ORIGINAL RESEARCH
Prevalence of Asthma and Asthma-Related
Symptoms Among Adults Exposed to Indoor
Environmental Risk Factors: a Comparison
between Winter and Summer in Zunyi, China
Yu Jie, Li Kebing, Tang Yin, Xu Jie
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School of Public Health, Zunyi Medical University,
Zunyi Guizhou 563000, P.R. of China
Submission date: 2015-07-29
Final revision date: 2015-11-03
Acceptance date: 2015-11-04
Publication date: 2016-03-17
Pol. J. Environ. Stud. 2016;25(2):621-633
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ABSTRACT
Weather and climate are known to infl uence human health. Seasonal changes of temperature promote alterations
in respiratory morbidity and in total and cause-specifi c mortality. Data on the prevalence of asthma
and asthma-related symptoms and its disparities between winter and summer in the acid rain-plagued city of
Zunyi in southwestern China have not been widely available.
In order to describe the epidemiology of asthma and asthma-related symptoms and its prevalence changes
between winter and summer, we have completed two cross-sectional surveys of people aged ≥18 years in
winter and summer in the inner-city areas of Zunyi city, Guizhou Province, China.
The subjects were selected using a simple random sampling method. Data on asthma and asthma-related
symptoms and selected home environmental factors were assessed by questionnaire.
The studied Chinese adult population residing in Zunyi recorded a lower prevalence rate of asthma than
those of Western countries. There was signifi cant difference in asthma prevalence among adult respondents
between winter (1.8%) and summer (0.8%) in inner-city Zunyi. Asthma and asthma-related symptoms occurred
more frequently in winter than summer, and that difference mainly correlated with environmental
risk exposures, including coal combustion, frequency of stove cooking, fan or range hood usage, mattress
material, pet possession, must and mould in the bedroom, etc.
The prevalence of adult asthma and asthma-related symptoms was higher in winter compared to the
summer in Zunyi, China. Our study suggests that asthma may be an important component of the public
health burden of indoor air pollution, especially in winter.