{"title":"Does Ambient and Indoor Air Pollution Drive Hypertension in Young and Middle-Aged (30–49 years) Women in India? A Cross-Sectional Analysis","authors":"Mriganka Dolui, Sanjit Sarkar","doi":"10.1007/s11869-025-01770-z","DOIUrl":null,"url":null,"abstract":"<div><p>Air pollution, both ambient and indoor, is a significant contributor to cardiovascular oxidative stress, inflammation and elevated blood pressure, a key mechanism for hypertension. Hypertension has emerged as a significant public health concern in low- and middle-income countries (LMICs), including India. Previous studies have linked air pollution to hypertension in older adults, while the remaining young and middle-aged (YAMA) women (30–49 years) are also increasingly affected by hypertension due to prolonged exposure to environmental risks, particularly from cooking fuels and proximity to pollution sources. Therefore, this study investigates the association between ambient and household air pollution (HAP) with hypertension among YAMA women in India. We analysed data from the National Family Health Survey-five (NFHS-5) integrated with the PM<sub>2.5</sub> Grids database of NASA. Descriptive statistics and bivariate and multivariable statistical analyses were included. The results showed that the mean PM<sub>2.5</sub> level was 64.34 μg/m<sup>3</sup>, with a 21.91% prevalence of hypertension among women in India. The logistic regression model revealed that exposure to PM<sub>2.5</sub> and HAP increased the likelihood of hypertension by 1.036 times (<i>p</i> < 0.001) and 1.025 times (<i>p</i> < 0.001), respectively. Other risk factors, including women’s age, education, religion, caste, wealth index, self-smoking behaviour, body mass index, and diabetes, were also significantly associated with hypertension. These findings underscore the urgent need to address social and environmental determinants of hypertension burden among women. Public health policies should prioritize cleaner household energy sources and enforce stricter ambient air quality regulations in reducing the burden of hypertension and preventing cardiovascular diseases among women in India.</p></div>","PeriodicalId":49109,"journal":{"name":"Air Quality Atmosphere and Health","volume":"18 8","pages":"2247 - 2264"},"PeriodicalIF":2.9000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Air Quality Atmosphere and Health","FirstCategoryId":"93","ListUrlMain":"https://link.springer.com/article/10.1007/s11869-025-01770-z","RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Air pollution, both ambient and indoor, is a significant contributor to cardiovascular oxidative stress, inflammation and elevated blood pressure, a key mechanism for hypertension. Hypertension has emerged as a significant public health concern in low- and middle-income countries (LMICs), including India. Previous studies have linked air pollution to hypertension in older adults, while the remaining young and middle-aged (YAMA) women (30–49 years) are also increasingly affected by hypertension due to prolonged exposure to environmental risks, particularly from cooking fuels and proximity to pollution sources. Therefore, this study investigates the association between ambient and household air pollution (HAP) with hypertension among YAMA women in India. We analysed data from the National Family Health Survey-five (NFHS-5) integrated with the PM2.5 Grids database of NASA. Descriptive statistics and bivariate and multivariable statistical analyses were included. The results showed that the mean PM2.5 level was 64.34 μg/m3, with a 21.91% prevalence of hypertension among women in India. The logistic regression model revealed that exposure to PM2.5 and HAP increased the likelihood of hypertension by 1.036 times (p < 0.001) and 1.025 times (p < 0.001), respectively. Other risk factors, including women’s age, education, religion, caste, wealth index, self-smoking behaviour, body mass index, and diabetes, were also significantly associated with hypertension. These findings underscore the urgent need to address social and environmental determinants of hypertension burden among women. Public health policies should prioritize cleaner household energy sources and enforce stricter ambient air quality regulations in reducing the burden of hypertension and preventing cardiovascular diseases among women in India.
期刊介绍:
Air Quality, Atmosphere, and Health is a multidisciplinary journal which, by its very name, illustrates the broad range of work it publishes and which focuses on atmospheric consequences of human activities and their implications for human and ecological health.
It offers research papers, critical literature reviews and commentaries, as well as special issues devoted to topical subjects or themes.
International in scope, the journal presents papers that inform and stimulate a global readership, as the topic addressed are global in their import. Consequently, we do not encourage submission of papers involving local data that relate to local problems. Unless they demonstrate wide applicability, these are better submitted to national or regional journals.
Air Quality, Atmosphere & Health addresses such topics as acid precipitation; airborne particulate matter; air quality monitoring and management; exposure assessment; risk assessment; indoor air quality; atmospheric chemistry; atmospheric modeling and prediction; air pollution climatology; climate change and air quality; air pollution measurement; atmospheric impact assessment; forest-fire emissions; atmospheric science; greenhouse gases; health and ecological effects; clean air technology; regional and global change and satellite measurements.
This journal benefits a diverse audience of researchers, public health officials and policy makers addressing problems that call for solutions based in evidence from atmospheric and exposure assessment scientists, epidemiologists, and risk assessors. Publication in the journal affords the opportunity to reach beyond defined disciplinary niches to this broader readership.