Department of Environmental Health, School of Public Health, China Medical University, Key Laboratory of Environmental Health Damage Research and Assessment, Shenyang 110122, Liaoning Province, PR China.
The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Sci Total Environ. 2022 Mar 10;811:152256. doi: 10.1016/j.scitotenv.2021.152256. Epub 2021 Dec 9.
Household air pollution exposure is a crucial public concern and have the potential to seriously affect human health. Using biomass fuels for cooking is the main contributor to household air pollution. However, current evidence linked between cooking with biomass fuels and mental health remains limited.
To explore whether cooking with biomass fuels is associated with depression and anxiety symptoms among older adults in China.
We obtained data from Chinese Longitudinal Healthy Longevity Survey (CLHLS). Depressive and anxiety symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) and the 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively. Primary cooking fuel type was self-reported. We used logistic regression and linear regression to evaluate the effects of cooking with biomass fuels on depression and anxiety.
A total of 13,361 participants aged 65 years and older (mean age, 84.2 ± 11.5 years) were included in the presented study. A positive association was found between cooking with biomass fuels and both depression symptoms (adjusted odds ratio 1.23, 95% CI 1.03 to 1.47) and anxiety symptoms (adjusted odds ratio 1.31, 95% CI 1.02 to 1.68). Biomass fuel users had a higher depression scores (0.33, 95% CI 0.03 to 0.61) and a higher anxiety scores (0.20, 95% CI 0.02 to 0.38) compared to clean fuel users. We found no significant interactions between participant characteristics and biomass fuel use on either depression or anxiety symptoms.
Cooking with biomass fuels was associated with depression and anxiety symptoms in order adults. Further large prospective cohort studies are warranted to confirm this association.
家庭空气污染暴露是一个重要的公共卫生问题，有可能严重影响人类健康。使用生物质燃料做饭是家庭空气污染的主要原因。然而，目前与使用生物质燃料做饭和心理健康之间的关联证据仍然有限。
探讨在中国老年人中，使用生物质燃料做饭是否与抑郁和焦虑症状有关。
我们从中国长寿纵向研究（CLHLS）中获取了数据。使用 10 项流行病学研究抑郁量表（CES-D-10）和 7 项广泛性焦虑症量表（GAD-7）评估抑郁和焦虑症状。主要烹饪燃料类型为自我报告。我们使用逻辑回归和线性回归评估使用生物质燃料做饭对抑郁和焦虑的影响。
共纳入了 13361 名 65 岁及以上（平均年龄 84.2±11.5 岁）的参与者。研究发现，使用生物质燃料做饭与抑郁症状（调整后的优势比 1.23，95%可信区间 1.03 至 1.47）和焦虑症状（调整后的优势比 1.31，95%可信区间 1.02 至 1.68）均呈正相关。与使用清洁燃料的人相比，生物质燃料使用者的抑郁评分更高（0.33，95%可信区间 0.03 至 0.61），焦虑评分更高（0.20，95%可信区间 0.02 至 0.38）。我们没有发现参与者特征与生物质燃料使用之间对抑郁或焦虑症状的交互作用有统计学意义。
使用生物质燃料做饭与成年人的抑郁和焦虑症状有关。需要进一步进行大型前瞻性队列研究来证实这种关联。
