Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older Population
Objectives: We tended to explore the association of indoor air pollution (IAP) and non-neoplastic digestive system diseases (NNDSD) among the Chinese middle-aged and older population.Methods: From 2011 to 2018, we included 7884 NNDSD-free adults from the China Health and Retirement Longitudinal Stud...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-12-01
|
| Series: | International Journal of Public Health |
| Subjects: | |
| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605419/full |
| _version_ | 1828161576484470784 |
|---|---|
| author | Yahang Liu Silu Zeng Chen Huang Ce Wang Jingjing Zhu Jiahuan Peng Fengfei Ding Jiong Li Jiong Li Guoyou Qin Jiaohua Chen |
| author_facet | Yahang Liu Silu Zeng Chen Huang Ce Wang Jingjing Zhu Jiahuan Peng Fengfei Ding Jiong Li Jiong Li Guoyou Qin Jiaohua Chen |
| author_sort | Yahang Liu |
| collection | DOAJ |
| description | Objectives: We tended to explore the association of indoor air pollution (IAP) and non-neoplastic digestive system diseases (NNDSD) among the Chinese middle-aged and older population.Methods: From 2011 to 2018, we included 7884 NNDSD-free adults from the China Health and Retirement Longitudinal Study (CHARLS). Physician-diagnosed NNDSD was obtained by self-reported information at baseline and updated across follow-up surveys. We investigated the associations between baseline exposure of solid fuel use for cooking and/or heating and NNDSD diagnosed during follow-up through Cox proportional hazard models. Furthermore, we examined the relationship between cooking fuel switching and NNDSD diagnosed during follow-up.Results: Solid fuel use for cooking and/or heating was positively associated with NNDSD after adjusting for potential confounders. The risk of NNDSD among subjects who always use solid fuel for cooking (adjusted hazard ratio [aHR]: 1.42; 95% confidence interval [CI]: 1.09, 1.84) was higher than those with always clean fuels. Moreover, we found a lower NNDSD risk among participants who switched from solid to clean cooking fuel (aHR: 0.65; 95% CI: 0.49, 0.87) than those with always solid fuels.Conclusion: Our present study shows that indoor solid fuel use is a dependent risk factor for NNDSD. Moreover, switching to clean fuel may contribute to the prevention of digestive system illnesses. |
| first_indexed | 2024-04-12T00:40:59Z |
| format | Article |
| id | doaj.art-b9a39fd3f12340749353de5953076e26 |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-04-12T00:40:59Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-b9a39fd3f12340749353de5953076e262022-12-22T03:55:01ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-12-016710.3389/ijph.2022.16054191605419Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older PopulationYahang Liu0Silu Zeng1Chen Huang2Ce Wang3Jingjing Zhu4Jiahuan Peng5Fengfei Ding6Jiong Li7Jiong Li8Guoyou Qin9Jiaohua Chen10Department of Biostatistics, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, ChinaDepartment of Biostatistics, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, ChinaDepartment of Biostatistics, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, ChinaDepartment of Biostatistics, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, ChinaClinical Research Unit, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Biostatistics, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, ChinaDepartment of Pharmacology, School of Basic Medical Sciences, Fudan University, Shanghai, ChinaDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkDepartment of Clinical Epidemiology, Aarhus University, Aarhus, DenmarkDepartment of Biostatistics, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, ChinaDepartment of Health Management, Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaObjectives: We tended to explore the association of indoor air pollution (IAP) and non-neoplastic digestive system diseases (NNDSD) among the Chinese middle-aged and older population.Methods: From 2011 to 2018, we included 7884 NNDSD-free adults from the China Health and Retirement Longitudinal Study (CHARLS). Physician-diagnosed NNDSD was obtained by self-reported information at baseline and updated across follow-up surveys. We investigated the associations between baseline exposure of solid fuel use for cooking and/or heating and NNDSD diagnosed during follow-up through Cox proportional hazard models. Furthermore, we examined the relationship between cooking fuel switching and NNDSD diagnosed during follow-up.Results: Solid fuel use for cooking and/or heating was positively associated with NNDSD after adjusting for potential confounders. The risk of NNDSD among subjects who always use solid fuel for cooking (adjusted hazard ratio [aHR]: 1.42; 95% confidence interval [CI]: 1.09, 1.84) was higher than those with always clean fuels. Moreover, we found a lower NNDSD risk among participants who switched from solid to clean cooking fuel (aHR: 0.65; 95% CI: 0.49, 0.87) than those with always solid fuels.Conclusion: Our present study shows that indoor solid fuel use is a dependent risk factor for NNDSD. Moreover, switching to clean fuel may contribute to the prevention of digestive system illnesses.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605419/fullsolid fuelshousehold air pollutionclean fuelsdigestive diseasesmiddle-aged and older adults |
| spellingShingle | Yahang Liu Silu Zeng Chen Huang Ce Wang Jingjing Zhu Jiahuan Peng Fengfei Ding Jiong Li Jiong Li Guoyou Qin Jiaohua Chen Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older Population International Journal of Public Health solid fuels household air pollution clean fuels digestive diseases middle-aged and older adults |
| title | Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older Population |
| title_full | Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older Population |
| title_fullStr | Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older Population |
| title_full_unstemmed | Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older Population |
| title_short | Indoor Solid Fuel Use and Non-Neoplastic Digestive System Diseases: A Population-Based Cohort Study Among Chinese Middle-Aged and Older Population |
| title_sort | indoor solid fuel use and non neoplastic digestive system diseases a population based cohort study among chinese middle aged and older population |
| topic | solid fuels household air pollution clean fuels digestive diseases middle-aged and older adults |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605419/full |
| work_keys_str_mv | AT yahangliu indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT siluzeng indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT chenhuang indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT cewang indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT jingjingzhu indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT jiahuanpeng indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT fengfeiding indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT jiongli indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT jiongli indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT guoyouqin indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation AT jiaohuachen indoorsolidfueluseandnonneoplasticdigestivesystemdiseasesapopulationbasedcohortstudyamongchinesemiddleagedandolderpopulation |