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Associations Between Indoor Air Quality Parameters and Respiratory and Allergic Symptoms among Young Children in Childcare Centres

JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) · Vol. 18 No. 1si (2026) · hlm. 155–164

DOI
10.20473/jkl.v18i1si.2026.155-164
ISSN
2540-881X, 1829-7285
Terbit
2026-06-21
Penerbit
Universitas Airlangga
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-nc-sa/4.0

Abstrak

Introduction: Children attending childcare centres are particularly vulnerable to indoor environmental exposures. However evidence on indoor air quality (IAQ) in Malaysian childcare settings remains limited. This study assessed IAQ characteristics, evaluated respiratory and allergic symptoms among children and examined the linked between IAQ parameters and health outcomes. Methods: The cross-sectional investigation was carried out in fifteen (15) childcare centres. IAQ was evaluated using parameters such as temperature, relative humidity (RH), air movement, fine particulate matter (PM2.5), total volatile organic compound (TVOC), carbon dioxide (CO2) were measured using standardised instruments. Multiple linear regression analysis was performed to examine associations between IAQ parameters and health outcome while Principal Component Analysis (PCA) and Hierarchical Cluster Analysis (HCA) explored IAQ patterns across childcare centres. Results and Discussion: PM2.5, CO2, TVOC, and air movement generally complied with IAQ acceptable limits, whereas temperature and RH frequently exceeded the recommended ranges. Respiratory symptoms particularly wheezing (32.9%) and allergic symptoms including rhinitis (40.6%) were commonly reported. PM2.5 concentrations was significantly associated with respiratory symptoms scores (p < 0.037) while parental smoking exposure was also identified as a significant factor. No significant associations were observed for allergic symptoms. PCA and HCA demonstrated variability in IAQ profiles across childcare centres. Conclusion: Although most IAQ parameters complied with guideline limits, thermal comfort issues were frequently observed. The findings provide preliminary evidence that PM2.5 exposure and parental smoking may be associated with respiratory symptoms among children in childcare settings.

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  • Universitas Airlangga
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Rekan penulisOrganisasiArtikel bersama
Galuh Mega KurniaAfiliasi tidak diketahui3
Khuliyah Candraning DiyanahUniversitas Airlangga2
Retno AdriyaniAfiliasi tidak diketahui2
Namira Zulaikha PutriAfiliasi tidak diketahui2
Ahmad Zia Ul-SaufieAfiliasi tidak diketahui2
Rika SatyadewiAfiliasi tidak diketahui1
Arina Mufida ErsantiAfiliasi tidak diketahui1
Dwi Sinta NirmalaAfiliasi tidak diketahui1
Inta HestyaAfiliasi tidak diketahui1
Devi Anggar OktavianiAfiliasi tidak diketahui1
Upi - AlmasariAfiliasi tidak diketahui1
Ika PrastianiAfiliasi tidak diketahui1
R AzizahAfiliasi tidak diketahui1
Lilis SulistyoriniAfiliasi tidak diketahui1
Yuliana SarasatiAfiliasi tidak diketahui1
Zia Azuro ZuhairohAfiliasi tidak diketahui1
Mohd Talib LatifAfiliasi tidak diketahui1
Karunia Friska PratamaAfiliasi tidak diketahui1
Maya Puspita SariAfiliasi tidak diketahui1

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Sumber metadata: OAI-PMH (metadata jurnal) https://e-journal.unair.ac.id/JKL/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc)
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Associations Between Indoor Air Quality Parameters and Respiratory and Allergic Symptoms among Young Children in Childcare Centres</dc:title>
	<dc:creator>Nur Sajidah Mohamad Sirat</dc:creator>
	<dc:creator>Siti Nurshahida Nazli</dc:creator>
	<dc:creator>Ahmad Zia Ul-Saufie Mohamad Japeri</dc:creator>
	<dc:creator>Shantakumari Rajan</dc:creator>
	<dc:creator>Corie Indria Prasasti</dc:creator>
	<dc:subject xml:lang="en-US">Childcare Centre</dc:subject>
	<dc:subject xml:lang="en-US">Hierarchical Cluster Analysis (HCA)</dc:subject>
	<dc:subject xml:lang="en-US">Indoor Air Quality (IAQ)</dc:subject>
	<dc:subject xml:lang="en-US">Principal Component Analysis (PCA)</dc:subject>
	<dc:subject xml:lang="en-US">Respiratory Symptoms</dc:subject>
	<dc:description xml:lang="en-US">Introduction: Children attending childcare centres are particularly vulnerable to indoor environmental exposures. However evidence on indoor air quality (IAQ) in Malaysian childcare settings remains limited. This study assessed IAQ characteristics, evaluated respiratory and allergic symptoms among children and examined the linked between IAQ parameters and health outcomes. Methods: The cross-sectional investigation was carried out in fifteen (15) childcare centres. IAQ was evaluated using parameters such as temperature, relative humidity (RH), air movement, fine particulate matter (PM2.5), total volatile organic compound (TVOC), carbon dioxide (CO2) were measured using standardised instruments. Multiple linear regression analysis was performed to examine associations between IAQ parameters and health outcome while Principal Component Analysis (PCA) and Hierarchical Cluster Analysis (HCA) explored IAQ patterns across childcare centres. Results and Discussion: PM2.5, CO2, TVOC, and air movement generally complied with IAQ acceptable limits, whereas temperature and RH frequently exceeded the recommended ranges. Respiratory symptoms particularly wheezing (32.9%) and allergic symptoms including rhinitis (40.6%) were commonly reported. PM2.5 concentrations was significantly associated with respiratory symptoms scores (p &amp;lt; 0.037) while parental smoking exposure was also identified as a significant factor. No significant associations were observed for allergic symptoms. PCA and HCA demonstrated variability in IAQ profiles across childcare centres. Conclusion: Although most IAQ parameters complied with guideline limits, thermal comfort issues were frequently observed. The findings provide preliminary evidence that PM2.5 exposure and parental smoking may be associated with respiratory symptoms among children in childcare settings.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2026-06-21</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/JKL/article/view/89134</dc:identifier>
	<dc:identifier>10.20473/jkl.v18i1si.2026.155-164</dc:identifier>
	<dc:source xml:lang="en-US">JURNAL KESEHATAN LINGKUNGAN ; Vol. 18 No. 1si (2026): JURNAL KESEHATAN LINGKUNGAN; 155-164</dc:source>
	<dc:source>2540-881X</dc:source>
	<dc:source>1829-7285</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/JKL/article/view/89134/38082</dc:relation>
	<dc:rights xml:lang="en-US">http://creativecommons.org/licenses/by-nc-sa/4.0</dc:rights>
</oai_dc:dc>