Prevalence of Chronic Bronchitis among Women and its Association with Household Cooking Behaviour: A Cross-Sectıonal Study in Odisha, India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 12
Abstract
Abstract: Increasing prevalence of chronic bronchitis in developing countries has been a significant challenge for public health in recent decades Globally, about 50% of all households and 90% of rural households use solid fuels (coal and biomass) as the main domestic source of energy, thus exposing approximately 50% of the world population—close to 3 billion people—to the harmful effects of these combustion products. Biomass and solid fuels are a major source of indoor air pollution, but in developing countries the health effects of indoor air pollution are poorly understood. In this study we examined the effect of cooking smoke produced by biomass and solid fuel combustion on the reported prevalence of chronic bronchitis among women in Odisha, India. A population based cross sectional study was conducted to determine the prevalence of chronic bronchitis among women and its association with household cooking behavior in 65 AWCS of Balianta Block, Khurdha District, Odisha comprising of 50,000 populations. 882 subjects aged between 15 to 49 years were interviewed using the International Union against Tuberculosis and Lung Disease (IUATLD) English questionnaire. Descriptive statistics used for determining the prevalence of Chronic bronchitis among women and logistic regressionused to establish the associations between Chronic bronchitis and household cooking practices were estimated. The current study shows that the prevalence of the chronic bronchitis among women was found to be 4.42 percent in the study area. This study also gives information that the most commonly reported respiratory symptoms among study participants were breathlessness, 15.42%,followed by cough, 11.65%,wheeze,6.36% and phlegm, 5.09%.In multivariate adjusted model solid biomass fuel use was found to be significantly associated with higher odds of chronic bronchitis with [AOR; 1.39 95% CI (1.01-1.92) followed by hours of cooking per day (>3hours/day) AOR; 1.83 95% CI (1.40-2.40), years of cooking (more than 10yrs) AOR; 4.13(1.08-15.74).The results of this study suggests that an association between indoor pollution from biomass cooking fuel and chronic bronchitis. The longer the exposures to solid fuel in home, the greater their risk for chronic bronchitis, implying evidence of chronic toxicity of solid fuel use in home environment. Keywords:Chronic bronchitis, Prevalence, Solid biomass fuels, Indoor air pollution, Women, IUATLD.
Authors and Affiliations
Kulumina Dash
Keywords
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