Respiratory symptoms and associated factors among women exposed to biomass fuel smoke in Sri Lanka: cross sectional study

Jayaweera, Gihani; Wimalasekera, Savithri; Goonewardena, Sampatha

doi:10.18203/2394-6040.ijcmph20202968

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…In this study, it was found that using fuel wood or biomass as a source of energy for cooking is significantly associated with respiratory health problems, which is widely supported by different studies 4 23 43 60. This is because cooking with wood results in incomplete combustion, which produces large quantities of smoke and exposes women to breathable suspended particles, which puts them at a particularly high risk of developing respiratory problems, especially when combined with prolonged periods of time spent in the kitchen.…”

Section: Discussionmentioning

confidence: 64%

Health risk assessment of indoor air quality, sociodemographic and kitchen characteristics on respiratory health among women responsible for cooking in urban settings of Oromia region, Ethiopia: a community-based cross-sectional study

Zewdie¹,

Degefa

Donacho³

2023

BMJ Open

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ObjectivesIn Ethiopia, where biomass fuel is used by the majority of the population, women who are primarily responsible for cooking are at a higher risk of having respiratory symptoms. However, there is limited information on the respiratory symptoms of exposed women. This study assessed the magnitude of respiratory disease symptoms and associated factors among women responsible for cooking in Mattu and Bedele towns, south-west Ethiopia.MethodsA community-based cross-sectional study was conducted among 420 randomly selected women in urban settings in south-west Ethiopia. Data were collected through face-to-face interviews using a modified version of the American Thoracic Society Respiratory Questionnaire. The data were cleaned, coded and entered into EpiData V.3.1 and exported into SPSS V.22 for analysis. Bivariable and multivariable logistic regression analyses were used to identify factors associated with respiratory symptoms at a value of p<0.05.ResultsIt is found that 34.9% of the study participants have respiratory symptoms (95% CI 30.6% to 39.4%). Unimproved floor (adjusted OR (AOR)=2.4 at 95% CI 1.42 to 4.15), presence of thick black soot in the ceiling (AOR=2.1 at 95% CI 1.2 to 3.6), using fuel wood (AOR=2.3 at 95% CI 1.1 to 4.7), using a traditional stove (AOR=3.37 at 95% CI 1.85 to 6.16), long duration of cooking (AOR=2.52 at 95% CI 1.4 to 4.5) and cooking room without a window (AOR=2.4 at 95% CI 1.5 to 3.9) were significantly associated with women’s respiratory symptoms.ConclusionMore than two in six women who cook had respiratory symptoms. Floor, fuel and stove type, soot deposits in the ceiling, duration of cooking and cooking in a room without a window were the identified factors. Appropriate ventilation, improved floor and stove design and the switch to high-efficiency, low-emission fuels could help to lessen the effects of wood smoke on women’s respiratory health.

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Section: Discussionmentioning

confidence: 64%

Health risk assessment of indoor air quality, sociodemographic and kitchen characteristics on respiratory health among women responsible for cooking in urban settings of Oromia region, Ethiopia: a community-based cross-sectional study

Zewdie¹,

Degefa

Donacho³

2023

BMJ Open

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“…According to the United Nations Statistics Division (2018), three billion people still use traditional fuel for cooking purposes. Women and children specifically are the two members that are particularly impacted within the community due to the indoor population (Jayaweera et al, 2020). The inefficient cooking practices and fodder, wood, and animal waste are a considerable threat to health and the environment.…”

Section: Fuel Choices and Behavioursmentioning

confidence: 99%

Exploring Fuel Stacking And Clean Fuel Access In Rural Areas Of Pakistan: A Comprehensive Review

Farah,

Siddiqui,

Dilawaiz

et al. 2023

SFS

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Providing clean energy resources in developing countries is a challenge due to limited economic opportunities. This paper examines the challenges and implications of household fuel use in developing countries, with a focus on rural areas of Pakistan. The study explores the concept of fuel stacking, where households utilize multiple fuel sources, including traditional fuels, despite improvements in income. The research highlights the health effects associated with different fuel types and emphasizes the importance of transitioning to cleaner alternatives. The paper provides a comprehensive analysis of the topic by drawing insights from various studies conducted in different countries, including Guatemala, Turkey, Tanzania, India, Nepal, and Bangladesh. This study's main purpose is to evaluate this so-called energy mix as well as the health effects of households' experience with using various fuels. So, the present study was completely based on the fuel-stacking framework and examined why women's fuel-consuming attitudes remain the same even after household economic improvement and the effects of traditional fuel on their health. Fuel-stacking is a common practice and the dominant reason was cultural barriers of the families and traditional stoves usage. This paper contributes to the existing literature on household fuel use by providing a comprehensive review of theory, evidence, and interventions related to the topic. It underscores the need for improved exposure assessment, behavioral and nutritional interventions, and governance interventions to promote the use of cleaner and sustainable energy sources.

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“…Being repetitively exposed to these pollutants can have a substantial impact on the lung function of women and their children. Studies showed that women exposed to biomass fuel have a significantly low FEV 1 /forced vital capacity ratio, together with a higher prevalence of cough, phlegm, wheeze and breathlessness, compared with those not exposed to biomass fuel [89][90][91]. The incidence of women exposed to biomass fuel smoke developing COPD is about 2.4 times higher than those exposed to liquefied petroleum gas [92].…”

Section: Early Origins Of Copdmentioning

confidence: 99%

Air pollution as an early determinant of COPD

Coll

Maître

et al. 2022

Eur Respir Rev

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COPD is a progressive and debilitating disease often diagnosed after 50 years of age, but more recent evidence suggests that its onset could originate very early on in life. In this context, exposure to air pollution appears to be a potential contributor. Although the potential role of air pollution as an early determinant of COPD is emerging, knowledge gaps still remain, including an accurate qualification of air pollutants (number of pollutants quantified and exact composition) or the “one exposure–one disease” concept, which might limit the current understanding. To fill these gaps, improvements in the field are needed, such as the use of atmosphere simulation chambers able to realistically reproduce the complexity of air pollution, consideration of the exposome, as well as improving exchanges between paediatricians and adult lung specialists to take advantage of reciprocal expertise. This review should lead to a better understanding of the current knowledge on air pollution as an early determinant of COPD, as well as identify the existing knowledge gaps and opportunities to fill them. Hopefully, this will lead to better prevention strategies to scale down the development of COPD in future generations.

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Respiratory symptoms and associated factors among women exposed to biomass fuel smoke in Sri Lanka: cross sectional study

Cited by 3 publications

References 20 publications

Health risk assessment of indoor air quality, sociodemographic and kitchen characteristics on respiratory health among women responsible for cooking in urban settings of Oromia region, Ethiopia: a community-based cross-sectional study

Health risk assessment of indoor air quality, sociodemographic and kitchen characteristics on respiratory health among women responsible for cooking in urban settings of Oromia region, Ethiopia: a community-based cross-sectional study

Exploring Fuel Stacking And Clean Fuel Access In Rural Areas Of Pakistan: A Comprehensive Review

Air pollution as an early determinant of COPD

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