Acute lower respiratory infection in childhood and household fuel use in Bhaktapur, Nepal.
Acute lower respiratory infection in childhood and household fuel use in Bhaktapur, Nepal.
复制标题
DOI：
10.1289/ehp.1205491
复制
发表时间：
2013-05
影响因子：
10.4
通讯作者：
Smith KR
中科院分区：
文献类型：
--
作者：
Bates MN;Chandyo RK;Valentiner-Branth P;Pokhrel AK;Mathisen M;Basnet S;Shrestha PS;Strand TA;Smith KR
背景：全球约有30亿人使用固体燃料做饭。这些燃料与许多健康影响有关，包括幼儿的急性下呼吸道感染（ALRI）。尼泊尔普遍使用生物质做饭和取暖。目的：这项病例对照研究是在尼泊尔巴克塔普尔市的一个人群中进行的，目的是调查幼儿中烹饪燃料类型与ALRI的关系。研究方法：ALRI病例和年龄匹配的对照组来自2-35个月的开放队列儿童，每月进行ALRI监测。使用了一份调查表来获得关于家庭特征的信息，包括家庭烹饪和取暖器具以及燃料。主要分析采用条件Logistic回归。计算了炉灶类型的人口归因分数（PAF）。结果：共纳入917名儿童（452名病例和465名对照）。相对于使用电力做饭，ALRI增加与任何使用生物质炉灶[比值比（OR）= 1.93; 95% CI：1.24，2.98]，煤油炉（OR = 1.87; 95% CI：1.24，2.83），燃气炉（OR = 1.62; 95% CI：1.05，2.50）。使用木材、煤油或煤炭加热也与ALRI相关（OR = 1.45; 95%CI：0.97，2.14），与不加热或电或天然气加热相比。对于生物质和煤油炉，ALRI的PAF分别为18.0%（95% CI：8.1，26.9%）和18.7%（95% CI：8.4%-27.8%）。结论：这项研究支持了以前的报告，即使用生物质作为家庭燃料是ALRI的一个风险因素，并提供了新的证据，证明使用煤油做饭也可能是幼儿ALRI的一个风险因素。
Background: Globally, solid fuels are used by about 3 billion people for cooking. These fuels have been associated with many health effects, including acute lower respiratory infection (ALRI) in young children. Nepal has a high prevalence of use of biomass for cooking and heating. Objective: This case–control study was conducted among a population in the Bhaktapur municipality, Nepal, to investigate the relationship of cookfuel type to ALRI in young children. Methods: Cases with ALRI and age-matched controls were enrolled from an open cohort of children 2–35 months old, under active monthly surveillance for ALRI. A questionnaire was used to obtain information on family characteristics, including household cooking and heating appliances and fuels. The main analysis was carried out using conditional logistic regression. Population-attributable fractions (PAF) for stove types were calculated. Results: A total of 917 children (452 cases and 465 controls) were recruited into the study. Relative to use of electricity for cooking, ALRI was increased in association with any use of biomass stoves [odds ratio (OR) = 1.93; 95% CI: 1.24, 2.98], kerosene stoves (OR = 1.87; 95% CI: 1.24, 2.83), and gas stoves (OR = 1.62; 95% CI: 1.05, 2.50). Use of wood, kerosene, or coal heating was also associated with ALRI (OR = 1.45; 95% CI: 0.97, 2.14), compared with no heating or electricity or gas heating. PAFs for ALRI were 18.0% (95% CI: 8.1, 26.9%) and 18.7% (95% CI: 8.4%–27.8%), for biomass and kerosene stoves, respectively. Conclusions: The study supports previous reports indicating that use of biomass as a household fuel is a risk factor for ALRI, and provides new evidence that use of kerosene for cooking may also be a risk factor for ALRI in young children.
登录
查看更多内容
DOI：
10.1038/sj.jea.7500273
发表时间：
2003-05-01
期刊：
JOURNAL OF EXPOSURE ANALYSIS AND ENVIRONMENTAL EPIDEMIOLOGY
影响因子：
--
作者：
Saksena, S;Singh, PB;Patil, RS
通讯作者：
Patil, RS
DOI：
10.2471/blt.07.044529
发表时间：
2008-05-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Dherani, Mukesh;Pope, Daniel;Bruce, Nigel
通讯作者：
Bruce, Nigel
影响因子：
1.9
作者：
GREENLAND, S;DRESCHER, K
通讯作者：
DRESCHER, K
影响因子：
10.4
作者：
Pokhrel, Amod K.;Bates, Michael N.;Smith, Kirk R.
通讯作者：
Smith, Kirk R.
DOI：
10.2471/blt.08.050872
发表时间：
2009-06-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Niessen, Louis;Hove, Anne ten;Ezzati, Majid
通讯作者：
Ezzati, Majid