Prevalence of chronic obstructive pulmonary disease and associated factors among small-holder fish vendors along coastal areas in Tanzania.


Journal

BMC pulmonary medicine
ISSN: 1471-2466
Titre abrégé: BMC Pulm Med
Pays: England
ID NLM: 100968563

Informations de publication

Date de publication:
02 Aug 2023
Historique:
received: 30 01 2023
accepted: 20 07 2023
medline: 4 8 2023
pubmed: 3 8 2023
entrez: 2 8 2023
Statut: epublish

Résumé

In Tanzania little is known about how the respiratory system of small-holder fish vendors is affected by occupational exposure to biomass smoke and other associated factors. This study assessed the prevalence of lung obstruction and associated factors among small-holder fish vendors along coastal areas in Tanzania. A cross-sectional descriptive study was conducted in Bagamoyo and Kunduchi fish markets along coastal areas of Tanzania. Environmental air pollutant levels and composition were measured using a hand-held device. A standardized questionnaire was used to assess respiratory symptoms while EasyOne spirometer was used to test for lung function among small-holder fish vendors. Chronic Obstructive Pulmonary Disease (COPD) was defined as FEV1/FVC below the lower limit of normal. Data were analyzed using STATA Version 17. Descriptive statistics was performed and logistic regression analysis was used to determine factors that are associated with poor lung function presented as crude and adjusted odds ratio and their 95% confidence intervals. A total of 103 participants were included in the study who were predominantly males 82 (79.6%). The participants' mean age was 35.47 (± 8.77 SD) years. The hourly average concentration levels of PM Findings suggest that three out of ten participants had COPD and the major environmental air pollutants (PMs and CO) concentration levels were too high, suggesting that occupational exposure to biomass smoke may be a risk factor. This calls for effective approaches to reduce exposure and prevent known acute and chronic respiratory diseases that are associated with such exposure to air pollutants. Also the study calls for follow up or cohort studies to be conducted in this area.

Sections du résumé

BACKGROUND BACKGROUND
In Tanzania little is known about how the respiratory system of small-holder fish vendors is affected by occupational exposure to biomass smoke and other associated factors. This study assessed the prevalence of lung obstruction and associated factors among small-holder fish vendors along coastal areas in Tanzania.
METHODS METHODS
A cross-sectional descriptive study was conducted in Bagamoyo and Kunduchi fish markets along coastal areas of Tanzania. Environmental air pollutant levels and composition were measured using a hand-held device. A standardized questionnaire was used to assess respiratory symptoms while EasyOne spirometer was used to test for lung function among small-holder fish vendors. Chronic Obstructive Pulmonary Disease (COPD) was defined as FEV1/FVC below the lower limit of normal. Data were analyzed using STATA Version 17. Descriptive statistics was performed and logistic regression analysis was used to determine factors that are associated with poor lung function presented as crude and adjusted odds ratio and their 95% confidence intervals.
RESULTS RESULTS
A total of 103 participants were included in the study who were predominantly males 82 (79.6%). The participants' mean age was 35.47 (± 8.77 SD) years. The hourly average concentration levels of PM
CONCLUSION CONCLUSIONS
Findings suggest that three out of ten participants had COPD and the major environmental air pollutants (PMs and CO) concentration levels were too high, suggesting that occupational exposure to biomass smoke may be a risk factor. This calls for effective approaches to reduce exposure and prevent known acute and chronic respiratory diseases that are associated with such exposure to air pollutants. Also the study calls for follow up or cohort studies to be conducted in this area.

Identifiants

pubmed: 37533046
doi: 10.1186/s12890-023-02576-4
pii: 10.1186/s12890-023-02576-4
pmc: PMC10398975
doi:

Substances chimiques

Air Pollutants 0
Smoke 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

280

Subventions

Organisme : Ifakara Health Institute
ID : IHI/TC/BAG/2020/103

Informations de copyright

© 2023. The Author(s).

Références

Asthma Res Pract. 2021 May 28;7(1):6
pubmed: 34049586
Heliyon. 2019 May 18;5(5):e01706
pubmed: 31193378
Eur Respir J. 2005 Nov;26(5):948-68
pubmed: 16264058
Int J Environ Res Public Health. 2007 Mar;4(1):39-44
pubmed: 17431314
Tuberk Toraks. 2013;61(2):115-21
pubmed: 23875589
J Family Med Prim Care. 2018 Jan-Feb;7(1):11-15
pubmed: 29915726
Int J Tuberc Lung Dis. 2010 Sep;14(9):1079-86
pubmed: 20819250
Eur Respir J. 2018 Jan 31;51(2):
pubmed: 29386343
Am J Respir Crit Care Med. 2019 Mar 1;199(5):613-621
pubmed: 30141966
Am J Respir Crit Care Med. 2019 Oct 15;200(8):e70-e88
pubmed: 31613151
Lancet. 2001 Aug 25;358(9282):619-24
pubmed: 11530148
Lancet Respir Med. 2014 Oct;2(10):823-60
pubmed: 25193349
Am J Respir Crit Care Med. 2016 Jul 1;194(1):67-76
pubmed: 26788760
BMJ. 2019 Jan 28;364:l265
pubmed: 30692085
Front Public Health. 2014 Oct 02;2:167
pubmed: 25325051
Proc Natl Acad Sci U S A. 2011 Jul 5;108(27):11028-33
pubmed: 21690396
Environ Health. 2014 Nov 06;13:92
pubmed: 25374400
J Pak Med Assoc. 2020 Nov;70(11):1875-1877
pubmed: 33341822
Lancet Planet Health. 2020 Oct;4(10):e451-e462
pubmed: 33038319
Eur Respir J. 2022 Jul 13;60(1):
pubmed: 34949706
Bull World Health Organ. 2000;78(9):1078-92
pubmed: 11019457
Bull World Health Organ. 2019 Feb 1;97(2):160-161
pubmed: 30728622
J Obes. 2018 Nov 20;2018:6149263
pubmed: 30584475
Eur Respir J. 2012 Jul;40(1):239-54
pubmed: 22362845
Int J Chron Obstruct Pulmon Dis. 2021 Oct 28;16:2953-2962
pubmed: 34737560
Arch Public Health. 2022 Jan 29;80(1):46
pubmed: 35093174
J Thorac Dis. 2016 Jan;8(1):E69-74
pubmed: 26904255
Lancet Glob Health. 2015 Jan;3(1):e44-51
pubmed: 25539969
Chest. 2019 Feb;155(2):417-426
pubmed: 30419237

Auteurs

Brigitha M Onesmo (BM)

Ifakara Health Institute, P. O. Box 78373, Dar es Salaam, Tanzania. bonesmo@ihi.or.tz.
School of Life Sciences and Bio-Engineering, The Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania. bonesmo@ihi.or.tz.
Mpwapwa Institute of Health and Allied Sciences, The Ministry of Health, P. O. Box 743, Dodoma, Tanzania. bonesmo@ihi.or.tz.

Simon H Mamuya (SH)

Department of Environmental and Occupational Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, P. O. Box 65001, Dar es Salaam, Tanzania.

Mwema Felix Mwema (MF)

School of Materials, Energy, Water and Environmental Sciences, The Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania.

Jerry Hella (J)

Ifakara Health Institute, P. O. Box 78373, Dar es Salaam, Tanzania.
School of Life Sciences and Bio-Engineering, The Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania.

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