반려동물과 아동의 천식증상과의 관계에 관한 연구 - 반려견 및 반려묘를 중심으로 -
Association between Pets and Asthma Symptoms in Korean Children - Focusing on Dogs and Cats -
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study was to assess the association between pet ownership and asthma symptoms in Korean children. Methods: This study used data from the 8th Panel Study on Korean Children in 2015. For the final study, 1598 cases were used. Wheezing as an asthma symptom was self-reported as an outcome variable. Whether children had owned dogs or cats or not was used as an independent variable. Results: A total of 6.8% of children lived with dogs and 2.1% of children lived with cats in their homes. There were 4.0% of children who had asthma symptoms in the past year. When comparing ‘children who had owned dogs for more than 12 months’ with ‘children who had not owned dogs’, the adjusted odds ratio (OR) for ‘asthma symptoms’ were 1.20 (95% confidence interval (CI), 1.10-1.30) among male children and 2.19 (95% CI, 1.94-2.46) among female children. When comparing ‘children who had owned cats for more than 12 months’ with ‘children who had not owned cats’, the adjusted ORs for ‘asthma symptoms’ were 38.94 (95% CI, 35.55- 42.65) among male children and 5.32 (95% CI, 4.60-6.16) among female children. When comparing ‘children who had owned both dogs and cats for more than 12 months’ with ‘children who had not owned at all’, the adjusted OR for ‘asthma symptoms’ was 13.22 (95% CI, 11.93-14.65), and when comparing ‘children who had owned cats only’ with ‘children who had not owned at all’, the adjusted OR for ‘asthma symptoms’ was 9.25 (95% CI, 8.50-10.08). Conclusions: As a result, children's asthma symptoms were higher in the case of cats than with dogs, and in the case of cats, boys were more at risk than girls. In the analysis for the risk of asthma symptoms when a dog and a cat are raised at the same time, it was statistically confirmed that the children in the home were more at risk than with single animal ownership. The results of this study can be considered to be of great importance in policy-making and for the use of educational materials in the field of environmental health.
Abstract
Objectives: The purpose of this study was to assess the association between pet ownership and asthma symptoms in Korean children. Methods: This study used data from the 8th Panel Study on Korean Children in 2015. For the final study, 1598 cases were used. Wheezing as an asthma symptom was self-reported as an outcome variable. Whether children had owned dogs or cats or not was used as an independent variable. Results: A total of 6.8% of children lived with dogs and 2.1% of children lived with cats in their homes. There were 4.0% of children who had asthma symptoms in the past year. When comparing ‘children who had owned dogs for more than 12 months’ with ‘children who had not owned dogs’, the adjusted odds ratio (OR) for ‘asthma symptoms’ were 1.20 (95% confidence interval (CI), 1.10-1.30) among male children and 2.19 (95% CI, 1.94-2.46) among female children. When comparing ‘children who had owned cats for more than 12 months’ with ‘children who had not owned cats’, the adjusted ORs for ‘asthma symptoms’ were 38.94 (95% CI, 35.55- 42.65) among male children and 5.32 (95% CI, 4.60-6.16) among female children. When comparing ‘children who had owned both dogs and cats for more than 12 months’ with ‘children who had not owned at all’, the adjusted OR for ‘asthma symptoms’ was 13.22 (95% CI, 11.93-14.65), and when comparing ‘children who had owned cats only’ with ‘children who had not owned at all’, the adjusted OR for ‘asthma symptoms’ was 9.25 (95% CI, 8.50-10.08). Conclusions: As a result, children's asthma symptoms were higher in the case of cats than with dogs, and in the case of cats, boys were more at risk than girls. In the analysis for the risk of asthma symptoms when a dog and a cat are raised at the same time, it was statistically confirmed that the children in the home were more at risk than with single animal ownership. The results of this study can be considered to be of great importance in policy-making and for the use of educational materials in the field of environmental health.
참고문헌 (21)
- "Korean Guideline for Asthma" (2015)[URL]
- "OECD Statistics on Quality and Policy Implications. 2018 HIRA_12-4-05"[URL]
- 구희조, "인천지역 청소년에서 천식, 알레르기성 비염, 아토피피부염과 체질량지수와의 관계", Allergy Asthma & Respiratory Disease, 2(4), pp.243~250 (2014), 대한 소아알레르기 호흡기학회
- Park SY, "Prevalence and Prevalence of Asthma in Korea Using National Health Data", Obstructive Lung Disease, 4, pp.23~32 (2016)
- "Asthma triggers"[URL]
- "Development Strategies for the Companion Animal Industry" (2017)[URL]
- Kim WK, "Pets for Allergic Diseases", Autumn Annual Conference of The Korean Academy of Asthma. Allergy and Clinical Immunology, pp.S518~S522 (2012)
- "Panel study on Korean children"[URL]
- Désirée Larenas-Linnemann, "Risk factors for wheezing in primary health care settings in the tropics", Annals of Allergy, Asthma & Immunology, 124(2), pp.179~184.e1 (2020), Elsevier BV[DOI]
- 이상엽, "천식의 면역학적 기전", Tuberculosis and Respiratory Diseases, 60(4), pp.379~390 (2006), 대한결핵및호흡기학회
- Ownby DR, "Dogs, cats, and asthma : Will we ever really know the true risks and benefits?", J Allergy Clin Immunol, 138, pp.1591~1592 (2016)
- Sanny K. Chan, "Dog and Cat Allergies: Current State of Diagnostic Approaches and Challenges", Allergy, Asthma & Immunology Research, 10(2), pp.97~105 (2018), 대한천식알레르기학회
- 정성수, "영아기에 실내 반려동물의 노출이 소아의 동물 항원 감작과 천식에 미치는 영향", Allergy Asthma & Respiratory Disease, 7(2), pp.99~105 (2019), 대한 소아알레르기 호흡기학회
- Hesselmar B, "Pet-keeping in early life reduces the risk of allergy in a dosedependent fashion", PLoS One, 13, pp.e0208472~ (2018)[DOI]
- Dawn KL, "An overview of allergens", Allergy & Asthma Proceedings, 40(6), pp.362~365 (2019)
- Le Souëf PN, "The effect of size and age of subject on airway responsiveness in children", Am J Respir Crit Care Med, 152, pp.576~579 (1995)
- Siroux V, "Role of gender and hormone-related events on IgE, atopy, and eosinophils in the Epidemiological Study on the Genetics and Environment of Asthma, bronchial hyperresponsiveness and atopy", J Allergy Clin Immunol, 114, pp.491~498 (2004)
- Sports and Tourism. Report of pet ownership and public awarness in 2018, "Ministry of Culture, Sports and Tourism", Ministry of Culture, Sports and Tourism, ~ (2018)
- Clarisse Gautier, "Environmental triggers and avoidance in the management of asthma", Journal of Asthma and Allergy, 10, pp.47~56 (2017)
- 황규석, "어린이 천식과 주거환경적 위험요인에 대한 환자-대조군 연구", 한국환경보건학회지, 38(03), pp.223~232 (2012), 한국환경보건학회[DOI]
- 배현주, "PM10이 소아천식 입원에 미치는 급성 영향 및 건강편익 평가 − 서울, 인천, 부산, 울산 4개 도시를 중심으로 −", 한국환경보건학회지, 35(1), pp.1~10 (2009), 한국환경보건학회