Department of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, Liaoning, China.
Department of Health Statistics, School of Public Health, Dalian Medical University, Dalian, Liaoning, China.
Ecotoxicol Environ Saf. 2023 Jun 15;258:114974. doi: 10.1016/j.ecoenv.2023.114974. Epub 2023 May 5.
Few studies examined the associations of household fuel combustion with incident diabetes. The current study emphasizes the association of domestic fuel combustion with diabetes among middle- and older- Chinese.
The data was extracted from a national and prospective cohort, the China Health and Retirement Longitudinal Study (CHARLS), which enrolled adults ≥ 45 years. A total of 4610 and 5570 participants were involved in heating and cooking-related analyses. Multivariable logistic models were conducted to assess the association of domestic fuel combustion for heating and cooking with diabetes. Furthermore, we also examined whether it differed from switching fuel types. Subgroup and interaction analyses were performed based on covariates to examine the robustness and find potential effect modifiers.
After about 5-year follow-up, 592 and 716 diabetes were diagnosed in heating and cooking-related analyses. Compared to cleaner fuel users, those who used solid fuel for heating [OR (95 % CI):1.32 (1.05-1.66)] maintained higher risks of incident diabetes. In addition, participants who were exposed to solid fuel for both heating and cooking [OR (95 % CI):1.55 (1.17-2.06)] might have further elevated diabetic risk. Those risks are likely to be attenuated if people switched cooking fuel from solid to cleaner [OR (95 % CI): 0.68 (0.53-0.89)].
Home solid fuel use for heating is associated with an increased risk of incident diabetes. If solid fuel was concurrently used for both cooking and heating, those risks might be further elevated. Interestingly, as compared to solid fuel users, the participants switching cooking fuel types from solid to cleaner presented reduced diabetic risk.
很少有研究探讨家庭燃料燃烧与糖尿病发病之间的关系。本研究强调了家庭燃料燃烧与中国中老年人糖尿病之间的关系。
数据来自全国前瞻性队列研究——中国健康与退休纵向研究（CHARLS），该研究纳入了≥45 岁的成年人。共有 4610 名和 5570 名参与者分别参与了与取暖和烹饪相关的分析。多变量逻辑模型用于评估家庭燃料燃烧取暖和烹饪与糖尿病之间的关联。此外，我们还检查了这种关联是否与燃料类型的转换有关。基于协变量进行亚组和交互分析，以检验稳健性并发现潜在的效应修饰剂。
经过约 5 年的随访，取暖和烹饪相关分析中分别诊断出 592 例和 716 例糖尿病。与使用清洁燃料的人相比，使用固体燃料取暖的人（OR（95%CI）：1.32（1.05-1.66））患糖尿病的风险更高。此外，同时暴露于固体燃料取暖和烹饪的人（OR（95%CI）：1.55（1.17-2.06））可能会进一步增加糖尿病的风险。如果人们将烹饪燃料从固体燃料转换为清洁燃料，这些风险可能会降低（OR（95%CI）：0.68（0.53-0.89））。
家庭固体燃料用于取暖与糖尿病发病风险增加有关。如果固体燃料同时用于烹饪和取暖，这些风险可能会进一步升高。有趣的是，与使用固体燃料的人相比，将烹饪燃料类型从固体转换为清洁燃料的参与者患糖尿病的风险降低。
