The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  66 (2024)
Volume  65 (2023)
Volume  64 (2022)
Volume  63 (2021)
Volume  62 (2020)
Volume  61 (2019)
Volume  60 (2018)
Volume  59 (2017)
Volume  58 (2016)
Volume  57 (2015)
Volume  56 (2014)
Volume  55 (2013)
Volume  54 (2012)
Volume  53 (2011)
Volume  52 (2010)
Related articles

VOLUME 52 , ISSUE 3 ( July-September, 2010 ) > List of Articles

Original Article

Domestic Cooking Fuel Exposure and Tuberculosis in Indian Women

Digambar Behera, Gaurav Aggarwal

Keywords : Biomass fuels, Tuberculosis, Case-control, Respiratory problem

Citation Information : Behera D, Aggarwal G. Domestic Cooking Fuel Exposure and Tuberculosis in Indian Women. Indian J Chest Dis Allied Sci 2010; 52 (3):139-143.

DOI: 10.5005/ijcdas-52-3-139

License: NA

Published Online: 10-09-2010

Copyright Statement:  NA


Abstract

Background. A case-controlled study was undertaken to find out the possible relationship of biomass fuel and pulmonary tuberculosis. Methods. Ninety-five non-smoking females with sputum positive tuberculosis (TB) and 109 healthy controls were interviewed using a questionnaire to obtain detailed information on type of fuel used in homes, duration of cooking, passive smoking, location of kitchen, socio-economic status, adequacy of ventilation, number of people per room and respiratory symptoms occurring during cooking. Odds ratio (OR) was ascertained by logistic regression analysis. Results. The cases were from a low socio-economic status and the kitchens used by them were inadequately ventilated. Controls had less smoke accumulation in the rooms while cooking and cases had associated respiratory symptoms more often. Logistic regression analysis revealed that TB was significantly influenced by the location of the kitchen (OR 0.201, 95% confidence interval [CI] 0.08-0.51) and the presence of respiratory symptoms while cooking (OR 10.70, 95% CI 2.90- 39.56). The odds of having TB did not differ significantly among various fuel types either on univariate (OR 0.99, 95% CI 0.45- 2.22) or multivariate analysis (OR 0.60, 95% CI 0.22-1.63). Conclusions. No association was found between type of fuel used and TB. However, low socio-economic status, smoky rooms, location of the kitchen, ventilation and associated respiratory symptoms during cooking are likely to be important contributors.

PDF Share
  1. Chen BH, Hong CJ, Pandey MR, Smith KR. Indoor air pollution in developing countries. World Health Stat Q 1990;43:127-38.
  2. Behera D, Jindal SK. Respiratory symptoms in Indian women using different cooking fuels. Chest 1991;100:385- 8.
  3. Behera D, Dash S, Yadav SP. Carboxyhaemoglobin in women exposed to different cooking fuels. Thorax 1991;46:344-6.
  4. Behera D, Jindal SK, Malhotra HS. Ventilatory function in non-smoking rural Indian women using different cooking fuels. Respiration 1994;61:89-92.
  5. Behera D, Chakrabarti T, Khanduja KL. Effect of exposure to domestic cooking fuels on bronchial asthma. Indian J Chest Dis Allied Sci 2001;43:27-31.
  6. Behera D. Health effects of indoor air pollution due to domestic fuels. Indian J Chest Dis Allied Sci 1995;37:227- 38.
  7. Behera D, Sood P, Singhi S. Respiratory symptoms in Indian children exposed to different cooking fuels. J Assoc Physicians India 1998;46:182-4.
  8. Behera D, Sood P, Singhi S. Passive smoking, domestic fuels and lung function in North Indian children. Indian J Chest Dis Allied Sci 1998;40:83-92.
  9. Emmelin A, Wall S. Indoor air pollution: a poverty-related cause of mortality among the children of the world. Chest 2007;132:1615-23.
  10. Behera D, Balamugesh T. Indoor air pollution as a risk factor for lung cancer in women. J Assoc Physicians India 2005;53:190-2.
  11. Smith KR. National burden of disease in India from indoor air pollution. Proc Natl Acad Sci USA 2000;97:13286-93.
  12. Torres-Duque C, Maldonado D, Perez-Padilla R, Ezzati M, Viegi G. Forum of International Respiratory Studies (FIRS) Task Force on health effects of biomass exposure. Proc Am Thorac Soc 2008;5:577-90.
  13. Fullerton DG, Bruce N, Gordon SB. Indoor air pollution from biomass fuel smoke is a major concern in the developing world. Trans R Soc Trop Med Hyg 2008;102:843-51.
  14. Lin HH, Murray M, Cohen T, Colijn C, Ezzati M. Effects of smoking and solid-fuel use on COPD, lung cancer, and TB in China: a time-based, multiple risk factor, modeling study. Lancet 2008;372:1473-83.
  15. Gong-Huan Y, Nan-shan Z. Effect on health from smoking and use of solid fuel in China. Lancet 2008;372:1445-6.
  16. Lonnroth K, Raviglione M. Global epidemiology of TB: prospects for control. Semin Respir Crit Care Med 2008;29:481-91.
  17. Bhatta N, Dhakal SS, Rizal S, Kralingen KW, Niessen L. Clinical spectrum of patients presenting with bronchiectasis in Nepal: evidence of linkage between TB, tobacco smoking and toxic exposure to biomass smoke. Kathmandu Univ Med J 2008;6:195-203.
  18. Galeone C, Pelucchi C, La Vecchia C, Negri E, Bosetti C, Ju J. Indoor air pollution from solid fuel use, chronic lung diseases and lung cancer in Harbin, Northeast China. Eur J Cancer Prev 2008;17:473-8.
  19. Lin HH, Ezzati M, Murray M. Tobacco smoke, indoor air pollution and TB: a systematic review and meta-analysis. PLoS Med 2007;epub: Jan;4:e20.
  20. Aggarwal OP, Bhasin SK, Sharma AK, Chhabra P, Aggarwal K, Rajoura OP. A new instrument (scale) for measuring the socio-economic status of a family: preliminary study. Indian J Commun Med 2005;30:111-4.
  21. National TB Association of the USA. Diagnostic Standards and Classification of TB. New York: National TB Association; 1961.
  22. Mishra VK, Retherford RD, Smith KR. Biomass cooking fuels and prevalence of TB in India. Int J Infect Dis 1999;3:119-29.
  23. Mishra VK, Retherford RD, Smith KR. Cooking with biomass fuels increases the risk of TB. Natl Fam Health Surv Bull 1999;13:1-4.
  24. Gupta BN, Mathur N, Mahendra PN, Srivastava AK, Swaroop V. A study of household environmental risk factors pertaining to respiratory diseases. Energy Environ Monitor 1997;13:61-7.
  25. Perez-Padilla R, Perez-Guzman C, Baez-Saldana R, Torres-Cruz A. Cooking with biomass stoves and TB: a case control study. Int J Tuberc Lung Dis 2001;5:441-7.
  26. Shetty N, Shemko M, Vaz M, D'Souza G. An epidemiological evaluation of risk factors for TB in South India: a matched case control study. Int J Tuberc Lung Dis 2006;10:80-6.
  27. Crampin AC, Glynn JR, Floyd S, Malema SS, Mwinuka VK, Ngwira BM, et al. TB and gender: exploring the patterns in a case control study in Malawi. Int J Tuberc Lung Dis 2004;8:194-203.
  28. Aam BB, Fonnum F. Carbon black particles increase reactive oxygen species formation in rat alveolar macrophages in vitro. Arch Toxicol 2007;81:441-6.
  29. Arredouani MS, Yang Z, Imrich A, Ning Y, Qin G, Kobzik L. The macrophage scavenger receptor SR-AI/II and lung defense against pneumococci and particles. Am J Respir Cell Mol Biol 2006;35:474-8.
  30. Zhao Y, Wang S, Aunan K, Seip HM, Hao J. Air pollution and lung cancer risks in China: a meta-analysis. Sci Total Environ 2006;366:500-13.
  31. Balakrishnan K, Sambandam S, Ramaswamy P, Mehta S, Smith KR. Exposure assessment for respirable particulates associated with household fuel use in rural districts of Andhra Pradesh, India. J Exp Anal Environ Epidemiol 2004;14:S14-S25.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.