Association between solid fuel use and nonfatal cardiovascular disease among middle-aged and older adults: Findings from The China Health and Retirement Longitudinal Study (CHARLS)

Zhou

et al. 2023

Front. Public Health

Self Cite

BackgroundThe association between combined environmental factors and the risk of arthritis is still scarcely studied. The present study performed cross-sectional and cohort studies to explore the association between risk score of living environment quality and the risk of arthritis in middle-aged and older adults in China.MethodsThe study was based on China Health and Retirement Longitudinal Study (CHARLS), and it recruited 17,218 participants in the cross-sectional study and 11,242 participants in the seven-year follow-up study. The living environment quality was measured by household fuel types, household water sources, room temperature, residence types, and ambient concentration of PM2.5. Logistic regression and Cox proportional hazard regression models were utilized to examine the association between the living environment quality and the risk of arthritis. Competing risk models and stratified analyses were applied to further verify our results.ResultsCompared with individuals in the suitable environment group, people who lived in moderate (OR:1.28, 95%CI: 1.14–1.43) and unfavorable environments (OR:1.49, 95%CI:1.31–1.70) showed higher risks of arthritis when considering the multiple living environmental factors (P for trend <0.001) in the cross-sectional analysis. In the follow-up study, similar results (P for trend = 0.021), moderate environment group (HR:1.26, 95%CI:1.01–1.56) and unfavorable environment group (HR: 1.36, 95%CI: 1.07–1.74), were founded.ConclusionInferior living environment might promote the development of arthritis. It is necessary for the public, especially old people, to improve the living environment, which may be the key to the primary prevention of arthritis.

Section: Discussionmentioning

confidence: 73%

Section: Assessment Of Living Environmental Qualitymentioning

confidence: 99%

Association between living environmental quality and risk of arthritis in middle-aged and older adults: a national study in China

Zhou

et al. 2023

Front. Public Health

Self Cite

“…and "what is the main heating energy source?". Based on previous studies [11,22], we categorized cooking fuel as either solid fuel (crop residue/wood; or coal) or clean fuel (natural gas; marsh gas [CH4]; liquefied petroleum gas; or electric); heating fuel was also categorized as either solid fuel (crop residue/wood; or coal) or clean fuel (solar; natural gas; liquefied petroleum gas; or electric) [23]. The joint effect of solid fuel use for cooking and heating was categorized as both clean fuel use, either solid fuel use and both solid fuel use.…”

Section: Assessment Of Solid Fuel Usementioning

confidence: 99%

“…Covariates were collected at baseline. According to previous studies [22,26], covariates include socio-demographic variables (age, sex, education level, marital status, working status, household income, and residence) and lifestyle factors (smoking status, drinking status, and body mass index [BMI]). Sex was reported as male and female.…”

Section: Covariatesmentioning

confidence: 99%

Solid Fuel Use and the Progression of Multimorbidity in Middle-Aged Chinese Participants: A Prospective Cohort Study

Zhang²,

Zhou³

et al. 2023

Int J Public Health

Objectives: This study aimed to examine the association of solid fuel use for cooking and heating with the progression of multimorbidity.Methods: A total of 5,437 participants from the China Health and Retirement Longitudinal Study were included. Multivariate logistic regression models were used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for the associations of the independent and joint effects of solid fuel use for cooking and heating with the progression of multimorbidity.Results: The proportion of participants reporting solid fuel use for both cooking and heating was 59.0% at baseline. Solid fuel use for both cooking and heating was associated with the progression of multimorbidity (adjusted OR: 1.42, 95% CI: 1.19–1.70), compared with clean fuel use for both.Conclusion: Solid fuel use for cooking and heating play an important role in the progression of multimorbidity. Therefore, solid fuel reduction should be considered in developing multimorbidity control and prevention programmes.

“…Burning of solid biomass fuels in inefficient and highly polluting stoves for cooking emits high levels of harmful air pollutants that affect health throughout the life course 1–4. A growing body of both epidemiological and toxicological studies links household air pollution (HAP) with increased risks of several acute and chronic health conditions5–9 and adverse pregnancy outcomes 10–13.…”

Section: Introductionmentioning

confidence: 99%

Health risk perceptions of household air pollution and perceived benefits of improved stoves among pregnant women in rural Ethiopia: a mixed method study

Habtamu,

Abebe,

Seid

2023

BMJ Open

ObjectiveSince community perceptions of the risk of biomass smoke and the benefits of improved stoves play a critical role in behaviour change to the uptake and sustainable utilisation of improved stoves, we aimed to assess the level of health risk perception on kitchen smoke and benefits of using improved stoves among pregnant women.DesignA community-based cross-sectional mixed method study.SettingIn six kebeles of a low-income rural community of South Gondar Zone, Northwestern Ethiopia.ParticipantsAll 455 households with pregnant women aged 18–38 years, in their first-trimester or second-trimester gestation, exclusively use traditional biomass-fuelled or locally modified mud stoves, and the primary cook in her household were included. But completed data were obtained only from 422 households.ResultFrom 422 completed data, more than half, 63% (95% CI 58% to 68%) had high-level health risk perception of household air pollution, and nearly three-fourths, 74% (95% CI 70% to 79%) of the respondents perceived that using improved stove had benefits for their families. Participants in the 32–38 years age group, rich in asset index, presence of under-five children, being a member of any women group and large family size were positively associated with high-level health risk perception. Whereas respondents in the 18–24 years age group, presence of under-five children, husbands of primary or higher education, high health risk perception and not happy with the current stove were positively associated with perceived benefits of using an improved stove.ConclusionThe observed level of health risk perception of biomass smoke and the benefits of using improved stoves may help to adopt effective intervention measures. This study also suggests that for successful intervention, clean cooking programmes and policies must consider many local factors influencing health risk perception and benefits of using improved stoves.Trial registration numberACTR202111534227089.