Abstract
Purpose
Few studies have evaluated teachers’ respiratory health, especially its relationship with school/home environment, and school policies. This study assessed asthma and smoking prevalence among teachers in Romania, teacher’s perception and knowledge of the school environment, policies and asthma management, and how school and home environment affected asthma, allergy, and respiratory infection symptoms.
Methods
This cross-sectional study obtained information from 104 Romanian teachers utilizing teacher questionnaire data for Romania only, as part of the Schools Indoor Pollution and Health: Observatory Network in Europe (SINPHONIE) study, a multicenter European research project conducted between 2010 and 2012. The SINPHONIE questionnaire collected comprehensive information on school and home environment, respiratory symptoms, smoking, and school policies. We used unconditional logistic regression analysis to examine environment–outcome relationships while controlling for socio-demographics and co-exposures.
Results
Our results showed the prevalence of asthma-like symptoms and smoking among teachers in Romania was higher than in other SINPHONIE schools and among US teachers. Factors statistically associated with asthma, allergy, and respiratory infection (all p < 0.05) include perception of health related to poor air quality in school, inappropriate cleaning of ventilation systems, dwelling proximity to busy traffic, and multiple school/home exposures. We also found lack of asthma management and environmental policies in the investigated Romanian schools.
Conclusion
We concluded that multiple school and home environmental factors were related to respiratory and allergic symptoms. High asthma burden and smoking are important public health problems in Romania. Future studies including larger sample size and exposure measurements are needed to confirm our findings.
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References
Abel MH, Sewell J (1999) Stress and burnout in rural and urban secondary school teachers. J Educ Res 92:287–293. doi:10.1080/00220679909597608
Abrahamsen R, Fell AKM, Svendsen MV et al (2017) Association of respiratory symptoms and asthma with occupational exposures: findings from a population-based cross-sectional survey in Telemark, Norway. BMJ Open 7:e014018. doi:10.1136/bmjopen-2016-014018
Anderson NJ, Fan ZJ, Reeb-Whitaker C et al (2014) Distribution of asthma by occupation: Washington state behavioral risk factor surveillance system data, 2006–2009. J Asthma 51:1035–1042. doi:10.3109/02770903.2014.939282
Annesi-Maesano I, Baiz N, Banerjee S et al (2013) Indoor air quality and sources in schools and related health effects. J Toxicol Environ Heal Part B 16:491–550. doi:10.1080/10937404.2013.853609
Carlsen HK, Modig L, Levinsson A et al (2015) Exposure to traffic and lung function in adults: a general population cohort study. BMJ Open 5:e007624. doi:10.1136/bmjopen-2015-007624
Centers for Disease Control and Prevention (CDC) (2016) Asthma. In: United States Dep. Heal. Hum. Serv. https://www.cdc.gov/asthma/. Accessed 13 Nov 2016
Csobod É, Annesi-Maesano I, Carrer P et al (2014) SINPHONIE—schools indoor pollution and health-observatory network in Europe—Final. Report. doi:10.2788/99220
Demissie Z, Brener ND, Mcmanus T et al (2014) School health profiles 2014: characteristics of health programs among secondary schools. Atlanta
Eng AT, Mannetje A, Douwes J et al (2010) The New Zealand workforce survey II: occupational risk factors for asthma. Ann Occup Hyg 54:154–164. doi:10.1093/annhyg/mep098
Gilliland FD, Islam T, Berhane K et al (2006) Regular smoking and asthma incidence in adolescents. Am J Respir Crit Care Med 174:1094–1100. doi:10.1164/rccm.200605-722OC
Greenland S, Mansournia MA (2015) Penalization, bias reduction, and default priors in logistic and related categorical and survival regressions. Stat Med 34:3133–3143. doi:10.1002/sim.6537
Greskevitch M, Kullman G, Bang KM, Mazurek JM (2007) Respiratory disease in agricultural workers: mortality and morbidity statistics. J Agromedicine 12:5–10
Homa DM, Neff LJ, King BA et al (2015) Vital signs: disparities in nonsmokers’ exposure to secondhand smoke–United States, 1999–2012. MMWR Morb Mortal Wkly Rep 64:103–108
Hu Z-W, Zhao Y-N, Cheng Y et al (2016) Living near a major road in beijing: association with lower lung function, airway acidification, and chronic cough. Chin Med J (Engl) 129:2184. doi:10.4103/0366-6999.189923
Kephalopoulos S, Csobod E, Bruinen de Bruin Y et al (2014) Technical report: Guidelines for healthy environments within European schools; report number: EUR 26726 EN ISBN 978-92-79-39151-4. ISSN 1831–9424. doi:10.2788/89936
Kielb C, Lin S, Muscatiello N et al (2015) Building-related health symptoms and classroom indoor air quality: a survey of school teachers in New York state. Indoor Air 25:371–380. doi:10.1111/ina.12154
Kile ML, Coker ES, Smit E et al (2014) A cross-sectional study of the association between ventilation of gas stoves and chronic respiratory illness in US children enrolled in NHANESIII. Environ Health 13(1):71–79. doi:10.1186/1476-069X-13-71
Kolari S, Heikkilä-Kallio U, Luoma M et al (2005) The effect of duct cleaning on perceived work environment and symptoms of office employees in non-problem buildings. Build Environ 40:1665–1671. doi:10.1016/j.buildenv.2004.12.003
Lin S, Munsie JP, Hwang S-A et al (2002) Childhood asthma hospitalization and residential exposure to state route traffic. Environ Res 88:73–81. doi:10.1006/enrs.2001.4303
Lin S, Gomez MI, Hwang S-A et al (2008a) Self-reported home environmental risk factors for childhood asthma: a cross-sectional study of children in buffalo, New York. J Asthma 45:325–332. doi:10.1080/02770900801930285
Lin T-C, Krishnaswamy G, Chi DS (2008b) Incense smoke: clinical, structural and molecular effects on airway disease. Clin Mol Allergy 6:3. doi:10.1186/1476-7961-6-3
Manoukian A, Quivet E, Temime-Roussel B et al (2013) Emission characteristics of air pollutants from incense and candle burning in indoor atmospheres. Environ Sci Pollut Res 20:4659–4670. doi:10.1007/s11356-012-1394-y
Mazurek JM, Filios M, Willis R et al (2008) Work-related asthma in the educational services industry: California, Massachusetts, Michigan, and New Jersey, 1993–2000. Am J Ind Med 51:47–59. doi:10.1002/ajim.20539
McHugh MK, Symanski E, Pompeii LA, Delclos GL (2010) Prevalence of asthma by industry and occupation in the US working population. Am J Ind Med. doi:10.1002/ajim.20800
Perlman SE, Chernov C, Farley SM et al (2016) Exposure to secondhand smoke among nonsmokers in New York city in the context of recent tobacco control policies: current status, changes over the past decade, and National Comparisons. Nicotine Tob Res 18:2065–2074. doi:10.1093/ntr/ntw135
Pomés A, Chapman MD, Wünschmann S (2016) Indoor allergens and allergic respiratory disease. Curr Allergy Asthma Rep 16:43. doi:10.1007/s11882-016-0622-9
Public Health Information Group (2015) Information on asthma in New York State. In: New York State Dep. Heal. https://www.health.ny.gov/statistics/ny_asthma/asthmaprevadult13.htm. Accessed 13 Nov 2016
Schikowski T, Sugiri D, Ranft U et al (2005) Long-term air pollution exposure and living close to busy roads are associated with COPD in women. Respir Res 6:152. doi:10.1186/1465-9921-6-152
Stokes M, Chen F, Gunes F (2014) An Introduction to Bayesian Analysis with SAS/STAT® Software. SAS Institute Inc., Cary, NC
Whelan EA, Lawson CC, Grajewski B et al (2003) Prevalence of respiratory symptoms among female flight attendants and teachers. Occup Environ Med 60:929–934
Wirl C, Puklová V (2007) Prevalence of asthma and allergies in children. European Environment and Health Information System—FACT SHEET NO. 3.1, code RPG3_Air_E1, available at http://www.euro.who.int/__data/assets/pdf_file/0012/96996/3.1.pdf. Accessed 5 June 2017
Acknowledgements
This work was supported by SINPHONIE (Schools Indoor Pollution and Health-Observatory Network in Europe) project carried out under contract (contract SANCO/2009/C4/04), for the European Commission, and funded by the European Parliament. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funders. The funders played no role in the study design, data collection, analysis and interpretation, in the writing of the report, or in the decision to submit this article for publication. We would also like to thank the participants, whose generous time and effort made this study possible.
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Lin, S., Lawrence, W.R., Lin, Z. et al. Teacher respiratory health symptoms in relation to school and home environment. Int Arch Occup Environ Health 90, 725–739 (2017). https://doi.org/10.1007/s00420-017-1235-x
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DOI: https://doi.org/10.1007/s00420-017-1235-x