Household Air Quality Risk Factors Associated with Childhood Pneumonia in Urban Dhaka, Bangladesh
Household Air Quality Risk Factors Associated with Childhood Pneumonia in Urban Dhaka, Bangladesh
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DOI：
10.4269/ajtmh.13-0532
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发表时间：
2014-05-01
影响因子：
3.3
通讯作者：
Cohen, Adam L.
中科院分区：
文献类型：
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作者：
Ram, Pavani K.;Dutt, Dhiman;Cohen, Adam L.
为了提供信息干预措施，以减少孟加拉国卡马拉普尔等城市环境中肺炎的高负担，我们评估了经放射学证实的儿童肺炎的家庭空气质量风险因素。在2009-2010年，我们从基于人群的呼吸道和发热疾病监测中招募了< 5岁的肺炎儿童和对照组。331个病例中85%和663个对照家庭中91%使用管道天然气。拥挤、居住空间的铁皮屋顶、社会经济地位低和儿童的男性是肺炎的危险因素。案例家庭的生活空间比对照家庭交叉通风的可能性低28%。颗粒物浓度与肺炎无显著相关性。随着城市化进程的加快和向城市地区供应改良的炊事燃料，可通过减少拥挤和改善居住空间的通风来减轻卡马拉普尔等城市人口呼吸道疾病的沉重负担。
To inform interventions to reduce the high burden of pneumonia in urban settings such as Kamalapur, Bangladesh, we evaluated household air quality risk factors for radiographically confirmed pneumonia in children. In 2009-2010, we recruited children < 5 years of age with pneumonia and controls from a population-based surveillance for respiratory and febrile illnesses. Piped natural gas was used by 85% of 331 case and 91% of 663 control households. Crowding, a tin roof in the living space, low socioeconomic status, and male sex of the child were risk factors for pneumonia. The living space in case households was 28% less likely than in control households to be cross-ventilated. Particulate matter concentrations were not significantly associated with pneumonia. With increasing urbanization and supply of improved cooking fuels to urban areas, the high burden of respiratory illnesses in urban populations such as Kamalapur may be reduced by decreasing crowding and improving ventilation in living spaces.