Domestic solid fuel combustion in an adult population in Nigeria: A cross sectional analysis of association with respiratory symptoms, quality of life and lung function.

Journal: Respiratory medicine

Volume: 130

Issue: 

Year of Publication: 2018

Affiliated Institutions:  Department of Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria. Department of Family Medicine, Lily Medical Centre, Warri, Nigeria. Department of Medicine, Federal Medical Centre, Owo, Nigeria. Department of Medicine, Olabisi Onabanjo University, Ago Iwoye, Nigeria. Department of Medicine, University of Lagos, Lagos, Nigeria. Department of Medicine, Jos University Teaching Hospital, Jos, Nigeria.

Abstract summary 

We examined the association of respiratory symptoms, health status, and lung function with the use of solid fuel (wood, charcoal, coal or crop residue) for cooking or heating in a predominantly non-smoking population.Using the protocol of the Burden of Obstructive Lung Diseases (BOLD) initiative, we collected representative population data using questionnaires and spirometry tests. We categorized solid fuel use into 'never user', 'ex user' and 'current user' based on responses to the survey. We developed regression models to evaluate the relation between use of solid fuel and the prevalence of respiratory symptoms, quality of life and lung function adjusting for confounding variables.Out of 1147 respondents with complete information on domestic fuel type, 33% were 'never-users', 19% were 'ex-users' while 48% reported current use of solid fuel for domestic cooking and/or indoor heating. Compared with never-users, current solid fuel users were more likely to report cough (OR: 1.7, 95% CI: 1.0, 2.9), cough or phlegm (OR: 1.6, 95% CI: 1.0, 2.5) and the association was stronger among women (OR: 3.0, 95% CI: 1.3, 7.1 and OR: 2.3, 95% CI: 1.1, 5.2, respectively). Current solid fuel users also had lower mental health status (coefficient: ?1.5, 95% CI: ?2.8, - 0.2) compared with the group of never-users. Current or previous domestic use of solid fuels for cooking or heating was not associated with higher prevalence of chronic airflow obstruction (FEV/FVC < LLN).Using solid fuel for domestic cooking or heating was associated with a higher risk of cough or phlegm and a lower mental quality of life. However we found no significant effect in the prevalence of chronic airflow obstruction in Ife, Nigeria.

Authors & Co-authors:  Obaseki Daniel O DO Awopeju Olayemi F OF Awokola Babatunde I BI Adeniyi Bamidele O BO Adefuye Bolanle O BO Ozoh Obianuju B OB Isiguzo Godsent C GC Amusa Ganiyu A GA Adewole Olufemi O OO Erhabor Gregory E GE

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1016/j.rmed.2017.07.014
SSN : 1532-3064
Study Population
Women
Mesh Terms
Adult
Other Terms
Air pollution;Cough;Lung function;Quality of life;Solid fuel
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
England