与室内空气污染相关的呼吸系统疾病,生物质使用的后遗症

David Mulenga, S. Siziya
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引用次数: 79

摘要

导言:气候变化可能会恶化现有的室内空气问题,并通过改变室外条件来影响室内条件,从而产生新的问题。由于气候变化是由自然变异性和人为因素共同造成的,公共卫生专业人员通过其在促进健康和改变行为方面的专业知识,可以在促进选择减少温室气体排放的生活方式方面发挥至关重要的作用。因此,本研究旨在介绍生物质利用产生的室内空气污染物对健康的影响。方法:在赞比亚的Masaiti和Ndola地区进行了一项涉及1170名自愿妇女的横断面研究。数据收集工具包括结构化问卷;Foobot(室内空气质量监测装置)和肺活量计(肺功能测试装置)。数据采用SPSS version 16进行分析,单因素、双因素和多因素水平均在5%统计显著水平下进行分析。结果:使用生物质作为烹饪燃料的人口占69.2%。烹饪期间室内颗粒物(PM2.5)总体分布中值(Q1、Q2)为501(411、686)μg/m3,日平均值为393(303,578)μg/m3, VOC日平均值为343(320、363)ppb。在室内污染物水平高的家庭中,有呼吸道症状和肺功能受损的妇女比例更高。室内平均颗粒物浓度水平与产妇呼吸道症状次数之间存在统计学显著相关性。室内VOC与强迫肺活量有显著相关(p=0.011)。结论:这些结果为生物质利用对室内空气质量和随之而来的不良呼吸健康结果的影响提供了越来越多的证据。
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Indoor Air Pollution Related Respiratory Ill Health, a Sequel of Biomass Use
Introduction: Climate change may worsen existing indoor air problems and create new problems by altering outdoor conditions that affect indoor conditions. Since climate change is due to both natural variability and human-induced contributions, public health professionals through their expertise in health promotion and behavior change can play a vital role in promoting lifestyle choices that will decrease greenhouse gas emissions. This study, therefore, aims at presenting the health effects of indoor air pollutants from biomass use. Methods: A cross sectional study involving 1,170 consenting women was conducted in Masaiti and Ndola districts of Zambia. Data collection tools included a structured questionnaire; foobot (indoor air quality monitoring device) and spirometer (lung function test device). Data was analyzed using SPSS version 16 and analyses were done at Univariate, bivariate and multivariate level at 5% statistical significant level. Results: Population using biomass as cooking fuel was 69.2%. Indoor particulate (PM2.5) overall median (Q1, Q2) distribution during cooking period was 501(411, 686) μg/m3 and daily average was 393(303,578) μg/m3 while VOC daily average was 343(320, 363) ppb. The proportion of women with respiratory symptoms and impaired lung functions was higher in households with high levels of indoor pollutants. There was a statistically significant association between mean indoor particulate concentration levels and the number of maternal respiratory symptoms. There was a significant association between indoor VOC and forced vital capacity (p=0.011). Conclusion: The results contribute to the growing evidence regarding the effect of biomass use on indoor air quality and consequent adverse respiratory health outcomes.
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