期刊论文详细信息
Journal of Environmental Health Science Engineering
Solid fuel smoke exposure and risk of obstructive airways disease
Masud Yunesian2  Mostafa Qorbani1 
[1] Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;Center for Air Pollution Research, Tehran University of Medical Sciences, Tehran, Iran
关键词: Baking home-made bread;    Smoke;    Indoor air pollution;    Obstructive airway disease;   
Others  :  824142
DOI  :  10.1186/1735-2746-9-8
 received in 2012-10-11, accepted in 2012-10-11,  发布年份 2012
PDF
【 摘 要 】

This study was designed to investigate whether there is an association between Obstructive Airways Disease (OAD) and indoor exposure to baking home-made bread smoke (BHBS) in ground oven at home. In this hospital-based case–control study, 83 patients with OAD (cases) were compared with 72 patients without any known pulmonary diseases from the surgical ward (controls) who were frequently matched with cases on age. The interview was performed using the modified questionnaire recommended by the "American Thoracic Society". The questionnaire comprised of demographic information, occupational history, cigarette smoking and indoor exposure to BHBS in ground oven at home. The exposure to BHBS was considered both as a dichotomous and quantitative variable (number of years being exposed to smoke) and the population attributable fraction (PAF) was estimated due to BHBS exposure. The percentage of indoor exposure to BHBS was measured as 51.8% and 30.6% in the cases and the controls, respectively. The average years of exposure to BHBS was 20.46 years (SD: 11.60) for the cases and 15.38 years (SD: 13.20) for the controls. The univariate analysis comparing the cases and the controls showed that exposure to BHBS (as a binary variable) and occupational exposure to dust was significantly associated with OAD. In the multivariate model, only exposure to BHBS was associated with OAD (OR=2.22, 95%CI = 1.14-4.35). Duration of exposure to BHBS (as a quantitative variable) was significantly associated with OAD in the univariate model. In the multivariate model, only the duration of exposure to BHBS (years) showed a significant association with OAD (OR=1.04, 95% CI=1.01-1.08). Population attributable risk due to BHBS exposure was equal to 28.5%.

【 授权许可】

   
2012 Qorbani and Yunesian; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140713023556879.pdf 250KB PDF download
【 参考文献 】
  • [1]Bruce N, Neufeld L, Boy E, West C: Indoor air pollution in developing countries: a major environmental and public health challenge. Bull World Health Organ 2000, 78:1078-92.
  • [2]WHO: The World Health Report 2002: reducing risks, promoting healthy life. Geneva: World Health Organization; 2002.
  • [3]Kurmi OP, Semple S, Simkhada P, Smith WC, Ayres JG: Particulate matter exposure during domestic work in Nepal. Ann Occup Hyg 2008, 52:509-17.
  • [4]Smith KR, Mehta S, Feuz M: The global burden of diseasefrom indoor air pollution: results from comparative risk assessment. In: Indoor Air 2002. 2002, 10-19. [The 9th International Conference on Indoor Air Quality and Climate, 30 June- 5 July Monterey]
  • [5]Von Schirnding Y, Bruce N, Smith KR, Ballard-Tremeer G, Ezzati M, Lvovsky K: Addressing the impact of household energy and indoor air pollution on the health of the poor implications for policy action and intervention measures. 2002. [Working Group 5 (Improving the Health Outcomes of the Poor), Commission on Macroeconomics and Health] http:// www.cmhealth.org/wg5.htm webcite
  • [6]Bruce N, Perez-Padilla R, Albalak R: Indoor biofuel air pollution and respiratory health: the role of confounding factors among women in highland Guatemala. Int J Epidemiol 1998, 27:454-8.
  • [7]Cortez-Lugo M, Moreno-Macias H, Holguin-Molina F, Chow JC, Watson JG, Gutierrez-Avedoy V, Mandujano F, Hernandez-Avila M, Romieu I: Relationship between indoor, outdoor, and personal fine particle concentrations for individuals with COPD and predictors of indoor-outdoor ratio in Mexico city. J Expo Sci Environ Epidemiol 2008, 18:109-15.
  • [8]De Blay F: Respiratory diseases related to the indoor environment. Rev Mal Respir 2009, 26:573-4.
  • [9]Kolappan C, Subramani R: Association between biomass fuel and pulmonary tuberculosis: a nested case–control study. Thorax 2009, 64:705-8.
  • [10]de Hartog JJ, Ayres JG, Karakatsani A, Analitis A, Brink HT, Hameri K, Harrison R, Katsouyanni K, Kotronarou A, Kavouras I, Meddings C, Pekkanen J, Hoek G: Lung function and indicators of exposure to indoor and outdoor particulate matter among asthma and COPD patients. Occup Environ Med 2010, 67:2-10.
  • [11]WHO: The World Health Report: The global burden of disease: update 2004. Geneva: World Health Organization; 2008.
  • [12]Amoli K: Bronchopulmonary disease in Iranian housewives chronically exposed to indoor smoke. Eur Respir J 1998, 11:659-63.
  • [13]Ferris B: Epidemiology Standardization Project II, American Thoracic Society. Am Rev Respir Dis 1978, 118:7-53.
  • [14]Rockhill B, Newman B, Weinberg C: Use and misuse of population attributable fractions. Am J Public Health 1998, 88:15-9.
  • [15]Dennis RJ, Maldonado D, Norman S, Baena E, Martinez G: Woodsmoke exposure and risk for obstructive airways disease among women. Chest 1996, 109:115-9.
  • [16]Akhtar T, Ullah Z, Khan MH, Nazli R: Chronic bronchitis in women using solid biomass fuel in rural Peshawar. Pakistan. Chest 2007, 132:1472-5.
  • [17]Liu S, Zhou Y, Wang X, Wang D, Lu J, Zheng J, Zhong N, Ran P: Biomass fuels are the probable risk factor for chronic obstructive pulmonary disease in rural South China. Thorax 2007, 62:889-97.
  • [18]Liu Y, Lee K, Perez-Padilla R, Hudson NL, Mannino DM: Outdoor and indoor air pollution and COPD-related diseases in high- and low-income countries. Int J Tuberc Lung Dis 2008, 12:115-27.
  • [19]Saha A, Rao NM, Kulkarni PK, Majumdar PK, Saiyed HN: Pulmonary function and fuel use: a population survey. Respir Res 2005, 6:127. BioMed Central Full Text
  • [20]Kurmi OP, Semple S, Steiner M, Henderson GD, Ayres JG: COPD and chronic bronchitis risk of indoor air pollution from solid fuel: a systematic review and meta-analysis. Thorax 2010, 65:221-8.
  • [21]Ekici A, Ekici M, Kurtipek E, Akin A, Arsalan M, Kara T, Apaydin Z, Demir S: Obstructive airway diseases in women exposed to biomass smoke. Environ Res 2005, 99:93-98.
  • [22]MOHME: The Ministry of Health and Medical Education (MOHME) of Iran Report: Burden of indoor air pollution in Iran. 2010.
  • [23]Balmes J, Becklake M, Blanc P, Henneberger P, Kreiss K, Mapp C, Milton D, Schwartz D, Toren K, Viegi G: American Thoracic Society Statement: Occupational contribution to the burden of airway disease. Am J Respir Crit Care Med 2003, 167:787-97.
  • [24]Ezzati M: Indoor air pollution and health in developing countries. Lancet 2005, 366:104-6.
  • [25]Galeone C, Pelucchi C, La Vecchia C, Negri E, Bosetti C, Hu J: Indoor air pollution from solid fuel use, chronic lung diseases and lung cancer in Harbin, Northeast China. Eur J Cancer Prev 2008, 17:473-8.
  • [26]Pandey MR, Regmi HN, Neupane RP, Gautam A, Bhandari DP: Domestic smoke pollution and respiratory function in rural Nepal. Tokai J Exp Clin Med 1985, 10:471-81.
  文献评价指标  
  下载次数:8次 浏览次数:12次