ArticleInternational archives of occupational and environmental health2019
Modern life makes children allergic. A cross-sectional study: associations of home environment and lifestyles with asthma and allergy among children in Tianjin region, China.
Article in International archives of occupational and environmental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Effectiveness of Intranasal Corticosteroids for Sleep Disturbances in Patients with Allergic Rhinitis: A Systematic Review and Meta-Analysis.International archives of allergy and immunology · 2025Pooled it
- Health Effects of Exposure to Indoor Semi-Volatile Organic Compounds in Chinese Building Environment: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Risk factors of asthma in the Asian population: a systematic review and meta-analysis.Journal of physiological anthropology · 2021Pooled it
- Contribution of non-dietary indoor exposure pathways to total phthalate intake of 324 children in Tianjin, China.Journal of exposure science & environmental epidemiology · 2026Article
- Indoor building materials and household chemical products in Chinese homes are associated with current asthma and allergic symptoms in children.Journal of exposure science & environmental epidemiology · 2026Article
- Characteristics of Pediatric Allergic Rhinitis With Different Disease Severity.Mediators of inflammation · 2025Article
- Associations between home environmental factors and childhood eczema and related symptoms in different cities in China.Heliyon · 2023Article
- Prevalence and Influencing Risk Factors of Eczema Among Preschool Children in Hail City.Cureus · 2022Article
- Outdoor Air Pollution and Indoor Window Condensation Associated with Childhood Symptoms of Allergic Rhinitis to Pollen.International journal of environmental research and public health · 2022Article
- Prevalence of Childhood Asthma and Allergies and Their Associations with Perinatal Exposure to Home Environmental Factors: A Cross-Sectional Study in Tianjin, China.International journal of environmental research and public health · 2021Article
- Breastfeeding duration modified the effects of neonatal and familial risk factors on childhood asthma and allergy: a population-based study.Respiratory research · 2021Article
- Children's Respiratory Infections in Tianjin Area, China: Associations with Home Environments and Lifestyles.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeIn the past 60 years, the prevalences of asthma and allergy among children have increased around the world. Neither genetic nor outdoor environmental factors can explain this increase.
methodsWe performed a cross-sectional study of 7366 children in Tianjin, China, on associations of home environment and lifestyles with asthma and allergy.
resultsThe prevalences of diagnosed asthma, rhinitis and eczema among 0- to 8-year-old children in the Tianjin area were 4%, 9% and 39%. Home environment and lifestyle, together with infections, were strong risk factors. For asthma and allergy, the population attributable fraction (PAF) due to modern floors and wall coverings (i.e., laminated wooden floors and painted walls compared to tile floors and lime-coated walls) was 22%. Window condensation in winter and air conditioner use in summer, both of which are proxies for less ventilation, accounted for 7-17% of rhinitis and eczema. Cesarean delivery accounted for 10% of eczema symptoms. We developed a modern life index from appropriate home characteristics and lifestyle and food consumption habits and found it to have a clear dose-response relationship with asthma and allergy in Tianjin children.
conclusionsThe results indicate that a "modern" home environment together with a modern lifestyle is associated with increased prevalences of asthma and allergies among children. Appropriate indoor environmental interventions and education of children's caregivers are important in the management of childhood asthma and allergy.
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