家庭空气污染对女性呼吸系统健康的风险:清洁燃料计划后印度地区的案例研究

Bhole V
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引用次数: 0

摘要

目标:在发展中国家,一些接触空气污染物最多的情况发生在使用生物质燃料进行日常烹饪的家庭内部。吸入这些污染物可能对健康造成有害影响。研究设计:总共选择了450名15岁及以上的不吸烟、未怀孕的妇女,她们从小就暴露于烹饪燃料产生的家庭烟雾中,在通风不良的厨房工作,并在调查中提出了各种健康问题。方法:采用美国胸科协会(ATS, 1995)标准问卷进行症状调查。肺功能通过测量用力肺活量(FVC) (FEV1)来评估,即一秒钟内用力呼出的空气量(单位为升)。使用FEV1与FVC之比(FEVI/FVC),以百分数表示。结果:FVC低于预测值的80%为肺功能异常。胸痛、呼吸困难、眼睛刺激和昏厥等症状在生物质使用者中明显更高(P <0.05)。此外,随着接触的增加,观察到症状/病态状况的流行率呈上升趋势。因此,与其他燃料使用者相比,暴露于生物质燃料烟雾的妇女遭受更多的健康问题和更大的呼吸系统疾病风险。
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Household Air Pollution Risk on Respiratory Health among Women: A Case Study of Indian District after Clean Fuel Programme
Objectives: Some of the highest exposures to air pollutants in developing countries occur inside homes where biomass fuels are used for daily cooking. Inhalation of these pollutants may cause deleterious effects on health. Study Design: A total of 450 non-smoking, non-pregnant women aged 15 years and above exposed to domestic smoke from cooking fuels from an early age, working in poorly ventilated kitchen were selected and on investigation presented various health problems. Method: Symptoms were enquired by means of using standard questionnaire adopted from that of the American Thoracic Society (ATS, 1995). Lung function was assessed by the measurement of Forced Vital Capacity (FVC), (FEV1), i.e. volume of air (in liter) that is forcefully exhaled in one second. Using ratio of FEV1 to FVC (FEVI/FVC), expressed as percentage. Results: FVC less than 80% of the predicted was considered as abnormal pulmonary function. Symptoms like chest pain, breathlessness, eye irritation, and blackout were found to be significantly higher in biomass users (P <0.05). Moreover, an increasing trend in the prevalence of symptoms/morbid conditions was observed with increase in exposure. Conclusion Thus women exposed to biomass fuels smoke suffer more from health problems and are at greater risk of respiratory illnesses when compared with other fuel users.
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