Acute coronary syndrome and use of biomass fuel among women in rural Pakistan: a case–control study

Zafar Fatmi (), Ambreen Sahito (), Georgia Ntani () and David Coggon ()
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Zafar Fatmi: Aga Khan University
Ambreen Sahito: People’s University of Medical and Health Sciences for Women
Georgia Ntani: University of Southampton
David Coggon: University of Southampton

International Journal of Public Health, 2020, vol. 65, issue 2, No 4, 149-157

Abstract: Abstract Objectives Three billion people use biomass fuel for cooking and heating globally. We assessed the association between acute coronary syndromes (ACS) and use of biomass fuel for cooking. Methods We conducted a case–control study among women living in defined areas that were served by two tertiary care hospitals. A total of 364 women admitted to cardiac care units with ACS were compared with 727 controls, individually matched for age, who were inpatients at the same hospitals with a miscellany of diagnoses. Exposure to biomass fuel and other risk factors was ascertained through a questionnaire and assessed by conditional logistic regression. Results After adjustment, risk of ACS was elevated in women who had ever used biomass for cooking. In comparison with never users, the odds ratio for those who currently cooked with biomass was 4.8 (95% confidence interval 1.7, 13.8). However, among those who had ever used biomass, there was no decline in risk with time since last exposure. Conclusions The study found increased risk of ACS from use of biomass for cooking. However, full benefits from interventions may not accrue in short term.

Keywords: Acute coronary syndrome; Biomass fuel; Women; Case–control study; Pakistan (search for similar items in EconPapers)
Date: 2020
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DOI: 10.1007/s00038-020-01339-w

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