and assessed e influence of air pollution on the
respiratory function.The study found that the average prevalence
rate was 10.2%:It was higher in boys than in girls(11.19%vs
9.28%). In the analysis of sample logistic regression, the
following were risk factors;school boy, youth,higher BMI, race
in mainlander, mixed race, respectively, crowded area, parents
with higher education level, short of exercise, first-grade
relative with the sufferance from asthma, and self-consciousness
of severe air pollution. On the corary, incense burned at home
played a protective factor. In multiple logistic regression, in
addition to the adjustment of the above risk and protective
factors, we added the adjustments of relative factors such as
passive smoking at home and mother''s smoking during pregnancy.
We found there was no more asthma in the mixed race, the effect
of other risk factors were still there and the odds of self-
consciousness of air pollution to prevalence of asthma still
maintained between 1.11~1.44.If we replaced the sf-consciousness
of air pollution with air pollution parameter detected by EPA,
we found the substances causing asthma in the air such as total
suspended particles(TSP), sulfur dioxide(SO2)and carbon
hydride(CxHy) were responsible for asthma. We also found that
lung function of the school children in non-industry area was
generally better than in industry area. And the lower forced
vital capacity(FVC)and forced respiratory volume in the first
second(FEV1) were 1.02%(95%CI [0.50~1.54])and 1.02%95%CI
[2.09~1.33]), respectively.From the above study we conclude the
air pollution may be a risk factors to cause asthma, and lower
the lung function of school children.
|