Coronary heart disease, hypertension and use of biomass fuel among women: comparative cross-sectional study.
biomass fuel
coronary heart disease
epidemiology
hypertension
public health
women
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
08 08 2019
08 08 2019
Historique:
entrez:
11
8
2019
pubmed:
11
8
2019
medline:
1
9
2020
Statut:
epublish
Résumé
To explore the associations of hypertension and coronary heart disease (CHD) with use of biomass fuel for cooking. Comparative cross-sectional study. Rural villages in Sindh, Pakistan. Women aged ≥40 years who had used biomass fuel for cooking for at least the last year (n=436), and a comparison group (n=414) who had cooked only with non-biomass fuel during the last year were recruited through door-to-door visits. None of those who were invited to take part declined. Hypertension was determined from blood pressure measurements and use of medication. CHD was assessed by three measures: history of angina (Rose angina questionnaire), previous history of 'heart attack', and definite or probable changes of CHD on ECG. Potentially confounding risk factors were ascertained by questionnaire and anthropometry. Associations of hypertension and CHD with use of biomass and other risk factors were assessed by logistic regression, and summarised by ORs with 95% CIs. After adjustment for potential confounders, there was no association of hypertension (OR: 1.0, 95% CI 0.8 to 1.4) angina (OR: 1.0, 95% CI 0.8 to 1.4), heart attack (OR: 1.2, 95% 0.7 to 2.2) or ECG changes of CHD (OR: 0.8, 95% CI 0.6 to 1.2) with current use of biomass for cooking. Nor were any associations apparent when analyses were restricted to long-term (≥10 years) users and non-users of biomass fuel. A linked air monitoring study indicated substantially higher airborne concentrations of fine particulate matter in kitchens where biomass was used for cooking. It is possible that associations with CHD and hypertension were missed because most of the comparison group had used biomass for cooking at some time in the past, and risk remains elevated for many years after last exposure.
Identifiants
pubmed: 31399463
pii: bmjopen-2019-030881
doi: 10.1136/bmjopen-2019-030881
pmc: PMC6701594
doi:
Substances chimiques
Smoke
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e030881Subventions
Organisme : Medical Research Council
ID : MC_PC_15015
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_U147585823
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UP_A620_1018
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_12011/5
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Thorax. 2000 Jun;55(6):518-32
pubmed: 10817802
Ann Epidemiol. 2000 Oct 1;10(7):469
pubmed: 11018397
Lancet. 2002 Dec 14;360(9349):1903-13
pubmed: 12493255
Educ Health (Abingdon). 2003 Jul;16(2):230
pubmed: 14741909
J Assoc Physicians India. 2005 Mar;53:190-2
pubmed: 15926600
Am Heart J. 2005 Aug;150(2):221-6
pubmed: 16086922
Indoor Air. 2005 Oct;15(5):311-6
pubmed: 16108903
Lancet. 2005 Nov 5;366(9497):1640-9
pubmed: 16271645
Inhal Toxicol. 2007 Jan;19(1):67-106
pubmed: 17127644
Hum Exp Toxicol. 2006 Nov;25(11):627-35
pubmed: 17211980
Environ Health Perspect. 2007 Jul;115(7):996-1001
pubmed: 17637912
Heart. 2008 Apr;94(4):408-13
pubmed: 17646192
Int J Tuberc Lung Dis. 2008 Feb;12(2):115-27
pubmed: 18230243
Proc Am Thorac Soc. 2008 Jul 15;5(5):577-90
pubmed: 18625750
J Cardiometab Syndr. 2008 Summer;3(3):162-7
pubmed: 18983333
Tohoku J Exp Med. 2009 Nov;219(3):201-6
pubmed: 19851048
Thorax. 2010 Mar;65(3):221-8
pubmed: 20335290
Indoor Air. 2011 Apr;21(2):165-76
pubmed: 21118307
Int J Occup Environ Health. 2011 Apr-Jun;17(2):113-21
pubmed: 21618943
Environ Health Perspect. 2011 Nov;119(11):1562-8
pubmed: 21669557
Environ Health Perspect. 2011 Oct;119(10):1390-5
pubmed: 21724522
Lancet. 2011 Oct 8;378(9799):1297-305
pubmed: 21839503
Environ Health. 2012 Mar 28;11:18
pubmed: 22455369
Toxicol Appl Pharmacol. 2012 Jun 15;261(3):255-62
pubmed: 22521606
Heart. 2013 Jul;99(14):984-91
pubmed: 23619984
Environ Health Perspect. 2013 Jul;121(7):784-90
pubmed: 23674502
Environ Health Perspect. 2013 Oct;121(10):1120-8
pubmed: 23872398
Public Health. 2014 Jan;128(1):77-82
pubmed: 24342134
Ann Intern Med. 2014 Mar 18;160(6):398-406
pubmed: 24723079
Front Hum Neurosci. 2014 Aug 12;8:613
pubmed: 25161617
Environ Res. 2015 Jan;136:343-51
pubmed: 25460655
PLoS One. 2014 Dec 02;9(12):e113920
pubmed: 25463771
Glob Heart. 2012 Sep;7(3):215-21
pubmed: 25691484
Hypertension. 2015 May;65(5):1134-40
pubmed: 25753976
Eur J Prev Cardiol. 2016 Mar;23(4):408-19
pubmed: 25917221
Environ Health Toxicol. 2015 Nov 03;30:e2015011
pubmed: 26796890
Br Med Bull. 2016 Jun;118(1):91-109
pubmed: 27151956
JAMA. 2018 Apr 3;319(13):1351-1361
pubmed: 29614179
Am J Epidemiol. 1987 Mar;125(3):400-9
pubmed: 3812447
Circulation. 1983 May;67(5):968-77
pubmed: 6219830
Am J Med. 1984 Feb 27;76(2A):4-12
pubmed: 6702862
Ann Intern Med. 1978 Aug;89(2):157-61
pubmed: 677576
Diabet Med. 1995 Jun;12(6):500-3
pubmed: 7648823
Am J Epidemiol. 1993 Jan 15;137(2):145-54
pubmed: 8452118
Br J Prev Soc Med. 1977 Mar;31(1):42-8
pubmed: 856370