The Determinant Factors of Acute Respiratory Infections (ARI) among Housewives in Allakuang Village, South Sulawesi, Indonesia
Abstract
Acute respiratory infection (ARI) ranks first in the ten most frequent diseases occurring in Allakuang Village during the last five years. The physical conditions and the density of pollution inside houses are risk factors that cause ARI. Homemakers are particularly vulnerable to ARI because most of their time is spent inside their houses. The aim of this study is to determine the factors that affect the incidence of ARI among homemakers, including the physical condition of the house (temperature, humidity, lighting, ventilation, ceiling condition, floor, walls, and the location of the kitchen), the pollutants inside the house (PM10, cooking fuel, tobacco smoke, and smoke mosquito coils), and the number of occupants. The sample used in this cross-sectional
study comprised 103 homemakers. The analysis was conducted using chi-square and multiple logistic regression tests. The results showed that several factors had significant correlations with ARI, such as PM10 concentration, the type of cooking fuel, and the use of mosquito coils. Furthermore, the results of the multivariate analysis showed that the most influential factor that caused ARI was the type of
cooking fuel. Homemakers who used firewood and kerosene as their cooking fuel were47times more at risk of suffering ARI compared with those who used gas fuel. Hence, people are recommended to reduce the use of cooking fuel that produces smoke, to the kitchen from the family room, and to eliminate the use of mosquito coils.
Keywords: PM10, acute respiratory infections, cooking fuels, homemakers
References
[1] Azizi B.H.O., and R.L. Henry. 1991. “The Effects of Indoor Environmental Factors on Respiratory Illness in Primary School Children inKuala Lumpur.”Int J Epidemiol 20 (1):144–149.
[2] Bruce N., R. Perez-Padilla,and R. Albalak. 2000. “Indoor Air Pollution in Developing Countries: A Major Environmental and Public Health Challenge Forthe New Millennium.” Bull World HealthOrg 78:1078–92.
[3] Chang, J., and J. Lin. 1998. “Aliphatic Aldehydes and Allethrinin Mosquito-Coil Smoke.”Chemosphere 36(3):617–624.
[4] Chen, Y., G. Sheng,X. Bi et al. 2005. “Emission Factors for Carbonaceous Particles and Polycyclic Aromatic Hydrocarbons from Residential Coal Combustion inChina.”Environ SciTechnol 39: 1861–1867.
[5] Daigler, G.E., S.J.Markello, and K.M. Cummings. 1991.“The Effect of Indoor Air Pollutants on Otitis Media and Asthma in Children.”Laryngoscope101:293–296
[6] De Koning, H.W., K.R. Smith, and J.M. Last. 1985. “Biomass Fuel Combustion and Health.” Bulletin of the World Health Organization63(1): 11–26.
[7] Environmental Protection Agency (EPA). 2016. Particulate Matter.Accessed April 22, 2016. http://www.epa.gov/pm/.
[8] Fagbule, D., and E.E. Ekanem.1994. “Some Environmental Risk Factors forChildhood Asthma: A Case-Control Study.” Ann Trop Paediatr14(1):15–19.
[9] Koo, L.C.L., andJ.H.C. Ho. 1994. “Mosquito Coil Smoke and RespiratoryHealth amongHong Kong Chinese Epidemiological Studies.” Indoor Environ 3:304–310.
[10] Koren. 2003. Handbook of Environmental Health: Pollutant Interactions in Air, Water, and Soil. (Vol. 2). USA: Lewis Publishers
[11] Liu, W., J. Zhang,J.H.Hashim et al. 2003. “Mosquito Coil Emissions and Health Implications.”Environ Health Perspect 111: 1454–1460.
[12] Lukwa, N., and S.K. Chandiwana. 1998. “Efficacy Of Mosquito Coils Containing 0.3% And 0.4% Pyrethrins againstAn. Gambiaesensulato Mosquitoes.”Cent Afr J Med 44(4):104–107
[13] Ministry of Health Republic of Indonesia. 2013. Riset Kesehatan Dasar 2013. Jakarta: Badan Penelitiandan Pengembangan Kesehatan Kementerian Kesehatan RI.
[14] Mishra, V. 2003. “Indoor Air Pollution from Biomass Combustion and Acute Respiratory Illness in Preschool Age Children inZimbabwe. ”Int J Epidemiol 32: 847– 853.
[15] Moturi, N. 2010. “Risk Factors for Indoor Air Pollution in Rural Households inMaucheDivision, MoloDistrict, Kenya.”African Health Sciences10(3): 230–234.
[16] Pauluhn, J., and U. Mohr. 2006. “Mosquito Coil Smoke Inhalation Toxicity. Part II: Subchronic Nose-Only Inhalation Study in Rats.”J ApplToxicol 26: 279–292.
[17] Pauluhn, J. 2006. Mosquito Coil Smoke Inhalation Toxicity. Part I: Validation of Test Approach and Acute Inhalation Toxicity.”J ApplToxicol26: 269–278.
[18] Pope, C.A., D.W. Dockery, J.D. Spengler, and M.E.Raizenne. 1991. “Respiratory Health andPM10 Pollution. A Daily Time Series Analysis.”Am. Rev.Respir. Dis. 144:668–674.
[19] Rehfuess, E. 2006. Fuel for Life – Household Energy and Health. Geneva: World Health Organization, 2006
[20] Rehfuess, E.A., N.G. Bruce,and K.R. Smith. 2011. “Solid Fuel Use: Health Effect.” In Encyclopedia of Environmental Health, edited by J.O.Nriagu, 150–161. Burlington:Elsevier.
[21] Reynolds, H.Y. 1999. “Defense Mechanisms against Infections.”CurrOpinPulm Med5: 136–142.
[22] Sharma S., et. al,. 1998. “Indoor Air Quality and Acute Lower Respiratory Infection inIndian Urban Slums.”Environmental Health Perspectives, 106(5):
[23] Chen, Shu Chen, Ruey-Hong Wong, Li JieShiu, et al. 2008. “Exposure To Mosquito Coil Smoke May Be A Risk Factor For Lung Cancer In Taiwan.” J Epidemiol. 18(1): 19–25.
[24] Strachan D.P., and D.G. Cook. 1998. “Parental Smoking And Childhood Asthma: Longitudinal And Case-Control Studies.”Thorax 53:204–212
[25] Liu, Weili, Junfeng Zhang, Jamal H. Hashim, et al. 2003. “Mosquito Coil Emissions And Health Implications.”Environmental Health Perspective 111(12): 1454–1460
[26] World Health Organization (WHO). 2008. Global Burden ofDisease: 2004 Update. Geneva: World Health Organization, 2008.
[27] —. 2012. Burden of Disease From House hold Air Pollution for 2012. Accessed April 10, 2016. http://www.who.int/phe/health_topics/outdoorair/databases/HAP_ BoD_results_March2014.pdf?ua=1.
[28] —. 2016. Acute Respiratory Infections. Accessed April 15, 2016. http://www.who. int/vaccine_research/diseases/ari/en/.