Cooking fuel use and respiratory health of women and children in rural Ballabgarh, Haryana.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Archives of Occupational and Environmental Health Pub Date : 2024-10-01 Epub Date: 2024-07-26 DOI:10.1007/s00420-024-02088-6

Preety Tanwar, Rakesh Kumar, Harshal Ramesh Salve, Anand Krishnan

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引用次数: 0

Abstract

Background: Household air pollution arising from combustion of unclean fuels during cooking activities causes serious respiratory health effects. This study investigated patterns of household cooking fuel use and its effect on respiratory health status of women and children.

Methods: A cross-sectional study was conducted in rural households of Ballabgarh, Haryana during December 2019 to January 2020 among 18-45 years old women and their children having age between 6 and 59 months. A total of 450 households were selected using simple random sampling. Cooking fuel use was categorised as unclean (Wood, dung cakes, crop residues) and clean (LPG and electricity). The classification of mixed fuel use (predominantly unclean or clean) was based upon duration of unclean fuel use ≥ 2.5 h per day. The clinical history and physical examination was done using a semi-structured questionnaire. Assessment of respiratory health status of women participants was done using peak expiratory flow meter and presence of pneumonia in children was evaluated as per Integrated Management of Neonatal and Childhood Illnesses (IMNCI) guidelines.

Results: Overall use of unclean cooking fuels was predominant in 59.6% of households and 71.8% of households had mixed fuel use. Only clean fuel use was in 11.3% of households. Nasal stuffiness, breathing difficulty and cough were observed among 13.1%, 10.5% and 8.5% among women while the common respiratory symptoms in children were cough (27.8%) and runny nose (22.9%). As compared to clean fuels, women using unclean fuels were more likely to have any respiratory symptom (aOR 3.0, 95% CI: 1.5-6.0) and impaired pulmonary functions (adjusted OR 1.9, 95% CI: 1.2-2.9). Cooking fuel use was not associated with respiratory symptoms and presence of pneumonia in children living in the households.

Conclusion: Cooking with unclean fuel continues to be prevalent in the households of rural Ballabgarh and adversely affects the respiratory health of women indicating strengthening of initiatives promoting clean fuel use.

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哈里亚纳邦 Ballabgarh 农村地区妇女和儿童的炊事燃料使用与呼吸系统健康。

背景：在烹饪活动中燃烧不洁燃料造成的家庭空气污染会严重影响呼吸系统健康。本研究调查了家庭烹饪燃料的使用模式及其对妇女和儿童呼吸系统健康状况的影响：方法：2019 年 12 月至 2020 年 1 月期间，在哈里亚纳邦 Ballabgarh 的农村家庭中对 18-45 岁的妇女及其 6 至 59 个月大的子女进行了横断面研究。研究采用简单随机抽样法，共选取了 450 户家庭。炊事燃料的使用分为不清洁（木柴、粪饼、作物残渣）和清洁（液化石油气和电）两类。混合燃料使用（主要是不清洁或清洁燃料）的分类依据是每天使用不清洁燃料的时间≥ 2.5 小时。临床病史和体格检查采用半结构式问卷进行。根据新生儿和儿童疾病综合管理（IMNCI）指南，使用呼气流量峰值计对女性参与者的呼吸健康状况进行评估，并对儿童是否患有肺炎进行评估：59.6%的家庭主要使用不清洁的烹饪燃料，71.8%的家庭使用混合燃料。只有 11.3% 的家庭使用清洁燃料。13.1%的妇女、10.5%的妇女和 8.5%的妇女出现鼻塞、呼吸困难和咳嗽，而儿童常见的呼吸道症状是咳嗽（27.8%）和流鼻涕（22.9%）。与清洁燃料相比，使用不清洁燃料的妇女更容易出现任何呼吸道症状（aOR 3.0，95% CI：1.5-6.0）和肺功能受损（调整 OR 1.9，95% CI：1.2-2.9）。烹饪燃料的使用与家庭中儿童的呼吸道症状和肺炎无关：结论：在 Ballabgarh 农村地区的家庭中，使用不洁燃料做饭的现象仍然很普遍，对妇女的呼吸系统健康造成了不利影响，这表明应加强推广使用清洁燃料的措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

6.70%

发文量

127

审稿时长

3 months

期刊介绍： International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.