Parental stress and environmental influences on children's physician-diagnosed food allergy

IF 7.1 1区 工程技术 Q1 CONSTRUCTION & BUILDING TECHNOLOGY Building and Environment Pub Date : 2024-11-19 DOI:10.1016/j.buildenv.2024.112328
Chan Lu , Ying Jiang , Lin Wang , Mengju Lan , Faming Wang
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Abstract

Previous research has linked stress and environmental factors to first-wave allergies (i.e., asthma, allergic rhinitis, and eczema), but their individual and combined effects on second-wave allergies (i.e., food allergies, including conditions such as egg, and milk allergies) remain unknown. We aim to investigate the effects of parental stress and its interaction with environmental factors on childhood physician-diagnosed food allergies (PFA). In Changsha (China), we performed a mixed cross-sectional and retrospective cohort investigation. we gather data on each preschooler's health status, parental stress, and living environment through questionnaires. Temperature and air pollutant exposures were calculated using inverse distance weighting methods. Multivariate logistic regression models were employed to examine relations pf PFA relates with parental stress, indoor and outdoor pollutants and allergens. We found that high/middle education and gross annual income were associated with total PFA (ORs [95% CI] = 1.89 [1.52–2.36] and 1.23 [1.01–1.50]) and other types of PFAs, while high psychological stress (fatigue, headache, and inattention) increased PFA risk (1.59 [1.34–1.90], 1.35 [1.18–1.55], and 1.41 [1.23–1.62]). Families experiencing higher economic stress reported higher PFA risk of blooming and non-blooming plants in first year. The PFA risk of mould and mildew stains in utero and the first year was higher in families with parental inattention. ORs of PFA due to PM2.5–10 and PM10 during the second trimester were higher in families with high parental social stress. PFA risk of PM2.5 in the late preconceptional and entire postnatal periods was higher in families with parental fatigue, headache, and inattention. We suggest parental stress independently and interplayed with indoor and outdoor environmental pollution and allergens, increases risk of childhood PFA.
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父母压力和环境对医生诊断儿童食物过敏的影响
以往的研究已将压力和环境因素与第一波过敏(即哮喘、过敏性鼻炎和湿疹)联系起来,但它们对第二波过敏(即食物过敏,包括鸡蛋和牛奶过敏)的单独影响和综合影响仍然未知。我们旨在研究父母压力及其与环境因素的相互作用对儿童经医生诊断的食物过敏(PFA)的影响。我们在长沙(中国)进行了一项横断面和回顾性队列混合调查。我们通过问卷调查收集了每个学龄前儿童的健康状况、父母压力和生活环境的数据。采用反距离加权法计算温度和空气污染物暴露量。采用多变量逻辑回归模型来研究 PFA 与父母压力、室内外污染物和过敏原的关系。我们发现,高/中等教育程度和年总收入与总 PFA(ORs [95% CI] = 1.89 [1.52-2.36] 和 1.23 [1.01-1.50])和其他类型的 PFA 相关,而高心理压力(疲劳、头痛和注意力不集中)会增加 PFA 风险(1.59 [1.34-1.90]、1.35 [1.18-1.55] 和 1.41 [1.23-1.62])。经济压力较大的家庭第一年种植开花和不开花植物的 PFA 风险较高。在父母注意力不集中的家庭中,胎儿期和第一年出现霉斑的 PFA 风险较高。在父母社会压力大的家庭中,怀孕后三个月内PM2.5-10和PM10导致的PFA的OR值较高。在父母疲劳、头痛和注意力不集中的家庭中,孕前晚期和整个产后期间PM2.5导致的PFA风险较高。我们认为,父母的压力与室内外环境污染和过敏原相互作用,会增加儿童患 PFA 的风险。
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来源期刊
Building and Environment
Building and Environment 工程技术-工程:环境
CiteScore
12.50
自引率
23.00%
发文量
1130
审稿时长
27 days
期刊介绍: Building and Environment, an international journal, is dedicated to publishing original research papers, comprehensive review articles, editorials, and short communications in the fields of building science, urban physics, and human interaction with the indoor and outdoor built environment. The journal emphasizes innovative technologies and knowledge verified through measurement and analysis. It covers environmental performance across various spatial scales, from cities and communities to buildings and systems, fostering collaborative, multi-disciplinary research with broader significance.
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