Work

Association of Ambient and Household Air Pollution with Lung Function in Young Adults in an Peri-urban Area of South-India: a cross-sectional study

Year: 2022
Type: conference-abstract
Abstract: BACKGROUND AND AIM: Although there is evidence for the association between air pollution and decreased lung function in children, evidence for adolescents and young adults is scarce. For a peri-urban area in India, we evaluated the association of ambient and household air pollution with lung function for young adults who had recently attained their expected maximum lung function. METHODS: We measured, using a standardized protocol, forced expiratory volume in the first second (FEV₁) and forced vital capacity (FVC) in participants aged 20-26 years from the third follow-up of the population-based APCAPCS cohort (2010-2012) in 28 Indian villages. We estimated annual average PM₂.₅ outdoors at residence using land-use regression. Biomass cooking fuel (a proxy for levels of household air pollution) was self-reported. We fitted a within-between linear-mixed model with random intercepts by village, adjusting for potential confounders. RESULTS: We evaluated 1,044 participants with mean age of 22.8 (SD=1) years (p25-p75: 22-24); 327 participants (31%) were female. Only males reported use of tobacco smoking (9% of all participants, 13% of males). The mean ambient PM2.5 exposure was 32.9 (SD=2.8) µg/m³. 76% reported use of biomass as cooking fuel. The adjusted association between 1 µg/m3 increase in PM₂.₅ was -27 ml (95%CI, -89 to 34) for FEV₁ and -5 ml (95%CI, -93 to 76) for FVC. The adjusted association between use of biomass was -112 ml (95% CI, -211 to -13) for FEV₁ and -142 ml (95%CI, -285 to 0) for FVC. The adjusted association was of greater magnitude for those with unvented stove (-158 ml, 95%CI, -279 to -36 for FEV₁ and -211 ml, 95%CI, -386 to -36 for FVC). CONCLUSIONS: We observed negative associations between ambient and household air pollution and lung function in young adults who had recently attained their maximum lung function. KEYWORDS: air pollution; lung function; India
Language: English
Open Access status: diamond
OpenAlex ID: W4316924785
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