To identify the association between residential environmental risk factors and the prevalence of childhood asthma, the authors surveyed the prevalence of asthma, the residential environmental risk factors of 1819 elementary school students, and air pollution in metropolitan (Seongbuk), and semirural (Andong) areas. Although there was no significant difference in the prevalence of self-reported asthma (SA) between the 2 geographic areas (12.8% vs 13.6%), the prevalence of physician-diagnosed asthma (PDA) in Andong (15.0%) was significantly higher than that in Seongbuk (6.8%). After adjusting for confounding factors, logistic regression suggested that there were significant differences in size of the house (adjusted odds ratio [aOR] = 1.82), medical insurance (aOR = 2.59), and number of residents in the household (aOR = 1.54) between the SA and non-SA groups. There was a significant difference in the area of residence (aOR = 2.12) between the PDA and non-PDA groups. In conclusion, residential environmental risk factors and the area of residence affect the prevalence of childhood asthma.
EderWEgeMJvon MutiusE. The asthma epidemic. N Engl J Med. 2006;355:2226-2235.
2.
LeeHBShinSAOhJW. New patterns of childhood asthma prevalence in six Asian countries: comparison of ISAAC phases I and III. Pediatr Allergy Respir Dis. 2008;18:70-77.
3.
ChoSHParkHWRosenbergDM. The current status of asthma in Korea. J Korean Med Sci. 2006;21:181-187.
4.
TaylorWRNewacheckPW. Impact of childhood asthma on health. Pediatrics. 1992;90:657-662.
5.
CrainEFWeissKBBijurPEHershMWestbrookLSteinRE. An estimate of the prevalence of asthma and wheezing among inner-city children. Pediatrics. 1994;94:356-362.
6.
WieslanderGNorbackDBjornssonEJansonCBomanG. Asthma and the indoor environment: the significance of emission of formaldehyde and volatile organic compounds from newly painted indoor surfaces. Int Arch Occup Environ Health. 1997;69:115-124.
7.
WangTNKoYCChaoYYHuangCCLinRS. Association between indoor and outdoor air pollution and adolescent asthma from 1995 to 1996 in Taiwan. Environ Res. 1999;81:239-247.
8.
Platts-MillsTAThomasWRAalberseRCVervloetDChampmanMD. Dust mite allergens and asthma: report of a second international workshop. J Allergy Clin Immunol. 1992;89:1046-1060.
9.
KimHHLimYWKimCS. Characterization of asthmatic children in indoor and outdoor environmental exposure. J Korean Soc Indoor Environ. 2008;5:106-121.
10.
SongDJKimHJParkSHChoungJT. Effects of paternal tobacco smoking on children’s pulmonary function and prevalence of asthma and lifetime wheezing episode. Pediatr Allergy Respir Dis. 2007;17:206-215.
ClarkNMBrownRJosephCL. Issues in identifying asthma and estimating prevalence in an urban school population. J Clin Epidemiol. 2002;55:870-881.
13.
TsaiHJTsaiACNriaguJGhoshDGongMSandrettoA. Risk factors for respiratory symptoms and asthma in the residential environment of 5th grade schoolchildren in Taipei, Taiwan. J Asthma. 2006;43:355-361.
14.
LinSGomezMIHwangSAMunsieJPFitzgeraldEF. Self-reported home environmental risk factors for childhood asthma: A cross-sectional study of children in Buffalo, New York. J Asthma2008; 45:325-332.
15.
JeeHMKimKWKimCSSohnMHShinDCKimKE. Prevalence of asthma, rhinitis and eczema in Korean children using the international study of asthma and allergies in childhood (ISAAC) questionnaires. Pediatr Allergy Respir Dis. 2009;19:165-172.
16.
HoussainiASMessaouriHNasriIRothMPNejjariCBenchekrounMN. Air pollution as a determinant of asthma among schoolchildren in Mohammedia, Morocco. Int J Environ Health Res. 2007;17:243-257.
17.
KumarKSPrasadCEBalakrishnaNRaoKVReddyPUM. Respiratory symptoms and spirometric observations in relation to atmospheric pollutants in a sample of urban population. Asia Pac J Public Health. 2000;12:58-64.
18.
KumarRNagarJKKumarH. Indoor air pollution and respiratory function of children in Ashok Vihar, Delhi: an exposure-response study. Asia Pac J Public Health. 2008;20:36-48.
19.
KimSYKimHKimJY. Effects of air pollution on asthma in Seoul: comparisons across subject characteristics. J Prev Med Public Health. 2006;39:309-316.
20.
SonKYParkKSHwangHH. Prevalence of allergic diseases among primary school children in Ilsan, Gyeonggi and changes of symptoms after environmental control in 2005. Pediatr Allergy Respir Dis. 2007;17:384-393.
21.
WeitzmanMGortmakerSSobolA. Racial, social, and environmental risks for childhood asthma. Am J Dis Child. 1990;144:1189-1194.
22.
Korea National Statistical Office. Social Index of Korea. Seoul, Republic of Korea: Korea National Statistical Office; 2007
23.
JenkinsMAHopperJLGilesGG. Regressive logistic modeling of familial aggregation for asthma in 7,394 population-based nuclear families. Genet Epidemiol. 1997;14:317-332.
24.
WhuRCiriloGWongJFinkelMLMendezHALeggiadroRJ. Risk factors for pediatric asthma in the South Bronx. J Asthma. 2007;44:855-859.
25.
BemtLVKnapenLVVriesMPJansenMCloostermanSSchayckCP. Clinical effectiveness of a mite allergen-impermeable bed-covering system in asthmatic mite-sensitive patients. J Allergy Clin Immunol. 2004;114:858-862.
26.
LeeIS. Effect of bedding control on amount of house dust mite allergens, asthma symptoms, and peak expiratory flow rate. Yonsei Med J. 2003;44:313-322.
27.
JerrettMShankardassKBerhaneK. Traffic-related air pollution and asthma onset in children: a prospective cohort study with individual exposure measurement. Environ Health Perspect. 2008;116:1433-1438.
28.
NorbackDBjornssonEJansonCWidstromJBomanG. Asthmatic symptoms and volatile organic compounds, formaldehyde, and carbon dioxide in dwellings. Occup Environ Med. 1995;52:388-395.
29.
BallTMCastro-RodriguezJAGriffithKAHolbergCJMartinezFDWrightAL. Siblings, day-care attendance, and the risk of asthma and wheezing during childhood. N Engl J Med. 2000;343:538-543.
30.
GoodwinRDCowlesRA. Household smoking and childhood asthma in the United States: a state-level analysis. J Asthma. 2008;45:607-610.
