The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Having lived on a farm and protection against allergic diseases in Australia
Open accessAbstract
Background Farmers' children in northern Europe have a lower prevalence of atopy, hay fever and asthma than other children. Farms in Australia differ in scale and operation from those in Europe and the prevalence of allergic diseases in children is higher. Objective To investigate whether having lived on a farm as a child in Australia is associated with a lower risk of allergic diseases. Methods Cross‐sectional study of children (n = 1500) aged 7–12 years from two rural towns: Wagga Wagga in a mixed farming region, and Moree in a crop farming region. Parents answered a questionnaire and children had a skin prick test for atopy. Results Twenty percent of children had lived on a farm for at least 1 year. The effect of having lived on a farm differed between the towns (P < 0.001). It was associated with a lower risk of atopy in Wagga (adjusted odds ratio (aOR) 0.47, 95% confidence interval (CI) 0.32–0.72) but not in Moree (aOR 0.97, 95% CI 0.62–1.53). Children from Wagga were more likely to have lived on a livestock farm than children from Moree (26.1% vs. 9.1%, 95% CI for the difference 8.9–25.4). Conclusion Having lived on a farm in Australia can confer protection against atopy in children. Further studies are needed to identify possible protective mechanisms associated with farm animals or to establish whether the protective effect is explained by other related exposures.
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“The protective farm effect seems to be stronger when exposed to farm animals and stables.522,649-655”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [652]
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Cites
Reduced risk of hay fever and asthma among children of farmers
Ehrenstein, V., Mutius, V., Illi, Baumann, Böhm, & Kries, V. (2000) · Clinical & Experimental Allergy · doi:10.1046/j.1365-2222.2000.00801.x · Cited by 718
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Austrian children living on a farm have less hay fever, asthma and allergic sensitization
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The germless theory of allergic disease: revisiting the hygiene hypothesis
Wills-Karp, M. A., Santeliz, J., & Karp, C. L. (2001) · Nature reviews. Immunology · doi:10.1038/35095579 · Cited by 794
Farm living: effects on childhood asthma and allergy
von Mutius, E., & Vercelli, D. (2010) · Nature reviews. Immunology · doi:10.1038/nri2871 · Cited by 697
International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis
Wise, S. K., Lin, S. Y., Toskala, E., Orlandi, R. R., Akdis, C. A., Alt, J. A., Azar, A., Baroody, F. M., Bachert, C., Canonica, G. W., et al. (2018) · International Forum of Allergy & Rhinology · doi:10.1002/alr.22073 · Cited by 557
International consensus statement on allergy and rhinology: Allergic rhinitis – 2023
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Endotoxin Exposure Is a Risk Factor for Asthma
Thorne, P. S., Kulhánková, K., Yin, M., Cohn, R. D., Arbes, S. J., & Zeldin, D. C. (2005) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200505-758oc · Cited by 339
Metadata
- Authors
- Downs, S. H., Marks, G. B., Mitakakis, T. Z., Lëuppi, J. D., Car, N. G., & Peat, J. K.
- Affiliations
- The University of Sydney (AU)
- Charles Sturt University (AU)
- Children's Hospital at Westmead (AU)
- Corresponding author
- Downs, S. H.
- ORCID
- Marks, G. B.
- Venue
- Clinical & Experimental Allergy
- Publisher
- Wiley
- Published
- 2001-04
- Volume
- 31
- Issue
- 4
- Pages
- 570-575
- ISSN
- 0954-7894 (ISSN-L)
- 1365-2222
- OpenAlex
- W2065488410
- Cited by
- 170
- References
- 24
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 1 · 2016: 9 · 2015: 5 · 2014: 3 · 2013: 9 · 2012: 11
- FWCI
- 7.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical & Experimental Allergy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Medical Research Council
- Australian Research Council
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- farm life, childhood atopy, allergic diseases, asthma, allergic rhinitis, livestock exposure, rural children, Wagga Wagga, Moree, skin prick test, mixed farming, crop farming
- MeSH terms
- Asthma, Australia, Child, Cross-Sectional Studies, Female, Humans, Hypersensitivity, Hypersensitivity, Immediate, Immunization, Male, Surveys and Questionnaires, Risk Factors, Rural Health, Prevalence, Confidence Intervals, Odds Ratio
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