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Exposure to outdoor humid-heat and indoor dampness-mold during infancy is associated with increased childhood asthma risk: A large-scale multi-city study in Chinese preschool children
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety Minist Educ, NHC Key Lab Hlth Technol Assessment,Minist Educ,Ke, Shanghai, Peoples R China..
Fudan Univ, Sch Publ Hlth, Key Lab Publ Hlth Safety Minist Educ, NHC Key Lab Hlth Technol Assessment,Minist Educ,Ke, Shanghai, Peoples R China..
Wuhan Univ Sci & Technol, Med Coll, Sch Publ Hlth, Dept Environm Hyg & Occupat Med, Wuhan 430065, Peoples R China..
Shanxi Univ, Inst Environm Sci, Taiyuan, Shanxi, Peoples R China..
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2025 (English)In: Sustainable cities and society, ISSN 2210-6707, Vol. 118, article id 106061Article in journal (Refereed) Published
Abstract [en]

Exposure to higher surface air temperatures (SAT) and indoor dampness-mold can be associated with increased childhood asthma risk. However, the combined effect of heat and humidity on asthma risk, and the relationship between humid-heat and indoor dampness-mold remain unexplored. Based on a multi-city study of 37,206 Chinese preschool children, we investigated the relationships of exposure to humid-heat (SAT, heat index (HI), humidex (HMI), wet-bulb temperature (WBT)), indoor dampness-mold (dampness-mold in dwelling (DMD), and dampness-mold in clothing and bedding (DMCB)) during infancy with asthma risk. For each 1 °C increase in SAT, HI, HMI, and WBT, the odds ratio (OR) for asthma was 1.104 (95 %CI: 1.078, 1.131), 1.078 (95 %CI: 1.058, 1.099), 1.062 (95 %CI: 1.047, 1.078), and 1.085 (95 %CI: 1.063, 1.107), respectively. Exposure-response analysis showed nearly linear increasing relationships. Higher SAT, HI, HMI, and WBT were significantly associated with increased DMD and DMCB risk. Compared with those with neither DMD nor DMCB, the OR for asthma was 1.663 (95 %CI: 1.423, 1.935) among children with either DMD or DMCB, and 2.223 (95 %CI: 1.788, 2.735) among children with both DMD and DMCB. Our study highlights the importance of reducing humid-heat and indoor dampness-mold exposure during infancy to mitigate the high prevalence of childhood asthma.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 118, article id 106061
Keywords [en]
Asthma, Humid-heat, Dampness, Mold, Preschool children, Global warming
National Category
Respiratory Medicine and Allergy Occupational Health and Environmental Health Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-547605DOI: 10.1016/j.scs.2024.106061ISI: 001391975900001Scopus ID: 2-s2.0-85212554795OAI: oai:DiVA.org:uu-547605DiVA, id: diva2:1928389
Available from: 2025-01-16 Created: 2025-01-16 Last updated: 2025-01-16Bibliographically approved

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Norbäck, DanWang, Juan

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Occupational and Environmental MedicineLung- allergy- and sleep researchClinical Physiology
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