IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i11p2563-d183204.html
   My bibliography  Save this article

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

Author

Listed:
  • Patrick D.M.C. Katoto

    (Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven, 300 Leuven, Belgium
    Department of Internal Medicine and Prof Lurhuma Biomedical Research Laboratory, Mycobacterium Unit, Faculty of Medicine, Catholic University of Bukavu, 02BP, Bukavu, Congo)

  • 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
    Unit of Toxicology and Environment, University hospital of Lubumbashi, School of Public Health Faculty of Medicine, Lubumbashi 1825BP, Congo)

  • 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
    Département de Biologie médicale, Institut Supérieur des Techniques Médicales (ISTM) Bukavu, BP 3036, 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
    Health Unit, Flemish Institute for Technological Research (VITO), Vlasmeer7, 2400 Mol, Belgium)

  • Tim S. Nawrot

    (Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven, 300 Leuven, Belgium
    Centre for Environmental Sciences, Hasselt University, Agoralaan, building D, 3590, Diepenbeek, 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
    Departments of Epidemiology and International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, 21205, MD, USA
    Departments of Epidemiology, Infectious Diseases and Microbiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, 15210, PA, USA
    Joint senior authors.)

  • Benoit Nemery

    (Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven, 300 Leuven, Belgium
    Joint senior authors.)

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.

Suggested Citation

  • 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 Mf, 2018. "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," IJERPH, MDPI, vol. 15(11), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2563-:d:183204
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/11/2563/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/11/2563/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jing Cai & Xianhua Wang & Aiguo Ma & Qiuzhen Wang & Xiuxia Han & Yong Li, 2015. "Factors Associated with Patient and Provider Delays for Tuberculosis Diagnosis and Treatment in Asia: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-22, March.
    2. Sepeedeh Saleh & Richard Van Zyl-Smit & Brian Allwood & Herve Lawin & Bertrand Hugo Mbatchou Ngahane & Irene Ayakaka & Elvis Moyo & Asma El-Sony & Kevin Mortimer & Jamie Rylance, 2018. "Questionnaires for Lung Health in Africa across the Life Course," IJERPH, MDPI, vol. 15(8), pages 1-7, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Farman Ullah Khan & Faiz Ullah Khan & Khezar Hayat & Jie Chang & Muhammad Kamran & Asad Khan & Usman Rashid Malik & Asif Khan & Yu Fang, 2021. "Impact of Protracted Displacement on Delay in the Diagnosis Associated with Treatment Outcomes: A Cross-Sectional Study in Internally Displaced Tuberculosis Patients of Pakistan," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    2. Capuno, Joseph J. & Kraft, Aleli D. & Poco, Louisa Camille & Quimbo, Stella A. & Tan, Carlos Antonio R., 2019. "Health conditions, payments, proximity, and opportunity costs: Examining delays in seeking inpatient and outpatient care in the Philippines," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    3. JJ Capuno & AD Kraft & LC Poco & SA Quimbo & CAR Tan, Jr., 2017. "Factors associated with the delay in seeking inpatient and outpatient care services in the Philippines," UP School of Economics Discussion Papers 201703, University of the Philippines School of Economics.
    4. Kee Chee Cheong & Sumarni Mohd Ghazali & Ahmed Syahmi Syafiq Md Zamri & Yoon Ling Cheong & Nuur Hafizah Md. Iderus & Tharmarajah Nagalingam & Qistina Ruslan & Mohd Azahadi Omar & Ahmad Faudzi Yusoff, 2022. "Gender Differences in Factors Associated with the Total Delay in Treatment of Pulmonary Tuberculosis Patients: A Cross-Sectional Study in Selangor, Malaysia," IJERPH, MDPI, vol. 19(10), pages 1-15, May.
    5. Sujan Babu Marahatta & Rajesh Kumar Yadav & Deena Giri & Sarina Lama & Komal Raj Rijal & Shiva Raj Mishra & Ashish Shrestha & Pramod Raj Bhattrai & Roshan Kumar Mahato & Bipin Adhikari, 2020. "Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    6. Long Viet Bui & Zohar Mor & Daniel Chemtob & Son Thai Ha & Hagai Levine, 2018. "Use of Geographically Weighted Poisson Regression to examine the effect of distance on Tuberculosis incidence: A case study in Nam Dinh, Vietnam," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-12, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2563-:d:183204. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.