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• W2119565566 abstract "Objective: We calculated the population attributable fraction (PAF) of Canadian childhood asthma due to modifiable environmental exposures, in order to estimate their relative contributions to asthma development based on the current literature. Methods: We conducted a systematic review to determine Canadian childhood asthma incidence, Canadian prevalence of exposure to airborne pollutants and indoor allergens, and international estimates of the risk of developing physician-diagnosed asthma (PDA) associated with each exposure. Combining risk estimates by meta-analysis where possible, PAF was calculated by the formula: PAF = AR * Exposure prevalence * 100% Asthma incidence Synthesis: Age-specific Canadian childhood asthma incidence ranged from 2.8%-6.9%. Canadian exposure prevalences were: PM 10 16%, PM 2.5 7.1%, NO 2 25%, environmental tobacco smoke (ETS) 9.0%, cat 22%, dog 12%, mouse 17%, cockroach 9.8%, dust mite 30%, moisture 14% and mould 33%. Relative risk estimates of PDA were: PM 10 1.64, PM 2.5 1.44, NO 2 1.29, ETS 1.40, mouse 1.23, cockroach 1.96, and spanned 1.00 for cat, dog, dust mites, moisture and mould. PAF estimates for incident asthma among preschool children were: PM 10 11%, PM 2.5 1.6%, NO 2 4.0%, ETS 2.9%, mouse 6.5% and cockroach 13%. Conclusions: This systematic review suggests contributions to childhood asthma development from exposure to particulates, NO2, ETS, mouse and cockroach. The associations appeared to be more complex for cat, dog and dust mite allergens and more variable for mould and moisture. Additional prospective, population-based studies of childhood asthma development with objectively-measured exposures are needed to further quantify these associations. Key words: Asthma; children; population attributable fraction; environmental exposure" @default.
• W2119565566 created "2016-06-24" @default.
• W2119565566 creator A5016809126 @default.
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• W2119565566 date "2011-01-01" @default.
• W2119565566 modified "2023-10-09" @default.
• W2119565566 title "The Population Attributable Fraction of Asthma Among Canadian Children" @default.
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• W2119565566 doi "https://doi.org/10.1007/bf03404874" @default.
• W2119565566 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6974220" @default.
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