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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004681naa a2200613 4500
001oai:DiVA.org:uu-311293
003SwePub
008161222s2016 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-128204
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3112932 URI
0247 a https://doi.org/10.3402/ecrj.v3.334632 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1282042 URI
040 a (SwePub)uud (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Christensen, Stine Holmegaard4 aut
2451 0a A clear urban-rural gradient of allergic rhinitis in a population-based study in Northern Europe
264 c 2016-11-28
264 1b Informa UK Limited,c 2016
338 a electronic2 rdacarrier
500 a The two last authors contributed equally.
520 a BACKGROUND: The protective effect of farm upbringing on allergic rhinitis is well known, but how upbringing in other environments influences the development of allergic rhinitis is scarcely investigated. The aim of this study was to investigate the association between place of upbringing and pet keeping in childhood and allergic rhinitis and nasal symptoms in adulthood.METHODS: The population-based Respiratory Health in Northern Europe study includes subjects from Denmark, Norway, Sweden, Iceland, and Estonia born in 1945-1973. This paper analyses 13,376 participants of the third study wave. Six categories of place of upbringing were defined: farm with livestock, farm without livestock, village in rural area, small town, city suburb, and inner city. Pets in the home at birth and during childhood were recorded. Data were analysed using adjusted logistic regression models.RESULTS: Livestock farm upbringing predicted less adult allergic rhinitis [odds ratio (OR) 0.68, 0.54-0.85] and nasal symptoms (OR 0.82, 0.68-0.99) than city upbringing, and an urban-rural gradient with decreasing risk per level of urbanisation was observed (OR 0.92, 0.88-0.94). Pets in the home at birth (OR 0.78, 0.68-0.88) and during childhood (OR 0.83, 0.74-0.93) were associated with less subsequent allergic rhinitis. Pet keeping did not explain the protective effect of place of upbringing.CONCLUSION: Risk of allergic rhinitis and nasal symptoms in adulthood was inversely associated with the level of urbanisation during upbringing. Pets at birth decreased the risk further, but did not explain the urban-rural gradient. Persistent beneficial effects of microbial diversity in early life might be an explanation for the findings.
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 Hälsovetenskapx Arbetsmedicin och miljömedicin0 (SwePub)303032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Health and Environmental Health0 (SwePub)303032 hsv//eng
653 a allergic rhinitis
653 a microbial diversity
653 a microbial exposure
653 a nasal symptoms
653 a pets
653 a place of upbringing
7001 a Timm, Signe4 aut
7001 a Janson, Christeru Uppsala universitet,Lungmedicin och allergologi4 aut0 (Swepub:uu)chrisjn
7001 a Benediktsdóttir, Bryndis4 aut
7001 a Forsberg, Bertilu Umeå universitet,Yrkes- och miljömedicin,Arcum4 aut0 (Swepub:umu)befo0001
7001 a Holm, Mathias4 aut
7001 a Jõgi, Rainu Uppsala universitet,Lungmedicin och allergologi4 aut0 (Swepub:uu)raijo735
7001 a Johannessen, Ane4 aut
7001 a Omenaas, Ernst4 aut
7001 a Sigsgaard, Torben4 aut
7001 a Svanes, Cecilie4 aut
7001 a Schlünssen, Vivi4 aut
7102 a Uppsala universitetb Lungmedicin och allergologi4 org
7730 t European clinical respiratory journald : Informa UK Limitedg 3q 3x 2001-8525
8564 u https://uu.diva-portal.org/smash/get/diva2:1059554/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://www.tandfonline.com/doi/pdf/10.3402/ecrj.v3.33463?needAccess=true
8564 u https://doi.org/10.3402/ecrj.v3.33463y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1050418/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-311293
8564 8u https://doi.org/10.3402/ecrj.v3.33463
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-128204

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