Cross-sectional survey of risk factors for asthma in 6–7-year-old children in New Zealand: International Study of Asthma and Allergy in Childhood Phase Three

Authors


Professor Edwin Mitchell, Department of Paediatrics, University of Auckland, Private Bag 92019, Auckland, New Zealand. Fax: +64 9 3737486; email: e.mitchell@auckland.ac.nz

Abstract

Aim:  To identify risk factors for asthma in primary school-aged children in New Zealand.

Methods:  A cross-sectional survey of 10 873 6–7-year-old children in Auckland, Bay of Plenty, Nelson and Christchurch (a response rate of 85.2%). A questionnaire was completed by the parent or care giver.

Results:  22.2% of children wheezed in the last 12 months (current wheeze). Maori children were at greater risk of current wheeze compared with European children (adjusted odds ratio (adjOR) = 1.37; 95% confidence interval = 1.18–1.59). Antibiotics and paracetamol used in the first year of life were associated with an increased risk of current wheeze (adjOR = 1.78 (1.56–2.04) and adjOR = 1.31 (1.06–1.61), respectively). Watching television for 5 or more hours per day was associated with an increased risk of current wheeze (adjOR = 1.44 (1.13–1.83)). Milk and egg consumption in the last 12 months was associated with a reduced risk of current wheeze.

Conclusions:  This study has identified risk factors for asthma in children aged 6–7 years, although causal pathways cannot be established. These associations have important public health implications if causal.

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