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.
Patrick D M C KatotoAime MurhulaTony Kayembe-KitengeHerve LawinBertin C BisimwaJean Paul CirhambizaEric MusafiriFreddy BirembanoZacharie KashongweBruce KirengaSayoki Godfrey MfinangaKevin MortimerPatrick De BoeverTim S NawrotJean B NachegaBenoit NemeryPublished in: International journal of environmental research and public health (2018)
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.
Keyphrases
- pulmonary tuberculosis
- air pollution
- mycobacterium tuberculosis
- healthcare
- south africa
- mental health
- public health
- randomized controlled trial
- polycystic ovary syndrome
- oxidative stress
- risk factors
- pregnancy outcomes
- particulate matter
- pregnant women
- skeletal muscle
- drug induced
- insulin resistance
- body composition
- cystic fibrosis
- lung function
- human health
- smoking cessation
- psychometric properties
- patient reported