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Domestic solid fuel combustion in an adult population in Nigeria: A cross sectional analysis of association with respiratory symptoms, quality of life and lung function.
- Source :
-
Respiratory medicine [Respir Med] 2017 Sep; Vol. 130, pp. 61-68. Date of Electronic Publication: 2017 Jul 19. - Publication Year :
- 2017
-
Abstract
- Background and Objectives: We examined the association of respiratory symptoms, health status, and lung function with the use of solid fuel (wood, charcoal, coal or crop residue) for cooking or heating in a predominantly non-smoking population.<br />Methods: Using the protocol of the Burden of Obstructive Lung Diseases (BOLD) initiative, we collected representative population data using questionnaires and spirometry tests. We categorized solid fuel use into 'never user', 'ex user' and 'current user' based on responses to the survey. We developed regression models to evaluate the relation between use of solid fuel and the prevalence of respiratory symptoms, quality of life and lung function adjusting for confounding variables.<br />Results: Out of 1147 respondents with complete information on domestic fuel type, 33% were 'never-users', 19% were 'ex-users' while 48% reported current use of solid fuel for domestic cooking and/or indoor heating. Compared with never-users, current solid fuel users were more likely to report cough (OR: 1.7, 95% CI: 1.0, 2.9), cough or phlegm (OR: 1.6, 95% CI: 1.0, 2.5) and the association was stronger among women (OR: 3.0, 95% CI: 1.3, 7.1 and OR: 2.3, 95% CI: 1.1, 5.2, respectively). Current solid fuel users also had lower mental health status (coefficient: ?1.5, 95% CI: ?2.8, - 0.2) compared with the group of never-users. Current or previous domestic use of solid fuels for cooking or heating was not associated with higher prevalence of chronic airflow obstruction (FEV <subscript>1</subscript> /FVC < LLN).<br />Conclusions: Using solid fuel for domestic cooking or heating was associated with a higher risk of cough or phlegm and a lower mental quality of life. However we found no significant effect in the prevalence of chronic airflow obstruction in Ife, Nigeria.<br /> (Copyright © 2017. Published by Elsevier Ltd.)
- Subjects :
- Adult
Aged
Coal statistics & numerical data
Cooking statistics & numerical data
Cough epidemiology
Cough etiology
Cough physiopathology
Cough psychology
Cross-Sectional Studies
Female
Health Status
Heating methods
Humans
Male
Middle Aged
Nigeria epidemiology
Prevalence
Pulmonary Disease, Chronic Obstructive epidemiology
Pulmonary Disease, Chronic Obstructive etiology
Pulmonary Disease, Chronic Obstructive physiopathology
Pulmonary Disease, Chronic Obstructive psychology
Quality of Life
Respiratory Function Tests methods
Respiratory Tract Diseases etiology
Respiratory Tract Diseases physiopathology
Air Pollution, Indoor adverse effects
Coal adverse effects
Respiratory Tract Diseases epidemiology
Respiratory Tract Diseases psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-3064
- Volume :
- 130
- Database :
- MEDLINE
- Journal :
- Respiratory medicine
- Publication Type :
- Academic Journal
- Accession number :
- 29206635
- Full Text :
- https://doi.org/10.1016/j.rmed.2017.07.014