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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
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    References listed on IDEAS

    as
    1. 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.
    2. 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.
    Full references (including those not matched with items on IDEAS)

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