Prevalence Of Respiratory Symptoms Associated
With Outdoor And Indoor Air Pollution In
Bogota 2012
Author(s)
R. Sarmiento-Suárez & K. Medina
Abstract
Bogota is one of the most polluted cities in Latin America, increasing the
prevalence of respiratory symptoms in children under five. As the most unequal
city in the region, there is a direct gradient between socioeconomic and
environmental inequalities. The aim of the study was to know the impact of
indoor and outdoor pollution of respiratory disease in children under five in
Bogota. A cross sectional study was developed in kindergartens of 15 localities
in Bogota, divided into two groups according to exposure level to air pollution.
5407 children under five were selected by two-stage random sampling. A survey
instrument based on an ISAAC questionnaire was applied to identify associated
factors to respiratory outcomes. Statistical analysis included descriptive x2 test
and logistic regression by PSPP. Deprived zones of Bogotá were the most
affected areas. Wheezing during exercise was associated with outdoor pollution
plus unpaved roads (1.68, 1.18–2.38); last year wheezing to indoor factors as
second hand smoke (1.82, 1.32–1.79), dampness (1.32, 1.01–1.74) and in-home
factory (1.41, 1.02–1.96); dry cough at night to second hand smoke (1.49, 1.12–
1.98) and proximity of chimneys (1.43, 1.11–1.86). Main predictors for
respiratory disease were related to indoor air pollution and social vulnerability,
although outdoor pollution was relevant to wheezing during exercise. Second
hand smoke is a significant factor in the burden of disease in children under five.
Public health policies in Bogotá should address not only outdoor pollution, but
also housing inequalities.
Keywords: asthma, respiratory disease, indoor air pollution, outdoor pollution,
second hand smoke, dampness, children.
Keywords
asthma, respiratory disease, indoor air pollution, outdoor pollution,
second hand smoke, dampness, children
Related Book
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