Exposure of pregnant women to indoor air pollution: a study from nine low and middle income countries.
Exposure of pregnant women to indoor air pollution: a study from nine low and middle income countries.
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DOI：
10.3109/00016340903473566
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发表时间：
2010
影响因子：
4.3
通讯作者：
Global Network Tobacco Study Group*
中科院分区：
文献类型：
--
作者：
Kadir MM;McClure EM;Goudar SS;Garces AL;Moore J;Onyamboko M;Kaseba C;Althabe F;Castilla EE;Freire S;Parida S;Saleem S;Wright LL;Goldenberg RL;Global Network Tobacco Study Group*
我们研究了南亚、非洲和拉丁美洲孕妇接触固体燃料烟雾和二手烟草烟雾的情况。前瞻性横断面调查。阿根廷、巴西、厄瓜多尔、危地马拉、乌拉圭、刚果民主共和国、赞比亚、印度和巴基斯坦的产前诊所。 2004 年 10 月至 2005 年 9 月间，对 9 个国家 10 个地点的 7961 名孕妇进行了访谈。在产前护理期间，对孕妇进行了有关室内空气污染（IAP）和二手烟暴露的标准化调查问卷。接触 IAP 和二手烟草烟雾。南亚孕妇普遍使用木材（49.1%–89.7%）、农作物残渣和动物粪便作为烹饪和取暖燃料。非洲孕妇报告木炭使用量较高（85.4%–93.5%）。拉丁美洲孕妇更多地使用石油气。在南亚妇女中，使用固体燃料和在家里用明火做饭很常见。在亚洲地点和赞比亚，固体燃料的使用与允许在家中吸烟之间存在显着关联（p<0.05）。低/中等收入国家的孕妇通常会因使用固体燃料而遭受 IAP 影响。在这些人群中，接触二手烟草烟雾也很常见。这种暴露组合可能会增加最脆弱女性妊娠结局不佳的风险。我们的研究强调了进一步研究 IAP 和二手烟草烟雾暴露对孕产妇和围产期不良结局的综合影响的重要性。
We studied exposure to solid fuel smoke and second-hand tobacco smoke among pregnant women in south Asia, Africa and Latin America. Prospective cross-sectional survey. Antenatal clinics in Argentina, Brazil, Ecuador, Guatemala, Uruguay, Democratic Republic of Congo, Zambia, India and Pakistan. A total of 7961 pregnant women in ten sites in nine countries were interviewed between October 2004 and September 2005. A standardized questionnaire on exposure to indoor air pollution (IAP) and to secondhand smoke was administered to pregnant women during antenatal care. Exposure to IAP and second-hand tobacco smoke. South Asian pregnant women commonly reported use of wood (49.1%–89.7%), crop residue and animal dung for cooking and heating fuel. African pregnant women reported higher use of charcoal (85.4%–93.5%). Latin American pregnant women had greater use of petroleum gas. Among south Asian women, solid fuel use and cooking on an open flame inside the home were common. There was a significant association between solid fuel use and allowing smoking within the home at the Asian sites and in Zambia (p<0.05). Pregnant women from low/middle income countries were commonly exposed to IAP secondary to use of solid fuels. Among these populations, exposure to second-hand tobacco smoke was also common. This combination of exposures likely increases the risk of poor pregnancy outcomes among the most vulnerable women. Our study highlights the importance of further research on the combined impact of IAP and second-hand tobacco smoke exposures on adverse maternal and perinatal outcomes.