HOW CAN CHILD WITH ASTMA EXACERBATIONS ATTACK IN HOME
Sutaryono1)*, Anita Agustina Styawan 2), Muchson Arosyid3), Istianna Nurhidayati4)
1)Department of Pharmacy, Muhammadiyah Health College Klaten, Indonesia
2)Department of Pharmacy, Muhammadiyah Health College Klaten, Indonesia
3)Department of Pharmacy, Muhammadiyah Health College Klaten , Indonesia
4)Departmen of Nursing, Muhammadiyah Health College Klaten, Indonesia
Abstract
Household air pollution is strongly influenced by physical environmental characteristics of the house and its inhabitants- behavior. Long-term exposure to air pollution has an effect on public health, especially the risk of asthma exacerbations. The aims this study was to analyze the influence of household environment and exposure tobacco smoke on asthma exacerbation risk in child. This study used an observational cohort in 12 weeks. The sample of this study was 114 children in Surakarta with asthma aged 12-18 years. Examination of the household environment includes lighting, temperature, humidity and ventilation. The researchers used selft-reported observation with questionnaire to find demografy, activity or behaviors room cleanliness, enable ventilation and smoking behavior. In addition, researchers used Asthma Control Test (ACT) to assess the risk of asthma attack. Survival analysis was conducted by using Cox Proportional Hazard Model with 95% of confidence interval. The results showed that the respondents physical environment based on ventilation, room temperature, humidity, lighting mostly had an unhealthy house category 71 (62.3%), the habit of doing house cleaning 82 (71.9%) and functioning of ventilation by opening the door and home windows as many as 89 (78.1%) and family habits of smoking indoors (61.4%). Children who live in unhealthy homes experience 48 children (73.85%) of exacerbation asthma attacks and are statistically significant (log rank test p: 0.009) and increase the risk of exacerbation of asthma (HR = 2.00, 95% CI= 1.148–3.483, p = 0.014). Household physical environments increased risk of asthma exacerbation attacks in children. Therefore, its necessary to be done is to maintain ventilation, temperature, humidity, room lighting according to quality standards and healthy occupant behavior.
Keywords: Household physical environment, behavior, asthma, exacerbations
Topic: Health Science