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Asthma, allergic rhinitis and atopic dermatitis in association with home environment - The RHINE study
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2022 (English)In: Science of the Total Environment, ISSN 0048-9697, E-ISSN 1879-1026, Vol. 853, article id 158609Article in journal (Refereed) Published
Abstract [en]

We studied home environment exposures in relation to asthma, allergic rhinitis and atopic dermatitis among offspring of participants (parents) in the Respiratory Health in Northern Europe (RHINE) study (age ≤ 30 y). Totally 17,881 offspring from Iceland, Norway, Sweden, Denmark and Estonia were included. Home environment exposures, including dampness and mold, type of dwelling, construction year and indoor painting were registered through a questionnaire answered by parents in the first follow up (RHINE II). The parents reported ten years later with in the frame of RHINE III offspring's birth year and offspring's asthma, allergic rhinitis, atopic dermatitis. They also reported dampness and mold at home from RHINE II to RHINE III. The prevalence of offspring's asthma before 10 y, asthma after 10 y, allergic rhinitis at any age and atopic dermatitis at any age were 9.7 %, 4.3 %, 15.6 % and 17.3 %, respectively. Asthma before 10 y was related to any indoor painting at RHINE II (OR = 1.14, 95%CI (1.02, 1.29)). Asthma after 10 y was associated with dampness/mold at home (OR = 1.33-1.62) and living in the newest buildings (constructed in 1986-2001) (OR = 1.30, 95%CI (1.02, 1.66)). Allergic rhinitis was associated with living in newer buildings (constructed in 1961-2001) (OR = 1.16-1.24). Atopic dermatitis was associated with visible mold (OR = 1.35, 95%CI(1.12, 1.62)), dampness/mold at home (OR = 1.18-1.38), living in apartments (OR = 1.22, 95%CI(1.10, 1.35)) and living in newer buildings (constructed in 1961-2001) (OR = 1.14-1.25). There were dose-response effects of dampness and mold on offspring's asthma after 10 y and atopic dermatitis (20 years exposure vs. 10 years exposure). Older offspring had increased risk of developing asthma after 10 y and atopic dermatitis. In conclusion, home dampness and mold, living in apartments, living in newer buildings and indoor painting were associated with offspring's asthma or allergic diseases. Stronger health effects were found among offspring with prolonged exposure of dampness/mold.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 853, article id 158609
Keywords [en]
Allergic rhinitis, Asthma, Atopic dermatitis, Dampness, Home environment, Indoor painting
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:umu:diva-199321DOI: 10.1016/j.scitotenv.2022.158609ISI: 000862777400015PubMedID: 36089044Scopus ID: 2-s2.0-85138034408OAI: oai:DiVA.org:umu-199321DiVA, id: diva2:1695164
Funder
Swedish Heart Lung FoundationVårdal FoundationSwedish Asthma and Allergy AssociationForte, Swedish Research Council for Health, Working Life and WelfareAFA Insurance, 467801100Bror Hjerpstedts stiftelseThe Research Council of NorwayAvailable from: 2022-09-13 Created: 2022-09-13 Last updated: 2025-03-26Bibliographically approved

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Franklin, Karl A.Modig, Lars

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SurgeryDepartment of Diagnostics and InterventionSection of Sustainable Health
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