Evidence map›Paper›PMID 31413146›Full record

ArticleThorax2019

Damp mouldy housing and early childhood hospital admissions for acute respiratory infection: a case control study.

Tristram Ingham, Michael Keall, Bernadette Jones, Daniel R T Aldridge, Anthony C Dowell, Cheryl Davies, Julian Crane, Jessica Barbara Draper, Lauren Olivia Bailey, Helen Viggers and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Thorax, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 67 citations in OpenAlex.

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  19. Housing and Child Health in South Africa: The Value of Longitudinal Research.International journal of environmental research and public health · 2022
    Article
  20. Prevalence, Risk Factors and Impacts Related to Mould-Affected Housing: An Australian Integrative Review.International journal of environmental research and public health · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Tristram InghamDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand tristram.ingham@otago.ac.nz.ORCID 0000-0001-7087-2531
Michael KeallDepartment of Public Health, University of Otago Wellington, Wellington, New Zealand.
Bernadette JonesDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.
Daniel R T AldridgeDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.
Anthony C DowellDepartment of Obstetrics and Gynaecology, University of Otago Wellington, Wellington, New Zealand.
Cheryl DaviesTu Kotahi Māori Asthma Trust, Lower Hutt, New Zealand.
Julian CraneDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.
Jessica Barbara DraperDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.
Lauren Olivia BaileyDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.
Helen ViggersDepartment of Public Health, University of Otago Wellington, Wellington, New Zealand.
Thorsten Villiers StanleyDepartment of Paediatrics, University of Otago Wellington, Wellington, New Zealand.
Philip LeadbitterDepartment of Paediatrics, Hutt Valley District Health Board, Lower Hutt, New Zealand.
Mereana LatimerTu Kotahi Māori Asthma Trust, Lower Hutt, New Zealand.
Philippa Howden-ChapmanDepartment of Public Health, University of Otago Wellington, Wellington, New Zealand.
University of Otago · NZCapital and Coast District Health Board · NZHutt Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA gap exists in the literature regarding dose-response associations of objectively assessed housing quality measures, particularly dampness and mould, with hospitalisation for acute respiratory infection (ARI) among children.

methodsA prospective, unmatched case-control study was conducted in two paediatric wards and five general practice clinics in Wellington, New Zealand, over winter/spring 2011-2013. Children aged <2 years who were hospitalised for ARI (cases), and either seen in general practice with ARI not requiring admission or for routine immunisation (controls) were included in the study. Objective housing quality was assessed by independent building assessors, with the assessors blinded to outcome status, using the Respiratory Hazard Index (RHI), a 13-item scale of household quality factors, including an 8-item damp-mould subscale. The main outcome was case-control status. Adjusted ORs (aORs) of the association of housing quality measures with case-control status were estimated, along with the population attributable risk of eliminating dampness-mould on hospitalisation for ARI among New Zealand children.

results188 cases and 454 controls were studied. Higher levels of RHI were associated with elevated odds of hospitalisation (OR 1.11/unit increase (95% CI 1.01 to 1.21)), which weakened after adjustment for season, housing tenure, socioeconomic status and crowding (aOR 1.04/unit increase (95% CI 0.94 to 1.15)). The damp-mould index had a significant, adjusted dose-response relationship with ARI admission (aOR 1.15/unit increase (95% CI 1.02 to 1.30)). By addressing these harmful housing exposures, the rate of admission for ARI would be reduced by 19% or 1700 fewer admissions annually.

conclusionsA dose-response relationship exists between housing quality measures, particularly dampness-mould, and young children's ARI hospitalisation rates. Initiatives to improve housing quality and to reduce dampness-mould would have a large impact on ARI hospitalisation.

Indexed as

HousingAcute DiseaseCase-Control StudiesChild, HospitalizedEnvironmental ExposureFemaleHumansHumidityInfantInfant, NewbornLung Diseases, FungalMaleNew ZealandProspective StudiesRisk Factorsacute respiratory infectionschild healthdampnesshousing qualitymouldpublic health policy

Identifiers

PMID31413146
PMCPMC6824607
OpenAlexW2969106240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.