Household Air Pollution and Angina Pectoris in Low- and Middle-Income Countries: Cross-Sectional Evidence from the World Health Survey 2002–2003

Tiwari, Ishwar; Herr, Raphael M.; Loerbroks, Adrian; Yamamoto, Shelby

doi:10.3390/ijerph17165802

Cited by 6 publications

(7 citation statements)

References 43 publications

(72 reference statements)

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“…A stove intervention study [60] in Peru observed reduced headache in the intervention group, those with new chimney-equipped stoves, than those with mostly open-fire stoves in the control group. Another study in multiple countries showed that higher odds of angina pectoris were observed mainly with household solid fuel use [61].…”

Section: Discussionmentioning

confidence: 99%

Pain in Solid and Clean Fuel Using Households

Zhu,

Chen,

Feng

et al. 2024

Indoor Air

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Household air pollution from solid cooking fuel use influences multiple health outcomes, but its association with body pain remains poorly understood. This was a longitudinal study of 8880 adults who participated in the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2018. Household cooking fuels were extracted from the baseline household questionnaire. Transitions in cooking fuels from 2011 to 2018 were also identified. Body pain status was reported in the three waves of surveys conducted in 2011, 2015, and 2018. The associations between cooking fuel type, fuel transition, and pain site number were examined using generalized estimating equations. Among the 8880 participants, 41.4% (n=3680) primarily used clean fuels for cooking, and 58.6% (n=5200) used solid ones at baseline. Cooking with solid fuels was associated with more pain sites (incidence rate ratio (IRR): 1.14; 95% confidence interval (CI): 1.08 to 1.21), but a slower rate of pain sites increases from 2011 to 2018 (IRR=0.78; 95% CI: 0.71 to 0.86, for 2018×solid fuels). Compared with those who persistently used clean fuels for cooking, the number of pain sites increased by 10% in participants who transiting from using solid to clean fuels (IRR=1.10; 95% CI: 1.04 to 1.18), by 21% in those transiting from cooking with clean to solid fuels (IRR=1.21: 95% CI: 1.08 to 1.35) and by 25% among those persistent using solid fuels for cooking (IRR=1.25; 95% CI: 1.18 to 1.34). Our findings provided new evidence linking using solid fuels for cooking with more pain sites, but a slower rate of pain sites increases. Public health efforts should focus on fuel transition and take measures to help clean fuels spread.

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Section: Discussionmentioning

confidence: 99%

Pain in Solid and Clean Fuel Using Households

Zhu,

Chen,

Feng

et al. 2024

Indoor Air

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“…Previous studies have shown that HAP is related to the risk of pain in certain parts of the body (such as the chest and back, etc.) 26,64 , and pain has also been associated with the risk of disability. Buchman et al found that in nondisabled community-dwelling older adults, the risk of disability increased with the number of reported musculoskeletal pain areas, and for each additional pain area, the risk of ADL disability increased by 20% and IADL disability increased by 10% 32 .…”

Section: Discussionmentioning

confidence: 99%

“…Recently, epidemiological studies reported that long-term exposure to HAP from solid fuel use not only affects outcomes related to disability but also impacts physical and psychological outcomes, such as pain and depression. For example, the World Health Survey (WHS) linked HAP caused by the use of solid fuels to angina pectoris and increased the incidence of eye soreness and headaches in a Guatemalan population 26,27 . In addition, a controlled trial reported an association between HAP and depression in 1756 women in India and indicated that the degree of depression among women exposed to HAP was 23.4% higher than that among those not exposed to HAP 28 .…”

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confidence: 99%

“…There is also intuitive evidence of a strong association between household air pollution exposure and pain. For example, the World Health Survey (WHS) linked HAP caused by the use of solid fuels to angina pectoris and increased the incidence of eye soreness and headaches in a Guatemalan population 26,27 . In addition, previous studies have also found that neuroinflammation and related oxidative stress caused by the inhalation of these pollutants also have an impact on people's mental health, such as depression 41,42 .…”

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confidence: 99%

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Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults

Jia

Gao

Zhao

et al. 2022

Sci Rep

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Household air pollution (HAP) is suggested to increases people's risk of disability, but mediating mechanisms between HAP and disability remains under-investigated. The aim of this study was to investigate the underlying mechanisms between household air pollution and disability in middle-aged and older adults (i.e., older than 45 years) using a nationally representative prospective cohort. In total, 3754 middle-aged and older adults were selected from the China Health and Retirement Longitudinal Study. Correlation analysis and logistic regression analysis were employed to estimate the association between HAP, pain, depression and disability. Finally, three significant mediation pathways through which HAP directly impacts disability were found: (1) pain (B = 0.09, 95% CI 0.01, 0.02), accounting for 15.25% of the total effect; (2) depression (B = 0.07, 95% CI 0.004, 0.02), accounting for 11.86% of the total effect; (3) pain and depression (B = 0.04, 95% CI 0.003, 0.01), accounting for 6.78% of the total effect. The total mediating effect was 33.89%. This study clarified that HAP can indirectly affect disability through the respective and serial mediating roles of pain and depression. These findings potentially have important implications for national strategies concerning the widespread use of clean fuels by citizens.

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“…Angina, also known as angina pectoris, is a medical term used in the field of internal medicine to describe chest pain or discomfort induced by insufficient blood and oxygen supply to the heart [1] . As an important subtype of ischemic heart disease (IHD), angina manifests a wide range of symptoms related to ischemia and could substantially jeopardize the health status of patients or even pose threats to their lives [2] .…”

Section: Introductionmentioning

confidence: 99%

Differentiating the effects of fine and coarse particulate air pollution on the onset of stable and unstable angina: a case-crossover study in 305 Chinese cities

et al. 2023

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Background and purpose: Associations between fine and coarse particulate matters (i.e., PM2.5 and PM2.5–10, respectively) and the onset of angina have rarely been investigated. We aimed to systematically explore the impacts of PM2.5 as well as PM2.5–10 on the onset of stable and unstable angina at the hourly timescale. Methods: We performed a time-stratified case-crossover study among 995,734 angina patients from 1,655 hospitals in 305 Chinese cities from January 2015 to December 2021. Concentrations of PM2.5 and PM2.5–10 were collected at the hourly timescale from nearby fixed-site monitoring stations. Hourly onset information of unstable and stable angina was obtained from the Chinese Cardiovascular Association Database-Chest Pain Center. We applied conditional logistic regressions combined with polynomial distributed lag models to explore the lagged exposure–response associations. Subgroup analyses were performed to explore potential effect modifiers including age, sex, season, and region. Results: Transient exposure to PM2.5 was significantly associated with elevated risk of unstable and stable angina onset. The associations occurred immediately in the concurrent hour of exposure, attenuated thereafter, and turned to null at approximately lag 12 h for unstable angina and 9 h for stable angina. Each interquartile range increase in the PM2.5 concentrations over 0 to 12 h was associated with 1.32% (95% confidence interval [95% CI]: 0.94%–1.70%) and 1.69% (95% CI: 0.99%–2.39%) increase in the onset risk of unstable and stable angina, respectively. The results remained similar after controlling for co-pollutants. Greater magnitudes of associations were found among females and during cold season. Null associations were observed between PM2.5–10 and any type of angina. Conclusion: Our study indicates that acute exposure to PM2.5, rather than PM2.5–10, was significantly associated with the onset of both unstable and stable angina, underscoring the need of continued efforts in controlling particulate matter air pollution.

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Household Air Pollution and Angina Pectoris in Low- and Middle-Income Countries: Cross-Sectional Evidence from the World Health Survey 2002–2003

Cited by 6 publications

References 43 publications

Pain in Solid and Clean Fuel Using Households

Pain in Solid and Clean Fuel Using Households

Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults

Differentiating the effects of fine and coarse particulate air pollution on the onset of stable and unstable angina: a case-crossover study in 305 Chinese cities

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