Household air pollution from solid fuel use and risk of adverse pregnancy outcomes: a systematic review and meta-analysis of the empirical evidence.

Household air pollution from solid fuel use and risk of adverse pregnancy outcomes: a systematic review and meta-analysis of the empirical evidence.
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DOI:
10.1371/journal.pone.0113920
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Jaakkola JJ
Jaakkola JJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Amegah AK;Quansah R;Jaakkola JJ

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全球约有41%的家庭,主要是发展中国家的家庭,依赖固体燃料做饭,这对胎儿的生长和发育造成了影响。以前的审查范围有限,只评估两个结果(出生体重,死产)。随着重要证据的积累,有必要改进以前的估计并评估其他结果。我们进行了系统回顾和荟萃分析,以评估家庭空气污染(HAP)和整个不良妊娠结局的可用证据的质量和强度。检索了PubMed、奥维德Medline、Scopus和CINAHL,检索时间为从开始到2013年4月底。所有流行病学研究设计均符合纳入审查的条件。采用随机效应模型计算汇总效应估计值(EE)及其相应的95%置信区间(CI)。在筛选的1505项研究中,19项研究符合纳入标准。家庭燃烧固体燃料导致出生体重减少86.43 g(95%CI:55.49,117.37),LBW和死胎风险分别增加35%(EE= 1.35,95%CI:1.23,1.48)和29%(EE =1.29,95%CI:1.18,1.41)。   在家中燃烧固体燃料会增加各种不良妊娠结局的风险。获得清洁的家庭能源解决方案是对抗HAP并减轻其不利影响的最可靠方法。
About 41% of households globally, mainly in developing countries rely on solid fuels for cooking with consequences for fetal growth and development. Previous reviews were limited in scope, assessing only two outcomes (birth weight, stillbirth). With important evidence accumulating, there is a need to improve the previous estimates and assess additional outcomes. We conducted a systematic review and meta-analysis to evaluate the quality and strength of available evidence on household air pollution (HAP) and the whole range of adverse pregnancy outcomes. PubMed, Ovid Medline, Scopus and CINAHL were searched from their inception to the end of April 2013. All epidemiological study designs were eligible for inclusion in the review. The random-effects model was applied in computing the summary-effect estimates (EE) and their corresponding 95% confidence interval (CI). Of 1505 studies screened, 19 studies satisfied the inclusion criteria. Household combustion of solid fuels resulted in an 86.43 g (95% CI: 55.49, 117.37) reduction in birth weight, and a 35% (EE = 1.35, 95% CI: 1.23, 1.48) and 29% (EE = 1.29, 95% CI: 1.18, 1.41) increased risk of LBW and stillbirth respectively. Combustion of solid fuels at home increases the risk of a wide range of adverse pregnancy outcomes. Access to clean household energy solutions is the surest way to combat HAP and mitigate their adverse effects.
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