ArticleEnvironmental health : a global access science source2014
Association between wheeze and selected air pollution sources in an air pollution priority area in South Africa: a cross-sectional study.
Article in Environmental health : a global access science source, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Ambient Air Pollution and Respiratory Health in Sub-Saharan African Children: A Cross-Sectional Analysis.International journal of environmental research and public health · 2021Pooled it
- Water-Energy-Food Security and Health in South Africa: A Scoping Review.JAMA network open · 2026Article
- Household and Environmental Determinants Influencing Atopic Dermatitis Among Young Rural Children in the Ehlanzeni District Municipality.International journal of environmental research and public health · 2026Article
- A Study Protocol to Assess the Association Between Ambient Air Pollution and Asthma and Other Respiratory Health Outcomes Amongst Children Below 5 Years of Age in Alexandra Township's Early Childhood Development Centers, Johannesburg.Methods and protocols · 2025Article
- Ambient versus household PMFrontiers in public health · 2025Article
- Household fuel use and severe asthma symptoms among preschool children in Gauteng province, South Africa: a cross-sectional study.BMJ public health · 2024Article
- The Prevalence of Childhood Asthma, Respiratory Symptoms and Associated Air Pollution Sources Among Adolescent Learners in Selected Schools in Vhembe District, South Africa.International journal of environmental research and public health · 2024Article
- Maternal exposure to pyrethroid insecticides during pregnancy and respiratory allergy symptoms among children participating in the Venda Health Examination of Mothers, Babies and their Environment (VHEMBE).Environmental research · 2024Article
- Community Health Risk Awareness and Knowledge of Air Pollution in Annadale, Polokwane Local Municipality, Limpopo Province, South Africa.Environmental health insights · 2024Article
- Gas cooking and respiratory outcomes in children: A systematic review.Global epidemiology · 2023Review
- The Association between Apparent Temperature and Hospital Admissions for Cardiovascular Disease in Limpopo Province, South Africa.International journal of environmental research and public health · 2022Article
- Indoor Household Exposures and Associated Morbidity and Mortality Outcomes in Children and Adults in South Africa.International journal of environmental research and public health · 2022Review
- Asthma in South African adolescents: a time trend and risk factor analysis over two decades.ERJ open research · 2021Article
- Positive Externalities of Climate Change Mitigation and Adaptation for Human Health: A Review and Conceptual Framework for Public Health Research.International journal of environmental research and public health · 2021Review
- Lung Health in Children in Sub-Saharan Africa: Addressing the Need for Cleaner Air.International journal of environmental research and public health · 2020Review
- Risk factors for asthma among schoolchildren who participated in a case-control study in urban Uganda.eLife · 2019Article
- Factors associated with parent-reported wheeze and cough in children living in an industrial area of Gauteng, South Africa.Environmental science and pollution research international · 2018Article
- A Narrative Review on the Human Health Effects of Ambient Air Pollution in Sub-Saharan Africa: An Urgent Need for Health Effects Studies.International journal of environmental research and public health · 2018Review
- The association between environmental tobacco smoke exposure and childhood respiratory disease: a review.Expert review of respiratory medicine · 2017Review
- Mine dumps, wheeze, asthma, and rhinoconjunctivitis among adolescents in South Africa: any association?International journal of environmental health research · 2015Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAn association between wheeze (a symptom of asthma) and environmental tobacco smoke (ETS), types of fuel used for residential heating or cooking and the frequency of trucks passing near homes, has been reported mainly in developed countries. Little is known about the strength of such associations in developing countries. This study was conducted in residential areas situated in Ekurhuleni Metropolitan Municipality, namely Tembisa and Kempton Park, which form part of the Highveld region, a priority area in terms of air pollution in South Africa.
methodsFrom 3764 eligible school children, aged between 13 and 14 years, from 16 selected high schools in the study area, 3468 completed a modified questionnaire based on the International Study of Asthma and Allergies in Childhood (ISAAC). Data were analysed using multiple logistic regression models.
resultsThe results are based on data from 3424 children. In the adjusted models, exposure to ETS at school was associated with wheeze ever (OR 1.22 95% CI: 1.03 - 1.45) and current wheeze (OR 1.33 95% CI: 1.08 - 1.64). When gas was most frequently used for residential heating the likelihood of wheeze ever increased by 47% (OR 1.47 95% CI: 1.15 - 1.88). Trucks passing near homes for almost the whole day during weekdays, increased the likelihood of wheeze ever (OR 1.32 95% CI: 1.01 - 1.73), current wheeze (OR 1.61 95% CI: 1.15 - 2.24) and current severe wheeze (OR 2.22 95% CI: 1.28 - 3.77). When data were stratified according to residential area, for children living in Tembisa, ETS exposure at home was associated with current wheeze (OR 1.36 95% CI: 1.06 - 1.77); gas most frequently used for residential heating was associated with wheeze ever (OR 1.68 95% CI: 1.23 - 2.28) and current wheeze (OR 1.61 95% CI: 1.08 - 2.39); paraffin most frequently used for residential heating was associated with current severe wheeze (OR 1.85 95% CI: 1.04 - 3.28).
conclusionIt was concluded that children living in one of the air pollution priority areas of South Africa, have an increased risk of wheezing due to exposure to both indoor and outdoor air pollution sources.
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