Solid fuel use is a major risk factor for acute coronary syndromes among rural women: a matched case control study

Public Health
Z FatmiN Sathiakumar

Abstract

Almost half of the world's population uses solid fuel for cooking, exposing women to high levels of particulate pollution in indoor air. The risk of acute coronary syndrome (ACS) was assessed among rural women, according to their use of solid fuel. Matched case control study. Data were collected at a public tertiary care hospital in a rural district of Pakistan. Seventy-three women with ACS were compared with controls, individually matched for sex and age (± 5 years), who were admitted to hospital for other reasons. Fuels used for cooking and exposures to potentially confounding variables were ascertained through a questionnaire administered at interview and measurement of height and weight. Conditional logistic regression was used to estimate odds ratios (ORs) with 95% confidence intervals (95% CIs). After adjustment for potential confounding factors, current use of solid fuel was strongly associated with ACS (OR 4.8, 95% CI: 1.5-14.8), and risk was lowest in women who had last used solid fuel more than 15 years earlier. The population attributable fraction for ACS in relation to current use of solid fuel was 49.0% (95% CI: 41.3%-57.4%). These findings support the hypothesis that indoor air pollution from use of solid fuel is ...Continue Reading

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Citations

Jul 4, 2015·The Journal of Clinical Hypertension·Jean Jacques N NoubiapJean Joel R Bigna
May 7, 2016·British Medical Bulletin·Zafar Fatmi, David Coggon
Nov 2, 2016·EcoHealth·Ipsita DasKarin Yeatts
Jun 15, 2016·Circulation·Sumeet S MitterReza Malekzadeh
Jul 25, 2017·Environmental Health : a Global Access Science Source·Ashlinn K QuinnKwaku Poku Asante
Feb 23, 2020·International Journal of Public Health·Zafar FatmiDavid Coggon
Feb 23, 2020·International Journal of Environmental Research and Public Health·Zafar FatmiDavid Coggon

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