Household air pollution and arthritis in low-and middle-income countries: Cross-sectional evidence from the World Health Organization's study on Global Ageing and Adult Health.
Adolescent
Adult
Aged
Aging
Air Pollution, Indoor
/ adverse effects
Arthritis
/ etiology
China
/ epidemiology
Cross-Sectional Studies
Family Characteristics
Female
Ghana
/ epidemiology
Humans
India
/ epidemiology
Male
Mexico
/ epidemiology
Middle Aged
Poverty
Risk Factors
Russia
/ epidemiology
South Africa
/ epidemiology
World Health Organization
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
22
06
2018
accepted:
06
12
2019
entrez:
28
12
2019
pubmed:
28
12
2019
medline:
2
4
2020
Statut:
epublish
Résumé
Evidence points to a clear link between air pollution exposure and several chronic diseases though investigations regarding arthritis are still lacking. Emerging evidence suggests an association between ambient air pollution and rheumatoid arthritis. Household air pollution exposure, conversely, is largely unstudied but may be an important consideration for arthritis, particularly in low- and middle-income countries (LMICs), where cooking and heating activities can generate high indoor air pollutant levels. We investigated the association of household air pollution (electricity vs. gas; kerosene/paraffin; coal/charcoal; wood; or agriculture/crop/animal dung/shrubs/grass as the main fuel used for cooking) and arthritis in six LMICs (China, Ghana, India, Mexico, the Russian Federation, South Africa) using data from Wave I of the World Health Organization Study on Global AGEing and Adult Health (SAGE) (2007-2010). Multivariable analyses were adjusted for sociodemographic, household and lifestyle characteristics and several comorbidities. The use of gas (aOR = 1.76, 95%CI: 1.40-2.21); coal (aOR = 1.74, 95%CI: 1.22-2.47); wood (aOR = 1.69, 95%CI: 1.30-2.19); or agriculture/crop/animal dung/shrubs/grass: aOR = 1.95 (1.46-2.61) fuels for cooking were strongly associated with an increased odds of arthritis, compared to electricity in cluster and stratified adjusted analyses. Gender (female), age (≥50 years), overweight (25.0 ≤BMI<30.0 kg/m2), obesity (BMI ≥30.0 kg/m2), former and current alcohol consumption, and the comorbidities angina pectoris, diabetes, chronic lung disease, depression and hypertension were also associated with a higher odds of arthritis. Underweight (BMI<18.5 kg/m2) and higher education levels (college/university completed/post-graduate studies) were associated with a lower odds of arthritis. These findings suggest that exposure to household air pollution from cook fuels is associated with an increased odds of arthritis in these regions, which warrants further investigation.
Sections du résumé
BACKGROUND
Evidence points to a clear link between air pollution exposure and several chronic diseases though investigations regarding arthritis are still lacking. Emerging evidence suggests an association between ambient air pollution and rheumatoid arthritis. Household air pollution exposure, conversely, is largely unstudied but may be an important consideration for arthritis, particularly in low- and middle-income countries (LMICs), where cooking and heating activities can generate high indoor air pollutant levels.
METHODS
We investigated the association of household air pollution (electricity vs. gas; kerosene/paraffin; coal/charcoal; wood; or agriculture/crop/animal dung/shrubs/grass as the main fuel used for cooking) and arthritis in six LMICs (China, Ghana, India, Mexico, the Russian Federation, South Africa) using data from Wave I of the World Health Organization Study on Global AGEing and Adult Health (SAGE) (2007-2010). Multivariable analyses were adjusted for sociodemographic, household and lifestyle characteristics and several comorbidities.
RESULTS
The use of gas (aOR = 1.76, 95%CI: 1.40-2.21); coal (aOR = 1.74, 95%CI: 1.22-2.47); wood (aOR = 1.69, 95%CI: 1.30-2.19); or agriculture/crop/animal dung/shrubs/grass: aOR = 1.95 (1.46-2.61) fuels for cooking were strongly associated with an increased odds of arthritis, compared to electricity in cluster and stratified adjusted analyses. Gender (female), age (≥50 years), overweight (25.0 ≤BMI<30.0 kg/m2), obesity (BMI ≥30.0 kg/m2), former and current alcohol consumption, and the comorbidities angina pectoris, diabetes, chronic lung disease, depression and hypertension were also associated with a higher odds of arthritis. Underweight (BMI<18.5 kg/m2) and higher education levels (college/university completed/post-graduate studies) were associated with a lower odds of arthritis.
CONCLUSIONS
These findings suggest that exposure to household air pollution from cook fuels is associated with an increased odds of arthritis in these regions, which warrants further investigation.
Identifiants
pubmed: 31881058
doi: 10.1371/journal.pone.0226738
pii: PONE-D-18-18728
pmc: PMC6934325
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0226738Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Environ Res. 2016 Apr;146:85-91
pubmed: 26724462
Toxicol Lett. 2015 Apr 2;234(1):13-9
pubmed: 25659934
Med Hypotheses. 2010 Jan;74(1):110-7
pubmed: 19665849
Environ Res. 2015 Jul;140:474-8
pubmed: 25988990
Joint Bone Spine. 2013 Dec;80(6):568-73
pubmed: 24176735
J Clin Epidemiol. 2014 Jul;67(7):773-80
pubmed: 24739465
Ann Rheum Dis. 2008 Dec;67 Suppl 3:iii30-4
pubmed: 19022810
Am J Med. 2002 Apr 15;112(6):465-71
pubmed: 11959057
Best Pract Res Clin Rheumatol. 2008 Aug;22(4):583-604
pubmed: 18783739
Arthritis Res Ther. 2009;11(3):229
pubmed: 19519924
Annu Rev Public Health. 2014;35:185-206
pubmed: 24641558
Curr Rheumatol Rep. 2011 Oct;13(5):431-9
pubmed: 21785978
Ann Rheum Dis. 1994 Feb;53(2):90-3
pubmed: 8129467
Am J Orthop (Belle Mead NJ). 2008 Mar;37(3):148-51
pubmed: 18438470
Int J Rheum Dis. 2011 May;14(2):113-21
pubmed: 21518309
BMJ Open. 2016 Dec 21;6(12):e012812
pubmed: 28003289
Arthritis Rheum. 2008 Mar 15;59(3):399-407
pubmed: 18311772
Arthritis Rheum. 1996 May;39(5):732-5
pubmed: 8639169
Am J Respir Crit Care Med. 2006 Mar 15;173(6):667-72
pubmed: 16424447
PLoS One. 2015 Aug 04;10(8):e0133858
pubmed: 26241756
Ann Rheum Dis. 1993 Feb;52(2):93-6
pubmed: 8447703
Arthritis Rheum. 2002 Jan;46(1):114-23
pubmed: 11822407
Autoimmun Rev. 2011 Nov;11(1):14-21
pubmed: 21763467
Indoor Air. 2006 Dec;16(6):426-44
pubmed: 17100664
Osteoarthritis Cartilage. 2015 Aug;23(8):1323-9
pubmed: 25819582
Arthritis Care Res (Hoboken). 2013 Jul;65(7):1026-33
pubmed: 23335563
Environ Sci Technol. 2016 Aug 2;50(15):8353-61
pubmed: 27351357
Ann Rheum Dis. 2014 Jan;73(1):62-8
pubmed: 24095940
PLoS One. 2011;6(5):e20331
pubmed: 21655299
J Rheumatol. 1996 Jul;23(7):1221-6
pubmed: 8823696
Arthritis Res Ther. 2014 Mar 05;16(2):R61
pubmed: 24594022
Am J Epidemiol. 1998 Mar 15;147(6):523-8
pubmed: 9521178
Rheumatology (Oxford). 2017 Jul 1;56(7):1051-1052
pubmed: 27940587
Proc Am Thorac Soc. 2008 Jul 15;5(5):577-90
pubmed: 18625750
Environ Health Perspect. 2009 Jul;117(7):1065-9
pubmed: 19654914
Ann Rheum Dis. 2014 Jul;73(7):1316-22
pubmed: 24550173
Am J Epidemiol. 1997 Apr 15;145(8):762-9
pubmed: 9126003
J Toxicol Environ Health B Crit Rev. 2012;15(6):396-432
pubmed: 22934567
BMC Public Health. 2009 Mar 25;9:88
pubmed: 19320986
Rheumatology (Oxford). 2002 Oct;41(10):1155-62
pubmed: 12364636
J Inflamm (Lond). 2015 Jul 30;12:48
pubmed: 26225124
Arthritis Rheum. 2004 Apr;50(4):1187-92
pubmed: 15077301
Ann Rheum Dis. 2011 Jul;70(7):1231-7
pubmed: 21474488
Trans R Soc Trop Med Hyg. 2008 Sep;102(9):843-51
pubmed: 18639310
Environ Health Perspect. 2002 Nov;110(11):1069-75
pubmed: 12417476
Arthritis Rheum. 1996 Jun;39(6):988-95
pubmed: 8651993
Lancet. 2018 Feb 3;391(10119):462-512
pubmed: 29056410
Scand J Rheumatol. 2017 Sep;46(5):388-395
pubmed: 28145147
Osteoarthritis Cartilage. 2003 Jan;11(1):29-35
pubmed: 12505484
Osteoarthritis Cartilage. 2010 Jan;18(1):24-33
pubmed: 19751691
Am J Epidemiol. 1998 Mar 15;147(6):516-22
pubmed: 9521177
Environ Health Perspect. 2014 Sep;122(9):906-11
pubmed: 24911630
Best Pract Res Clin Rheumatol. 2008 Aug;22(4):621-41
pubmed: 18783741
Ann Rheum Dis. 2014 Nov;73(11):1962-7
pubmed: 23897767
BMJ. 1994 Sep 17;309(6956):696-9
pubmed: 7950521
Ann Rheum Dis. 2013 Jun;72(6):888-94
pubmed: 22833374
Ann Rheum Dis. 1990 Dec;49(12):980-2
pubmed: 2270970
Saf Health Work. 2017 Jun;8(2):130-142
pubmed: 28593068
Nicotine Tob Res. 2016 Jul;18(7):1556-65
pubmed: 26957528
Occup Environ Med. 2004 Mar;61(3):233-8
pubmed: 14985518
Bull World Health Organ. 2000;78(9):1078-92
pubmed: 11019457
Lancet. 2007 Sep 8;370(9590):851-8
pubmed: 17826170
Eur J Epidemiol. 2005;20(6):537-42
pubmed: 16121763
Lancet. 2016 Oct 8;388(10053):1659-1724
pubmed: 27733284
BMJ. 2009 Jun 29;338:b2393
pubmed: 19564179
Lancet. 2004 Apr 17;363(9417):1277-81
pubmed: 15094272
BMJ Open. 2016 Feb 18;6(2):e010062
pubmed: 26892791
J Clin Epidemiol. 1996 Dec;49(12):1407-17
pubmed: 8970491
Thorax. 2000 Jun;55(6):518-32
pubmed: 10817802
Arthritis Rheum. 1988 Mar;31(3):315-24
pubmed: 3358796
Ann Rheum Dis. 2003 Sep;62(9):835-41
pubmed: 12922955
J Clin Epidemiol. 2000 Mar 1;53(3):315-22
pubmed: 10760643
Int J Rheumatol. 2016;2016:5356307
pubmed: 27847517
Arthritis Rheum. 2006 Jan;54(1):38-46
pubmed: 16385494
BMC Geriatr. 2010 Aug 06;10:53
pubmed: 20691064
Environ Health. 2007 Feb 22;6:8
pubmed: 17316448
Ann Rheum Dis. 2005 Nov;64(11):1588-94
pubmed: 15843455
Soc Sci Med. 2000 May;50(9):1285-95
pubmed: 10728848
Ann Rheum Dis. 2013 Dec;72(12):2002-5
pubmed: 23572338
Lancet. 2012 Dec 15;380(9859):2053-4
pubmed: 23245595
Rheumatol Int. 2015 Jul;35(7):1211-7
pubmed: 25588371
Best Pract Res Clin Rheumatol. 2011 Aug;25(4):469-83
pubmed: 22137918
Epidemiology. 2014 May;25(3):368-78
pubmed: 24589872
Int J Epidemiol. 2012 Dec;41(6):1639-49
pubmed: 23283715
Environ Health Perspect. 2013 Jul;121(7):784-90
pubmed: 23674502
Curr Opin Rheumatol. 2017 Mar;29(2):214-222
pubmed: 28072592
Osteoarthritis Cartilage. 2017 Jun;25(6):817-823
pubmed: 28049019
Environ Health Perspect. 2014 Oct;122(10):1075-80
pubmed: 24905961
Lancet. 2009 Feb 21;373(9664):659-72
pubmed: 19157532
S Afr Med J. 2018 Feb 01;108(2):71-72
pubmed: 29429431
Springerplus. 2013 May 14;2(1):222
pubmed: 23853744
Int J Rheum Dis. 2015 Mar;18(3):268-75
pubmed: 24620997
J Clin Endocrinol Metab. 2008 Oct;93(10):3893-9
pubmed: 18628525
Arthritis Res Ther. 2011;13(5):R169
pubmed: 22011570
Osteoarthritis Cartilage. 2015 Apr;23(4):507-15
pubmed: 25447976
BMC Musculoskelet Disord. 2016 Jan 12;17:14
pubmed: 26759053
Arthritis Rheum. 1989 Feb;32(2):166-72
pubmed: 2920052
J Ambul Care Manage. 2005 Apr-Jun;28(2):102-10
pubmed: 15923944
Environ Int. 2016 Sep;94:495-499
pubmed: 27302847
Thorax. 2010 Mar;65(3):221-8
pubmed: 20335290
Res Rep Health Eff Inst. 2009 May;(140):5-114; discussion 115-36
pubmed: 19627030
Arthritis Rheum. 2004 Oct;50(10):3085-92
pubmed: 15476204
J Rheumatol. 2006 Jun;33(6):1069-74
pubmed: 16622905
BMC Med. 2015 Aug 03;13:178
pubmed: 26239481
J Expo Sci Environ Epidemiol. 2007 May;17(3):224-32
pubmed: 16721411
Lancet. 2009 Nov 28;374(9704):1821-30
pubmed: 19944863
Arthritis Rheum. 2007 May;56(5):1521-8
pubmed: 17469130
J Clin Rheumatol. 2015 Mar;21(2):57-62
pubmed: 25710855
J Glob Health. 2015 Jun;5(1):010409
pubmed: 25969732
Ann Rheum Dis. 2007 Jan;66(1):18-22
pubmed: 17158140
PLoS One. 2012;7(3):e33466
pubmed: 22438937
Ann Rheum Dis. 2014 Jul;73(7):1323-30
pubmed: 24553908
Ann Rheum Dis. 2016 Jun;75(6):997-1002
pubmed: 26681695
PLoS One. 2014 Jul 21;9(7):e102149
pubmed: 25048354
Arthritis Rheum. 2007 Jun;56(6):1745-53
pubmed: 17530703