Cargando…
Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo
Little is known about the respiratory health damage related to household air pollution (HAP) in survivors of pulmonary tuberculosis (PTB). In a population-based cross-sectional study, we determined the prevalence and associated predictors of chronic cough and hemoptysis in 441 randomly selected PTB...
Autores principales: | , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265859/ https://www.ncbi.nlm.nih.gov/pubmed/30445808 http://dx.doi.org/10.3390/ijerph15112563 |
_version_ | 1783375709900636160 |
---|---|
author | Katoto, Patrick D.M.C. Murhula, Aime Kayembe-Kitenge, Tony Lawin, Herve Bisimwa, Bertin C. Cirhambiza, Jean Paul Musafiri, Eric Birembano, Freddy Kashongwe, Zacharie Kirenga, Bruce Mfinanga, Sayoki Mortimer, Kevin De Boever, Patrick Nawrot, Tim S. Nachega, Jean B. Nemery, Benoit |
author_facet | Katoto, Patrick D.M.C. Murhula, Aime Kayembe-Kitenge, Tony Lawin, Herve Bisimwa, Bertin C. Cirhambiza, Jean Paul Musafiri, Eric Birembano, Freddy Kashongwe, Zacharie Kirenga, Bruce Mfinanga, Sayoki Mortimer, Kevin De Boever, Patrick Nawrot, Tim S. Nachega, Jean B. Nemery, Benoit |
author_sort | Katoto, Patrick D.M.C. |
collection | PubMed |
description | Little is known about the respiratory health damage related to household air pollution (HAP) in survivors of pulmonary tuberculosis (PTB). In a population-based cross-sectional study, we determined the prevalence and associated predictors of chronic cough and hemoptysis in 441 randomly selected PTB survivors living in 13 remote health zones with high TB burden in the South Kivu province of the Democratic Republic of Congo (DRC). Trained community and health-care workers administered a validated questionnaire. In a multivariate logistic regression, chronic cough was independently associated with HAP (adjusted odds ratios (aOR) 2.10, 95% CI: 1.10–4.00) and PTB treatment >6 months (aOR 3.80, 95% CI: 1.62–8.96). Among women, chronic cough was associated with cooking ≥3 h daily (aOR 2.74, 95% CI: 1.25–6.07) and with HAP (aOR 3.93, 95% CI: 1.15–13.43). Independent predictors of hemoptysis were PTB retreatment (aOR 3.04, 95% CI: 1.04–5.09) and ignorance of treatment outcome (aOR 2.24, 95% CI: 1.09–4.58) but not HAP (aOR 1.86, 95% CI: 0.61–5.62). Exposure to HAP proved a major risk factor for chronic cough in PTB survivors, especially in women. This factor is amenable to intervention. |
format | Online Article Text |
id | pubmed-6265859 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-62658592018-12-15 Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo Katoto, Patrick D.M.C. Murhula, Aime Kayembe-Kitenge, Tony Lawin, Herve Bisimwa, Bertin C. Cirhambiza, Jean Paul Musafiri, Eric Birembano, Freddy Kashongwe, Zacharie Kirenga, Bruce Mfinanga, Sayoki Mortimer, Kevin De Boever, Patrick Nawrot, Tim S. Nachega, Jean B. Nemery, Benoit Int J Environ Res Public Health Article Little is known about the respiratory health damage related to household air pollution (HAP) in survivors of pulmonary tuberculosis (PTB). In a population-based cross-sectional study, we determined the prevalence and associated predictors of chronic cough and hemoptysis in 441 randomly selected PTB survivors living in 13 remote health zones with high TB burden in the South Kivu province of the Democratic Republic of Congo (DRC). Trained community and health-care workers administered a validated questionnaire. In a multivariate logistic regression, chronic cough was independently associated with HAP (adjusted odds ratios (aOR) 2.10, 95% CI: 1.10–4.00) and PTB treatment >6 months (aOR 3.80, 95% CI: 1.62–8.96). Among women, chronic cough was associated with cooking ≥3 h daily (aOR 2.74, 95% CI: 1.25–6.07) and with HAP (aOR 3.93, 95% CI: 1.15–13.43). Independent predictors of hemoptysis were PTB retreatment (aOR 3.04, 95% CI: 1.04–5.09) and ignorance of treatment outcome (aOR 2.24, 95% CI: 1.09–4.58) but not HAP (aOR 1.86, 95% CI: 0.61–5.62). Exposure to HAP proved a major risk factor for chronic cough in PTB survivors, especially in women. This factor is amenable to intervention. MDPI 2018-11-15 2018-11 /pmc/articles/PMC6265859/ /pubmed/30445808 http://dx.doi.org/10.3390/ijerph15112563 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Katoto, Patrick D.M.C. Murhula, Aime Kayembe-Kitenge, Tony Lawin, Herve Bisimwa, Bertin C. Cirhambiza, Jean Paul Musafiri, Eric Birembano, Freddy Kashongwe, Zacharie Kirenga, Bruce Mfinanga, Sayoki Mortimer, Kevin De Boever, Patrick Nawrot, Tim S. Nachega, Jean B. Nemery, Benoit Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo |
title | Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo |
title_full | Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo |
title_fullStr | Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo |
title_full_unstemmed | Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo |
title_short | Household Air Pollution Is Associated with Chronic Cough but Not Hemoptysis after Completion of Pulmonary Tuberculosis Treatment in Adults, Rural Eastern Democratic Republic of Congo |
title_sort | household air pollution is associated with chronic cough but not hemoptysis after completion of pulmonary tuberculosis treatment in adults, rural eastern democratic republic of congo |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265859/ https://www.ncbi.nlm.nih.gov/pubmed/30445808 http://dx.doi.org/10.3390/ijerph15112563 |
work_keys_str_mv | AT katotopatrickdmc householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT murhulaaime householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT kayembekitengetony householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT lawinherve householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT bisimwabertinc householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT cirhambizajeanpaul householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT musafirieric householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT birembanofreddy householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT kashongwezacharie householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT kirengabruce householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT mfinangasayoki householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT mortimerkevin householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT deboeverpatrick householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT nawrottims householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT nachegajeanb householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo AT nemerybenoit householdairpollutionisassociatedwithchroniccoughbutnothemoptysisaftercompletionofpulmonarytuberculosistreatmentinadultsruraleasterndemocraticrepublicofcongo |