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南非室内家庭暴露与儿童和成人相关发病率和死亡率结局。

Indoor Household Exposures and Associated Morbidity and Mortality Outcomes in Children and Adults in South Africa.

机构信息

Department of Environmental Health, Faculty of Science, Tshwane University of Technology, Private Bag X680, Pretoria 0001, South Africa.

Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan 200284, Nigeria.

出版信息

Int J Environ Res Public Health. 2022 Aug 2;19(15):9471. doi: 10.3390/ijerph19159471.

DOI:10.3390/ijerph19159471
PMID:35954827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9367742/
Abstract

Human exposure to indoor pollution is one of the most well-established ways that housing affects health. We conducted a review to document evidence on the morbidity and mortality outcomes associated with indoor household exposures in children and adults in South Africa. The authors conducted a scientific review of the publicly available literature up to April 2022 using different search engines (PubMed, ProQuest, Science Direct, Scopus and Google Scholar) to identify the literature that assessed the link between indoor household exposures and morbidity and mortality outcomes in children and adults. A total of 16 studies with 16,920 participants were included. Bioaerosols, allergens, dampness, tobacco smoking, household cooking and heating fuels, particulate matter, gaseous pollutants and indoor spray residue play a significant role in different morbidity outcomes. These health outcomes include dental caries, asthma, tuberculosis, severe airway inflammation, airway blockage, wheeze, rhinitis, bronchial hyperresponsiveness, phlegm on the chest, current rhinoconjunctivitis, hay fever, poor early life immune function, hypertensive disorders of pregnancy, gestational hypertension, and increased incidence of nasopharyngeal bacteria, which may predispose people to lower respiratory tract infections. The findings of this research highlight the need for more initiatives, programs, strategies, and policies to better reduce the negative consequences of indoor household exposures.

摘要

人体暴露于室内污染是住房影响健康的最主要途径之一。我们进行了一项综述,以记录有关南非儿童和成人室内家庭暴露与发病率和死亡率之间关联的证据。作者使用不同的搜索引擎(PubMed、ProQuest、Science Direct、Scopus 和 Google Scholar)对公开文献进行了科学综述,以确定评估室内家庭暴露与儿童和成人发病率和死亡率之间关联的文献。共有 16 项研究纳入了 16920 名参与者。生物气溶胶、过敏原、潮湿、吸烟、家庭烹饪和取暖燃料、颗粒物、气态污染物和室内喷雾残留在不同的发病率结果中发挥了重要作用。这些健康结果包括龋齿、哮喘、结核病、严重气道炎症、气道阻塞、喘息、鼻炎、支气管高反应性、胸部有痰、当前鼻结膜炎、花粉症、生命早期免疫功能差、妊娠高血压疾病、妊娠期高血压,以及鼻咽细菌的发病率增加,这些可能使人们易患下呼吸道感染。这项研究的结果强调需要采取更多的举措、方案、战略和政策,以更好地减少室内家庭暴露的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/9367742/4ae2de89a366/ijerph-19-09471-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/9367742/2d121971389c/ijerph-19-09471-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/9367742/4ae2de89a366/ijerph-19-09471-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/9367742/2d121971389c/ijerph-19-09471-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ea/9367742/4ae2de89a366/ijerph-19-09471-g002.jpg

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本文引用的文献

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Non-Smoker's Exposure to Second-Hand Smoke in South Africa during 2017.2017 年南非非吸烟者接触二手烟情况。
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Drivers of the Adoption and Exclusive Use of Clean Fuel for Cooking in Sub-Saharan Africa: Learnings and Policy Considerations from Cameroon.撒哈拉以南非洲地区烹饪燃料采用和专用清洁燃料的驱动因素:来自喀麦隆的经验教训和政策考虑。
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Indoor Air Pollution, Related Human Diseases, and Recent Trends in the Control and Improvement of Indoor Air Quality.
室内空气污染、相关人类疾病,以及控制和改善室内空气质量的最新趋势。
Int J Environ Res Public Health. 2020 Apr 23;17(8):2927. doi: 10.3390/ijerph17082927.
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Association of childhood pulmonary tuberculosis with exposure to indoor air pollution: a case control study.儿童肺结核与室内空气污染暴露的关联:病例对照研究。
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Household Fuel Use for Heating and Cooking and Respiratory Health in a Low-Income, South African Coastal Community.低收入南非沿海社区家庭取暖和烹饪燃料使用与呼吸健康
Int J Environ Res Public Health. 2019 Feb 14;16(4):550. doi: 10.3390/ijerph16040550.
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Indoor air pollution and tobacco smoke exposure: impact on nasopharyngeal bacterial carriage in mothers and infants in an African birth cohort study.室内空气污染与烟草烟雾暴露:非洲出生队列研究中对母婴鼻咽部细菌携带情况的影响
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Association between exposure to household smoking and dental caries in preschool children: a cross-sectional study.家庭吸烟暴露与学龄前儿童龋齿的关系:一项横断面研究。
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