Household air pollution and COPD: cause and effect or confounding by other aspects of poverty?

Details

• Personal Author:
  Balakrishnan K ; Balmes JR ; Hadfield RM ; Halpin DMG ; Han MeiLan K ; Kirenga B ; Montes de Oca M ; Mortimer K ; Ozoh Obianuju B ; Perez Padilla R ; Ramirez-Venegas A ; Salvi S
• Description:
  SETTING: Household air pollution (HAP) and chronic obstructive pulmonary disease (COPD) are both major public health problems, reported to cause around 4 million and 3 million deaths every year, respectively. The great majority of these deaths, as well as the burden of disease during life is felt by people in low- and middle-income countries (LMICs). OBJECTIVE and DESIGN: The extent to which HAP causes COPD is controversial; we therefore undertook this review to offer a viewpoint on this from the Global Initiative for COPD (GOLD). RESULTS: We find that while COPD is well-defined in many studies on COPD and HAP, there are major limitations to the definition and measurement of HAP. It is thus difficult to disentangle HAP from other features of poverty that are themselves associated with COPD. We identify other limitations to primary research studies, including the use of cross-sectional designs that limit causal inference. CONCLUSION: There is substantial preventable morbidity and mortality associated with HAP, COPD and poverty, separately and together. Although it may not be possible to define clear causal links between HAP and COPD, there is a clear urgency to reduce the avoidable burden of disease these inflict on the world's poor. [Description provided by NIOSH]
• Subjects:
  Air Pollution Lung Diseases Occupational Health Respiratory System Respiratory Tract Diseases Safety
• Keywords:
  Air Pollution; Chronic Obstructive Pulmonary Disease; COPD; Respiratory Diseases; Lung Disease; Socioeconomics; Author Keywords: Household Air Pollution; COPD; Lung Disease; LMICs
• DOI:
  https://doi.org/10.5588/ijtld.21.0570
• ISSN:
  1027-3719
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Michigan ; OSHA Region 5 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  206-216
• Volume:
  26
• Issue:
  3
• NIOSHTIC Number:
  nn:20064843
• Citation:
  Int J Tuberc Lung Dis 2022 Mar; 26(3):206-216
• Contact Point Address:
  K Mortimer, University of Cambridge, Cambridge, UK
• Email:
  kjm20@cam.ac.uk
• Federal Fiscal Year:
  2022
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  The International Journal of Tuberculosis and Lung Disease
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6d63d3a9074331565ca5c4d03a0bd71f1c576c5efb0f6208076f128d00f9150a636beb591923a7e867277ccbad99ee624f4665d3f41737f58a4f427cfb6db3fb
• Download URL:
  https://stacks.cdc.gov/view/cdc/248986/cdc_248986_DS1.pdf
• File Type:
  [PDF - 117.19 KB ]