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. 2020 Jun 4;12(6):934–948. doi: 10.4168/aair.2020.12.6.934

Table. Studies on environmental exposure and allergies in different countries and regions.

Region Exposure factor Sample size (No.) Sample age (yr) Main findings Outcomes (onset of allergy) Ref.
Asia-Beijing, China Farm livestock and farming behavior 7,077 13–14 Contact with farming and livestock has protective effects. Reduced 30
Oceania-New Zealand Traffic at place of residence, drugs, and farm foodstuffs 24,190 6–7; 13–14 Truck traffic, antibiotics or paracetamol exposure during early life, were positively correlated with eczema. Consumption of milk, seafood, eggs, and have a dog in home, were negatively correlated with eczema. Reduced 51
Europe-Turku, Finland and neighboring regions Indoor pet exposure during the perinatal period 256 0–2 Fecal Bifidobacterium longum counts in non-wheezing infants who were exposed to pets were significantly higher than those of wheezing infants who were not exposed to pets. Reduced 52
Central Europe-Silesia, Poland Unpasteurized dairy products and activities related to livestock 1,676 >5 Agriculture-related contact significantly decreased in Silesia and the prevalence of allergies drastically increased within a short period of nine years. Reduced 53
Northern Europe Livestock 11,123 Mean age: 53 Subjects who grew up in livestock farms had a lower incidence of asthma (8%) compared to those who grew up in inner cities (11%). Reduced 54
Asia-Guangzhou, China Farming environment and endotoxin levels 13,251 13–14 Early contact with crops and high levels of environmental endotoxins may protect children from the effects of asthma. Reduced 32
North America-USA Endotoxin levels in homes 60 7–14 High endotoxin levels in traditional Amish farms was a protective factor for asthma, and innate immunity also played an important role. Reduced 2
North America-Canada Farming environment 10,941 0–11 The cumulative 14-year asthma incidence in children living in a farming environment was significantly lower than live in non-rural and rural non-farming environments. Reduced 55
South America-Cordoba rural areas Contact with livestock, such as dairy farms 1,804 13–14 Residency on dairy farms, including periodic livestock contact reduced allergic rhino-conjunctivitis. Reduced 56
Africa-Cape Town and Eastern Cape province Farming exposure, sunlight exposure, pet, antibiotic and probiotic exposure, antihelminth exposure, cigarette smoke and fossil fuel exposure. 1,736 1–3 Farm animal exposure but not unpasteurized milk is the strongest factor to against allergy. Fermented milk produces has a significant effect in urban cohort but not in rural. Reduced 57