Systolic blood pressure changes in indigenous Bolivian women associated with an improved cookstove intervention

被引:45
作者
Alexander, Donee [1 ,2 ]
Larson, Timothy [2 ]
Bolton, Susan [3 ]
Vedal, Sverre [4 ]
机构
[1] Univ Chicago, Ctr Global Hlth, Chicago, IL 60637 USA
[2] Univ Washington, Dept Civil & Environm Engn, Seattle, WA 98195 USA
[3] Univ Washington, Sch Environm & Forest Sci, Seattle, WA 98195 USA
[4] Univ Washington, Sch Publ Hlth, Seattle, WA 98195 USA
关键词
Blood pressure; Cookstove; Household air pollution; Particulate matter; Systolic; Diastolic; PARTICULATE AIR-POLLUTION; RESPIRATORY-INFECTIONS; DEVELOPING-COUNTRIES; FUEL USE; EXPOSURE; INDOOR; HEALTH; MATTER; MORTALITY; COOKING;
D O I
10.1007/s11869-014-0267-6
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The use of biomass fuels as a primary fuel source is widespread and is linked to significant health effects. High blood pressure is a risk factor for cardiovascular effects including myocardial infarction and stroke. Few studies evaluating the health effects of household air pollution (HAP) have included blood pressure measurements. This study evaluated the effects of changes in cookstove-related particulate matter on blood pressure in 28 women head-of-households pre-intervention and 1 year post-intervention of an improved cookstove in a small, indigenous community in rural Bolivia. Blood pressure and kitchen particulate matter (PM) measurements were taken in August and September 2009 (pre-intervention) and in a 1-year follow-up in September and October of 2010 (post-intervention). Mean systolic blood pressure (SBP) decreased from 114.5 +/- 13.0 mm Hg to 109.0 +/- 10.4 mm Hg, (p = 0.01) after the improved cookstove intervention. Small decreases in diastolic blood pressure (DBP) were also seen, but these changes were not significant (p = 0.50). Decreases in SBP were correlated with reductions in 24-h mean kitchen PM levels (r = 0.59, p = 0.04). Somewhat stronger correlations were found between reductions in cooking PM concentrations and reductions in both SBP (r = 0.66, p = 0.01) and DBP (r = 0.66, p = 0.01). This study finds associations between decreases in both 24-h mean and mean cooking PM levels and decreases in SBP following an improved cookstove intervention.
引用
收藏
页码:47 / 53
页数:7
相关论文
共 39 条
[1]   Ventilated cookstoves associated with improvements in respiratory health-related quality of life in rural Bolivia [J].
Alexander, Donee ;
Linnes, Jacqueline Callihan ;
Bolton, Susan ;
Larson, Timothy .
JOURNAL OF PUBLIC HEALTH, 2014, 36 (03) :460-466
[2]  
[Anonymous], 2006, The health consequences of involuntary exposure to tobacco smoke: a report of the surgeon general
[3]   Associations between recent exposure to ambient fine particulate matter and blood pressure in the Multi-Ethnic Study of Atherosclerosis (MESA) [J].
Auchincloss, Amy H. ;
Roux, Ana V. Diez ;
Dvonch, J. Timothy ;
Brown, Patrick L. ;
Barr, R. Graham ;
Davigius, Martha L. ;
Goff, David C., Jr. ;
Kaufman, Joel D. ;
O'Neill, Marie S. .
ENVIRONMENTAL HEALTH PERSPECTIVES, 2008, 116 (04) :486-491
[4]   Cardiovascular effects of secondhand smoke - Nearly as large as smoking [J].
Barnoya, J ;
Glantz, SA .
CIRCULATION, 2005, 111 (20) :2684-2698
[5]   Acute Lower Respiratory Infection in Childhood and Household Fuel Use in Bhaktapur, Nepal [J].
Bates, Michael N. ;
Chandyo, Ram K. ;
Valentiner-Branth, Palle ;
Pokhrel, Amod K. ;
Mathisen, Maria ;
Basnet, Sudha ;
Shrestha, Prakash S. ;
Strand, Tor A. ;
Smith, Kirk R. .
ENVIRONMENTAL HEALTH PERSPECTIVES, 2013, 121 (05) :637-642
[6]   Indoor Air Pollution and Blood Pressure in Adult Women Living in Rural China [J].
Baumgartner, Jill ;
Schauer, James J. ;
Ezzati, Majid ;
Lu, Lin ;
Cheng, Chun ;
Patz, Jonathan A. ;
Bautista, Leonelo E. .
ENVIRONMENTAL HEALTH PERSPECTIVES, 2011, 119 (10) :1390-1395
[7]   Solid Fuel Use for Household Cooking: Country and Regional Estimates for 1980-2010 [J].
Bonjour, Sophie ;
Adair-Rohani, Heather ;
Wolf, Jennyfer ;
Bruce, Nigel G. ;
Mehta, Sumi ;
Pruess-Ustuen, Annette ;
Lahiff, Maureen ;
Rehfuess, Eva A. ;
Mishra, Vinod ;
Smith, Kirk R. .
ENVIRONMENTAL HEALTH PERSPECTIVES, 2013, 121 (07) :784-790
[8]   Exposure of chronic obstructive pulmonary disease patients to particles: Respiratory and cardiovascular health effects [J].
Brauer, M ;
Ebelt, ST ;
Fisher, TV ;
Brumm, J ;
Petkau, AJ ;
Vedal, S .
JOURNAL OF EXPOSURE ANALYSIS AND ENVIRONMENTAL EPIDEMIOLOGY, 2001, 11 (06) :490-500
[9]   Air pollution: The "heart" of the problem [J].
Brook, RD ;
Brook, JR ;
Rajagopalan, S .
CURRENT HYPERTENSION REPORTS, 2003, 5 (01) :32-39
[10]  
Brook RD, 2010, CIRCULATION, V68, P224