CAJ | 학술논문

目的了解广东省农村地区家庭生物燃料使用情况,以及生物燃料使用对农村女性高血压患病的影响.方法采用多层、多阶段随机整群抽样方法于2010年抽取广东省13个农村县/区≥18岁居民进行问卷调查和体格检查,分析农村家庭的生物燃料使用情况.纳入县/区水平和个体水平建立两水平logistic回归模型,分析女性调查对象生物燃料使用与高血压的关系,并进一步探讨使用排风扇对此关系的影响.结果 5 794户农村家庭中2 569户(44.3％)以生物燃料为主要炊事燃料.2 669名农村女性中生物燃料组1 233人(46.2％),清洁能源组1 436人(53.8％),两组中高血压患者分别为286和278名.单因素分析中生物燃料组高血压患病风险为1.26(95％CI:1.04 ～ 1.52),两水平模型分析中该效应无统计学意义.进一步分析发现生物燃料组对象使用排风扇是高血压患病的保护因素(RR=0.61,95％CI:0.39 ～ 0.98).结论广东省农村地区生物燃料使用率较高,尚无足够证据说明其是否为农村女性高血压的相关因素,但室内空气污染问题应引起重视.
목적 료해광동성농촌지구가정생물연료사용정황,이급생물연료사용대농촌녀성고혈압환병적영향.방법 채용다층、다계단수궤정군추양방법우2010년추취광동성13개농촌현/구≥18세거민진행문권조사화체격검사,분석농촌가정적생물연료사용정황.납입현/구수평화개체수평건립량수평logistic회귀모형,분석녀성조사대상생물연료사용여고혈압적관계,병진일보탐토사용배풍선대차관계적영향.결과 5 794호농촌가정중2 569호(44.3％)이생물연료위주요취사연료.2 669명농촌녀성중생물연료조1 233인(46.2％),청길능원조1 436인(53.8％),량조중고혈압환자분별위286화278명.단인소분석중생물연료조고혈압환병풍험위1.26(95％CI:1.04 ～ 1.52),량수평모형분석중해효응무통계학의의.진일보분석발현생물연료조대상사용배풍선시고혈압환병적보호인소(RR=0.61,95％CI:0.39 ～ 0.98).결론 광동성농촌지구생물연료사용솔교고,상무족구증거설명기시부위농촌녀성고혈압적상관인소,단실내공기오염문제응인기중시.
Objective To understand the situation of biomass fuel use in rural Guangdong,and how it affecting the prevalence of hypertension in adult women.Methods Inhabitants aged 18 and above were chosen,using multi-stage stratified cluster sampling method from 13 rural countries in Guangdong province in 2010.Questionnaire survey and blood pressure measurement were conducted.Multilevel logistic regression model was used to study the relationship between biomass fuel use and the prevalence of hypertension at both country and individual levels.Results Of the 5 794 rural families,2 569 (44.3％) cooked with biomass fuel in the kitchen.1 233 (46.2％) and 1 436 (53.8％) out of the 2 669 adult women used biomass fuel and clean energy,respectively.Results from x2 study showed that biomass users presented higher prevalence of hypertension (RR=1.26,95％ CI:1.04-1.52),but in multilevel model analysis,the difference was not significant.In addition,using an extractor fan when cooking seemed to have protected factor in decreasing the risk of hypertension among biomass users (RR=0.61,95％CI:0.39-0.98).Conclusion Proportion of the use ofbiomass fuel was still high among rural families in Guangdong province.Although there was not enough evidence to verify the relationship between the use of biomass fuel and hypertension in adult women.However,concerns about the use of biomass fuel which causing the indoor air pollution,should be raised.