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Wiley InterScience

Allergy

Allergy

Volume 57 Issue 3, Pages 247 - 253

Published Online: 21 Mar 2002

Journal compilation © 2010 John Wiley & Sons A/S



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Short communication
The association between synthetic bedding and adverse respiratory outcomes among skin-prick test positive and skin-prick test negative children
A.-L. Ponsonby 1,2 ,P. Gatenby 3 ,N. Glasgow 3 ,R. Mullins 4 ,M. Hurwitz 3 ,T. McDonald 5
  1 National Center for Epidemiology and Population Health, Australian National University,   2 Menzies Center for Population Health Research, University of Tasmania,   3 Canberra Clinical School, University of Sydney,   4 Department of Science and Design, University of Canberra,   5 Department of Paediatrics, Monash Medical Center, Monash University, Australia
Correspondence to Dr A.-L. Ponsonby, National Center for Epidemiology and Population Health, Innovations Building, Eggleston Road, Australian National University ACT 0200, Australia
Copyright © Munksgaard 2002
KEYWORDS
aeroallergen • sensitization • childhood • asthma • house dust mite • bedding.

ABSTRACT

Background: Synthetic bedding has been associated with increased child wheeze and also higher allergen levels in several studies. We aimed to examine whether the association between synthetic bedding and adverse respiratory outcomes was more evident among skin-prick test (SPT) positive children.

Methods: A cross-sectional survey involving a population sample of 758 (81% of eligible) school children aged 8–10 years from randomly selected schools in the Australian Capital Territory in 1999. Parental questionnaires for ISAAC respiratory symptoms and child bedding were obtained. SPT results of 10 common allergens were available on 722 of the subjects (77% of those eligible). Synthetic pillow or quilt use was termed synthetic upper bedding.

Results: Synthetic quilt use was associated with asthma (Adjusted Odds Ratio 1.67 (1.05, 2.65)), recent wheeze (AOR 1.63 (1.03, 2.59)) and allergic rhinoconjunctivitis (AOR 2.11 (1.33, 3.34)) among SPT-positive children. However, these associations were not apparent for SPT-negative children. Similarly, increasing synthetic upper bedding use was associated with more than 12 episodes of wheeze among SPT-positive children (AOR 1.69 (1.08, 2.64), P=0.02, per category) but not SPT-negative children (AOR 0.77 (0.26, 2.21), P=0.6, per category).

Conclusion: The apparent association between synthetic upper bedding and adverse respiratory outcomes was evident among SPT-positive but not SPT-negative children. Prospective intervention studies that aim to examine the effect of upper bedding composition on child asthma among SPT-positive children are required.


Accepted for publication 18 October 2001

DIGITAL OBJECT IDENTIFIER (DOI)
10.1034/j.1398-9995.2002.1s3234.x About DOI

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