TY - JOUR
T1 - Frequent occurrence of respiratory symptoms in children is associated with exposure to air pollution, land use types, and parental mental health in the Greater Taipei area
AU - Zou, Ming Lun
AU - Jiang, Chuen Bin
AU - Chen, Yi Hua
AU - Wu, Chih Da
AU - Candice Lung, Shih Chun
AU - Chien, Ling Chu
AU - Kallawicha, Kraiwuth
AU - Lo, Yu Chun
AU - Chao, Hsing Jasmine
N1 - Funding Information:
This study was supported by the Ministry of Science and Technology, Taiwan , Republic of China ( MOST 107-2314-B-038-075-MY3 , MOST 106-2119-M-038-002 , MOST 105-2119-M-038-005 ), and the Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan ( DP2-108-21121-01-N-12-01 ).
Funding Information:
This study was supported by the Ministry of Science and Technology, Taiwan, Republic of China (MOST 107-2314-B-038-075-MY3, MOST 106-2119-M-038-002, MOST 105-2119-M-038-005), and the Higher Education Sprout Project by the Ministry of Education (MOE) in Taiwan (DP2-108-21121-01-N-12-01).
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2022/4/15
Y1 - 2022/4/15
N2 - Although studies have investigated the individual effects of air pollution, land use types, and parental mental health on children's respiratory health, few studies have examined the effects of these risk factors simultaneously in children aged <2 years. We investigated the effects of exposure to air pollution, land use types surrounding residences, and parental mental health on the frequent occurrence of respiratory symptoms in children aged <2 years in the Greater Taipei area. Participants were recruited from an ongoing Taiwanese birth cohort study. We analyzed the data of the participants who had been recruited from January 2011 to April 2014 and had responded to the follow-up questionnaires at 6, 12, and 24 months. Self-administered questionnaires were used to collect participants' sociodemographic background and health, such as respiratory symptoms, and parental mental health. Pre- and postnatal pollution levels were estimated using the spatial interpolation technique (ordinary kriging) at children's residential addresses. Land use types surrounding participants' homes were evaluated by performing buffer analysis. Multiple logistic regression analyses were conducted to examine the effects of risk factors on the frequent occurrence of child respiratory symptoms in children aged 6, 12, and 24 months. We included 228, 360, and 441 children aged 6, 12, and 24 months, respectively. Our results indicated that postnatal exposure to PM2.5 and O3 was positively associated with children's respiratory symptoms. Traffic-related land-use types, sports facilities, and commercial land surrounding homes exerted adverse effects on children's respiratory symptoms, whereas the presence of schools in the neighborhood was beneficial. Parental mental health was also associated with children's respiratory symptoms. Postnatal exposure to air pollution and land use types surrounding residences were associated with respiratory health in children aged <2 years. The residential environment is a critical factor affecting children's respiratory health of children aged <2 years.
AB - Although studies have investigated the individual effects of air pollution, land use types, and parental mental health on children's respiratory health, few studies have examined the effects of these risk factors simultaneously in children aged <2 years. We investigated the effects of exposure to air pollution, land use types surrounding residences, and parental mental health on the frequent occurrence of respiratory symptoms in children aged <2 years in the Greater Taipei area. Participants were recruited from an ongoing Taiwanese birth cohort study. We analyzed the data of the participants who had been recruited from January 2011 to April 2014 and had responded to the follow-up questionnaires at 6, 12, and 24 months. Self-administered questionnaires were used to collect participants' sociodemographic background and health, such as respiratory symptoms, and parental mental health. Pre- and postnatal pollution levels were estimated using the spatial interpolation technique (ordinary kriging) at children's residential addresses. Land use types surrounding participants' homes were evaluated by performing buffer analysis. Multiple logistic regression analyses were conducted to examine the effects of risk factors on the frequent occurrence of child respiratory symptoms in children aged 6, 12, and 24 months. We included 228, 360, and 441 children aged 6, 12, and 24 months, respectively. Our results indicated that postnatal exposure to PM2.5 and O3 was positively associated with children's respiratory symptoms. Traffic-related land-use types, sports facilities, and commercial land surrounding homes exerted adverse effects on children's respiratory symptoms, whereas the presence of schools in the neighborhood was beneficial. Parental mental health was also associated with children's respiratory symptoms. Postnatal exposure to air pollution and land use types surrounding residences were associated with respiratory health in children aged <2 years. The residential environment is a critical factor affecting children's respiratory health of children aged <2 years.
KW - Air pollution
KW - Children respiratory symptoms
KW - Land-use types
KW - Parental mental health
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U2 - 10.1016/j.envres.2021.112567
DO - 10.1016/j.envres.2021.112567
M3 - Article
AN - SCOPUS:85121633079
SN - 0013-9351
VL - 206
JO - Environmental Research
JF - Environmental Research
M1 - 112567
ER -
