Relationship of pulmonary function among women and children to indoor air pollution from biomass use in rural Ecuador

Relationship of pulmonary function among women and children to indoor air pollution from biomass use in rural Ecuador
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DOI:
10.1016/j.rmed.2005.10.020
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发表时间:
2006-07-01
影响因子:
4.3
通讯作者:
Glickman, Larry T.
Glickman, Larry T.
中科院分区:
医学3区
文献类型:
--
作者:
Rinne, Seppo T.;Rodas, Edgar J.;Glickman, Larry T.

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世界上大约有一半的人使用生物质燃料作为家庭能源,导致人们广泛接触生物质烟雾造成的室内空气污染。IAP与许多呼吸系统疾病有关,但尚不清楚生物质使用与肺功能之间存在何种关系。在厄瓜多尔的圣安娜,根据他们用于烹饪的液化石油气和生物质燃料的相对数量,选择了四组,每组20户家庭。肺功能测试进行了家庭的每个成员>= 7岁。然后使用多变量线性回归,控制年龄,性别,身高和暴露于烟草烟雾的影响,在烹饪燃料类别之间比较儿童(7-15岁)和女性(≥ 16岁)的肺功能。在80个家庭中,77名儿童和91名妇女进行了可接受的和可重复的肺功能测定。多因素分析显示,生活在使用生物质燃料家庭的儿童和暴露于环境烟草烟雾的儿童的用力肺活量和1 s用力呼气量均较低(P < 0.05)。然而,不同烹饪类别的女性之间的肺功能没有显着差异。这项研究的结果表明,IAP从生物质烟雾对儿童的肺功能的有害影响,并强调需要公共卫生工作,以减少暴露于生物质烟雾。(c)2005 Elsevier Ltd.保留所有权利。
Approximately half the world uses biomass fuel for domestic energy, resulting in widespread exposure to indoor air pollution (IAP) from biomass smoke. IAP has been associated with many respiratory diseases, though it is not clear what relationship exists between biomass use and pulmonary function. Four groups containing 20 households each were selected in Santa Ana, Ecuador based on the relative amount of liquid petroleum gas and biomass fuel that they used for cooking. Pulmonary function tests were conducted on each available member of the households >= 7 years of age. The pulmonary functions of both children (7-15 years) and women (>= 16 years) were then compared between cooking fuel categories using multivariate linear regression, controlling for the effects of age, gender, height, and exposure to tobacco smoke. Among the 80 households, 77 children and 91 women performed acceptable and reproducible spirometry. In multivariate analysis, children living in homes that use biomass fuel and children exposed to environmental tobacco smoke had tower forced vital capacity and tower forced expiratory volume in 1s (P < 0.05). However, no significant difference in pulmonary function was observed among women in different cooking categories. Results of this study demonstrate the harmful effects of IAP from biomass smoke on the lung function of children and emphasize the need for public health efforts to decrease exposure to biomass smoke. (c) 2005 Elsevier Ltd. All rights reserved.