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Artículo

Association of outdoor air pollution with the prevalence of asthma in children of Latin America and the Caribbean: A systematic review and meta-analysis

Orellano, Pablo WenceslaoIcon ; Quaranta, Nancy Esther; Reynoso, Julieta; Balbi, Brenda; Vasquez, Julia
Fecha de publicación: 12/2017
Editorial: Taylor
Revista: Journal Of Asthma
ISSN: 0277-0903
Idioma: Inglés
Tipo de recurso: Artículo publicado
Clasificación temática:
Salud Ocupacional; Salud Ocupacional

Resumen

OBJECTIVE:This study aimed to evaluate the association between asthma prevalence and outdoor air pollution in children in Latin America and the Caribbean.DATA SOURCES:We searched studies in global and regional databases: PubMed, Scopus, LILACS and SciELO.STUDY SELECTION:Articles following a cross-sectional design, studying children from 0 to 18 years old, and comparing the prevalence of asthma in two or more areas of LAC countries with different air pollution levels were included. The exclusion criteria comprised air pollution not related to human activities.RESULTS:Database searches retrieved 384 records, while 20 studies were retained for qualitative and 16 for quantitative analysis, representing 48 442 children. We found a positive association, i.e. a higher prevalence of asthma in children living in a polluted environment, with pooled odds ratio (OR) of 1.34 (95% CI: 1.17-1.54). Heterogeneity between studies was moderate (I2: 68.39%), while the risk of bias was intermediate or high in 14 studies. In all the subgroup and sensitivity analyses, the pooled ORs were significant and higher than those found in the general analysis Conclusions: Our results showed that living in a polluted environment is significantly associated with children having asthma in LAC. Limitations of this study include the low number of studies performed in LAC countries, differences in methodologies and the risk of bias in individual studies.
Palabras clave: Air Pollution , Asthma , Child Health , Latin-America , Meta-Analysis
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info:eu-repo/semantics/restrictedAccess Excepto donde se diga explícitamente, este item se publica bajo la siguiente descripción: Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Unported (CC BY-NC-SA 2.5)
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URI: http://hdl.handle.net/11336/41373
DOI: https://dx.doi.org/10.1080/02770903.2017.1402342
URL: https://www.tandfonline.com/doi/full/10.1080/02770903.2017.1402342
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Citación
Orellano, Pablo Wenceslao; Quaranta, Nancy Esther; Reynoso, Julieta; Balbi, Brenda; Vasquez, Julia; Association of outdoor air pollution with the prevalence of asthma in children of Latin America and the Caribbean: A systematic review and meta-analysis; Taylor ; Journal Of Asthma; 12-2017; 1-13
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