Trans-generational changes and rural-urban inequality in household fuel use and cookstove ventilation in China: A multi-region study of 0.5 million adults.
Trans-generational changes and rural-urban inequality in household fuel use and cookstove ventilation in China: A multi-region study of 0.5 million adults.
复制标题
DOI：
10.1016/j.ijheh.2017.09.010
复制
发表时间：
2017-11
影响因子：
6
通讯作者：
China Kadoorie Biobank collaborative group
中科院分区：
文献类型：
--
作者：
Chan KH;Lam KBH;Kurmi OP;Guo Y;Bennett D;Bian Z;Sherliker P;Chen J;Li L;Chen Z;China Kadoorie Biobank collaborative group
与家庭空气污染有关的疾病负担估计数依赖于烹饪燃料的横截面数据，忽略了其他重要来源（如取暖）和地理上不同环境中暴露的时间-区域变化。我们的目的是研究来自中国10个不同地区的50万名成年人的烹饪和取暖燃料使用和通风的趋势和变化。在基线（2004-08年）和随后的两次再调查（2008-14年），中国嘉道理生物库的参与者，年龄30-79岁，报告了他们过去和现在做饭和取暖的燃料使用情况以及炉灶通风的可用性。这些都比较了地区，时间段，出生队列，和社会人口因素。在1968年至2014年期间，自我报告的用于烹饪或取暖的固体燃料使用比例下降了三分之二（从84%降至27%），而那些拥有完整厨房通风的人则增加了两倍（从19%降至66%）。到2014年，尽管有持续下降的趋势，但农村地区的许多人仍然使用固体燃料做饭（48%）和取暖（72%），通常没有足够的通风（51%），而城市居民（全部<5%）。城乡固体燃料使用的巨大不平等持续了好几代人，而且因社会经济地位而异，特别是在农村地区。尽管在过去50年中燃料现代化取得了显著进展，但在研究人群中，特别是那些年龄较大或社会经济地位较低的人群中，仍然存在大量的城乡不平等。采用较清洁的取暖燃料和通风设备的速度缓慢。需要采取更积极主动和更有针对性的战略，加快普及清洁能源用于烹饪和取暖。
Disease burden estimates related to household air pollution (HAP) relied on cross-sectional data on cooking fuel, overlooking other important sources (e.g. heating) and temporal-regional variations of exposure in geographically diverse settings. We aimed to examine the trends and variations of for cooking and heating fuel use and ventilation in 500,000 adults recruited from 10 diverse localities of China. At baseline (2004-08) and two subsequent resurveys (2008-14), participants of China Kadoorie Biobank, aged 30-79, reported their past and current fuel use for cooking and heating and the availability of cookstove ventilation. These were compared across regions, time periods, birth cohorts, and socio-demographic factors. During 1968-2014, the proportion of self-reported solid fuel use for cooking or heating decreased by two-thirds (from 84% to 27%), whereas those having complete kitchen ventilation tripled (from 19% to 66%). By 2014, despite a continuing downward trend, many in rural areas still used solid fuels for cooking (48%) and heating (72%), often without adequate ventilation (51%), in contrast to urban residents (all <5%). The large urban-rural inequalities in solid fuel use persisted across multiple generations and also varied by socioeconomic status, especially in rural areas. Despite marked progress in fuel modernization in the last 50 years, substantial rural-urban inequalities remain in the study population, especially those who were older or of lower socioeconomic status. Uptake of cleaner heating fuel and ventilation has been slow. More proactive and targeted strategies are needed to expedite universal access to clean energy for both cooking and heating.
登录
查看更多内容
影响因子：
10.4
作者：
Bonjour S;Adair-Rohani H;Wolf J;Bruce NG;Mehta S;Prüss-Ustün A;Lahiff M;Rehfuess EA;Mishra V;Smith KR
通讯作者：
Smith KR
影响因子：
5
作者：
Pokhrel, Amod K.;Bates, Michael N.;Smith, Kirk R.
通讯作者：
Smith, Kirk R.
影响因子：
9
作者：
Troncoso, Karin;Castillo, Alicia;Merino, Leticia
通讯作者：
Merino, Leticia
影响因子：
--
作者：
Kurmi, Om P.;Semple, Sean;Ayres, Jon G.
通讯作者：
Ayres, Jon G.
影响因子：
5.5
作者：
Peng, Wuyuan;Hisham, Zerriffi;Pan, Jiahua
通讯作者：
Pan, Jiahua