A cross sectional analysis of behaviors related to operating gas stoves and pneumonia in U.S. children under the age of 5

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• 作者：Eric S Coker ; Ellen Smit ; Anna K Harding ; John Molitor ; Molly L Kile
• 关键词：Gas stove ; Heating ; Ventilation ; Pneumonia ; Respiratory infection ; NHANES
• 刊名：BMC Public Health
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
• 全文大小：456 KB
• 参考文献：1. Rudan I, O’Brien KL, Nair H, Liu L, Theodoratou E, Qazi S, et al. Epidemiology and etiology of childhood pneumonia in 2010: estimates of incidence, severe morbidity, mortality, underlying risk factors and causative pathogens for 192 countries. J Glob Health. 2013;3:10401. k" title="It opens in new window">CrossRef
  2. Centers for Disease Control and Prevention (CDC). VPD surveillance manual, 5th edition, pneumococcal disease: chapter 11-. 12th edition. Atlanta, GA: Centers for Disease Control and Prevention; 2008.
  3. Centers for Disease Control and Prevention (CDC). Pneumonia hospitalizations among young children before and after introduction of pneumococcal conjugate vaccine--United States, 1997-006. MMWR Morb Mortal Wkly Rep. 2009;58:1-.
  4. Talan DA, Moran GJ, Pinner RW. Progress toward eliminating Haemophilus influenzae type b disease among infants and children–United States, 1987-997. Ann Emerg Med. 1999;34:109-1. k" title="It opens in new window">CrossRef
  5. Gern JE, Rosenthal LA, Sorkness RL, Lemanske Jr RF. Effects of viral respiratory infections on lung development and childhood asthma. J Allergy Clin Immunol. 2005;115:668-4. quiz 675. k" title="It opens in new window">CrossRef
  6. Jartti T, Gern JE. Rhinovirus-associated wheeze during infancy and asthma development. Curr Respir Med Rev. 2011;7:160-. k" title="It opens in new window">CrossRef
  7. Sly PD, Kusel M, Holt PG. Do early-life viral infections cause asthma? J Allergy Clin Immunol. 2010;125:1202-. k" title="It opens in new window">CrossRef
  8. Jackson S, Mathews KH, Pulani? D, Falconer R, Rudan I, Campbell H, et al. Risk factors for severe acute lower respiratory infections in children -a systematic review and meta-analysis. Croat Med J. 2013;54:110-1. k" title="It opens in new window">CrossRef
  9. Dherani M, Pope D, Mascarenhas M, Smith KR, Weber M, Bruce N. Indoor air pollution from unprocessed solid fuel use and pneumonia risk in children aged under five years: a systematic review and meta-analysis. Bull World Health Organ. 2008;86:390-C. k" title="It opens in new window">CrossRef
  10. Ezzati M, Kammen DM. The health impacts of exposure to indoor air pollution from solid fuels in developing countries: knowledge, gaps, and data needs. Environ Health Perspect. 2002;110:1057-8. k" title="It opens in new window">CrossRef
  11. Smith KR, Mehta S. The burden of diseae from indoor air pollution in developing countries: comparison of estimates. Int J Hyg Env Health. 2003;206:279-9. k" title="It opens in new window">CrossRef
  12. Baxter LK, Clougherty JE, Laden F, Levy JI. Predictors of concentrations of nitrogen dioxide, fine particulate matter, and particle constituents inside of lower socioeconomic status urban homes. J Expo Sci Environ Epidemiol. 2006;17:433-4. k" title="It opens in new window">CrossRef
  13. Hansel NN, Breysse PN, McCormack MC, Matsui EC, Curtin-Brosnan J, Williams DL, et al. A longitudinal study of indoor nitrogen dioxide levels and respiratory symptoms in inner-city children with asthma. Environ Health Perspect. 2008;116:1428-2. k" title="It opens in new window">CrossRef
  14. Loo CKJ, Foty RG, Wheeler AJ, Miller JD, Evans G, Stieb DM, et al. Do questions reflecting indoor Air pollutant exposure from a questionnaire predict direct measure of exposure in owner-occupied houses? Int J Environ Res Public Health. 2010;7:3270-7. k" title="It opens in new window">CrossRef
  15. Semple S, Garden C, Coggins M, Galea KS, Whelan P, Cowie H, et al. Contribution of solid fuel, gas combustion, or tobacco smoke to indoor air pollutant concentrations in Irish and Scottish homes: Indoor air pollutant concentrations in Irish and Scottish homes. Indoor Air. 2012;22:212-3. k" title="It opens in new window">CrossRef
  16. Wallace LA, Emmerich SJ, Howard-Reed C.
• 作者单位：Eric S Coker (1)
  Ellen Smit (1)
  Anna K Harding (1)
  John Molitor (1)
  Molly L Kile (1)
  
  1. College of Public Health and Human Sciences, Oregon State University, Milam Hall, Corvallis, OR, 97331, USA
  
• 刊物主题：Public Health; Medicine/Public Health, general; Epidemiology; Environmental Health; Biostatistics; Vaccine;
• 出版者：BioMed Central
• ISSN：1471-2458

文摘

Background Poorly ventilated combustion stoves and pollutants emitted from combustion stoves increase the risk of acute lower respiratory illnesses (ALRI) in children living in developing countries but few studies have examined these issues in developed countries. Our objective is to investigate behaviors related to gas stove use, namely using them for heat and without ventilation, on the odds of pneumonia and cough in U.S. children. Methods The National Health and Nutrition Examination Survey (1988-994) was used to identify children--?years who lived in homes with a gas stove and whose parents provided information on their behaviors when operating their gas stoves and data on pneumonia (N--,289) and cough (N--,127). Multivariate logistic regression models were used to examine the association between each respiratory outcome and using a gas stove for heat or without ventilation, as well as, the joint effect of both behaviors. Results The adjusted odds of parental-reported pneumonia (adjusted odds ratio [aOR]--.08, 95% confidence interval [CI]: 1.08, 4.03) and cough (aOR--.66, 95% CI: 1.14, 2.43) were higher among children who lived in homes where gas stoves were used for heat compared to those who lived in homes where gas stoves were only used for cooking. The odds of pneumonia (aOR--.76, 95% CI: 1.04, 2.98), but not cough (aOR--.23, 95% CI: 0.87, 1.75), was higher among those children whose parents did not report using ventilation when operating gas stoves compared to those who did use ventilation. When considering the joint association of both stove operating conditions, only children whose parents reported using gas stoves for heat without ventilation had significantly higher odds of pneumonia (aOR--.06, 95% CI: 1.32, 7.09) and coughing (aOR--.07, 95% CI: 1.29, 3.30) after adjusting for other risk factors. Conclusions Using gas stoves for heat without ventilation was associated with higher odds of pneumonia and cough among U.S. children less than five years old who live in homes with a gas stove. More research is needed to determine if emissions from gas stoves ventilation infrastructure, or modifiable behaviors contribute to respiratory infections in children.