广州市某农村地区家庭室内生物燃料使用与居民下呼吸道症状关系的研究

doi:10.13217/j.scjpm.2014.0343

华南预防医学 ›› 2014, Vol. 40 ›› Issue (4): 343-347.doi: 10.13217/j.scjpm.2014.0343

广州市某农村地区家庭室内生物燃料使用与居民下呼吸道症状关系的研究

肖建鹏^1，2，刘涛^1，2，罗圆^1，2，曾韦霖^1，2，张伟坚³，何志辉^1，2，胡梦珏^1，2，林华亮^1，2，张永慧⁴，马文军^1，2

1.广东省疾病预防控制中心广东省公共卫生研究院，广东广州 511430；2.环境与健康广东省“十二五”医学重点学科；3.增城市疾病预防控制中心；4.广东省疾病预防控制中心

收稿日期:2014-02-18 出版日期:2014-08-20 发布日期:2014-08-11
通讯作者: 马文军 E-mail:mwj68@vip.tom.com
作者简介:肖建鹏（1983—），男，硕士研究生，医师，从事环境流行病学研究
基金资助:
广东省医学科研基金项目（C2012030）

Household biomass fuels use and risk of lower respiratory tract symptoms in rural area of Guangzhou

XIAO Jian-peng^1,2, LIU Tao^1,2, LUO Yuan^1,2, ZENG Wei-lin^1,2, ZHANG Wei-jian³, HE Zhi-hui^1,2, HU Meng-jue^1,2, LIN Hua-liang^1,2, ZHANG Yong-hui⁴, MA Wen-jun^1,2

1. Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China; 2. The 12th Five-year Key Medical Discipine in Guangdong Province Environment and Health; 3. Center for Disease Control and Prevention in Zengcheng; 4. Guangdong Provincial Center for Disease Control and Prevention

Received:2014-02-18 Online:2014-08-20 Published:2014-08-11

摘要/Abstract

摘要： 目的了解广州市某农村地区家庭室内生物燃料使用对居民下呼吸道症状的影响。方法采用系统抽样方法在广州增城市某农村地区抽取6岁以上的常住居民作为研究对象，开展问卷调查获取室内生物燃料使用和居民下呼吸道症状的情况。采用多因素非条件logistic回归分析居民呼吸道症状与生物燃料使用的关系，分析中控制年龄、性别、吸烟情况、室内通风情况和厨房使用通风设备情况等因素。结果共调查了266户家庭，645名研究对象纳入研究，其中478人（74.1%）做饭使用生物燃料，167人（25.9%）做饭使用清洁能源。生物燃料组过去半年下呼吸道症状（含干咳、咳痰、气喘、胸闷和呼吸困难症状之一）发生率为51.5%（246/478），清洁能源组发生率为41.3%（69/167）。多因素分析显示，使用生物燃料组发生过咳痰（OR=1.90, 95% CI: 1.23～2.93）、气喘(OR=6.71, 95% CI: 1.74～25.85)、胸闷(OR=2.41, 95% CI: 1.02～5.72)和呼吸困难(OR=5.99, 95% CI: 1.23～29.28)的风险高于清洁能源组。下呼吸道症状发生风险与生物燃料使用的频率关系有统计学意义,每天都使用生物燃料组相比清洁能源组，出现过和经常出现下呼吸道症状的风险分别是OR=1.72 (95% CI: 1.14～2.59）和OR=4.10(95% CI: 1.40～12.04）。结论广州市农村地区室内生物燃料的使用可能影响居民呼吸系统健康。

Abstract: Objective To study the relationship between household biomass fuels use and lower respiratory tract symptoms in rural area of Guangzhou City.Methods A systematic sampling survey was performed in residents aged over 6 years in rural area in Zengcheng District of Guangzhou, to obtain the information of indoor biomass fuels use and human lower respiratory tract symptoms. A multiple factor logistic analysis was carried out to test the relationship. Status factors of age, gender, smoke, indoor ventilation and kitchens ventilating devices were controlled in the analysis.Results A total of 266 households were investigated and 645 subjects were included in the study. Among the subjects, 478（74.1%）used biomass fuels and 167（25.9%）used clean energy. The prevalence of lower respiratory tract symptoms (containing any one of the symptoms of dry cough, expectoration, asthma, chest tightness or dyspnea) in past half year in biomass fuels group and clean energy group were 51.5%（246/478） and 41.3%（69/167）, respectively. In the multiple logistic regression model, the risks of expectoration（OR=1.90, 95% CI: 1.23-2.93）, asthma (OR=6.71, 95% CI: 1.74-25.85), chest congestion (OR=2.41, 95% CI: 1.02-5.72) and dyspnea (OR=5.99, 95% CI: 1.23-29.28) in biomass fuels group were all higher than those in clean energy group.The risk of lower respiratory tract symptoms was significantly associated with the frequency of biomass fuels use for symptoms experienced (OR=1.72, 95% CI: 1.14-2.59) and often appearing symptoms (OR=4.10, 95% CI: 1.40-12.04) in the group of using biomass fuels every day.Conclusion Indoor biomass fuels use may be an important risk factor for respiratory tract symptoms in rural area in Guangzhou. 【Key words】 Biofuel; Indoor air pollution; Respiratory tract disease

中图分类号:

R127

肖建鹏，刘涛，罗圆，曾韦霖，张伟坚，何志辉，胡梦珏，林华亮，张永慧，马文军. 广州市某农村地区家庭室内生物燃料使用与居民下呼吸道症状关系的研究[J]. 华南预防医学, 2014, 40(4): 343-347.

XIAO Jian-peng, LIU Tao, LUO Yuan, ZENG Wei-lin, ZHANG Wei-jian, HE Zhi-hui, HU Meng-jue, LIN Hua-liang, ZHANG Yong-hui, MA Wen-jun, . Household biomass fuels use and risk of lower respiratory tract symptoms in rural area of Guangzhou[J]. S China J Prev Med, 2014, 40(4): 343-347.

参考文献

［1］Rehfuess E. Fuel for life: household energy and health［M］. World Health Oraginzation, 2006:6.
［2］Zhang JJ, Smith KR. Household air pollution from coal and biomass fuels in China: measurements, health impacts, and interventions［J］. Environmental Health Perspectives, 2007, 115(6): 848.
［3］胡婧，郭新彪. 生物质燃料燃烧所致的室内空气污染及其健康影响研究进展［J］.环境与健康杂志，2008，24(10):827-829.
［4］曾乐平，郭凯，雷德亮，等.室内生物燃料烟雾颗粒物污染与呼吸系统疾病的关系［J］.现代生物医学进展，2009，9(4): 786-789.
［5］Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey［J］. American Journal of Respiratory and Critical Care Medicine, 2007, 176(8): 753-760.
［6］刘升明，王小平，王大礼，等.广东部分地区慢性阻塞性肺疾病发病状况调查［J］.中华医学杂志，2005，85(11): 747-752.
［7］Thacher J D, Emmelin A, Madaki A J, et al. Biomass fuel use and the risk of asthma in Nigerian children［J］. Respiratory Medicine, 2013, 107(12): 1845-1851.
［8］Kleinerman RA，王作元，王陇德，等.肺癌与农村煤及生物燃料室内暴露的关系［J］.中国预防医学杂志，2004，5(1): 1-6.
［9］刘升明，周玉民，王大礼，等.广州部分城区慢性阻塞性肺疾病流行病学调查分析［J］.临床内科杂志，2005，22(5):314-316.
［10］张金良，刘玲，曾艳. 中国农村室内空气污染及其对健康的危害［J］.环境与职业医学，2007，24(4): 412-416.
［11］Liu S, Zhou Y, Wang X, et al. Biomass fuels are the probable risk factor for chronic obstructive pulmonary disease in rural South China［J］. Thorax, 2007, 62(10): 889-897.
［12］Shrestha IL, Shrestha SL. Indoor air pollution from biomass fuels and respiratory health of the exposed population in Nepalese households［J］. International Journal of Occupational and Environmental Health, 2005, 11(2): 150-160.
［13］翁俊良, 郑义珊，王文莉，等.汕头地区慢性阻塞性肺疾病患病情况的调查［J］.海南医学，2007，17(12): 122-123.
［14］陆晨刚，高翔，余琦，等.西藏民居室内空气中多环芳烃

[1]	牛计伟, 张建鹏, 何昌云, 黄锦叙, 朱炳辉. 广东省农村地区卫生厕所普及时空特征[J]. 华南预防医学, 2020, 46(6): 647-649.
[2]	潘桂秋. 2009-2012年苍梧县农村集中式供水工程水质卫生监测结果分析[J]. 华南预防医学, 2013, 39(5): 86-88.
[3]	童臻琼, 陈焕娣, 林思仁, 刘思超. 2015—2017年惠州市农村地区土壤卫生状况评价[J]. 华南预防医学, 2019, 45(1): 94-96.

广州市某农村地区家庭室内生物燃料使用与居民下呼吸道症状关系的研究

Household biomass fuels use and risk of lower respiratory tract symptoms in rural area of Guangzhou

PDF (PC)

赞

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 3

Metrics

本文评价

推荐阅读 0