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Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children
Alaska Native children experience high rates of lower respiratory tract infections (LRTIs) and lung conditions, which are associated with substandard indoor air quality (IAQ). We conducted an intervention of home remediation and education to assess the impact on IAQ, respiratory symptoms and LRTI vi...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804775/ https://www.ncbi.nlm.nih.gov/pubmed/29393004 http://dx.doi.org/10.1080/22423982.2017.1422669 |
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author | Singleton, Rosalyn Salkoski, Aaron J. Bulkow, Lisa Fish, Chris Dobson, Jennifer Albertson, Leif Skarada, Jennifer Ritter, Troy Kovesi, Thomas Hennessy, Thomas W |
author_facet | Singleton, Rosalyn Salkoski, Aaron J. Bulkow, Lisa Fish, Chris Dobson, Jennifer Albertson, Leif Skarada, Jennifer Ritter, Troy Kovesi, Thomas Hennessy, Thomas W |
author_sort | Singleton, Rosalyn |
collection | PubMed |
description | Alaska Native children experience high rates of lower respiratory tract infections (LRTIs) and lung conditions, which are associated with substandard indoor air quality (IAQ). We conducted an intervention of home remediation and education to assess the impact on IAQ, respiratory symptoms and LRTI visits. We enrolled households of children 1–12 years of age with lung conditions. Home remediation included improving ventilation and replacing leaky woodstoves. We provided education about IAQ and respiratory health. We monitored indoor airborne particles (PM2.5), CO(2), relative humidity and volatile organic compounds (VOCs), and interviewed caregivers about children’s symptoms before, and for 1 year after intervention. We evaluated the association between children’s respiratory visits, symptoms and IAQ indicators using multiple logistic regression. A total of 60 of 63 homes completed the study. VOCs decreased (coefficient = −0.20; p < 0.001); however, PM2.5 (coeff. = −0.010; p = 0.89) did not decrease. Burning wood for heat, VOCs and PM2.5 were associated with respiratory symptoms. After remediation, parents reported decreases in runny nose, cough between colds, wet cough, wheezing with colds, wheezing between colds and school absences. Children had an age-adjusted decrease in LRTI visits (coefficient = −0.33; p = 0.028). Home remediation and education reduced respiratory symptoms, LRTI visits and school absenteeism in children with lung conditions. |
format | Online Article Text |
id | pubmed-5804775 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-58047752018-02-13 Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children Singleton, Rosalyn Salkoski, Aaron J. Bulkow, Lisa Fish, Chris Dobson, Jennifer Albertson, Leif Skarada, Jennifer Ritter, Troy Kovesi, Thomas Hennessy, Thomas W Int J Circumpolar Health Research Article Alaska Native children experience high rates of lower respiratory tract infections (LRTIs) and lung conditions, which are associated with substandard indoor air quality (IAQ). We conducted an intervention of home remediation and education to assess the impact on IAQ, respiratory symptoms and LRTI visits. We enrolled households of children 1–12 years of age with lung conditions. Home remediation included improving ventilation and replacing leaky woodstoves. We provided education about IAQ and respiratory health. We monitored indoor airborne particles (PM2.5), CO(2), relative humidity and volatile organic compounds (VOCs), and interviewed caregivers about children’s symptoms before, and for 1 year after intervention. We evaluated the association between children’s respiratory visits, symptoms and IAQ indicators using multiple logistic regression. A total of 60 of 63 homes completed the study. VOCs decreased (coefficient = −0.20; p < 0.001); however, PM2.5 (coeff. = −0.010; p = 0.89) did not decrease. Burning wood for heat, VOCs and PM2.5 were associated with respiratory symptoms. After remediation, parents reported decreases in runny nose, cough between colds, wet cough, wheezing with colds, wheezing between colds and school absences. Children had an age-adjusted decrease in LRTI visits (coefficient = −0.33; p = 0.028). Home remediation and education reduced respiratory symptoms, LRTI visits and school absenteeism in children with lung conditions. Taylor & Francis 2018-02-02 /pmc/articles/PMC5804775/ /pubmed/29393004 http://dx.doi.org/10.1080/22423982.2017.1422669 Text en This work was authored as part of the Contributor's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law |
spellingShingle | Research Article Singleton, Rosalyn Salkoski, Aaron J. Bulkow, Lisa Fish, Chris Dobson, Jennifer Albertson, Leif Skarada, Jennifer Ritter, Troy Kovesi, Thomas Hennessy, Thomas W Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children |
title | Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children |
title_full | Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children |
title_fullStr | Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children |
title_full_unstemmed | Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children |
title_short | Impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in Alaska Native children |
title_sort | impact of home remediation and household education on indoor air quality, respiratory visits and symptoms in alaska native children |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804775/ https://www.ncbi.nlm.nih.gov/pubmed/29393004 http://dx.doi.org/10.1080/22423982.2017.1422669 |
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