Associations of solid fuel exposure and kitchen ventilation with mental disorders in rural areas: Evidence from a prospective cohort study

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-05-27 DOI:10.1016/j.jad.2025.119522

Jian Zhang , Caiyun Zhang , Yinghao Yuchi , Huangxiang Zhang , Jia Qiu , Xiuli Tang , Han Pang , Xiaotian Liu , Jian Hou , Chongjian Wang , Yuqian Li

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引用次数: 0

Abstract

This research aimed to investigate the relationship of rural kitchen fuel types with the risk of depression, anxiety, and SI (suicidal ideation), including the impact of kitchen ventilation. A total of 12,058 eligible participants were obtained from the Henan rural cohort study. Logistic regression analysis was conducted to examine the impact of solid fuel use on the occurrence of mental disorders, as well as the modifying effect of kitchen mechanical ventilation. After adjusting for confounding factors, solid fuel use was associated with depression, anxiety and SI with odds ratios and 95 % confidence intervals (ORs and 95 % CIs) of 1.46 (1.12, 1.89), 1.45 (1.10, 1.89), and 1.27 (0.92, 1.74), respectively. The joint effect results showed that the risks of depression, anxiety symptoms and SI increased by 1.25 (0.64, 2.09), 1.26 (0.63, 2.13) and 1.69 (0.80, 3.04) for solid fuel and natural ventilation, respectively. The interaction results showed that 46 % of the risk of depression and anxiety symptoms could be attributed to the synergistic effect of solid fuel use and natural ventilation. Stratified analyses yielded similar findings. Exposure of solid fuel is associated with increased risks of depression, anxiety, and SI, and kitchen mechanical ventilation could reduce the adverse effects of solid fuel use on mental disorders. It is suggested that kitchen mechanical ventilation may be an effective approach to ameliorate the risk of mental disorders from solid fuel exposure.

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农村地区固体燃料暴露和厨房通风与精神障碍的关系：来自前瞻性队列研究的证据

本研究旨在探讨农村厨房燃料类型与抑郁、焦虑和自杀意念风险的关系，包括厨房通风的影响。从河南农村队列研究中共获得12058名符合条件的参与者。采用Logistic回归分析考察固体燃料使用对精神障碍发生的影响，以及厨房机械通风的调节作用。在调整混杂因素后，固体燃料使用与抑郁、焦虑和SI相关，比值比和95%置信区间（ORs和95% ci）分别为1.46（1.12,1.89）、1.45（1.10,1.89）和1.27（0.92,1.74）。联合效应结果显示，固体燃料和自然通风组抑郁、焦虑症状和SI风险分别增加1.25（0.64,2.09）、1.26（0.63,2.13）和1.69（0.80,3.04）。相互作用结果表明，46%的抑郁和焦虑症状风险可归因于使用固体燃料和自然通风的协同效应。分层分析也得出了类似的结果。固体燃料暴露与抑郁、焦虑和SI风险增加有关，厨房机械通风可以减少固体燃料使用对精神障碍的不良影响。建议厨房机械通风可能是改善固体燃料暴露导致精神障碍风险的有效方法。

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

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.