Exposure to animals and the risk of allergic asthma: a population-based cross-sectional study in Finnish and Russian children.
BACKGROUND
There is little information on potential differences in animal exposure between Finland and Russia and particularly on the effects of animal exposure on asthma among Russian children. The aim of the study was to compare the pet and farm animal exposures and to assess the relations of pre- and postnatal animal exposures to the occurrence of allergic asthma in Finnish and Russian school children.


METHODS
We conducted a population-based cross-sectional study in neighbour towns on either side of the Finnish-Russian border; Imatra in Finland and Svetogorsk in Russia. The study population consisted of 512 Finnish and 581 Russian school children aged 7-16 years (response rate 79%). Multivariate logistic regression analysis was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI) related to each exposure.


RESULTS
Current indoor exposure to pets was more frequent among school children in Svetogorsk than in Imatra (67.5% vs. 56.0%, P < 0.001). Finnish children were exposed more frequently to dogs, whereas Russian children to cats during childhood and to farm animals during pregnancy and infancy. The risk of self-reported allergic asthma was inversely related to indoor dog keeping ever in Finland (adjusted OR 0.35, 95% CI 0.13, 0.95), whereas in Russia the risk of allergic asthma was increased in relation to combined indoor cat exposure during infancy and currently (4.56, 1.10, 18.91). The risk of asthma was elevated in relation to contact to farm animals during pregnancy (Finland: 1.95, 0.69, 5.50; Russia: 1.90, 0.70, 5.17) and early life (Finland: 2.05, 0.78, 5.40; Russia: 1.21, 0.39, 3.73).


CONCLUSIONS
Exposure to pets and farm animals during childhood differed significantly between Finland and Russia. Our study provides evidence that early-life exposure to cats increases the risk of asthma whereas exposure to dogs is protective. Our findings suggest that intermittent fetal and early-life exposure to farm animals increases the risk of allergic asthma in urban children visiting farms.
Hugg
Timo T
TT
South Karelia Allergy and Environment Institute, Joutseno, Finland and Institute of Health Sciences, University of Oulu, Oulu, Finland. timo.hugg@oulu.fi
Jaakkola
Maritta S
MS
Ruotsalainen
Risto
R
Pushkarev
Vadim
V
Jaakkola
Jouni J K
JJ
D000293:Adolescent; D000818:Animals; D000829:Animals, Domestic; D001249:Asthma / Q000453:epidemiology*; D002415:Cats; D002648:Child; D003430:Cross-Sectional Studies; D004285:Dogs; D004781:Environmental Exposure; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D008297:Male; D016017:Odds Ratio; D012306:Risk; D012426:Russia / Q000453:epidemiology