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Thorax 65:409-416 doi:10.1136/thx.2009.126490
  • Asthma

Risk factors for atopic and non-atopic asthma in a rural area of Ecuador

Table 4

Risk factors for atopic and non-atopic wheeze

Risk factors Healthy n=2.927 Children with wheeze
Skin test reactivity n=56 Non-skin test reactivity n=334
n (%) n (%) OR (95% CI) n (%) OR (95% CI) p Value*
Demographic and socieconomic factors
Sex
 Female 1449 (88.3) 18 (1.1) 1.0 174 (10.6) 1.0
 Male 1478 (88.2) 38 (2.3) 2.73 (1.44 to 5.16) 160 (9.5) 0.91 (0.71 to 1.16) 0.004
Age, years
 6–9 1153 (85.6) 18 (1.3) 1.0 176 (13.1) 1.0
 10–12 1022 (88.9) 23 (2.0) 1.34 (0.70 to 2.57) 105 (9.1) 0.56 (0.42 to 0.74) 0.019
 13–16 752 (91.7) 15 (1.8) 0.95 (0.40 to 2.28) 53 (6.5) 0.39 (0.25 to 0.62) 0.082
Family income
 >US$150 dollars 520 (85.5) 9 (1.5) 1.0 79 (13.0) 1.0
 ≤US$150 2367 (88.8) 47 (1.8) 1.29 (0.71 to 2.36) 251 (9.4) 0.78 (0.60 to 1.01) 0.112
Maternal education level
 Complete secondary or higher 220 (83.6) 7 (2.7) 1.0 36 (13.7) 1.0
 Complete primary or incomplete secondary 1044 (89.3) 16 (1.4) 0.33 (0.09 to 1.23) 104 (9.3) 0.75 (0.47 to 1.18) 0.256
 Illiterate or incomplete primary 1635 (87.9) 33 (1.8) 0.53 (0.11 to 2.65) 191 (10.3) 0.80 (0.49 to 1.30) 0.626
Environmental factors
Charcoal for cooking
 No 2685 (88.2) 47 (1.5) 1.0 314 (10.3) 1.0
 Yes 235 (89.0) 9 (3.4) 2.22 (0.74 to 6.61) 20 (7.6) 0.79 (0.46 to 1.35) 0.068
River water
 No 852 (86.4) 12 (1.2) 1.0 122 (12.4) 1.0
 Yes 2075 (89.0) 44 (1.9) 1.22 (0.61 to 2.46) 212 (9.1) 0.80 (0.55 to 1.16) 0.263
Excreta disposal
 Toilet or latrine 1835 (89.2) 34 (1.6) 1.0 189 (9.2) 1.0
 Open field 1091 (86.8) 22 (1.7) 1.16 (0.57 to 2.38) 144 (11.5) 1.31 (0.94 to 1.83) 0.752
Cat inside house presently
 No 1905 (88.4) 32 (1.5) 1.0 219 (10.1) 1.0
 Yes 1020 (88.1) 24 (2.1) 1.50 (0.86 to 2.63) 114 (9.8) 0.76 (0.56 to 1.02) 0.011
Cat inside house ever
 No 1656 (89.3) 28 (1.5) 1.0 171 (9.2) 1.0
 Yes 1.269 (87.1) 28 (1.9) 1.45 (0.85 to 2.46) 160 (11.0) 1.25 (0.94 to 1.66) 0.631
Pig around house presently
 No 1457 (87.5) 27 (1.6) 1.0 181 (10.9) 1.0
 Yes 1466 (89.0) 29 (1.8) 1.22 (0.71 to 2.12) 152 (9.2) 0.87 (0.65 to 1.17) 0.281
Contact with animals on farms
 No 2041 (88.4) 33 (1.4) 1.0 235 (10.2) 1.0
 Yes 883 (87.9) 23 (2.3) 1.04 (0.60 to 1.81) 98 (9.8) 1.01 (0.74 to 1.39) 0.925
Maternal- and family-related factors
Birth order
 1st–3rd 1597 (86.9) 33 (1.8) 1.0 207 (11.3) 1.0
 ≥4th 1330 (89.9) 23 (1.6) 0.61 (0.29 to 1.28) 126 (8.5) 0.71 (0.57 to 0.88) 0.703
Day care
 No 1490 (88.0) 32 (1.9) 1.0 172 (10.1) 1.0
 <1 year old 383 (91.0) 4 (0.9) 0.66 (0.20 to 2.19) 34 (8.1) 0.81 (0.55 to 1.19) 0.731
 ≥1 year old 979 (87.4) 18 (1.6) 1.04 (0.52 to 2.09) 123 (11.0) 1.08 (0.85 to 1.38) 0.911
Mother smokes presently
 No 2488 (88.4) 44 (1.6) 1.0 283 (10.0) 1.0
 Yes 413 (87.3) 12 (2.5) 1.10 (0.39 to 3.12) 48 (10.2) 1.46 (0.83 to 2.56) 0.648
Mother smoked in pregnancy
 No 2555 (88.3) 44 (1.5) 1.0 295 (10.2) 1.0
 Yes 333 (87.6) 11 (2.9) 2.18 (0.63 to 7.48) 36 (9.5) 0.94 (0.53 to 1.67) 0.195
Maternal allergic diseases
 No 1842 (92.4) 29 (1.5) 1.0 122 (6.1) 1.0
 Yes 1016 (81.6) 24 (1.9) 1.64 (0.78 to 3.42) 206 (16.5) 3.24 (2.42 to 4.32) 0.055
Sedentarism
Frequency of watching television
 Never or sometimes 809 (89.2) 17 (1.9) 1.0 81 (8.9) 1.0
 1–3 h/day 1653 (88.3) 32 (1.7) 0.97 (0.56 to 1.65) 188 (10.0) 1.20 (0.85 to 1.68) 0.421
 >3 h/day 459 (86.5) 7 (1.3) 0.86 (0.32 to 2.30) 65 (12.2) 1.51 (1.06 to 2.16) 0.294
Frequency of exercise
 Daily 2209 (89.0) 42 (1.7) 1.0 232 (9.3) 1.0
 3 times a week 349 (86.8) 7 (1.7) 0.94 (0.40 to 2.20) 46 (11.5) 1.23 (0.82 to 1.83) 0.562
 Once a week or less 363 (85.8) 5 (1.2) 0.95 (0.36 to 2.48) 55 (13.0) 1.32 (0.81 to 2.14) 0.471
Geohelminth infections
Intensity of T trichiura, median
 Negative 1301 (88.3) 36 (2.5) 1.0 136 (9.2) 1.0
 ≤490 epg 803 (88.2) 14 (1.5) 0.49 (0.24 to 1.01) 93 (10.3) 1.00 (0.74 to 1.35) 0.072
 >490 epg 746 (88.5) 5 (0.6) 0.24 (0.09 to 0.63) 92 (10.9) 1.00 (0.70 to 1.43) 0.010
  • Only the factors which had a significant effect (p<0.20) in the univariate analysis for at least one of two outcomes are shown.

  • The OR and 95% CIs were calculated using a polytomous logistic regression model.

  • epg, eggs per gram.

  • * p Value for the test comparing the ORs for atopic and non-atopic wheeze.

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