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Pulmonary Tuberculosis Is Associated With Biomass Fuel Use Among Rural Women in Pakistan: An Age- and Residence-Matched Case-Control Study.

Abstract Facility-based, age- and residential area-matched case-control study was conducted in Sindh, Pakistan to determine association between biomass fuel use for cooking and pulmonary tuberculosis (TB). Cases were women with pulmonary TB, and controls were those suffering from other diseases. Current users of biomass fuel were at higher risk of pulmonary TB (adjusted matched odds ratio [mOR] = 3.0; 95% CI = 1.1-4.9) compared with nonusers. In comparison with former biomass users (women not using biomass for >10 years), recent biomass users (women who switched from biomass to nonbiomass ≤10 years ago), and current (lifetime) users were at a higher risk in a dose-response manner (adjusted mOR = 2.8, 95% CI = 0.9-8.2 and adjusted mOR = 3.9, 95% CI = 1.4-10.7, respectively). Population attributable fraction for TB related to biomass fuel use was 40.6% (95% CI = 35.5%-45.7%). This study strengthens the evidence that biomass fuel use for cooking is associated with pulmonary TB and risk increases with duration of exposure.
PMID
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Authors

Mayor MeshTerms
Keywords

Pakistan

biomass fuel

indoor air pollution

pulmonary tuberculosis

solid fuel

women

Journal Title asia-pacific journal of public health
Publication Year Start




PMID- 28434249
OWN - NLM
STAT- MEDLINE
DA  - 20170424
DCOM- 20170515
LR  - 20170515
IS  - 1941-2479 (Electronic)
IS  - 1010-5395 (Linking)
VI  - 29
IP  - 3
DP  - 2017 Apr
TI  - Pulmonary Tuberculosis Is Associated With Biomass Fuel Use Among Rural Women in
      Pakistan: An Age- and Residence-Matched Case-Control Study.
PG  - 211-218
LID - 10.1177/1010539517696554 [doi]
AB  - Facility-based, age- and residential area-matched case-control study was
      conducted in Sindh, Pakistan to determine association between biomass fuel use
      for cooking and pulmonary tuberculosis (TB). Cases were women with pulmonary TB, 
      and controls were those suffering from other diseases. Current users of biomass
      fuel were at higher risk of pulmonary TB (adjusted matched odds ratio [mOR] =
      3.0; 95% CI = 1.1-4.9) compared with nonusers. In comparison with former biomass 
      users (women not using biomass for >10 years), recent biomass users (women who
      switched from biomass to nonbiomass </=10 years ago), and current (lifetime)
      users were at a higher risk in a dose-response manner (adjusted mOR = 2.8, 95% CI
      = 0.9-8.2 and adjusted mOR = 3.9, 95% CI = 1.4-10.7, respectively). Population
      attributable fraction for TB related to biomass fuel use was 40.6% (95% CI =
      35.5%-45.7%). This study strengthens the evidence that biomass fuel use for
      cooking is associated with pulmonary TB and risk increases with duration of
      exposure.
FAU - Rabbani, Unaib
AU  - Rabbani U
AD  - 1 Aga Khan University, Karachi, Pakistan.
FAU - Sahito, Ambreen
AU  - Sahito A
AD  - 1 Aga Khan University, Karachi, Pakistan.
FAU - Nafees, Asaad Ahmed
AU  - Nafees AA
AD  - 1 Aga Khan University, Karachi, Pakistan.
FAU - Kazi, Ambreen
AU  - Kazi A
AD  - 2 King Saud University, Riyadh, Saudi Arabia.
FAU - Fatmi, Zafar
AU  - Fatmi Z
AD  - 1 Aga Khan University, Karachi, Pakistan.
LA  - eng
PT  - Journal Article
DEP - 20170301
PL  - China
TA  - Asia Pac J Public Health
JT  - Asia-Pacific journal of public health
JID - 8708538
RN  - 0 (Biofuels)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Air Pollution, Indoor/*adverse effects
MH  - Biofuels/*utilization
MH  - Case-Control Studies
MH  - Cooking/*methods
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Pakistan/epidemiology
MH  - Risk Assessment
MH  - Rural Health/*statistics & numerical data
MH  - Tuberculosis, Pulmonary/*epidemiology
MH  - Young Adult
OTO - NOTNLM
OT  - Pakistan
OT  - biomass fuel
OT  - indoor air pollution
OT  - pulmonary tuberculosis
OT  - solid fuel
OT  - women
EDAT- 2017/04/25 06:00
MHDA- 2017/05/16 06:00
CRDT- 2017/04/25 06:00
AID - 10.1177/1010539517696554 [doi]
PST - ppublish
SO  - Asia Pac J Public Health. 2017 Apr;29(3):211-218. doi: 10.1177/1010539517696554. 
      Epub 2017 Mar 1.

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