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attributable risk and potential impact of interventions to reduce household air pollution associated with under-five mortality in South Asia

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Global Health Research and Policy 2018年第1期3卷 361-369页

作者： Sabrina Naz Andrew Page Kingsley Emwinyore Agho Translational Health Research Institute School of MedicineWestern Sydney UniversityBuilding 3Campbelltown CampusLocked Bag 1797PenrithNSW 2571Australia School of Science and Health Western Sydney UniversityCampbelltown CampusLocked Bag 1797PenrithNSW 2571Australia

Background:Solid fuel use is the major source of household air pollution(HAP)and accounts for a substantial burden of morbidity and mortality in low and middle income *** evaluate and compare childhood mortality attributable to HAP in four South Asian ***:A series of Demographic and Health Survey(DHS)datasets for Bangladesh,India,Nepal and Pakistan were used for *** of relative risk and exposure prevalence relating to use of cooking fuel and under-five mortality were used to calculate population attributable fractions(PAFs)for each *** impact fractions(PIFs)were also calculated assessing theoretical scenarios based on published interventions aiming to reduce exposure ***:There are an increased risk of under-five mortality in those exposed to cooking fuel compared to those not exposed in the four South Asian countries(OR=1.30,95%CI=1.07-1.57,P=0.007).Combined PAF estimates for South Asia found that 66%(95%CI:43.1-81.5%)of the 13,290 estimated cases of under-five mortality was attributable to *** PIF estimates(assuming achievable reductions in HAP reported in intervention studies conducted in South Asia)indicates 47%of neonatal and 43%of under-five mortality cases associated with HAP could be avoidable in the four South Asian countries ***:Elimination of exposure to use of cooking fuel in the household targeting valuable intervention strategies(such as cooking in separate kitchen,improved cook stoves)could reduce substantially under-five mortality in South Asian countries.

关键词： Household air pollution Under-five mortality Cooking fuel population attributable risk South Asia

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Prevalence of term low birth weight andits determinants in Shanghai, China

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生殖医学杂志 2000年第S1期9卷 14-20页

作者：车焱郭友宁 lqbal Shah Shanghai Institute of Planned Parenthood Research Centre of population Studies London School of Hygiene & TropicalMedicineUK Special Program of Research Development and Research Training in Human ReproductionWorld Health Organization

Objective: To investigate the prevalence of term low birth weight (TLBW) and its risk factors. Methods: A follow-up study with 7, 872 couples was conducted from 1987 to 199o beginning from the time they got marriage licenses in two districts defined in Shanghai. They were interviewed in the third month and again in the fifteenth month and in the fifth to sixth year afterwards individually at home. The total follow up rate reached 98%. Couple’s background characteristics as well as the information on their general health. reproductivc history and contraceptive use etc.. were collected dynamically. All of the single live births with term delivery were Included for data analysis in this paper. Adjusted odd ratios and population attributable risk (PAR%) were computed. Results: The prevalence of TLBW in Shanghai single term live births was 2. 0% (134,/6.573), represents 54. 7% (134/245) of the total low birth weights in our sam pie. Significant social and behaviour risk factors relating with TI-BW were wife’s dissat- isfaction with marriage; low education level of husband; co-residence with parents during pregnancy; heavy housework done by the wife while being pregnant. Significant biomedical risky factors were menarche age greater than 16 years old; maternal age at delivery greater than 29 years old; maternal body mass index less than 19. 8; wife suf- fered from serious disease prior to conceiving; having pregnancy complication; gestational weight gain less than 20 % of pre-pregnancy weight; having abortion, stillbirth and fetal death history. Conclusion: *** constituted over half of all low birth weights in Shanghai. Special attention should be paid to the determinants mentioned above in TLBW intervention program. Improving couples’ economic and living condition and husband ’s education at tainment, and caloric supplementation with women while being pregnant would all be particularly effective in reducing the occurrence of TLBW in Shnaghai.

关键词： Term low birth weight Logistic regression population attributable risk Determinant

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