家用固体燃料燃烧和环境烟草烟雾对印度尼西亚儿童健康结果的影响。
Effects of Household Air Pollution From Solid Fuel Use and Environmental Tobacco Smoke on Child Health Outcomes in Indonesia.
机构信息
Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Jalan P.B. Sudirman, Denpasar, Bali, Indonesia (Ms Suryadhi); Department of Human Ecology, Graduate School of Environmental and Life Science, Okayama University, Kita-ku, Okayama, Japan (Ms Suryadhi, Mr Abudureyimu, and Dr Yorifuji); Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan (Dr Kashima).
出版信息
J Occup Environ Med. 2019 Apr;61(4):335-339. doi: 10.1097/JOM.0000000000001554.
OBJECTIVE
We assessed the combined effect of household air pollution from solid fuel use and from environmental tobacco smoke and child health outcomes in Indonesia.
METHODS
Survey subjects self-reported solid fuel use, frequency of indoor smoking, and health outcomes in children. We then evaluated the effect of a combined exposure using multivariate logistic regression.
RESULTS
Children exposed to high levels of pollution from solid fuel use had an increased risk of low birth weight, neonatal death, infant death, and acute lower respiratory infection. Exposure to environmental tobacco smoke increased the risk of acute lower respiratory infection. The combined effect of both pollution sources outweighed the independent risk of each exposure alone.
CONCLUSIONS
Solid fuel use and environmental tobacco smoke independently increased the risk and child health outcomes and the combined exposure showed the additive effect.
目的
我们评估了印度尼西亚家庭使用固体燃料和环境烟草烟雾造成的空气污染对儿童健康结果的综合影响。
方法
调查对象自我报告固体燃料使用情况、室内吸烟频率以及儿童健康结果。然后，我们使用多变量逻辑回归评估了联合暴露的效果。
结果
暴露于高水平固体燃料使用污染的儿童，低出生体重、新生儿死亡、婴儿死亡和急性下呼吸道感染的风险增加。暴露于环境烟草烟雾会增加急性下呼吸道感染的风险。两种污染来源的综合影响大于每种暴露单独的风险。
结论
固体燃料使用和环境烟草烟雾都独立地增加了风险和儿童健康结果，而联合暴露则表现出了相加效应。
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