title: Fewer allergic respiratory disorders among farmers' children in a closed birth cohort from Sweden.
abstract: The aim of this study was to investigate the prevalence of respiratory allergy, eczema and atopic sensitization in a closed birth cohort of Swedish schoolchildren, 7-8 yrs of age (n=707), of farmers and nonfarmers on the island of Gotland, in the Baltic Sea. All children were born and raised on the island. The survey comprised a questionnaire on atopic diseases and lifestyle factors. Atopic sensitization was assessed by the skin-prick test (SPT) with 15 standardized allergens. The risk ratio (RR) for ever having asthma and/or allergic rhinoconjunctivitis was significantly lower among children of farmers compared to children of nonfarmers (RR=0.38, confidence interval (CI) 95% 0.19-0.77). SPTs (test rate 92%) showed that 32% of the children had at least one positive test. Although the number of positive SPTs did not differ between the groups, there was a reduced risk among children of farmers for having both respiratory symptoms and sensitization to any International Study on Asthma and Allergy in Childhood allergen (RR=0.28, CI 95% 0.09-0.88). The present indicate that living in a farming population seems to protect against development of respiratory allergic disorders but not against allergic sensitization.
authors.affiliation: Dept of Pediatrics and Adolescent Medicine, Visby Hospital, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Klintberg
authors.forename: N
authors.initials: N
authors.lastname: Berglund
authors.forename: G
authors.initials: G
authors.lastname: Lilja
authors.forename: M
authors.initials: M
authors.lastname: Wickman
authors.forename: M
authors.initials: M
authors.lastname: van Hage-Hamsten
mesh_terms: D000383:Agriculture / Q000706:statistics & numerical data*; D001249:Asthma / Q000453:epidemiology; D002648:Child; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003876:Dermatitis, Atopic / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D007428:Intradermal Tests; D008297:Male; D012130:Respiratory Hypersensitivity / Q000453:epidemiology*; D013548:Sweden / Q000453:epidemiology