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. Katoto, Aime Murhula, Tony Kayembe-Kitenge, Herve Lawin, Bertin C. Bisimwa, Jean Paul Cirhambiza, Eric Musafiri, Freddy Birembano, Zacharie Kashongwe, Bruce Kirenga, Sayoki Mfinanga, Kevin Mortimer, Patrick De Boever, Tim S. Nawrot, Jean B. Nachega and Benoit Nemery
Additional contact information
Patrick D.M.C. Katoto: Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven, 300 Leuven, Belgium
Aime Murhula: Department of Internal Medicine and Prof Lurhuma Biomedical Research Laboratory, Mycobacterium Unit, Faculty of Medicine, Catholic University of Bukavu, 02BP, Bukavu, Congo
Tony Kayembe-Kitenge: Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven, 300 Leuven, Belgium
Herve Lawin: Unit of Teaching and Research in Occupational and Environmental Health, Faculty of Health Sciences, University of Abomey-Calavi (UAC), Cotonou 03BP0490, Benin
Bertin C. Bisimwa: Department of Internal Medicine and Prof Lurhuma Biomedical Research Laboratory, Mycobacterium Unit, Faculty of Medicine, Catholic University of Bukavu, 02BP, Bukavu, Congo
Jean Paul Cirhambiza: National TB Program, Provincial and national Anti-Leprosy and TB Coordination, BP. 1899, Bukavu, Dem. Congo
Eric Musafiri: National TB Program, Provincial and national Anti-Leprosy and TB Coordination, BP. 1899, Bukavu, Dem. Congo
Freddy Birembano: National TB Program, Provincial and national Anti-Leprosy and TB Coordination, BP. 1899, Bukavu, Dem. Congo
Zacharie Kashongwe: National TB Program, Provincial and national Anti-Leprosy and TB Coordination, BP. 1899, Bukavu, Dem. Congo
Bruce Kirenga: Department of Pulmonary Medicine and Lung Institute, Makerere University, PB 7072, Kampala, Uganda
Sayoki Mfinanga: National Institute for Medical Research Muhimbili Medical Research Centre, PB 65001, Dar es Salaam, Tanzania
Kevin Mortimer: Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK
Patrick De Boever: Centre for Environmental Sciences, Hasselt University, Agoralaan, building D, 3590, Diepenbeek, Belgium
Tim S. Nawrot: Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven, 300 Leuven, Belgium
Jean B. Nachega: Department of Medicine and Center for Infectious Diseases, Faculty of Medicine and Health Sciences, Stellenbosch University, 8000, Francie Van Zijl Drive, PB 241, Cape Town, South Africa
Benoit Nemery: Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven, 300 Leuven, Belgium

IJERPH, 2018, vol. 15, issue 11, 1-13

Abstract: 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.

Keywords: biomass fuel; kerosene; respiratory symptoms; post-pulmonary tuberculosis; South Kivu (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
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