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Personal and household PM2.5 and black carbon exposure measures and respiratory symptoms in 8 low- and middle-income countries.
Wang, Ying; Shupler, Matthew; Birch, Aaron; Chu, Yen Li; Jeronimo, Matthew; Rangarajan, Sumathy; Mustaha, Maha; Heenan, Laura; Seron, Pamela; Saavedra, Nicolas; Oliveros, Maria Jose; Lopez-Jaramillo, Patricio; Camacho, Paul A; Otero, Johnna; Perez-Mayorga, Maritza; Yeates, Karen; West, Nicola; Ncube, Tatenda; Ncube, Brian; Chifamba, Jephat; Yusuf, Rita; Khan, Afreen; Liu, Zhiguang; Cheng, Xiaoru; Wei, Li; Tse, L A; Mohan, Deepa; Kumar, Parthiban; Gupta, Rajeev; Mohan, Indu; Jayachitra, K G; Mony, Prem K; Rammohan, Kamala; Nair, Sanjeev; Lakshmi, P V M; Sagar, Vivek; Khawaja, Rehman; Iqbal, Romaina; Kazmi, Khawar; Yusuf, Salim; Brauer, Michael; Hystad, Perry.
Affiliation
  • Wang Y; College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States.
  • Shupler M; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; Department of Public Health, Policy and Systems, University of Liverpool, Liverpool, United Kingdom.
  • Birch A; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Chu YL; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Jeronimo M; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Rangarajan S; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Mustaha M; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Heenan L; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Seron P; Universidad de La Frontera, Temuco, Chile.
  • Saavedra N; Universidad de La Frontera, Temuco, Chile.
  • Oliveros MJ; Universidad de La Frontera, Temuco, Chile.
  • Lopez-Jaramillo P; Universidad de Santander (UDES), Bucaramanga, Colombia.
  • Camacho PA; Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
  • Otero J; Fundación Oftalmológica de Santander (FOSCAL), Floridablanca, Colombia.
  • Perez-Mayorga M; Universidad Militar Nueva Granada, Bogota, Colombia.
  • Yeates K; Pamoja Tunaweza Research Centre, Moshi, Tanzania; Department of Medicine, Queen's University, Kingston, Ontario, Canada.
  • West N; Pamoja Tunaweza Research Centre, Moshi, Tanzania.
  • Ncube T; Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe.
  • Ncube B; Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe.
  • Chifamba J; Department of Biomedical Sciences, University of Zimbabwe, Harare, Zimbabwe.
  • Yusuf R; School of Life Sciences, Independent University, Dhaka, Bangladesh.
  • Khan A; School of Life Sciences, Independent University, Dhaka, Bangladesh.
  • Liu Z; Beijing An Zhen Hospital of the Capital University of Medical Sciences, China.
  • Cheng X; Medical Research & Biometrics Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, China.
  • Wei L; Medical Research & Biometrics Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, China.
  • Tse LA; Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, HKSAR, China.
  • Mohan D; Madras Diabetes Research Foundation, Chennai, India.
  • Kumar P; Madras Diabetes Research Foundation, Chennai, India.
  • Gupta R; Eternal Heart Care Centre & Research Institute, Jaipur, India.
  • Mohan I; Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, India.
  • Jayachitra KG; St. John's Medical College & Research Institute, Bangalore, India.
  • Mony PK; St. John's Medical College & Research Institute, Bangalore, India.
  • Rammohan K; Health Action By People, Government Medical College, Trivandrum, India.
  • Nair S; Health Action By People, Government Medical College, Trivandrum, India.
  • Lakshmi PVM; Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Sagar V; Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Khawaja R; Department of Community Health Science, Aga Khan University Hospital, Karachi, Pakistan.
  • Iqbal R; Department of Community Health Science, Aga Khan University Hospital, Karachi, Pakistan.
  • Kazmi K; Department of Community Health Science, Aga Khan University Hospital, Karachi, Pakistan.
  • Yusuf S; Population Health Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Brauer M; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
  • Hystad P; College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States. Electronic address: perry.hystad@oregonstate.edu.
Environ Res ; 212(Pt C): 113430, 2022 09.
Article in En | MEDLINE | ID: mdl-35526584
BACKGROUND: Household air pollution (HAP) from cooking with solid fuels has been associated with adverse respiratory effects, but most studies use surveys of fuel use to define HAP exposure, rather than on actual air pollution exposure measurements. OBJECTIVE: To examine associations between household and personal fine particulate matter (PM2.5) and black carbon (BC) measures and respiratory symptoms. METHODS: As part of the Prospective Urban and Rural Epidemiology Air Pollution study, we analyzed 48-h household and personal PM2.5 and BC measurements for 870 individuals using different cooking fuels from 62 communities in 8 countries (Bangladesh, Chile, China, Colombia, India, Pakistan, Tanzania, and Zimbabwe). Self-reported respiratory symptoms were collected after monitoring. Associations between PM2.5 and BC exposures and respiratory symptoms were examined using logistic regression models, controlling for individual, household, and community covariates. RESULTS: The median (interquartile range) of household and personal PM2.5 was 73.5 (119.1) and 65.3 (91.5) µg/m3, and for household and personal BC was 3.4 (8.3) and 2.5 (4.9) x10-5 m-1, respectively. We observed associations between household PM2.5 and wheeze (OR: 1.25; 95%CI: 1.07, 1.46), cough (OR: 1.22; 95%CI: 1.06, 1.39), and sputum (OR: 1.26; 95%CI: 1.10, 1.44), as well as exposure to household BC and wheeze (OR: 1.20; 95%CI: 1.03, 1.39) and sputum (OR: 1.20; 95%CI: 1.05, 1.36), per IQR increase. We observed associations between personal PM2.5 and wheeze (OR: 1.23; 95%CI: 1.00, 1.50) and sputum (OR: 1.19; 95%CI: 1.00, 1.41). For household PM2.5 and BC, associations were generally stronger for females compared to males. Models using an indicator variable of solid versus clean fuels resulted in larger OR estimates with less precision. CONCLUSIONS: We used measurements of household and personal air pollution for individuals using different cooking fuels and documented strong associations with respiratory symptoms.
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Full text: 1 Database: MEDLINE Main subject: Air Pollution, Indoor / Air Pollutants / Air Pollution Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies Limits: Female / Humans / Male Language: En Journal: Environ Res Year: 2022 Type: Article Affiliation country: United States
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Full text: 1 Database: MEDLINE Main subject: Air Pollution, Indoor / Air Pollutants / Air Pollution Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies Limits: Female / Humans / Male Language: En Journal: Environ Res Year: 2022 Type: Article Affiliation country: United States