Soto-Moreno Jose A, Ballester-Díez Ferran
Consultor Independiente.
Departamento de Enfermería, Universidad de Valencia, España,
Rev Salud Publica (Bogota). 2013 Jan-Feb;15(1):80-9.
Characterising exposure to indoor air pollution arising from solid-fuel use in extremely poor Colombian households.
Data from the September 2012 survey by Red Unidos (literally United Network, the Colombian government's official instrument for identifying extremely poor households: n=1.3 million households and >5 million people) was used for two logistic regression models: factors associated with solid fuel used in cooking within households and an association between exposure to solid fuel use in households and the prevalence of limitations regarding individual health.
According to the Red Unidos data-based models, 2.1 million people living in 530,000 extremely poor households were exposed to environmental health risk (i.e. household air pollution caused by solid fuel use). Such risk was found to be related to living in rural areas (odds ratio (OR)=19.4 95 % confidence interval (95 %CI): 19.2-19.6 %), having an Indian background (OR=2.9: 2.9-3.0 95 %CI) and, inversely (i.e. when living in towns), internal displacement (OR=0.6: 0.6-0.695 %CI). The prevalence of permanent cardiovascular and respiratory limitations and limited vision were associated with exposure to indoor air pollution arising from solid fuel use.
Initiatives for improving environmental health and the quality of life for extremely poor rural households in Colombia must make full use of the available characterisation data and its impact for prioritising programmes aimed at reducing exposure to solid fuel use.
描述哥伦比亚极端贫困家庭使用固体燃料所产生的室内空气污染暴露情况。
使用了Red Unidos(直译为联合网络,是哥伦比亚政府用于识别极端贫困家庭的官方工具:涉及130万户家庭和500多万人)2012年9月调查的数据,构建两个逻辑回归模型:家庭烹饪中使用固体燃料的相关因素,以及家庭固体燃料使用暴露与个人健康受限患病率之间的关联。
根据基于Red Unidos数据的模型,生活在53万户极端贫困家庭中的210万人面临环境卫生风险(即固体燃料使用导致的家庭空气污染)。发现这种风险与生活在农村地区有关(优势比(OR)=19.4,95%置信区间(95%CI):19.2 - 19.6%)、有印第安背景(OR = 2.9:2.9 - 3.0,95%CI),以及相反情况(即生活在城镇时)的国内流离失所(OR = 0.6:0.6 - 0.695%CI)。永久性心血管和呼吸功能受限以及视力受限的患病率与固体燃料使用引起的室内空气污染暴露有关。
改善哥伦比亚极端贫困农村家庭环境卫生和生活质量的举措必须充分利用现有的特征数据及其影响,以便优先制定旨在减少固体燃料使用暴露的计划。