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首页> 外文期刊>Environmental research >Elevated blood pressure and household solid fuel use in premenopausal women: Analysis of 12 Demographic and Health Surveys (DHS) from 10 countries
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Elevated blood pressure and household solid fuel use in premenopausal women: Analysis of 12 Demographic and Health Surveys (DHS) from 10 countries

机译：绝经前妇女的血压升高和家用固体燃料使用量：来自10个国家的12项人口与健康调查（DHS）分析

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摘要

Background: Approximately three billion people are exposed to household air pollution (HAP) from solid fuel cookstoves. Studies from single settings have linked HAP with elevated blood pressure (BP), but no evidence exists from multi-country analyses. Objectives: Using nationally representative and internationally comparable data, we examined the association between solid fuel use and BP in 77,605 largely premenopausal women (aged 15-49) from ten resource-poor countries. Methods: We obtained data on systolic and diastolic BP, self-reported primary cooking fuel, health and socio-demographic characteristics from 12 Demographic and Health Surveys conducted in Albania, Armenia, Azerbaijan, Bangladesh, Benin, Ghana, Kyrgyzstan, Lesotho, Namibia, and Peru. We estimated associations between history of fuel use [solid fuel (coal or biomass) versus clean fuel (electricity or gas)] with systolic and diastolic BP and hypertension using a meta-analytical approach. Results: Overall, the country-level mean systolic and diastolic BP were 117 (range: 111-127) and 74 (71-83) mmHg, respectively. The country-level mean age of the women was 30.8 years (range: 28.4-32.9). The prevalence of solid fuel use was 46.0% (range: 4.1-95.8). In adjusted, pooled analyses, primary use of solid fuel was associated with 0.58 mmHg higher systolic BP (95% CI: 0.23, 0.93) as compared to primary use of clean fuel. The pooled estimates for diastolic BP and pulse pressure were also positive, but the confidence intervals contained zero. The pooled odds of hypertension was [OR = 1.07 (95% CI: 0.99, 1.16)], an effect that was driven by rural participants for whom solid fuel use was associated with a 16% greater odds of hypertension [OR = 1.16 (95% CI: 1.01,1.35)]. Conclusions: Cooking with solid fuels was associated with small increases in BP and odds of hypertension. Use of cleaner fuels like gas or electricity may reduce cardiovascular risk in developing countries, particularly among rural residents.
机译：背景：大约30亿人暴露于固体燃料灶具引起的家庭空气污染（HAP）。单一环境下的研究已将HAP与高血压（BP）关联起来，但多国分析没有证据。目标：我们使用具有国家代表性和国际可比性的数据，研究了来自十个资源匮乏国家的77,605名绝经前妇女（15-49岁）的固体燃料使用与血压之间的关联。方法：我们从阿尔巴尼亚，亚美尼亚，阿塞拜疆，孟加拉国，贝宁，加纳，吉尔吉斯斯坦，莱索托，纳米比亚，和秘鲁。我们使用荟萃分析方法估算了燃料使用史（固体燃料（煤或生物质）与清洁燃料（电力或天然气）与收缩压和舒张压以及高血压之间的相关性。结果：总体而言，国家/地区的平均收缩压和舒张压分别为117（范围：111-127）和74（71-83）mmHg。妇女的国家/地区平均年龄为30.8岁（范围：28.4-32.9）。固体燃料使用率为46.0％（范围：4.1-95.8）。在调整后的汇总分析中，与主要使用清洁燃料相比，主要使用固体燃料的收缩压高（0.5％mmHg）（95％CI：0.23，0.93）。舒张压和脉压的合并估计值也为正，但置信区间为零。合并的高血压几率是[OR = 1.07（95％CI：0.99，1.16）]，这一影响是由农村参与者推动的，他们使用固体燃料与高血压的几率高出16％[OR = 1.16（95） ％CI：1.01、1.35）]。结论：用固体燃料烹饪与血压升高和高血压几率有关。在发展中国家，特别是在农村居民中，使用天然气或电力等清洁燃料可以降低心血管疾病的风险。

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  • 来源
    《Environmental research》 |2018年第1期|499-505|共7页
  • 作者

    Raphael E. Arku; Majid Ezzati; Jill Baumgartner; Guenther Fink; Bin Zhou; Perry Hystad; Michael Brauer;

  • 作者单位

    School of Population and Public Health, The University of British Columbia, Vancouver, BC, Canada,Department of Environmental Health Sciences, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA, USA;

    MRC-PHE Centre for Environment and Health and WHO Collaborating Centre on NCD Surveillance and Epidemiology, School of Public Health, Imperial College London, London, UK;

    Institute for Health and Social Policy and Department of Epidemiology, Biostatistics, and Occupational Health, McGUl University, Montreal, QC, Canada;

    Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA,Swiss Tropical and Public Health Institute and University of Basel, Basel, Switzerland;

    MRC-PHE Centre for Environment and Health and WHO Collaborating Centre on NCD Surveillance and Epidemiology, School of Public Health, Imperial College London, London, UK;

    The School of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA;

    School of Population and Public Health, The University of British Columbia, Vancouver, BC, Canada;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Household air pollution; Solid fuel; Blood pressure; Hypertension; Cardiovascular health;

    机译：家庭空气污染;固体燃料;血压;高血压;心血管健康;

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