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1.
The role of pet exposure in early childhood for allergy/ asthma later in life is still controversial. Recently it was shown that ‘avoidance behaviour’ is an important factor for the pet distribution in the population. The aim of the present work is to study the association between self-reported pet keeping at home and symptoms in airways, nose and skin among children 2–7 years of age, in a country where primary prevention strategies regarding allergies are not common. A cross-sectional survey on the association between allergy and asthma symptoms and home enviromental factors was conducted in two towns in Bulgaria in spring 2004 (the ALLHOME-1 study). Data for 4479 out of 12982 children was obtained. 21.3% of the parents reported having pets at the time of the questionnaire, and 23.3% for pet keeping at index child's birth. Parents of 3.3% of the children got rid of some of the pets and 10.6% refrained from having pets, due in both cases to allergic illness in the family. Keeping dogs or cats at the time of the survey or during the child's first years was associated with most of the symptoms (aOR 1.1–2.2).  相似文献   

2.
Objective: To determine whether adolescent health and well‐being are associated with having a pet in the household (any pet, or specifically dogs, cats or horses/ponies) or average daily time spent caring for/playing with pet(s). Methods: Design, setting and participants– Cross‐sectional data from the third wave of the Health of Young Victorians Study (HOYVS), a school‐based population study in Victoria, Australia. Predictors– Adolescent‐reported pet ownership and average daily time spent caring for/playing with pet(s). Outcomes – Self‐reported quality of life (KIDSCREEN); average 4‐day daily physical activity level from a computerised diary; parent‐proxy and self‐reported physical and psychosocial health status (PedsQL); measured BMI status (not overweight, overweight, obese) and blood pressure. Statistical Analysis– Regression methods, adjusted for socio‐demographic factors, and non‐parametric methods. Results: Household pet data were available for 928 adolescents (466 boys; mean age of 15.9 (SD 1.2) years). Most adolescents (88.7%) reported having a pet in their household. Of these, 75.1% reported no activity involving pets over the surveyed days. It appeared that neither owning a pet nor time spent caring for/playing with a pet was related, positively or negatively, to adolescent health or well‐being. Conclusions: Despite high rates of pet ownership, adolescents had little interaction with pets. It appears that owning a pet and time spent caring for/playing with a pet was not clearly associated with adolescents' health or well‐being.  相似文献   

3.
The present study investigates the prevalence and type of chronic conditions at 7 years of age—with special reference to atopic conditions—and their longitudinal associations with self-reported health and life satisfaction in adolescence. The data were obtained from Northern Finland Birth Cohort 1986 (NFBC 1986), which is a longitudinal 1-year birth cohort from an unselected, regionally defined population (n?=?9,432). The present study investigated a sample of 8,036 children with data of chronic conditions at 7 years of age and a sample of 6,680 children with data of chronic conditions at 16 years of age. According to parents’ report the prevalence of CC at 7 years of age was 14.8 % among boys and 13.2 % among girls, these figures being at 16 years of age 20.7 and 19.4 %, respectively. Atopic conditions were the most common chronic conditions at 7 years of age (12.7 % vs. other chronic conditions 4.7 %). Childhood chronic condition was associated with subsequent self-reported health in adolescence, but not with subsequent self-reported life satisfaction. Chronic condition at 7 years of age increased the risk of reporting health as “poor” even if the chronic condition was no longer prevalent at 16 years of age. Atopic conditions seemed to be linked with self-reported poor/moderate health more often than other chronic conditions among girls. Conclusion Childhood chronic conditions seem to affect adolescent’s subjective health, but fortunately, they do not affect adolescents’ subjective well-being to such an extent that it could lower their life satisfaction.  相似文献   

4.
The aim of this study was to measure the levels of cat and dog allergen in homes of families that had either never kept pets or kept or had kept cats or dogs. From a small residential area outside Stockholm consisting of 250 houses with similar exteriors 70 homes were included. Dust samples were collected from mattresses and textile-covered floors. The levels of cat and dog allergen were analysed by ELISA. Fel dl was found in mattress dust in all 70 homes, median 0.5 μg/g [0.24–8.89 μg/g (quartiles)] and textile-covered floors 0.7 μg/g (0.20–2.52 μg/g). Can fl, was found in 98% of the collected samples, mattress dust 1.89μg/g (0.70–9.20 μg/g) and textile-covered floor dust 2.5 μg/g (1.04–2.72 μg/g). There was a positive correlation (p < 0.001) between allergen levels in dust from mattresses and textile-covered floors for both Fel dl(r = 0.68) and Can fl (r = 0.78). The highest levels of cat and dog allergen were found in homes with furred pets (p < 0.001). A significant (p < 0.001) difference was seen in the levels of Fel dl and Can f 1 between the homes of former pet-owners and homes without pets. In summary; cat and dog allergens are present in homes regardless of whether such animals live in the house or not. Mattresses seem to be an underestimated reservoir for pet allergens even in homes without pets. It is important to note that the homes of former pet owners have much lower levels of allergen than current pet owners.  相似文献   

5.
Studies have suggested a higher prevalence of asthma and allergies in northern, as compared to southern, Scandinavia. The aim of this study was to evaluate regional differences in atopy in relation to pet ownership and certain early life events among schoolchildren (n = 2108) aged 10–11 years from Linköping in southern Sweden and Östersund in northern Sweden. The parents completed a questionnaire, comprising questions on home environment, heredity, socio‐economic conditions, and the core questions on symptoms from the International Study of Asthma and Allergies in Childhood. The children were skin‐prick tested to eight common inhalant allergens. Information on maternal smoking habits, gestational age, and anthropometric measures were obtained from the Swedish Medical Birth Registry. The prevalence of atopic symptoms and sensitization to pollen were similar in Östersund and in Linköping. A higher prevalence of sensitization to animal dander among children in Östersund could be linked to a higher occurrence of pets in the community. Current cat ownership was related to less sensitivity to cat allergen but only in children with an atopic heredity. Ponderal index > 30 kg/m3 was related to an increased risk of atopic sensitization, both in Linköping (adjusted odds ratio 2.1; 95% confidence interval 1.1–4.0) and in Östersund (adjusted odds ratio 2.0; 95% confidence interval 1.1–3.5). Maternal smoking during pregnancy was related to an increased risk of atopic sensitization among children in Linköping, whereas current smoking was associated with a decreased risk of sensitization in Östersund. In conclusion, we demonstrated that a high occurrence of pets in the community was associated with sensitization, whereas atopic symptoms were essentially unaffected. This study has also suggested an association between body size at birth and atopic sensitization at 10–11 years of age.  相似文献   

6.
Bordetella bronchiseptica are small, pleomorphic Gram-negative coccobacilli which are commensal organisms in the upper respiratory tract of many wild and domestic animals ('kennel cough' in dogs). While it is common for health care providers to ask about exposure to ill family/friends, most do not routinely inquire about the health or immunization status of household pets. We report two cases of B. bronchiseptica pneumonia in lung transplant recipients [cystic fibrosis (CF); ages 10 and 15 yr; one male] who contracted B. bronchiseptica from pet dogs. We compared their course and outcome to four children (two CF, one congenital heart disease and one Duchenne's muscular dystrophy; four males, age range 6 months to 14 yr) with B. bronchiseptica cultured from the respiratory tract. Two of the four patients also acquired their illnesses from pet dogs and two from unknown sources. One lung transplant recipient expired from progressive respiratory failure. We conclude that B. bronchiseptica can cause serious infections in both immunosuppressed and immunocompetent children. We speculate that a detailed history of exposure to ill pets (particularly dogs), and the immunization status of all pets should be included in the routine evaluation of all pediatric transplant recipients.  相似文献   

7.
Functional abdominal pain and irritable bowel syndrome are two prevalent disorders in childhood which are associated with recurrent or chronic abdominal pain, disabilities in daily functioning, and reduced quality of life. This study aimed to evaluate a brief hypnotherapeutic-behavioral intervention program in a prospective randomized controlled design. Thirty-eight children, 6 to 12 years of age, and their parents were randomly assigned to a standardized hypnotherapeutic–behavioral treatment (n?=?20) or to a waiting list condition (n?=?18). Both groups were reassessed 3 months after beginning. Primary outcome variables were child-completed pain measures and pain-related disability. Secondary outcome variables were parent-completed measures of their children's pain and pain-related disability. Health-related quality of life from both perspectives also served as a secondary outcome. In the treatment group, 11 of 20 children (55.0 %) showed clinical remission (>80 % improvement), whereas only one child (5.6 %) in the waiting list condition was classified as responder. Children in the treatment group reported a significantly greater reduction of pain scores and pain-related disability than children of the waiting list condition. Parental ratings also showed a greater reduction of children's abdominal pain and pain-related disability. Health-related quality of life did not increase significantly. Conclusions: Hypnotherapeutic and behavioral interventions are effective in treating children with long-standing AP. Treatment success of this brief program should be further evaluated against active interventions with a longer follow-up.  相似文献   

8.
The aim of this study was to assess the association between keeping pets in early childhood and the occurrence of atopic dermatitis in an ongoing birth cohort followed up to the age of 2 years. We analyzed data of 4578 children in the intervention and observation part of an ongoing cohort study. The children were recruited at birth in the two study regions Wesel and Munich between January 1996 and June 1998. Information on atopic diseases and pet ownership was obtained by questionnaire at the child's first and second birthday. The logistic regression model showed a negative association between 'keeping any pet' and in particular 'keeping dogs' in the 1st year of life and the development of atopic dermatitis in the 1st and the 2nd years of life. The protective effects remained statistically significant after adjusting for several possible confounding variables (1st yearany pet OR 0.71, 95% CI [0.55;0.92], 1st yeardog OR 0.62, 95% CI [0.39;0.98], 2nd yearany pet OR 0.74, 95% CI [0.57;0.97], 2nd yeardog OR 0.63, 95% CI [0.40;0.98]). Ownership of small furred pets (hamster, rabbit and guinea pig) also showed a borderline protective effect for the 1st year. We assume an association between keeping pets and undefined environmental factor(s) that contribute protectively to the development of atopic dermatitis in early life, presumably by effects on the maturation of the immune system.  相似文献   

9.
Behavioural problems in the first five years of life can lead to long-term problems and may have adverse effects on families, school, and the child’s well-being. The objective was to investigate three comprehensive models to explore the pathways that lead to behavioural problems in children of teen, middle age, and advanced age mothers in Canada. This was based on the analysis of the National Longitudinal Survey of Children and Youth. Mothers were grouped into: teen (15–19 years), middle age (20–34 years), and advanced age (35+ years). Using Bronfenbrenner’s theoretical framework, behavioural problems were the outcome measured when the child became 4–5 years old. The predictors examined when the child was 0–1-year-old, and 2–3 years old and were fitted within the systemic levels of the framework. Structural equation modeling was performed separately for each age group. A total of 4787 mothers were analyzed. In all models, neighbourhood quality significantly predicted socioeconomic status (SES), and SES significantly predicted depression. In the teen mother group, only greater depression significantly predicted greater behavioural problems for the child (p = 0.038). In the middle age group, greater depression significantly predicted greater child behavioural problems (p < 0.001); and parenting significantly predicted lower child behavioural problems (p < 0.001). In the advanced age group, only parenting significantly predicted lower behavioural problems (p = 0.005). The pathways from depression and parenting to the behavioural problems differed among the groups. Our results highlight the importance of developing targeted interventions to reduce behavioural problems in children separately by maternal age.  相似文献   

10.
This study aimed to evaluate the effect of dietary sodium intake on blood pressure among low income children aged 3–4 years. Data were collected during a randomized trial conducted in São Leopoldo, Brazil, with 500 mother–child pairs recruited from the maternity ward of a local hospital. Breastfeeding data were obtained during the children’s first year of life. At 3 to 4 years of age, children’s anthropometric, dietary, and blood pressure assessments were obtained. Sodium intake was estimated from two multiple-pass 24-h dietary recalls. Systolic blood pressure?>?90th percentile for age, sex, and height was classified as high systolic blood pressure, according to the population-based percentiles provided by the Task Force on Hypertension Control in Children and Adolescents. Blood pressure data were obtained from 331 children at 3 to 4 years. The mean value of systolic blood pressure was 91.31 mmHg (SD?=?8.30 mmHg) and 5.2 % (n?=?17) presented high systolic blood pressure. The results of the multivariable analyses showed that children who consumed more than 1,200 mg of sodium/day and with waist-to-height ratio higher than 0.5 presented, respectively, 3.32 (95 %CI 0.98–11.22) and 8.81 (95 %CI 2.13–36.31) greater risk of having high systolic blood pressure. Exclusive breastfeeding, child overweight and change in body mass index z score during the first year of life were not associated with the outcome. Conclusions: The results of this study suggest that at preschool age sodium intake and high waist-to-height ratio are risk factors for high systolic blood pressure.  相似文献   

11.
This study aimed to assess the extent, patterns, and predictors of feelings of body dissatisfaction experienced by female German adolescents. Using 3D-avatar software, a sample population of 144 girls between 14 and 17 years of age was asked to estimate their actual body image, their desired body image (individual ideal), and the body image they believed their parents and their best female friend considered to be the ideal body image for them. The participants estimated their actual body mass index (BMI) to be 18.82?±?3.01. The individual ideal body shape reported was significantly thinner, with a BMI score of 16.84?±?2.51. Given a girl who stands 1.65 m and weighs 55 kg, this corresponds to a difference in weight of about 5.5 kg. After adjustment for the participant’s self-reported BMI, participating in an esthetic sport was correlated with a significantly lower body dissatisfaction. Conversely, low socio-economic status and the amount of time spent watching TV was correlated with a significantly higher body dissatisfaction. Negative body image-related comments made by parents were significantly associated with body dissatisfaction. The girls who participated in this study would like to be an average of 1.97 BMI units thinner. The findings presented here suggest that future intervention measures should focus on the risk groups of physically inactive girls, those who smoke, and those with a lower social status and high rates of TV consumption. Intervention measures would be especially effective in German schools which offer lower education levels and should include the pupils’ parents, who should be informed about the negative effects weight- and diet-related comments have on their children’s body images.  相似文献   

12.
The Children’s Hope Scale is one of the most commonly used self-report measures of a child’s future oriented goal motivation. This study presents a reliability generalization on both the internal consistency and test-retest reliability estimates for the Children’s Hope Scale. While 225 published works were analyzed 4.2% authors did not report reliability estimates for their study and 10.7% induced from a previous study. The average internal consistency score (N = 164) was .81 (95% CI = .79 -- .82) and the test-retest (N = 15) at .71 (95% CI = .64 -- .78) respectively. An analysis of variance showed that non-English language samples produced moderately lower (albeit still acceptable) Cronbach’s Alpha estimates. The results of the reliability generalization suggest the score reliabilities produced by the Children’s Hope Scale are acceptable across samples. The findings of this study paired with the growing number of validation studies suggest researchers can use of the Children’s Hope Scale with increased confidence.  相似文献   

13.
OBJECTIVES: To examine the prevalence rates of household smoking and ownership of a furred or feathered pet, the intercorrelation of these home environment measures, and their association with sociodemographic, family, and child asthma variables. STUDY DESIGN: Children with asthma (n = 152, aged 7-18 years) with asthma and their primary parent were evaluated through the use of reliable and valid questionnaires focusing on exposure to household smoke and furred or feathered pets as well as sociodemographic, family, and asthma variables. RESULTS: Prevalence of household smoking and pet ownership were high and comparable to normal levels in the US population. Smoking and pet ownership were not correlated with each other or with asthma medication adherence. Sociodemographic, family, and asthma variables showed distinct patterns of correlation with smoking and pet status. Household smoking was associated with poorer family resources and greater stress; pet ownership was associated with greater resources. CONCLUSIONS: Smoke exposure and pet ownership are not related to one another in children with asthma and will require independent counseling strategies because they relate in different and opposite ways to socioeconomic status.  相似文献   

14.
Background: Attachment theory was conceptualized by Bowlby as relevant across the life span, from ‘cradle to grave’. The research literature on attachment in infants and preschool‐aged children is extensive, but it is limited in adolescence. In particular, it is unclear whether or not attachment security is distinguishable from other qualities of the parent–adolescent relationship and predicts adjustment independently of alternate measures of it. Methods: Data from three parallel studies of adolescents, representing normal‐ to high‐risk status, were combined, n = 248. Attachment was assessed using the Child Attachment Interview, a recently constructed measure designed for older children and adolescents. Parent–adolescent relationship quality was assessed in detail through questionnaires, interviews and observation of a standard problem‐solving interaction. Adolescent adjustment was assessed through parental psychiatric interview, teacher questionnaire and adolescent self‐report. Results: Bivariate analyses showed that secure attachment representations were modestly associated with diverse measures of the current parent–adolescent relationship such as monitoring, negative expressed emotion, and directly observed parental warmth and anger. In addition, attachment representations were reliably associated with key indicators of psychological adjustment in adolescence, including parent‐rated oppositional‐defiant disorder symptoms and teacher‐reported emotional and behavioural difficulties. Regression analyses revealed that secure attachment representations explained unique variance in these indicators of adjustment, independent of alternative measures of the parent–adolescent relationship. Conclusion: Adolescents’ representational models of attachment are related to but distinct from current parenting quality and provide unique insight into the understanding of behavioural adjustment. The findings support a distinct conceptual role of attachment representations in adolescence. Clinical assessment and treatment models should include attachment patterns in this age group.  相似文献   

15.
Greece is among the countries hit most severely by the recent global economic recession. Given that poverty early in life can have long-lasting implications, investigation of the recession’s impact on adolescents’ well-being is critical for guiding relevant policies and interventions. We examined its impact on adolescents’ lives in Greece and trends in well-being indicators before and during the crisis. Data were drawn from three successive waves (2006, 2010 and 2014) of the HBSC survey in Greece. Stratified probability samples of between 3500 and 4200 students aged 11, 13 and 15 years completed anonymous questionnaires in their classrooms. Data were analysed by X2 tests and logistic regression taking account of the complex survey design. Latent class analysis (LCA) of the repercussions of the crisis perceived by adolescents such as parental unemployment, fights within the family and constraints on going on holidays was conducted. Student’s life satisfaction has fallen. Older students reported effects of the crisis more than younger ones. While cannabis use increased among boys, smoking and alcohol consumption decreased in both genders. Logistic regression including the latent classes showed that reporting more repercussions of the economic crisis was associated with more cannabis use and smoking among students of both genders, and more alcohol consumption among boys. The findings enhance our understanding of the impact of the economic crisis on adolescents and families in Greece. These data can aid in shaping policies to protect families and their offspring from the repercussions of adverse economic conditions.  相似文献   

16.
According to the World Health Organisation, community-acquired pneumonia is the main cause of paediatric death, accounting for 20 % of deaths in children younger than 5 years old, and 90 % of these deaths occur in non-industrialised countries. This study has as objective to evaluate the influence of socio-economic, environmental and breastfeeding factors on the occurrence of pneumonia. An unmatched case–control study was conducted in children aged 6 months to 13 years old at a children’s hospital in Brazil. Multivariate analysis by logistic regression was performed to determine the variables used to predict pneumonia. A total of 252 children were selected. In the adjusted (by age) multivariate analysis, the following variables were associated with community-acquired pneumonia: (a) protective factors: breastfeeding >3 months, absence of other unrelated comorbidities, non-smoking mother, being the only child, child’s age >5 years and mother’s age >19 years old; (b) risk factors: maternal education <8 years and child’s birth order [≥second]. In the multivariate analysis, considering only children from 6 months to 5 years old, the following variables were associated with community-acquired pneumonia: (a) protective factors: breastfeeding >3 months, non-smoking mother and no smokers in the child’s bedroom; (b) risk factors: maternal education <8 years and prenatal complications. Conclusion: These findings contribute favourably to effectively minimising the risk factors related to the disease process and natural history of community-acquired pneumonia.  相似文献   

17.
The ideal management of cryptorchidism is a highly debated topic within the field of pediatric surgery. The optimal timing of orchiopexy is particularly unclear, as existing literature reports mixed recommendations. The aim of this study was to determine, based on a systematic review, the most favorable age at which orchiopexy should be performed. We conducted a systematic search of MEDLINE, Embase, CINAHL, and the Cochrane Library to find relevant articles. Two researchers quality assessed each study using the following tools: AMSTAR (systematic reviews), Jadad (RCTs), and MINORS (non-RCTs). We developed a conclusion based on the highest quality studies. We found one relevant systematic review, one RCT, and 30 non-RCTs. Fertility potential was greatest when orchiopexy was performed before 1 year of age. Additionally, orchiopexy before 10–11 years may protect against the increased risk of testicular cancer associated with cryptorchidism. Orchiopexy should not be performed before 6 months of age, as testes may descend spontaneously during the first few months of life. The highest quality evidence recommends orchiopexy between 6 and 12 months of age. Surgery during this timeframe may optimize fertility potential and protect against testicular malignancy in children with cryptorchidism.  相似文献   

18.
The present study identifies trajectories of maternal depressive symptoms in Korean contexts and explores their associations with children’s behavioral problems at four years of age. Using the Panel Study of Korean Children, depressive symptoms of 1,964 mothers were collected at five time points (right after childbirth at hospitals, one month postpartum, four months postpartum, 24 months postpartum, and 48 months postpartum). These data were analyzed using latent class growth analysis. Korean mothers’ depressive symptoms from childbirth to 48 months postpartum were best described by five trajectories: No Symptoms (30.8 %), Low Symptoms (46.8 %), Increasing Symptoms (9.2 %), Persistent Moderate Symptoms (8.8 %), and High Symptoms (4.3 %). In addition, trajectories of depressive symptoms of Korean mothers were found to have meaningful associations with their children’s behavioral problems at four years of age. However, the complex results of the present study provided no clear answers regarding how chronicity, severity, and timing of maternal depressive symptoms associate with young children’s behavioral problems.  相似文献   

19.
This study assessed health-related quality of life (HRQoL) reported by overweight adolescents and compared to their parent-proxy perception of HRQoL, according to adolescent gender, adolescent age, and parent gender. Patients and a total of 179 adolescents aged 10 to 18 years with excess weight were evaluated for perceived HRQoL prior to beginning a weight-loss intervention, using the Pediatric Quality of Life Inventory (PedsQL 4.0) questionnaire, estimating quality of life in the physical, emotional, social, and school domains, as well as index measures of psychosocial and overall quality of life. Parents completed the same questionnaire estimating his or her child's HRQoL. Compared to their child's self-report, parents underestimated all the domains of HRQoL except the school domain. Parents underestimated all the domains of HRQoL among boys; however, they only underestimated the physical domain among girls. Comparisons between parent-proxy perception and self-report of the adolescent according to adolescent's age revealed that parents underestimated their children's HRQoL in the younger adolescents (10 to 13 years) for all except for the school domain and underestimated only the physical domain in older adolescents (14 to 18 years). The same comparison between parent-proxy perception and their child's self-report of HRQoL according to parent gender showed that mothers underestimated HRQoL in all domains except for the school domain, while fathers only underestimated the school domain. Conclusion: The differences between self-report of overweight adolescent and perceptions of their parents about the HRQoL of their children are influenced by adolescent gender and age and parent gender.  相似文献   

20.
The paper presents the first findings of the children’s subjective well-being survey in Poland, which was conducted among representative sample of over 3000 pupils aged 8, 10 and 12 years from Wielkopolska region in spring 2014. The study is a part of International Survey of Children’s Well-being (ISCWeB) - Children’s Worlds, developed by the International Society for Child Indicators (ISCI). The main purpose of the ISCWeB project is to gain a broad knowledge of children’s lives, their relationships with family members and friends, daily activities, time use and, in particular, their own perceptions and evaluations of their well-being. A particular attention in this paper is paid to the children’s subjective well-being including overall satisfaction with life, measured with use of different psychometric scales, eg. the single item scale on Overall Life Satisfaction (OLS) or the five-item Students Life Satisfaction Scale (SLSS5). Along with overall well-being of the children, it is very important to study various domains of their well-being. In the paper we took into consideration children’s evaluation of their five important life domains: family, school, friends, living environment and self.  相似文献   

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