Respiratory Symptoms and Lung Function among Ethiopian Women in Relation to Household Fuel Use
Respiratory Symptoms and Lung Function among Ethiopian Women in Relation to Household Fuel Use
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埃塞俄比亚妇女的呼吸道症状和肺功能与家庭燃料使用的关系
DOI：
10.3390/ijerph17010041
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发表时间：
2019
影响因子：
--
通讯作者：
Mona Lärstad
中科院分区：
文献类型：
--
作者：
M. Tamire;A. Addissie;A. Kumie;Emma Husmark;S. Skovbjerg;R. Andersson;Mona Lärstad
暴露于室内空气污染与慢性阻塞性肺病、呼吸道症状和肺功能下降有关。本研究旨在评估埃塞俄比亚妇女与接触HAP有关的呼吸症状和肺功能。我们在负责家庭烹饪的不吸烟妇女中进行了一项横断面研究。使用有效的问卷收集有关社会人口特征、呼吸道症状和危险因素的数据。根据美国胸科学会/欧洲呼吸学会指南进行肺量测定和可逆性试验。我们分别采用独立t检验和多变量逻辑回归来比较均值和测量相关性。共有545名妇女参加了这项研究，其中231名（42.3%）进行了至少三种可接受的肺活量测定。农村组和43%的城市组的每个人在烹饪时都暴露于固体燃料产生的HAP。与使用清洁燃料的女性相比，在客厅做饭的女性患至少一种呼吸道症状的几率是使用清洁燃料的女性的两倍。我们还发现，与清洁能源使用者相比，固体燃料使用者的第一秒用力呼气量（FEV1） (L)明显更低。由于农村地区的人口较多，并且使用固体燃料作为唯一的能源，埃塞俄比亚这些妇女患慢性呼吸道疾病的风险较高。
Exposure to household air pollution has been linked to chronic obstructive pulmonary disease, respiratory symptoms and reduced lung function. This study aims to assess respiratory symptoms and lung function among Ethiopian women in relation to exposure to HAP. We conducted a cross-sectional study among non-smoking women responsible for household cooking. Data was collected on socio-demographic characteristics, respiratory symptoms and risk factors using a validated questionnaire. Spirometry with reversibility testing was performed according to American Thoracic Society/European Respiratory Society guidelines. We used independent t-test and multivariable logistic regression to compare the means and measure association respectively. A total of 545 women participated in the study out of which 231 (42.3%) performed spirometry with at least three acceptable manoeuvres. Everyone in the rural group and 43% of the urban group were exposed to HAP from solid fuels during cooking. The odds of developing at least one respiratory symptom when compared with those using cleaner fuels are twice as high for women cooking within the living house. We also found significantly lower forced expiratory volume in the first second (FEV1) (L) among solid fuels users compared with cleaner energy users. Given the larger population settlement in the rural areas and the use of solid fuel as the only energy source, there is a higher risk of developing chronic respiratory health problems for those women in Ethiopia.