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Association between pets and dry eye symptoms: a Chinese national-based study

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Resumo:Background: Pet-derived allergens are another source of indoor air pollution that could affect human health. However, the association between pet ownership and the risk of dry eye symptoms (DES) remains to be elucidated. Methods: We conducted a nationwide cross-sectional survey among Chinese residents aged over 12 years from June 20, 2022, to August 31, 2022. The Ocular Surface Disease Index-6 (OSDI-6) questionnaire was utilized to evaluate the presence of DES. Multivariable logistic regression models were used to analyze the associations between pet ownership and DES. Subgroup analyses were conducted based on sex, age, residence and affective disorders, and sensitivity analysis by excluding participants with major ocular diseases. The interactions between pet ownership and other risk factors on DES were explored in the additive scale by calculating the synergy index (SI). Results: A total of 21,916 subjects replied to the questionnaire. The prevalence of DES was 43.6 % (95 % confidence interval (CI), 43.0 %-44.3 %). Pet ownership was significantly associated with increased risk of DES (Odds ratio (OR): 1.13, 95%CI: 1.05-1.21), especially among the elderly (OR: 1.28, 95%CI: 1.09-1.51) and urban residents (OR: 1.13, 95%CI: 1.04-1.24). The individual effect of allergic rhinitis on DES was 2.59 (95%CI: 1.27-5.53), while the joint effect of pets and allergic rhinitis was 5.26 (95%CI: 1.20-36.74), suggesting a synergistic interaction with a SI of 2.48 (95%CI: 0.25-24.39). Furthermore, the interaction analysis also indicated a synergistic interaction between pet ownership and low health literacy with a SI of 1.12 (95%CI: 0.66-1.87). Conclusion: Pet ownership was identified as a risk factor for DES. The synergistic interaction of pet ownership and allergic rhinitis suggests shared mechanisms between DES and allergic conditions.
Autores principais:Kai, Jia-Yan
Outros Autores:Wu, Yi-Bo; Chen, Hui-Min; Hu, Dan-Ning; Lança, Carla; Grzybowski, Andrzej; Zhang, Lijun; Zhang, Xiao-Feng; Pan, Chen-Wei
Assunto:Ophthalmology Allergic rhinitis Dry eye Health literacy Pets
Ano:2024
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso embargado
Instituição associada:Instituto Politécnico de Lisboa
Idioma:inglês
Origem:Repositório Científico do Instituto Politécnico de Lisboa
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author Kai, Jia-Yan
author2 Wu, Yi-Bo
Chen, Hui-Min
Hu, Dan-Ning
Lança, Carla
Grzybowski, Andrzej
Zhang, Lijun
Zhang, Xiao-Feng
Pan, Chen-Wei
author2_role author
author
author
author
author
author
author
author
author_facet Kai, Jia-Yan
Wu, Yi-Bo
Chen, Hui-Min
Hu, Dan-Ning
Lança, Carla
Grzybowski, Andrzej
Zhang, Lijun
Zhang, Xiao-Feng
Pan, Chen-Wei
author_role author
contributor_name_str_mv RCIPL
country_str PT
creators_json_txt [{\"Person.name\":\"Kai, Jia-Yan\"},{\"Person.name\":\"Wu, Yi-Bo\"},{\"Person.name\":\"Chen, Hui-Min\"},{\"Person.name\":\"Hu, Dan-Ning\"},{\"Person.name\":\"Lança, Carla\",\"Person.identifier.orcid\":\"0000-0001-9918-787X\"},{\"Person.name\":\"Grzybowski, Andrzej\"},{\"Person.name\":\"Zhang, Lijun\"},{\"Person.name\":\"Zhang, Xiao-Feng\"},{\"Person.name\":\"Pan, Chen-Wei\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RCIPL
datacite.creators.creator.creatorName.fl_str_mv Kai, Jia-Yan
Wu, Yi-Bo
Chen, Hui-Min
Hu, Dan-Ning
Lança, Carla
Grzybowski, Andrzej
Zhang, Lijun
Zhang, Xiao-Feng
Pan, Chen-Wei
datacite.date.Accepted.fl_str_mv 2024-10-01T00:00:00Z
datacite.date.available.fl_str_mv 2026-11-13T00:00:00Z
datacite.date.embargoed.fl_str_mv 2026-11-13T00:00:00Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_f1cf
datacite.subjects.subject.fl_str_mv Ophthalmology
Allergic rhinitis
Dry eye
Health literacy
Pets
datacite.titles.title.fl_str_mv Association between pets and dry eye symptoms: a Chinese national-based study
dc.contributor.none.fl_str_mv RCIPL
dc.creator.none.fl_str_mv Kai, Jia-Yan
Wu, Yi-Bo
Chen, Hui-Min
Hu, Dan-Ning
Lança, Carla
Grzybowski, Andrzej
Zhang, Lijun
Zhang, Xiao-Feng
Pan, Chen-Wei
dc.date.Accepted.fl_str_mv 2024-10-01T00:00:00Z
dc.date.available.fl_str_mv 2026-11-13T00:00:00Z
dc.date.embargoed.fl_str_mv 2026-11-13T00:00:00Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.21/17896
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Elsevier
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_f1cf
dc.subject.none.fl_str_mv Ophthalmology
Allergic rhinitis
Dry eye
Health literacy
Pets
dc.title.fl_str_mv Association between pets and dry eye symptoms: a Chinese national-based study
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Background: Pet-derived allergens are another source of indoor air pollution that could affect human health. However, the association between pet ownership and the risk of dry eye symptoms (DES) remains to be elucidated. Methods: We conducted a nationwide cross-sectional survey among Chinese residents aged over 12 years from June 20, 2022, to August 31, 2022. The Ocular Surface Disease Index-6 (OSDI-6) questionnaire was utilized to evaluate the presence of DES. Multivariable logistic regression models were used to analyze the associations between pet ownership and DES. Subgroup analyses were conducted based on sex, age, residence and affective disorders, and sensitivity analysis by excluding participants with major ocular diseases. The interactions between pet ownership and other risk factors on DES were explored in the additive scale by calculating the synergy index (SI). Results: A total of 21,916 subjects replied to the questionnaire. The prevalence of DES was 43.6 % (95 % confidence interval (CI), 43.0 %-44.3 %). Pet ownership was significantly associated with increased risk of DES (Odds ratio (OR): 1.13, 95%CI: 1.05-1.21), especially among the elderly (OR: 1.28, 95%CI: 1.09-1.51) and urban residents (OR: 1.13, 95%CI: 1.04-1.24). The individual effect of allergic rhinitis on DES was 2.59 (95%CI: 1.27-5.53), while the joint effect of pets and allergic rhinitis was 5.26 (95%CI: 1.20-36.74), suggesting a synergistic interaction with a SI of 2.48 (95%CI: 0.25-24.39). Furthermore, the interaction analysis also indicated a synergistic interaction between pet ownership and low health literacy with a SI of 1.12 (95%CI: 0.66-1.87). Conclusion: Pet ownership was identified as a risk factor for DES. The synergistic interaction of pet ownership and allergic rhinitis suggests shared mechanisms between DES and allergic conditions.
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identifier.url.fl_str_mv http://hdl.handle.net/10400.21/17896
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institution Instituto Politécnico de Lisboa
instname_str Instituto Politécnico de Lisboa
language eng
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network_name_str Repositório Científico do Instituto Politécnico de Lisboa
oai_identifier_str oai:repositorio.ipl.pt:10400.21/17896
organization_str_mv urn:organizationAcronym:ipl
person_str_mv Kai, Jia-Yan
Wu, Yi-Bo
Chen, Hui-Min
Hu, Dan-Ning
Lança, Carla
Lança, Carla
https://www.ciencia-id.pt/601A-6412-BF2F
601A-6412-BF2F
http://orcid.org/0000-0001-9918-787X
0000-0001-9918-787X
Grzybowski, Andrzej
Zhang, Lijun
Zhang, Xiao-Feng
Pan, Chen-Wei
publishDate 2024
publisher.none.fl_str_mv Elsevier
reponame_str Repositório Científico do Instituto Politécnico de Lisboa
repository_id_str urn:repositoryAcronym:ripl
service_str_mv urn:repositoryAcronym:ripl
spelling engElsevierpt_PTBackground: Pet-derived allergens are another source of indoor air pollution that could affect human health. However, the association between pet ownership and the risk of dry eye symptoms (DES) remains to be elucidated. Methods: We conducted a nationwide cross-sectional survey among Chinese residents aged over 12 years from June 20, 2022, to August 31, 2022. The Ocular Surface Disease Index-6 (OSDI-6) questionnaire was utilized to evaluate the presence of DES. Multivariable logistic regression models were used to analyze the associations between pet ownership and DES. Subgroup analyses were conducted based on sex, age, residence and affective disorders, and sensitivity analysis by excluding participants with major ocular diseases. The interactions between pet ownership and other risk factors on DES were explored in the additive scale by calculating the synergy index (SI). Results: A total of 21,916 subjects replied to the questionnaire. The prevalence of DES was 43.6 % (95 % confidence interval (CI), 43.0 %-44.3 %). Pet ownership was significantly associated with increased risk of DES (Odds ratio (OR): 1.13, 95%CI: 1.05-1.21), especially among the elderly (OR: 1.28, 95%CI: 1.09-1.51) and urban residents (OR: 1.13, 95%CI: 1.04-1.24). The individual effect of allergic rhinitis on DES was 2.59 (95%CI: 1.27-5.53), while the joint effect of pets and allergic rhinitis was 5.26 (95%CI: 1.20-36.74), suggesting a synergistic interaction with a SI of 2.48 (95%CI: 0.25-24.39). Furthermore, the interaction analysis also indicated a synergistic interaction between pet ownership and low health literacy with a SI of 1.12 (95%CI: 0.66-1.87). Conclusion: Pet ownership was identified as a risk factor for DES. The synergistic interaction of pet ownership and allergic rhinitis suggests shared mechanisms between DES and allergic conditions.application/pdfpt_PTAssociation between pets and dry eye symptoms: a Chinese national-based studyKai, Jia-YanWu, Yi-BoChen, Hui-MinHu, Dan-NingPersonalLança, CarlaDSpacehttp://dspace.org/items/0320b455-ee19-4670-8bf2-10dce9de1becDSpacehttp://dspace.org/items/0320b455-ee19-4670-8bf2-10dce9de1becLançaCarlaCiência IDhttps://www.ciencia-id.pt601A-6412-BF2FORCIDhttp://orcid.org0000-0001-9918-787XGrzybowski, AndrzejZhang, LijunZhang, Xiao-FengPan, Chen-WeiHostingInstitutionOrganizationalRCIPLe-mailmailto:rcaap@sp.ipl.ptrcaap@sp.ipl.ptDOIIsPartOf10.1016/j.scitotenv.2024.1769542024-102024-10-01T00:00:00Z2026-11-13T00:00:00ZHandlehttp://hdl.handle.net/10400.21/17896http://purl.org/coar/access_right/c_f1cfembargoed accessOphthalmologyAllergic rhinitisDry eyeHealth literacyPets1691290 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2024-10http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_f1cfapplication/pdffulltexthttps://repositorio.ipl.pt/bitstreams/1554a75c-c211-49ba-94ad-d8d39c535ac3/downloadScience of The Total Environment955176954
spellingShingle Association between pets and dry eye symptoms: a Chinese national-based study
Kai, Jia-Yan
Ophthalmology
Allergic rhinitis
Dry eye
Health literacy
Pets
status SINGLETON
subject.fl_str_mv Ophthalmology
Allergic rhinitis
Dry eye
Health literacy
Pets
title Association between pets and dry eye symptoms: a Chinese national-based study
title_full Association between pets and dry eye symptoms: a Chinese national-based study
title_fullStr Association between pets and dry eye symptoms: a Chinese national-based study
title_full_unstemmed Association between pets and dry eye symptoms: a Chinese national-based study
title_short Association between pets and dry eye symptoms: a Chinese national-based study
title_sort Association between pets and dry eye symptoms: a Chinese national-based study
topic Ophthalmology
Allergic rhinitis
Dry eye
Health literacy
Pets
topic_facet Ophthalmology
Allergic rhinitis
Dry eye
Health literacy
Pets
url http://hdl.handle.net/10400.21/17896
visible 1