DOI QR코드

DOI QR Code

반려동물과 아동의 천식증상과의 관계에 관한 연구 - 반려견 및 반려묘를 중심으로 -

Association between Pets and Asthma Symptoms in Korean Children - Focusing on Dogs and Cats -

  • 조준호 (한양여자대학교 보건행정과)
  • Cho, Jun Ho (Department of Public Health Administration, Hanyang Women's University)
  • 투고 : 2019.12.10
  • 심사 : 2019.12.27
  • 발행 : 2020.02.29

초록

Objectives: The purpose of this study was to assess the association between pet ownership and asthma symptoms in Korean children. Methods: This study used data from the 8th Panel Study on Korean Children in 2015. For the final study, 1598 cases were used. Wheezing as an asthma symptom was self-reported as an outcome variable. Whether children had owned dogs or cats or not was used as an independent variable. Results: A total of 6.8% of children lived with dogs and 2.1% of children lived with cats in their homes. There were 4.0% of children who had asthma symptoms in the past year. When comparing 'children who had owned dogs for more than 12 months' with 'children who had not owned dogs', the adjusted odds ratio (OR) for 'asthma symptoms' were 1.20 (95% confidence interval (CI), 1.10-1.30) among male children and 2.19 (95% CI, 1.94-2.46) among female children. When comparing 'children who had owned cats for more than 12 months' with 'children who had not owned cats', the adjusted ORs for 'asthma symptoms' were 38.94 (95% CI, 35.55-42.65) among male children and 5.32 (95% CI, 4.60-6.16) among female children. When comparing 'children who had owned both dogs and cats for more than 12 months' with 'children who had not owned at all', the adjusted OR for 'asthma symptoms' was 13.22 (95% CI, 11.93-14.65), and when comparing 'children who had owned cats only' with 'children who had not owned at all', the adjusted OR for 'asthma symptoms' was 9.25 (95% CI, 8.50-10.08). Conclusions: As a result, children's asthma symptoms were higher in the case of cats than with dogs, and in the case of cats, boys were more at risk than girls. In the analysis for the risk of asthma symptoms when a dog and a cat are raised at the same time, it was statistically confirmed that the children in the home were more at risk than with single animal ownership. The results of this study can be considered to be of great importance in policy-making and for the use of educational materials in the field of environmental health.

키워드

참고문헌

  1. The Korean Academy of Asthma, Allergy and Clinical Immunology, Korean Academy of Pediatric Allergy and Respiratory Disease, National Strategic Coordinating Center for Clinical Research. Korean Guideline for Asthma. 2015. 4. 30. http://www.allergy.or.kr/file/150527_01.pdf
  2. Kim KH, Sun JY. OECD Statistics on Quality and Policy Implications. 2018 HIRA_12-4-05. https://www.hira.or.kr/sViewer/preViewFile.do?apndNo=1&apndBrdBltNo=687&apndBrdTyNo=20&apndBltNo=479
  3. Koo HJ, Lee SM, Lee SP, Han EA. Association of body mass index with asthma, allergy rhinitis, and atopic dermatitis among adolescents in Incheon, South Korea. Allergy Asthma Respir Dis. 2014; 2: 243-250. https://doi.org/10.4168/aard.2014.2.4.243
  4. Park SY, Kwon HS, Kim Ho, Yang HJ, Cho YS. Prevalence and Prevalence of Asthma in Korea Using National Health Data. Obstructive Lung Disease. 2016; 4: 23-32.
  5. US EPA. Asthma triggers. https://www.epa.gov/asthma/asthma-triggers-gain-control.
  6. Ji IB, Kim HJ, Kim WT, Seo GC. Development Strategies for the Companion Animal Industry. Korea Rural Economic Institute 2017.10, 1-231. http://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE07368359.
  7. Kim WK. Pets for Allergic Diseases. Autumn Annual Conference of The Korean Academy of Asthma. Allergy and Clinical Immunology. 2012; S518-522.
  8. Korea Institute of child Care and Education. Panel study on Korean children. http://panel.kicce.re.kr/kor/publication/01.jsp
  9. Linnemann DL, Tapia SR, Virgen C, Mallol J, Baeza Bacab MA, Marcos LG, Risk factors for wheezing in primary health care settings in the tropics, Annals of Allergy, Asthma and Immunology (2019), doi: https://doi.org/10.1016/j.anai.2019.11.008.
  10. Lee SY, In KH. Review: Immunopathogenesis of Asthma. Tuberculosis and Respiratory Diseases 2006; 60: 379-390. https://doi.org/10.4046/trd.2006.60.4.379
  11. Ownby DR, Johnson CC. Dogs, cats, and asthma: Will we ever really know the true risks and benefits?. J Allergy Clin Immunol. 2016; 138: 1591-1592. https://doi.org/10.1016/j.jaci.2016.08.021
  12. Chan SK, Leung DYM. Dog and Cat Allergies: Current State of Diagnostic Approaches and Challenges. Allergy Asthma Immunol Res. 2018; 10: 97-105. https://doi.org/10.4168/aair.2018.10.2.97
  13. Jung SS, Noh SR, Lee SY, Yoon JS, Cho HJ, Kim YH et al., Indoor pet ownership in infancy is a risk factor for the development of sensitization to pets and asthma in childhood. Allergy Asthma Respir Dis. 2019; 7: 99-105. https://doi.org/10.4168/aard.2019.7.2.99
  14. Hesselmar B, Hicke-Roberts A, Lundell AC, Adlerberth I, Rudin A, Saalman R,etal. Pet-keeping in early life reduces the risk of allergy in a dosedependent fashion. PLoS One. 2018 Dec 19; 13: e0208472. doi: 10.1371/journal.pone.0208472.eCollection 2018.
  15. Dawn KL, Leslie CG. An overview of allergens. Allergy & Asthma Proceedings. 2019; 40(6): 362-365. https://doi.org/10.2500/aap.2019.40.4247
  16. Le Souef PN, Sears MR, Sherrill D. The effect of size and age of subject on airway responsiveness in children. Am J Respir Crit Care Med. 1995; 152: 576-579. https://doi.org/10.1164/ajrccm.152.2.7633710
  17. Siroux V, Curt F, Oryszczyn MP, Maccario J, Kauffmann F. Role of gender and hormone-related events on IgE, atopy, and eosinophils in the Epidemiological Study on the Genetics and Environment of Asthma, bronchial hyperresponsiveness and atopy. J Allergy Clin Immunol. 2004; 114: 491-498. https://doi.org/10.1016/j.jaci.2004.05.027
  18. Ministry of Culture, Sports and Tourism. Report of pet ownership and public awarness in 2018. Sejong (Korea): Ministry of Culture, Sports and Tourism; 2018.
  19. Clarisse Gautier, Denis Charpin. Environmental triggers and avoidance in the management of asthma. Journal of Asthma and Allergy. 2017; 10: 47-56. https://doi.org/10.2147/JAA.S121276
  20. Hwang GS, Yoon CS, Choi JW. The Association between Childhood Asthma and Residential Environment through Case-Control Study. J Environ Health Sci. 2012; 38: 223-232.
  21. Bae HJ, Kim MH, Lee AK, Park JI. Acute Effects of PM10 on Asthma Hospitalization Among Children and Benefit Analysis at Four Major Cities in Korea. J Environ Health Sci. 2009; 35: 1-10.