Factors Associated with the Development of Childhood Asthma in Japan: A Nationwide Longitudinal Study

Introduction Many environmental factors are related to the development of asthma. However, the key factors of childhood asthma onset have not been sufficiently elucidated. Further, low-weight births have increased in Japan. The aim of this study was to examine the risk factors for the incidence of c...

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Veröffentlicht in:Maternal and child health journal 2020-07, Vol.24 (7), p.911-922
Hauptverfasser: Furuhata, Masakazu, Otsuka, Yuichiro, Kaneita, Yoshitaka, Nakagome, Sachi, Jike, Maki, Itani, Osamu, Ohida, Takashi
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container_issue 7
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container_title Maternal and child health journal
container_volume 24
creator Furuhata, Masakazu
Otsuka, Yuichiro
Kaneita, Yoshitaka
Nakagome, Sachi
Jike, Maki
Itani, Osamu
Ohida, Takashi
description Introduction Many environmental factors are related to the development of asthma. However, the key factors of childhood asthma onset have not been sufficiently elucidated. Further, low-weight births have increased in Japan. The aim of this study was to examine the risk factors for the incidence of childhood asthma and to evaluate whether these risk factors differ according to birth weight in Japan. Methods We used the National Longitudinal Survey from 2001 to 2010. Multiple logistic regression analyses were conducted to determine the effects of gender, birth weight, single vs. multiple births, birth order, nutrition, keeping pets in the home, place of residence, annual household income, and parent ages, smoking behaviors, and educational backgrounds on asthma-related hospital visits. Results Overall, 45,060 children were analyzed. The rate of cumulative hospital visits until age 10 was 18.9%. Birth weight 
doi_str_mv 10.1007/s10995-020-02944-0
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However, the key factors of childhood asthma onset have not been sufficiently elucidated. Further, low-weight births have increased in Japan. The aim of this study was to examine the risk factors for the incidence of childhood asthma and to evaluate whether these risk factors differ according to birth weight in Japan. Methods We used the National Longitudinal Survey from 2001 to 2010. Multiple logistic regression analyses were conducted to determine the effects of gender, birth weight, single vs. multiple births, birth order, nutrition, keeping pets in the home, place of residence, annual household income, and parent ages, smoking behaviors, and educational backgrounds on asthma-related hospital visits. Results Overall, 45,060 children were analyzed. The rate of cumulative hospital visits until age 10 was 18.9%. Birth weight &lt; 2500 g (adjusted odds ratio [AOR] = 1.14, 95% confidence interval [CI] 1.03–1.26), being a boy (AOR = 1.27, 95% CI 1.21–1.33), having older siblings (AOR = 1.07, 95% CI 1.02–1.14), parental smoking behavior, mother`s age, and low household income (AOR = 1.17, 95% CI 1.10–1.24) were associated with asthma-related hospital visits. Discussion Parental smoking behavior is a key risk factor for the development of asthma. Among low birth weight infants, being a boy, having older siblings, and father`s smoking behavior were predictive factors for the development of asthma. However, low birth weight was not associated with the development of asthma after 6 years of age.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-020-02944-0</identifier><identifier>PMID: 32342275</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Asthma ; Asthma - epidemiology ; Asthma - etiology ; Asthma in children ; Birth weight ; Child, Preschool ; Childhood ; Cohort analysis ; Development and progression ; Disease Progression ; Environmental factors ; Family income ; Female ; Gynecology ; Health aspects ; Health risk assessment ; Humans ; Incidence ; Infant ; Infant, Low Birth Weight - growth &amp; development ; Infant, Low Birth Weight - physiology ; Infant, Newborn ; Japan - epidemiology ; Logistic Models ; Longitudinal Studies ; Male ; Maternal and Child Health ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multiple births ; Odds Ratio ; Parental influences ; Pediatric research ; Pediatrics ; Population Economics ; Public Health ; Risk Factors ; Risk taking ; Siblings ; Smoking ; Smoking - adverse effects ; Smoking - epidemiology ; Sociology ; Statistics ; Surveys and Questionnaires</subject><ispartof>Maternal and child health journal, 2020-07, Vol.24 (7), p.911-922</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-757f14c4a8e5bd4d1b4828776c349d202c66c8aa6c45850d44c4b3e479cafe4a3</citedby><cites>FETCH-LOGICAL-c511t-757f14c4a8e5bd4d1b4828776c349d202c66c8aa6c45850d44c4b3e479cafe4a3</cites><orcidid>0000-0001-8247-9235</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-020-02944-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-020-02944-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32342275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Furuhata, Masakazu</creatorcontrib><creatorcontrib>Otsuka, Yuichiro</creatorcontrib><creatorcontrib>Kaneita, Yoshitaka</creatorcontrib><creatorcontrib>Nakagome, Sachi</creatorcontrib><creatorcontrib>Jike, Maki</creatorcontrib><creatorcontrib>Itani, Osamu</creatorcontrib><creatorcontrib>Ohida, Takashi</creatorcontrib><title>Factors Associated with the Development of Childhood Asthma in Japan: A Nationwide Longitudinal Study</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>Matern Child Health J</addtitle><description>Introduction Many environmental factors are related to the development of asthma. However, the key factors of childhood asthma onset have not been sufficiently elucidated. Further, low-weight births have increased in Japan. The aim of this study was to examine the risk factors for the incidence of childhood asthma and to evaluate whether these risk factors differ according to birth weight in Japan. Methods We used the National Longitudinal Survey from 2001 to 2010. Multiple logistic regression analyses were conducted to determine the effects of gender, birth weight, single vs. multiple births, birth order, nutrition, keeping pets in the home, place of residence, annual household income, and parent ages, smoking behaviors, and educational backgrounds on asthma-related hospital visits. Results Overall, 45,060 children were analyzed. The rate of cumulative hospital visits until age 10 was 18.9%. Birth weight &lt; 2500 g (adjusted odds ratio [AOR] = 1.14, 95% confidence interval [CI] 1.03–1.26), being a boy (AOR = 1.27, 95% CI 1.21–1.33), having older siblings (AOR = 1.07, 95% CI 1.02–1.14), parental smoking behavior, mother`s age, and low household income (AOR = 1.17, 95% CI 1.10–1.24) were associated with asthma-related hospital visits. Discussion Parental smoking behavior is a key risk factor for the development of asthma. Among low birth weight infants, being a boy, having older siblings, and father`s smoking behavior were predictive factors for the development of asthma. However, low birth weight was not associated with the development of asthma after 6 years of age.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - etiology</subject><subject>Asthma in children</subject><subject>Birth weight</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Cohort analysis</subject><subject>Development and progression</subject><subject>Disease Progression</subject><subject>Environmental factors</subject><subject>Family income</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Low Birth Weight - growth &amp; development</subject><subject>Infant, Low Birth Weight - physiology</subject><subject>Infant, Newborn</subject><subject>Japan - epidemiology</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine &amp; 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However, the key factors of childhood asthma onset have not been sufficiently elucidated. Further, low-weight births have increased in Japan. The aim of this study was to examine the risk factors for the incidence of childhood asthma and to evaluate whether these risk factors differ according to birth weight in Japan. Methods We used the National Longitudinal Survey from 2001 to 2010. Multiple logistic regression analyses were conducted to determine the effects of gender, birth weight, single vs. multiple births, birth order, nutrition, keeping pets in the home, place of residence, annual household income, and parent ages, smoking behaviors, and educational backgrounds on asthma-related hospital visits. Results Overall, 45,060 children were analyzed. The rate of cumulative hospital visits until age 10 was 18.9%. Birth weight &lt; 2500 g (adjusted odds ratio [AOR] = 1.14, 95% confidence interval [CI] 1.03–1.26), being a boy (AOR = 1.27, 95% CI 1.21–1.33), having older siblings (AOR = 1.07, 95% CI 1.02–1.14), parental smoking behavior, mother`s age, and low household income (AOR = 1.17, 95% CI 1.10–1.24) were associated with asthma-related hospital visits. Discussion Parental smoking behavior is a key risk factor for the development of asthma. Among low birth weight infants, being a boy, having older siblings, and father`s smoking behavior were predictive factors for the development of asthma. However, low birth weight was not associated with the development of asthma after 6 years of age.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32342275</pmid><doi>10.1007/s10995-020-02944-0</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-8247-9235</orcidid></addata></record>
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subjects Adolescent
Adult
Asthma
Asthma - epidemiology
Asthma - etiology
Asthma in children
Birth weight
Child, Preschool
Childhood
Cohort analysis
Development and progression
Disease Progression
Environmental factors
Family income
Female
Gynecology
Health aspects
Health risk assessment
Humans
Incidence
Infant
Infant, Low Birth Weight - growth & development
Infant, Low Birth Weight - physiology
Infant, Newborn
Japan - epidemiology
Logistic Models
Longitudinal Studies
Male
Maternal and Child Health
Medicine
Medicine & Public Health
Middle Aged
Multiple births
Odds Ratio
Parental influences
Pediatric research
Pediatrics
Population Economics
Public Health
Risk Factors
Risk taking
Siblings
Smoking
Smoking - adverse effects
Smoking - epidemiology
Sociology
Statistics
Surveys and Questionnaires
title Factors Associated with the Development of Childhood Asthma in Japan: A Nationwide Longitudinal Study
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