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Sökning: onr:"swepub:oai:DiVA.org:uu-510351" > Prevalence, risk fa...

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FältnamnIndikatorerMetadata
00010376naa a2200649 4500
001oai:DiVA.org:uu-510351
003SwePub
008230828s2023 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5103512 URI
0247 a https://doi.org/10.1186/s12916-023-02951-22 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Shi, Haonanu Shanghai Univ Med & Hlth Sci, Sch Nursing & Hlth Management, 279 Zhouzhu Highway, Shanghai 201318, Peoples R China.4 aut
2451 0a Prevalence, risk factors, impact and management of pneumonia among preschool children in Chinese seven cities :b a cross-sectional study with interrupted time series analysis
264 1b BioMed Central (BMC),c 2023
338 a electronic2 rdacarrier
520 a Background: Pneumonia is a common disease worldwide in preschool children. Despite its large population size, China has had no comprehensive study of the national prevalence, risk factors, and management of pneumonia among preschool children. We therefore investigated the prevalence of pneumonia among preschool children in Chinese seven representative cities, and explore the possible risk factors of pneumonia on children, with a view to calling the world's attention to childhood pneumonia to reduce the prevalence of childhood pneumonia.Methods: Two group samples of 63,663 and 52,812 preschool children were recruited from 2011 and 2019 surveys, respectively. Which were derived from the cross-sectional China, Children, Homes, Health (CCHH) study using a multi-stage stratified sampling method. This survey was conducted in kindergartens in seven representative cities. Exclusion criteria were younger than 2 years old or older than 8 years old, non-permanent population, basic information such as gender, date of birth and breast feeding is incomplete. Pneumonia was determined on the basis of parents reported history of clearly diagnosed by the physician. All participants were assessed with a standard questionnaire. Risk factors for pneumonia, and association between pneumonia and other respiratory diseases were examined by multivariable-adjusted analyses done in all participants for whom data on the variables of interest were available. Disease management was evaluated by the parents' reported history of physician diagnosis, longitudinal comparison of risk factors in 2011 and 2019.Results: In 2011 and 2019, 31,277 (16,152 boys and 15,125 girls) and 32,016 (16,621 boys and 15,395 girls) preschool children aged at 2-8 of permanent population completed the questionnaire, respectively, and were thus included in the final analysis. The findings showed that the age-adjusted prevalence of pneumonia in children was 32.7% in 2011 and 26.4% in 2019. In 2011, girls (odds ratio [OR] 0.91, 95%CI [confidence interval]0.87-0.96; p = 0.0002), rural (0.85, 0.73-0.99; p = 0.0387), duration of breastfeeding & GE; 6 months(0.83, 0.79-0.88; p < 0.0001), birth weight (g) & GE; 4000 (0.88, 0.80-0.97; p = 0.0125), frequency of putting bedding to sunshine (Often) (0.82, 0.71-0.94; p = 0.0049), cooking fuel type (electricity) (0.87, 0.80-0.94; p = 0.0005), indoor use air-conditioning (0.85, 0.80-0.90; p < 0.0001) were associated with a reduced risk of childhood pneumonia. Age (4-6) (1.11, 1.03-1.20; p = 0.0052), parental smoking (one) (1.12, 1.07-1.18; p < 0.0001), used antibiotics (2.71, 2.52-2.90; p < 0.0001), history of parental allergy (one and two) (1.21, 1.12-1.32; p < 0.0001 and 1.33, 1.04-1.69; p = 0.0203), indoor dampness (1.24, 1.15-1.33; p < 0.0001), home interior decoration (1.11, 1.04-1.19; p = 0.0013), Wall painting materials (Paint) (1.16, 1.04-1.29; p = 0.0084), flooring materials (Laminate / Composite wood) (1.08, 1.02-1.16; p = 0.0126), indoor heating mode(Central heating)(1.18, 1.07-1.30, p = 0.0090), asthma (2.38, 2.17-2.61; p < 0.0001), allergic rhinitis (1.36, 1.25-1.47; p < 0.0001), wheezing (1.64, 1.55-1.74; p < 0.0001) were associated with an elevated risk of childhood pneumonia; pneumonia was associated with an elevated risk of childhood asthma (2.53, 2.31-2.78; p < 0.0001), allergic rhinitis (1.41, 1.29-1.53; p < 0.0001) and wheezing (1.64, 1.55-1.74; p < 0.0001). In 2019, girls (0.92, 0. 87-0.97; p = 0.0019), duration of breastfeeding & GE; 6 months (0.92, 0.87-0.97; p = 0.0031), used antibiotics (0.22, 0.21-0.24; p < 0.0001), cooking fuel type (Other) (0.40, 0.23-0.63; p = 0.0003), indoor use air-conditioning (0.89, 0.83-0.95; p = 0.0009) were associated with a reduced risk of childhood pneumonia. Urbanisation (Suburb) (1.10, 1.02-1.18; p = 0.0093), premature birth (1.29, 1.08-1.55; p = 0.0051), birth weight (g) < 2500 (1.17, 1.02-1.35; p = 0.0284), parental smoking (1.30, 1.23-1.38; p < 0.0001), history of parental asthma (One) (1.23, 1.03-1.46; p = 0.0202), history of parental allergy (one and two) (1.20, 1.13-1.27; p < 0.0001 and 1.22, 1.08-1.37; p = 0.0014), cooking fuel type (Coal) (1.58, 1.02-2.52; p = 0.0356), indoor dampness (1.16, 1.08-1.24; p < 0.0001), asthma (1.88, 1.64-2.15; p < 0.0001), allergic rhinitis (1.57, 1.45-1.69; p < 0.0001), wheezing (2.43, 2.20-2.68; p < 0.0001) were associated with an elevated risk of childhood pneumonia; pneumonia was associated with an elevated risk of childhood asthma (1.96, 1.72-2.25; p < 0.0001), allergic rhinitis (1.60, 1.48-1.73; p < 0.0001) and wheezing (2.49, 2.25-2.75; p < 0.0001).Conclusions: Pneumonia is prevalent among preschool children in China, and it affects other childhood respiratory diseases. Although the prevalence of pneumonia in Chinese children shows a decreasing trend in 2019 compared to 2011, a well-established management system is still needed to further reduce the prevalence of pneumonia and reduce the burden of disease in children.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Lungmedicin och allergi0 (SwePub)302192 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Respiratory Medicine and Allergy0 (SwePub)302192 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
653 a Pneumonia
653 a Preschool children
653 a Risk factors
7001 a Wang, Tingtingu Shanghai Univ Med & Hlth Sci, Sch Nursing & Hlth Management, 279 Zhouzhu Highway, Shanghai 201318, Peoples R China.4 aut
7001 a Zhao, Zhuohuiu Fudan Univ, Sch Publ Hlth, Dept Environm Hlth, Shanghai 200433, Peoples R China.;Fudan Univ, Key Lab Publ Hlth Safety, NHC Key Lab Hlth Technol Assessment, Minist Educ, Shanghai 200433, Peoples R China.4 aut
7001 a Norbäck, Danu Uppsala universitet,Arbets- och miljömedicin4 aut0 (Swepub:uu)dagnorba
7001 a Wang, Xiaoweiu Shanghai Univ Med & Hlth Sci, Dept Operat & Secur, Zhoupu Hosp, Shanghai 201318, Peoples R China.4 aut
7001 a Li, Yongshengu Shihezi Univ, Med Coll, Dept Prevent Med, Shihezi 832002, Peoples R China.4 aut
7001 a Deng, Qihongu Cent South Univ, Sch Publ Hlth, Changsha 410083, Peoples R China.4 aut
7001 a Lu, Chanu Cent South Univ, Sch Publ Hlth, Changsha 410083, Peoples R China.4 aut
7001 a Zhang, Xinu Shanxi Univ, Res Ctr Environm Sci & Engn, Taiyuan 237016, Peoples R China.4 aut
7001 a Zheng, Xiaohongu Southeast Univ, Sch Energy & Environm, Nanjing 214135, Peoples R China.4 aut
7001 a Qian, Huau Southeast Univ, Sch Energy & Environm, Nanjing 214135, Peoples R China.4 aut
7001 a Zhang, Lingu Wuhan Univ Sci & Technol, Wuhan 430081, Peoples R China.4 aut
7001 a Yu, Weiu Chongqing Univ, Joint Int Res Lab Green Bldg & Built Environm, Minist Educ, Chongqing 400044, Peoples R China.;Chongqing Univ, Natl Ctr Int Res Low Carbon & Green Bldg, Minist Sci & Technol, Chongqing 400044, Peoples R China.4 aut
7001 a Shi, Yuqingu Wuhan Univ Sci & Technol, Wuhan 430081, Peoples R China.4 aut
7001 a Chen, Tianyiu Fudan Univ, Sch Publ Hlth, Dept Environm Hlth, Shanghai 200433, Peoples R China.4 aut
7001 a Yu, Huaijiangu Peoples Hosp Bayingguoleng Mongolian Autonomous P, Kuerle 841099, Peoples R China.4 aut
7001 a Qi, Huizhenu Xinjiang Med Univ, Dept Neurol, Affiliated Hosp 5, Urumqi 830011, Peoples R China.4 aut
7001 a Yang, Yeu Xinjiang Med Univ, Dept Cadres 1, Affiliated Hosp 2, Urumqi 830063, Peoples R China.4 aut
7001 a Jiang, Lanu Xinjiang Uyghur Autonomous Reg Maternal & Child H, Dept Lab Med, Urumqi 830001, Peoples R China.4 aut
7001 a Lin, Yutingu Xinjiang Uyghur Autonomous Reg Maternal & Child H, Dept Lab Med, Urumqi 830001, Peoples R China.4 aut
7001 a Yao, Jianu Xinjiang Med Univ, Sch Publ Hlth, Urumqi 830054, Peoples R China.;Xinjiang Key Lab Special Environm & Hlth Res, Urumqi 830054, Peoples R China.4 aut
7001 a Lu, Junwenu Xinjiang Med Univ, Sch Publ Hlth, Urumqi 830054, Peoples R China.;Xinjiang Key Lab Special Environm & Hlth Res, Urumqi 830054, Peoples R China.4 aut
7001 a Yan, Qiu Xinjiang Med Univ, Sch Publ Hlth, Urumqi 830054, Peoples R China.;Xinjiang Key Lab Special Environm & Hlth Res, Urumqi 830054, Peoples R China.4 aut
7102 a Shanghai Univ Med & Hlth Sci, Sch Nursing & Hlth Management, 279 Zhouzhu Highway, Shanghai 201318, Peoples R China.b Fudan Univ, Sch Publ Hlth, Dept Environm Hlth, Shanghai 200433, Peoples R China.;Fudan Univ, Key Lab Publ Hlth Safety, NHC Key Lab Hlth Technol Assessment, Minist Educ, Shanghai 200433, Peoples R China.4 org
7730 t BMC Medicined : BioMed Central (BMC)g 21q 21x 1741-7015
8564 u https://doi.org/10.1186/s12916-023-02951-2y Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1792175/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-510351
8564 8u https://doi.org/10.1186/s12916-023-02951-2

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