Assessment of Factors Contributing to Indoor Air Pollutants Exposure and Prevalence of Respiratory Health Problems in Seka Town

Samuel Fikadu
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Abstract

Objective : The main objective this study is to assess factors contributing to combustion and non-combustion related indoor air pollutants exposure and related prevalence of respiratory health problem among women and young children in Seka town. Methods: The study used a household-based cross-sectional study design from May 1-30, 2017. A systematic random sampling technique was used to select the 341 households included in the survey. The survey instrument was specific structured questionnaire that was adapted from WHO guidelines for survey of household fuel use indoor spray and acute respiratory infections. Concentration of total suspended particles(TSP) was measured in small subset of 34(10%) sampled households during the cooking and non-cooking hours using SKC 52 model air sampling pump .The survey data was analyzed by using a software package SPSS version 20.Logistic regression analysis was used to determine the association of household fuel using characteristics to ARI and descriptive statistics such as frequency distributions and measure of central tendencies were used to describe concentrations of total suspended particulates. Results: The finding from the survey analysis shows that 332 (97.4%) of mothers were exposed to indoor air pollution during cooking. Majority of the respondents 271 (79.5%) had poor ventilation and 149 (43.7%) were reported that they used indoor spray unsafely. However, 67.2% of them reported as they do not know how to apply indoor spray. As a result 66% of the respondents did not close food items during the spray and 73.3% of them close windows and doors during spray. The study found an indoor total suspended particulate matter (TSP) concentration7881.6 µg/m 3 during cooking. This was about 1.4 times when compared to non-cooking time. The study found statistically strong significant association with mother’s education status 1.58 times more to develop respiratory health problems and also small kitchen size, kitchen ventilation, have strong significances 1.57 and 1.62 times respectively the occurrence of respiratory health problems. The  Type of fuel for cooking, Time of spent on cooking and mothers’ level of knowledge on effect of indoor air pollution also strong significances 1.71,1.80 and 2.0 times respectively association with respiratory health problems development. Conclusion : Housing and kitchen characteristics, type of fuels and stoves are the main factors contributing to increased indoor air pollutant concentration and to increased prevalence of respiratory health problems. Keywords : Household biomass fuel; Indoor spray; Indoor air Pollution; Respiratory health problems; AFI; factors contributing; exposures; Seka DOI : 10.7176/JMPB/61-03 Publication date: November 30 th 2019
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Seka镇室内空气污染物暴露和呼吸健康问题流行因素评估
目的:本研究的主要目的是评估导致Seka镇妇女和幼儿接触燃烧和非燃烧相关室内空气污染物以及相关呼吸健康问题流行率的因素。方法:本研究于2017年5月1日至30日采用基于家庭的横断面研究设计。采用系统随机抽样的方法,抽取341户家庭参与调查。调查工具是根据世卫组织家庭燃料使用、室内喷雾和急性呼吸道感染调查指南改编的具体结构化问卷。使用skc52型空气采样泵对34个(10%)抽样家庭在烹饪和非烹饪时间的总悬浮颗粒(TSP)浓度进行了测量,并使用SPSS version 20软件包对调查数据进行了分析。使用逻辑回归分析来确定家用燃料与ARI的关系,并使用描述性统计(如频率分布和集中趋势测量)来描述总悬浮颗粒的浓度。结果:调查分析结果显示,332名母亲(97.4%)在烹饪过程中暴露于室内空气污染。271人(79.5%)通风不良,149人(43.7%)不安全使用室内喷雾。然而,67.2%的人报告说他们不知道如何使用室内喷雾。结果,66%的受访者在喷洒过程中没有关闭食物,73.3%的受访者在喷洒过程中关闭门窗。研究发现,烹饪过程中室内总悬浮颗粒物(TSP)浓度为7881.6微克/立方米。这是非烹饪时间的1.4倍。研究发现,母亲的受教育程度与发生呼吸健康问题的相关性为1.58倍,而厨房面积小、厨房通风不佳,与发生呼吸健康问题的相关性分别为1.57倍和1.62倍。烹调燃料种类、烹调时间及母亲对室内空气污染影响的知识水平与呼吸道健康问题发展的相关性分别为1.71、1.80及2.0倍。结论:住房和厨房特点、燃料和炉具类型是导致室内空气污染物浓度增加和呼吸道健康问题患病率增加的主要因素。关键词:家用生物质燃料;室内喷淋;室内空气污染;呼吸系统健康问题;AFI;因素;曝光;出版日期:2019年11月30日
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