{"title":"尼日利亚郊区社区家庭空气污染与妇女和儿童呼吸道症状","authors":"Adesuwa Queen Aigbokhaode, Alphonsus Rukevwe Isara","doi":"10.5152/TurkThoracJ.2021.21013","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Globally, the morbidity and mortality caused by exposure to household air pollution from the use of solid fuels remain a significant public health burden. This study assessed the levels of PM2.5 in households using clean and unclean fuels and their associations with the respiratory health of women and children.</p><p><strong>Material and methods: </strong>Daytime PM2.5 sampling was done in 62 households (31 in each group) in Isiohor, a suburban community in southern Nigeria using Casella CEL-712 Microdust Pro Real-time Dust Monitor. Validated American Thoracic Society questionnaire was used to assess respiratory symptoms.</p><p><strong>Results: </strong>PM2.5 levels exceeded World Health Organization-recommended limits in most households. The median (range) concentration of PM2.5 was lower in households using clean fuels (26 (14 to 358) μg/m3) than those using unclean fuels (29 (14 to 650) μg/m3). This difference was not statistically significant (P = .272). At least 1 respiratory symptom was reported by women (25.8% vs. 22.6%) and children (64.5% vs. 77.4%) in household using clean and unclean fuels, respectively. The most commonly reported respiratory symptoms were being woken up by an attack of cough (41.9% vs. 51.6% ) and cough first thing in the morning (16.1% vs 38.7%) for clean and unclean fuels, respectively (P = .046). More children in household using unclean fuel missed school for up to a week because of respiratory illness when compared to those in households using clean fuel, 61.3% vs. 29.0% (P = .011). In the sample as a whole, burning of candles in the house (22.6%) was associated with respiratory symptoms (Adjusted Odds Ratio = 14.81, 95% CI 1.79 to 122.51) among the women.</p><p><strong>Conclusion: </strong>The use of unclean fuel was associated with higher levels of PM2.5. The household air pollution resulting from the use of unclean fuels and activities like burning of candles in the home may compromise the respiratory health of women and children.</p>","PeriodicalId":37452,"journal":{"name":"Turkish Thoracic Journal","volume":"22 6","pages":"466-472"},"PeriodicalIF":0.8000,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975286/pdf/ttj-22-6-466.pdf","citationCount":"2","resultStr":"{\"title\":\"Household Air Pollution and Respiratory Symptoms of Women and Children in a Suburban Community in Nigeria.\",\"authors\":\"Adesuwa Queen Aigbokhaode, Alphonsus Rukevwe Isara\",\"doi\":\"10.5152/TurkThoracJ.2021.21013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Globally, the morbidity and mortality caused by exposure to household air pollution from the use of solid fuels remain a significant public health burden. This study assessed the levels of PM2.5 in households using clean and unclean fuels and their associations with the respiratory health of women and children.</p><p><strong>Material and methods: </strong>Daytime PM2.5 sampling was done in 62 households (31 in each group) in Isiohor, a suburban community in southern Nigeria using Casella CEL-712 Microdust Pro Real-time Dust Monitor. Validated American Thoracic Society questionnaire was used to assess respiratory symptoms.</p><p><strong>Results: </strong>PM2.5 levels exceeded World Health Organization-recommended limits in most households. The median (range) concentration of PM2.5 was lower in households using clean fuels (26 (14 to 358) μg/m3) than those using unclean fuels (29 (14 to 650) μg/m3). This difference was not statistically significant (P = .272). At least 1 respiratory symptom was reported by women (25.8% vs. 22.6%) and children (64.5% vs. 77.4%) in household using clean and unclean fuels, respectively. The most commonly reported respiratory symptoms were being woken up by an attack of cough (41.9% vs. 51.6% ) and cough first thing in the morning (16.1% vs 38.7%) for clean and unclean fuels, respectively (P = .046). More children in household using unclean fuel missed school for up to a week because of respiratory illness when compared to those in households using clean fuel, 61.3% vs. 29.0% (P = .011). In the sample as a whole, burning of candles in the house (22.6%) was associated with respiratory symptoms (Adjusted Odds Ratio = 14.81, 95% CI 1.79 to 122.51) among the women.</p><p><strong>Conclusion: </strong>The use of unclean fuel was associated with higher levels of PM2.5. The household air pollution resulting from the use of unclean fuels and activities like burning of candles in the home may compromise the respiratory health of women and children.</p>\",\"PeriodicalId\":37452,\"journal\":{\"name\":\"Turkish Thoracic Journal\",\"volume\":\"22 6\",\"pages\":\"466-472\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2021-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975286/pdf/ttj-22-6-466.pdf\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Turkish Thoracic Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5152/TurkThoracJ.2021.21013\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Turkish Thoracic Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5152/TurkThoracJ.2021.21013","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 2
摘要
目标:在全球范围内，暴露于使用固体燃料造成的家庭空气污染造成的发病率和死亡率仍然是一个重大的公共卫生负担。这项研究评估了使用清洁和不清洁燃料的家庭中PM2.5的水平，以及它们与妇女和儿童呼吸系统健康的关系。材料和方法:使用Casella CEL-712 Microdust Pro实时粉尘监测仪，对尼日利亚南部郊区社区Isiohor的62户家庭(每组31户)进行了日间PM2.5采样。使用经过验证的美国胸科学会问卷评估呼吸道症状。结果:大多数家庭的PM2.5水平超过了世界卫生组织(World Health organization)建议的限值。使用清洁燃料的家庭PM2.5浓度中位数(范围)(26(14至358)μg/m3)低于使用不清洁燃料的家庭(29(14至650)μg/m3)。差异无统计学意义(P = 0.272)。在使用清洁燃料和不清洁燃料的家庭中，妇女(25.8%对22.6%)和儿童(64.5%对77.4%)分别报告了至少1种呼吸道症状。最常见的呼吸道症状分别是因咳嗽发作而醒来(41.9%对51.6%)，以及在使用清洁燃料和不清洁燃料时，早上第一件事就是咳嗽(16.1%对38.7%)(P = 0.046)。与使用清洁燃料的家庭相比，使用不清洁燃料的家庭中有更多的儿童因呼吸道疾病缺课长达一周，分别为61.3%和29.0% (P = 0.011)。在整个样本中，在家中燃烧蜡烛(22.6%)与女性呼吸道症状相关(调整优势比= 14.81,95% CI 1.79至122.51)。结论:不清洁燃料的使用与PM2.5水平升高有关。使用不洁净燃料和在家中燃烧蜡烛等活动造成的室内空气污染可能损害妇女和儿童的呼吸系统健康。
Household Air Pollution and Respiratory Symptoms of Women and Children in a Suburban Community in Nigeria.
Objective: Globally, the morbidity and mortality caused by exposure to household air pollution from the use of solid fuels remain a significant public health burden. This study assessed the levels of PM2.5 in households using clean and unclean fuels and their associations with the respiratory health of women and children.
Material and methods: Daytime PM2.5 sampling was done in 62 households (31 in each group) in Isiohor, a suburban community in southern Nigeria using Casella CEL-712 Microdust Pro Real-time Dust Monitor. Validated American Thoracic Society questionnaire was used to assess respiratory symptoms.
Results: PM2.5 levels exceeded World Health Organization-recommended limits in most households. The median (range) concentration of PM2.5 was lower in households using clean fuels (26 (14 to 358) μg/m3) than those using unclean fuels (29 (14 to 650) μg/m3). This difference was not statistically significant (P = .272). At least 1 respiratory symptom was reported by women (25.8% vs. 22.6%) and children (64.5% vs. 77.4%) in household using clean and unclean fuels, respectively. The most commonly reported respiratory symptoms were being woken up by an attack of cough (41.9% vs. 51.6% ) and cough first thing in the morning (16.1% vs 38.7%) for clean and unclean fuels, respectively (P = .046). More children in household using unclean fuel missed school for up to a week because of respiratory illness when compared to those in households using clean fuel, 61.3% vs. 29.0% (P = .011). In the sample as a whole, burning of candles in the house (22.6%) was associated with respiratory symptoms (Adjusted Odds Ratio = 14.81, 95% CI 1.79 to 122.51) among the women.
Conclusion: The use of unclean fuel was associated with higher levels of PM2.5. The household air pollution resulting from the use of unclean fuels and activities like burning of candles in the home may compromise the respiratory health of women and children.
期刊介绍：
Turkish Thoracic Journal (Turk Thorac J) is the double-blind, peer-reviewed, open access, international publication organ of Turkish Thoracic Society. The journal is a quarterly publication, published on January, April, July, and October and its publication language is English. Turkish Thoracic Journal started its publication life following the merger of two journals which were published under the titles “Turkish Respiratory Journal” and “Toraks Journal” until 2007. Archives of both journals were passed on to the Turkish Thoracic Journal. The aim of the journal is to convey scientific developments and to create a dynamic discussion platform about pulmonary diseases. With this intent, the journal accepts articles from all related scientific areas that address adult and pediatric pulmonary diseases, as well as thoracic imaging, environmental and occupational disorders, intensive care, sleep disorders and thoracic surgery. Clinical and research articles, reviews, statements of agreement or disagreement on controversial issues, national and international consensus reports, abstracts and comments of important international articles, interesting case reports, writings related to clinical and practical applications, letters to the editor, and editorials are accepted.
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