在印度梅加拉亚州的哈西人中,喘的环境决定因素
Prabhnoor Saini1, Baname W D Waanbah2, N K Mungreiphy1
1Department of Anthropology, AISS, Amity University Uttar Pradesh, Noida, India.
概括
环境因素显著增加了Khasi社区的喘风险. 缺乏阳光,被动烟草烟雾和生物质燃料暴露是关键因素,突显了公共卫生干预的必要性.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 肺部病理学 肺部病理学
背景情况:
- 喘是一种普遍存在的阻塞性呼吸道疾病,具有显著的发病率和死亡率.
- 像哈西人这样的土著人口由于环境暴露而表现出更高的喘易感性.
- 了解特定的环境决定因素对于针对弱势社区的有针对性的干预至关重要.
研究的目的:
- 调查在梅加拉亚州Khasi人口中导致喘风险的环境因素.
- 确定与本土社区喘相关的特定室内,室外和工作场所环境暴露.
主要方法:
- 一项涉及249例喘病例和252例来自印度梅加拉雅的卡西社区的对照病例和对照病例的研究.
- 通过验证的采访计划收集数据,评估环境暴露.
- 使用IBM SPSS (v26) 进行统计分析,以确定环境因素与喘之间的关联 (p < 0.05时的显著性).
主要成果:
- 缺乏阳光与喘风险增加有很强的关联 (调整几率比率[AOR] = 43.12,p < 0.001).
- 显著的危险因素包括早期被动烟草烟雾暴露 (AOR = 12.81,p < 0.001),传统生物质燃料使用 (AOR = 8.72,p < 0.001) 和烟 (AOR = 3.76,p < 0.01).
- 暴露于汽车烟雾与喘风险增加了三倍 (AOR = 2.97,p < 0.01).
结论:
- 环境因素对卡西族社区中喘患病率有很大影响.
- 公共卫生战略应侧重于改善住房,减少来自生物质燃料和烟雾的室内空气污染,并减轻室外环境风险.
- 有针对性的干预措施对于解决该人口中喘的环境决定因素至关重要.
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