Journal article
The effect of low-cost modification of the home environment on the development of respiratory symptoms in the first year of life
Annals of allergy, asthma, & immunology, Vol.103(6), pp.480-487
12/01/2009
DOI: 10.1016/S1081-1206(10)60264-5
PMCID: PMC2813057
PMID: 20084841
Abstract
Background: Previous studies have suggested that environmental exposures may be related to the development of respiratory symptoms in early life. Intervention studies, however. have not produced consistent findings.
Objective: The Peer Education in Pregnancy Study examined the effect of home environment intervention with pregnant women at risk for having children with asthma oil the development of respiratory symptoms ill their infants
Methods: A total of 383 pregnant women whose unborn child had a first-degree relative with an allergic history were randomized to 1 of 2 intervention groups, both of whom received general health education. smoking, cessation advice, and encouragement to breastfeed. In addition. the intensive education group received 3 home visits focused oil home environment modification. Home assessment was performed at baseline and after 1 year of follow-up. Respiratory symptoms were identified during the first year of life.
Results: Families in both intervention groups showed significant changes in several environmental factors, with significant differences between the 2 groups in insects other than cockroaches, use of mattress covers, and washing in hot water Children in the intensive education group had slightly lower incidence rates of respiratory symptoms, but few differences were statistically significant.
Conclusions: The results of this study do not provide strong support for a primary intervention focused oil general modification of the home environment during pregnancy for high-risk children. It does not address the effects of more aggressive approaches or of interventions targeting individual environmental factors. Ann Allergy Asthma Immunol 2009;103,480-487
Details
- Title: Subtitle
- The effect of low-cost modification of the home environment on the development of respiratory symptoms in the first year of life
- Creators
- Victoria Persky - Univ Illinois, Sch Publ Hlth, Div Epidemiol & Biostat, Chicago, IL 60612 USAJulie Piorkowski - Univ Illinois, Sch Publ Hlth, Div Epidemiol & Biostat, Chicago, IL 60612 USAEva Hernandez - Univ Illinois, Sch Publ Hlth, Div Epidemiol & Biostat, Chicago, IL 60612 USANoel Chavez - Univ Illinois, Sch Publ Hlth, Div Community Hlth Sci, Chicago, IL 60612 USACynthia Wagner-Cassanova - Univ Illinois, Sch Publ Hlth, Div Epidemiol & Biostat, Chicago, IL 60612 USASally Freels - Univ Illinois, Sch Publ Hlth, Div Epidemiol & Biostat, Chicago, IL 60612 USACarmen Vergara - Univ Illinois, Sch Publ Hlth, Div Epidemiol & Biostat, Chicago, IL 60612 USADarlene Pelzel - Univ Illinois, Sch Publ Hlth, Div Epidemiol & Biostat, Chicago, IL 60612 USARachel Hayes - Vanderbilt Univ, Informat Ctr, Nashville, TN USASilvia Gutierrez - Nuestra Familia Family Focus, Chicago, IL USAAdela Busso - Chicago Commons, Chicago, IL USALenore Coover - Pediat Case Management Serv, Highland, IA USAPeter S. Thorne - University of Iowa, Occupational and Environmental HealthDennis Ownby - Med Coll Georgia, Dept Pediat, Augusta, GA 30912 USA
- Resource Type
- Journal article
- Publication Details
- Annals of allergy, asthma, & immunology, Vol.103(6), pp.480-487
- Publisher
- Elsevier
- DOI
- 10.1016/S1081-1206(10)60264-5
- PMID
- 20084841
- PMCID
- PMC2813057
- ISSN
- 1081-1206
- eISSN
- 1534-4436
- Number of pages
- 8
- Grant note
- R21ES08716; R01ES011377 / National institute of Environmental Health Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS) R01ES011377 / NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS)
- Language
- English
- Date published
- 12/01/2009
- Academic Unit
- Civil and Environmental Engineering; Occupational and Environmental Health
- Record Identifier
- 9983557799702771
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