PMID- 38296088 OWN - NLM STAT- MEDLINE DCOM- 20240222 LR - 20240222 IS - 1879-1026 (Electronic) IS - 0048-9697 (Linking) VI - 917 DP - 2024 Mar 20 TI - Indoor air pollution is associated with respiratory symptoms in children in urban Vietnam. PG - 170556 LID - S0048-9697(24)00693-4 [pii] LID - 10.1016/j.scitotenv.2024.170556 [doi] AB - Exposure to indoor air pollution (IAP) is a leading environmental risk for respiratory diseases. We investigated the relationship between respiratory symptoms and polluting indoor activities such as smoking, cooking and contact with pets among children in Ho Chi Minh City (HCMC), Vietnam. A cross-sectional survey applied a multistage sampling method in 24 randomly selected secondary schools across the city. Approximately 15,000 students completed self-administrated questionnaires on risk factors and respiratory health outcomes within the preceding 12 months. Data were analyzed using a multivariable logistic regression model with robust standard errors. Wheeze was the most common respiratory symptom (39.5 %) reported, followed by sneezing and runny nose (28.3 %). A small percentage of students self-reported asthma (8.6 %). Approximately 56 % of participants lived with family members who smoked. A positive association between exposure to indoor secondhand smoke and respiratory symptoms was observed, with adjusted odds ratios (aOR) of 1.41 (95 % CI: 1.25-1.60, p < 0.001) for wheezing and 1.64 (95 % CI: 1.43-1.87, p < 0.001) for sneezing and runny nose, respectively. Using an open stove fuelled by coal, wood, or kerosene for cooking was associated with wheeze (aOR: 1.36, CI 95 %: 1.10-1.68, p = 0.01) and sneezing and runny nose (aOR: 1.36, CI 95 %: 1.09-1.69, p = 0.01). In the present study, IAP was associated with adverse health outcomes, as evidenced by an increase in respiratory symptoms reported within the previous 12 months. CI - Copyright (c) 2024 Elsevier B.V. All rights reserved. FAU - Le, Hong H T C AU - Le HHTC AD - Children's Health and Environment Program, Child Health Research Centre, The University of Queensland, Australia. FAU - Ngo, Hieu K T AU - Ngo HKT AD - Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Viet Nam. FAU - Hieu, Le Sy AU - Hieu LS AD - Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Viet Nam. FAU - Sly, Peter D AU - Sly PD AD - Children's Health and Environment Program, Child Health Research Centre, The University of Queensland, Australia. FAU - Phung, Dung AU - Phung D AD - School of Public Health, The University of Queensland, Australia. FAU - Le An, Pham AU - Le An P AD - Centre for the Training of Family Medicine, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam; Science and Technology Department, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam. Electronic address: phamlean@ump.edu.vn. FAU - Vinh, Nguyen Nhu AU - Vinh NN AD - Centre for the Training of Family Medicine, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam. FAU - Dang, Tran Ngoc AU - Dang TN AD - Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Viet Nam. FAU - Thuong, Do Thi Hoai AU - Thuong DTH AD - Science and Technology Department, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam. FAU - Thanh, Huynh Ngoc AU - Thanh HN AD - Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Viet Nam. FAU - Thai, Phong K AU - Thai PK AD - Queensland Alliance for Environmental Health Sciences (QAEHS), The University of Queensland, Australia. LA - eng PT - Journal Article DEP - 20240129 PL - Netherlands TA - Sci Total Environ JT - The Science of the total environment JID - 0330500 RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Child MH - Humans MH - *Air Pollution, Indoor/adverse effects MH - Cross-Sectional Studies MH - Sneezing MH - Vietnam/epidemiology MH - *Tobacco Smoke Pollution MH - Rhinorrhea MH - Cooking MH - *Air Pollution MH - Risk Factors OTO - NOTNLM OT - Children OT - Indoor air pollution OT - Respiratory symptoms OT - Vietnam COIS- Declaration of competing interest The authors have no conflicts of interest relevant to this article. EDAT- 2024/02/01 00:42 MHDA- 2024/02/22 06:43 CRDT- 2024/01/31 19:29 PHST- 2023/10/17 00:00 [received] PHST- 2024/01/07 00:00 [revised] PHST- 2024/01/27 00:00 [accepted] PHST- 2024/02/22 06:43 [medline] PHST- 2024/02/01 00:42 [pubmed] PHST- 2024/01/31 19:29 [entrez] AID - S0048-9697(24)00693-4 [pii] AID - 10.1016/j.scitotenv.2024.170556 [doi] PST - ppublish SO - Sci Total Environ. 2024 Mar 20;917:170556. doi: 10.1016/j.scitotenv.2024.170556. Epub 2024 Jan 29.