Solid Fuel Use and Risks of Respiratory Diseases. A Cohort Study of 280,000 Chinese Never-Smokers.

American Journal of Respiratory and Critical Care Medicine
Ka Hung ChanChina Kadoorie Biobank collaborative group

Abstract

Little evidence from large-scale cohort studies exists about the relationship of solid fuel use with hospitalization and mortality from major respiratory diseases. To examine the associations of solid fuel use and risks of acute and chronic respiratory diseases. A cohort study of 277,838 Chinese never-smokers with no prior major chronic diseases at baseline. During 9 years of follow-up, 19,823 first hospitalization episodes or deaths from major respiratory diseases, including 10,553 chronic lower respiratory disease (CLRD), 4,398 chronic obstructive pulmonary disease (COPD), and 7,324 acute lower respiratory infection (ALRI), were recorded. Cox regression yielded adjusted hazard ratios (HRs) for disease risks associated with self-reported primary cooking fuel use. Overall, 91% of participants reported regular cooking, with 52% using solid fuels. Compared with clean fuel users, solid fuel users had an adjusted HR of 1.36 (95% confidence interval, 1.32-1.40) for major respiratory diseases, whereas those who switched from solid to clean fuels had a weaker HR (1.14, 1.10-1.17). The HRs were higher in wood (1.37, 1.33-1.41) than coal users (1.22, 1.15-1.29) and in those with prolonged use (≥40 yr, 1.54, 1.48-1.60; <20 yr, 1.32, 1.26...Continue Reading

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Citations

May 17, 2019·Environmental Health Perspectives·Jiachen LiUNKNOWN (on behalf of the China Kadoorie Biobank Collaborative Group)
Apr 26, 2019·Global Health Research and Policy·Mohammad Ahmad Faizan, Ramna Thakur
Sep 27, 2018·American Journal of Respiratory and Critical Care Medicine·Richard N van Zyl-Smit, John R Balmes
May 15, 2020·American Journal of Respiratory and Critical Care Medicine·Peter AlterClaus F Vogelmeier
Dec 19, 2020·Chronic Diseases and Translational Medicine·Rui-Rui DuanTing Yang
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Jul 30, 2021·PLoS Medicine·Ka Hung ChanUNKNOWN China Kadoorie Biobank Study group
Aug 24, 2021·Frontiers in Public Health·Tanxin LiuShengfeng Wang

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