Sharma Arun Kumar, Dhabahi Anukrati, Mohanty S S
Department of Community Medicine, University College of Medical Sciences, Delhi, India.
Project Technical Officer, Jodhpur, Rajasthan, India.
Indian J Community Med. 2024 Jan-Feb;49(1):165-169. doi: 10.4103/ijcm.ijcm_325_23. Epub 2024 Jan 12.
This study aimed to investigate the association between household air pollution and chronic respiratory illness (CRI) in Jaipur, India.
A total of 147 participants over 18 years of age from 45 households were randomly included in the study, and follow-up visits were conducted once every fortnight over a three-month period. Spirometry tests were conducted using a portable hand-held digital spirometer. A self-designed, pretested, semi-structured questionnaire was utilized to collect socio-demographic information from the participants. Statistical tests, such as t-tests were used to analyze the association between household air pollution and CRI.
The prevalence of COPD and bronchial asthma was 2% and 4%, respectively. Various risk factors for CRI were identified within households, and only 4 episodes of acute exacerbation of chronic respiratory illness were observed, resulting in no incidence density calculation. The mean values of forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) were significantly lower in females ( < 0.001) Also, the mean values of FVC and FEV1 were significantly lower in rural areas ( < 0.005) than urban areas.
Our findings highlight the importance of government and stakeholder action to implement clean air policies and protect respiratory health. Further studies are needed to expand on these findings and delve deeper into understanding the complex interactions between various risk factors and respiratory health in this population.
本研究旨在调查印度斋浦尔家庭空气污染与慢性呼吸道疾病(CRI)之间的关联。
从45个家庭中随机纳入147名18岁以上的参与者,在三个月的时间里每两周进行一次随访。使用便携式手持式数字肺活量计进行肺活量测定测试。采用自行设计、预先测试的半结构化问卷收集参与者的社会人口统计学信息。使用t检验等统计测试分析家庭空气污染与CRI之间的关联。
慢性阻塞性肺疾病(COPD)和支气管哮喘的患病率分别为2%和4%。在家庭中确定了CRI的各种危险因素,仅观察到4例慢性呼吸道疾病急性加重发作,因此未计算发病密度。女性的用力肺活量(FVC)和一秒用力呼气容积(FEV1)平均值显著较低(<0.001)。此外,农村地区的FVC和FEV1平均值显著低于城市地区(<0.005)。
我们的研究结果凸显了政府和利益相关者采取行动实施清洁空气政策和保护呼吸道健康的重要性。需要进一步开展研究以扩展这些发现,并更深入地了解该人群中各种危险因素与呼吸道健康之间的复杂相互作用。