Household air pollution and arthritis in low-and middle-income countries: Cross-sectional evidence from the World Health Organization's study on Global Ageing and Adult Health.

Bibliographic Details
Title:	Household air pollution and arthritis in low-and middle-income countries: Cross-sectional evidence from the World Health Organization's study on Global Ageing and Adult Health.
Authors:	Shelby S Yamamoto, Elaine Yacyshyn, Gian S Jhangri, Arvind Chopra, Divya Parmar, C Allyson Jones
Source:	PLoS ONE, Vol 14, Iss 12, p e0226738 (2019)
Publisher Information:	Public Library of Science (PLoS), 2019.
Publication Year:	2019
Collection:	LCC:Medicine LCC:Science
Subject Terms:	Medicine, Science
More Details:	BackgroundEvidence points to a clear link between air pollution exposure and several chronic diseases though investigations regarding arthritis are still lacking. Emerging evidence suggests an association between ambient air pollution and rheumatoid arthritis. Household air pollution exposure, conversely, is largely unstudied but may be an important consideration for arthritis, particularly in low- and middle-income countries (LMICs), where cooking and heating activities can generate high indoor air pollutant levels.MethodsWe investigated the association of household air pollution (electricity vs. gas; kerosene/paraffin; coal/charcoal; wood; or agriculture/crop/animal dung/shrubs/grass as the main fuel used for cooking) and arthritis in six LMICs (China, Ghana, India, Mexico, the Russian Federation, South Africa) using data from Wave I of the World Health Organization Study on Global AGEing and Adult Health (SAGE) (2007-2010). Multivariable analyses were adjusted for sociodemographic, household and lifestyle characteristics and several comorbidities.ResultsThe use of gas (aOR = 1.76, 95%CI: 1.40-2.21); coal (aOR = 1.74, 95%CI: 1.22-2.47); wood (aOR = 1.69, 95%CI: 1.30-2.19); or agriculture/crop/animal dung/shrubs/grass: aOR = 1.95 (1.46-2.61) fuels for cooking were strongly associated with an increased odds of arthritis, compared to electricity in cluster and stratified adjusted analyses. Gender (female), age (≥50 years), overweight (25.0 ≤BMIConclusionsThese findings suggest that exposure to household air pollution from cook fuels is associated with an increased odds of arthritis in these regions, which warrants further investigation.
Document Type:	article
File Description:	electronic resource
Language:	English
ISSN:	1932-6203
Relation:	https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226738&type=printable; https://doaj.org/toc/1932-6203
DOI:	10.1371/journal.pone.0226738&type=printable
DOI:	10.1371/journal.pone.0226738
Access URL:	https://doaj.org/article/d01edfaec97c412c9e23786de7ba8d9c
Accession Number:	edsdoj.01edfaec97c412c9e23786de7ba8d9c
Database:	Directory of Open Access Journals
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More Details
ISSN:	19326203
DOI:	10.1371/journal.pone.0226738&type=printable
Published in:	PLoS ONE
Language:	English