Smoked Tobacco, Air Pollution, and Tuberculosis in Lao PDR
Findings from a National Sample
Bibliographic Data
| ID | 15510486 |
|---|---|
| Authors | Anne Berit Petersen (0000-0001-6370-9576, Loma Linda University), Natassia Muffley (Loma Linda University), Khamphithoun Somsamouth (Center for Information and Education for Health, Ministry of Health, Simuang Road, Vientiane, Lao PDR), Pramil N Singh (0000-0002-9820-2887, Loma Linda University, corresponding author) |
| Year | 2019 |
| Volume | 16 |
| Issue | 17 |
| Pages | 3059-3059 |
| Publication date | 2019-08-23 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph16173059 |
| PMID | 31443595 |
| OpenAlex | W2969918171 |
| Language | EN |
| Citations received | 2 |
| References cited | 37 |
In 2017, more than half of the global burden of incident tuberculosis (TB) came from the Western Pacific region. In Lao People's Democratic Republic (PDR), the high rates of tobacco use and use of polluting biomass fuels for cooking (e.g., wood, charcoal, crop waste, dung) represent significant risk factors for TB. The purpose of this study was to determine the association between self-reported (1) smoking and TB; and (2) exposure to air pollution (from both cooking fires and environmental tobacco smoke) and TB among adults in Lao PDR. We analyzed data from the 2012 National Adult Tobacco Survey (NATSL) of Lao PDR-a multi-stage stratified cluster sample of 9706 subjects from 2822 households located in all 17 provinces. Utilizing a nationally representative sample and inferential, multivariable methods, we observed a significant increase in odds of self-reported TB among those who smoked tobacco (OR = 1.73, 95% CI = (1.00 to 2.98)). Larger multivariable models identified independent contributions from exposure to tobacco pipes (OR = 21.51, 95% CI = (6.34 to 72.89)) and communal outdoor fires (OR = 2.27, 95% CI = (1.15 to 4.49)). An index measuring combined exposure to smoked tobacco, environmental tobacco smoke in enclosed workspace, indoor cooking fire, trash fires, and other outdoor communal fires also showed a positive association (OR per added exposure = 1.47, 95% CI = (1.14 to 1.89)). The findings of this study underscore the need for multi-sectoral collaboration between tobacco control, environmental health, TB prevention and treatment programs, national authorities, policy makers, civil groups, and the private sector to address the convergence of potential risk factors impacting respiratory health in Lao PDR
Environmental health · Environmental protection · Geography · Odds ratio · Public health · Smoke · Tobacco control · Tobacco smoke · Tuberculosis · Air Quality and Health Impacts · Energy and Environment Impacts · Medicine
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016
The cost of dichotomising continuous variables
Developing Instruments for Cross-Cultural Psychiatric Research
Respiratory risks from household air pollution in low and middle income countries
Air Pollution in a Nationally Representative Sample
Mixed Methods Pilot Study of Sharing Behaviors among Waterpipe Smokers of Rural Lao PDR
Mentoring Cambodian and Lao health professionals in tobacco control leadership and research skills
Toward clearer skies
Drivers of tuberculosis epidemics
| Citations per year | 0.29 |
|---|---|
| Citation span | 2019 - 2019 (1) |
| Highly cited | No |