母亲产前暴露于家庭空气污染与儿童呼吸系统健康之间的关系:系统回顾与元分析》。

IF 2.5 3区 工程技术 Q2 BIOLOGY Yale Journal of Biology and Medicine Pub Date : 2024-03-29 eCollection Date: 2024-03-01 DOI:10.59249/TAVR4964
Krrishika Saxena
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引用次数: 0

摘要

产妇产前暴露于家庭空气污染(HAP)是一个重要的公共卫生问题,对儿童呼吸系统健康有潜在的长期影响。本研究的目的是评估产前家庭空气污染与儿童呼吸系统健康之间的关联程度,并确定哪些 HAP 污染物与特定的呼吸系统疾病或症状有关,以及关联程度如何。研究人员从 PubMed 数据库中检索了截至 2010 年 4 月 27 日的相关研究,并查阅了参考文献目录。采用随机效应模型来估算汇总的相对风险 (RR) 和 95% 置信区间 (CI)。该分析涉及 11 项研究,共有 387 767 对母婴,评估了母体产前暴露于 HAP 的儿童的各种呼吸系统健康结果。产前暴露于 HAP 污染物的儿童患呼吸系统疾病的总 RR 值为 1.26(95% CI=1.08-1.33),研究间存在中度异质性(I²=49.22%)。研究发现,产前接触一氧化碳(CO)(RR=1.11,95% CI:1.09-1.13)、氮氧化物(NOx)(RR=1.46,95% CI:1.09-1.60)和颗粒物(PM)(RR=1.26,95% CI:1.2186-1.3152)与儿童呼吸系统疾病之间存在特定关联(I²均接近 0%,表明无异质性)。超细粒子(UFP)、多环芳烃(PAH)和臭氧(O3)也与儿童呼吸道疾病呈正相关。不过,产前接触二氧化硫(SO2)与儿童呼吸道疾病没有明显关系。总之,母体产前暴露于 HAP 可能会导致儿童呼吸系统健康问题的风险升高,因此有必要采取干预措施以减少孕期的这种暴露。应实施有针对性的公共卫生战略,如改善通风、清洁烹饪技术和宣传活动,以尽量减少对儿童呼吸系统的不良影响。
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Association Between Maternal Prenatal Exposure to Household Air Pollution and Child Respiratory Health: A Systematic Review and Meta-analysis.

Maternal prenatal exposure to household air pollution (HAP) is a critical public health concern with potential long-term implications for child respiratory health. The objective of this study is to assess the level of association between prenatal household air pollution and child respiratory health, and to identify which HAP pollutants are associated with specific respiratory illnesses or symptoms and to what degree. Relevant studies were retrieved from PubMed databases up to April 27, 2010, and their reference lists were reviewed. Random effects models were applied to estimate summarized relative risks (RRs) and 95% confidence intervals (CIs). The analysis involved 11 studies comprising 387 767 mother-child pairs in total, assessing various respiratory health outcomes in children exposed to maternal prenatal HAP. Children with prenatal exposure to HAP pollutants exhibited a summary RR of 1.26 (95% CI=1.08-1.33) with moderate between-study heterogeneity (I²=49.22%) for developing respiratory illnesses. Specific associations were found between prenatal exposure to carbon monoxide (CO) (RR=1.11, 95% CI: 1.09-1.13), Nitrogen Oxides (NOx) (RR=1.46, 95% CI: 1.09-1.60), and particulate matter (PM) (RR=1.26, 95% CI: 1.2186-1.3152) and child respiratory illnesses (all had I² close to 0%, indicating no heterogeneity). Positive associations with child respiratory illnesses were also found with ultrafine particles (UFP), polycyclic aromatic hydrocarbons (PAH), and ozone (O3). However, no significant association was observed for prenatal exposure to sulfur dioxide (SO2). In summary, maternal prenatal exposure to HAP may contribute to a higher risk of child respiratory health issues, emphasizing the need for interventions to reduce this exposure during pregnancy. Targeted public health strategies such as improved ventilation, cleaner cooking technologies, and awareness campaigns should be implemented to minimize adverse respiratory effects on children.

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来源期刊
Yale Journal of Biology and Medicine
Yale Journal of Biology and Medicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology
CiteScore
5.00
自引率
0.00%
发文量
41
期刊介绍: The Yale Journal of Biology and Medicine (YJBM) is a graduate and medical student-run, peer-reviewed, open-access journal dedicated to the publication of original research articles, scientific reviews, articles on medical history, personal perspectives on medicine, policy analyses, case reports, and symposia related to biomedical matters. YJBM is published quarterly and aims to publish articles of interest to both physicians and scientists. YJBM is and has been an internationally distributed journal with a long history of landmark articles. Our contributors feature a notable list of philosophers, statesmen, scientists, and physicians, including Ernst Cassirer, Harvey Cushing, Rene Dubos, Edward Kennedy, Donald Seldin, and Jack Strominger. Our Editorial Board consists of students and faculty members from Yale School of Medicine and Yale University Graduate School of Arts & Sciences. All manuscripts submitted to YJBM are first evaluated on the basis of scientific quality, originality, appropriateness, contribution to the field, and style. Suitable manuscripts are then subject to rigorous, fair, and rapid peer review.
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