[2015年至2017年中国家庭主妇的燃料和慢性疾病之间的关联]
Yuxiang Yang1, Dongmei Yu1, Wei Piao1
1National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
使用固体燃料显著增加了中国家庭主妇的健康风险,特别是在农村地区. 这包括更高的高血压,中风,慢性阻塞性肺病和喘的可能性.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 固体燃料造成的家庭空气污染是全球主要的健康问题.
- 了解对家庭主妇等弱势群体的具体健康影响对于有针对性的干预至关重要.
研究的目的:
- 研究家庭燃料类型 (固体与清洁) 与高血压,中风,慢性肺炎和喘的患病率之间的关联.
- 分析中国家庭主妇之间的这些关联,考虑到城市和农村的差异.
主要方法:
- 一项涉及15616名中国家庭主妇 (年龄大于18岁) 的大型横截面研究,来自2015-2017年中国营养和健康监测.
- 使用后勤回归分析来评估与固体燃料使用相关的风险,并根据居住区 (城市/农村) 进行进一步的分层分析.
主要成果:
- 在多变量调整后,固体燃料使用与高血压 (OR=1.14),中风 (OR=1.44),慢性肺炎 (OR=1.20) 和喘 (OR=1.33) 的风险增加有关.
- 这种关联在农村家庭主妇中更为明显,所有四种条件的风险都显著增加.
- 城市家庭主妇的高血压风险显著增加,并倾向于增加其他疾病的风险.
结论:
- 固体燃料的使用被认为是中国家庭主妇中高血压,中风,慢性肺炎和喘的重要危险因素.
- 促进清洁燃料的干预措施对于农村人口来说尤其重要,以减轻这些健康风险.
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