1. School attendance and daily respiratory symptoms in children: influence of moisture damage
- Author
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Casas, L, Espinosa, A, Pekkanen, J, Asikainen, A, Borràs-Santos, A, Jacobs, J., Krop, E J M, Täubel, M, Hyvärinen, A, Heederik, D, Zock, J-P, dIRAS RA-I&I RA, LS IRAS EEPI GRA (Gezh.risico-analyse), dIRAS RA-2, dIRAS RA-I&I RA, LS IRAS EEPI GRA (Gezh.risico-analyse), and dIRAS RA-2
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,dampness ,Environmental Engineering ,respiratory health ,education ,Mixed regression ,Respiratory Tract Diseases ,Coronacrisis-Taverne ,school attendance ,daily symptoms ,010501 environmental sciences ,01 natural sciences ,03 medical and health sciences ,0302 clinical medicine ,children ,parasitic diseases ,medicine ,Humans ,Respiratory system ,Child ,Respiratory health ,Finland ,0105 earth and related environmental sciences ,Netherlands ,Childhood asthma ,Schools ,business.industry ,mold ,Public Health, Environmental and Occupational Health ,Humidity ,Building and Construction ,Confidence interval ,3. Good health ,medicine.anatomical_structure ,030228 respiratory system ,Spain ,Air Pollution, Indoor ,Female ,Human medicine ,Seasons ,Moisture Damage ,business ,Engineering sciences. Technology ,human activities ,School attendance ,Respiratory tract - Abstract
We investigated the effect of weekends and school holidays on the daily frequency and severity of respiratory and other symptoms among children attending schools with (index) or without (reference) moisture damage in Spain, the Netherlands, and Finland. Throughout 1 year, parents of 419 children with a respiratory condition attending index (n=15) or reference (n=10) primary schools completed three symptom diaries. We assessed associations between lower respiratory tract, upper respiratory tract or allergy, and other symptom scores and school day, weekend, or summer holiday using mixed regression models stratified by country and moisture damage. We evaluated interactions between moisture damage and type of day. We combined country-specific estimates (incidence rate ratios [IRRs] and 95% confidence interval [CI]) in meta-analyses. Symptom scores were lower during weekends and holiday. Lower respiratory tract symptoms were statistically significantly less common during holiday with strongest effect in index schools (IRR=0.7; CI=0.6-0.8). Reporting of other symptoms was more reduced during holiday in index (IRR=0.6; CI=0.4-0.9) than in reference (IRR=0.95; CI=0.8-1.2) schools (interaction P
- Published
- 2016