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Air Pollution in a Nationally Representative Sample: Findings from the National Adult Tobacco Survey of Lao PDR

Author

Listed:
  • Glorietta Hurd-Kundeti

    (California Department of Public Health, 1615 Capitol Ave, Sacramento, CA 95814, USA)

  • Anne Berit Petersen

    (Loma Linda University School of Nursing, 11262 Campus Street, Loma Linda, CA 92350, USA
    Center for Health Research, Loma Linda University School of Public Health, 11234 Anderson St, Loma Linda, CA 92354, USA)

  • Khamphithoun Somsamouth

    (Center for Information and Education on Health, Simuang Road, Vientiane Capital, Laos)

  • Pramil N. Singh

    (Center for Health Research, Loma Linda University School of Public Health, 11234 Anderson St, Loma Linda, CA 92354, USA
    Transdisciplinary Tobacco Research Program, Loma Linda University Cancer Center, 11234 Anderson St, Loma Linda, CA 92354, USA)

Abstract

In Southeast Asia, household air pollution (HAP) from solid fuel use is the leading cause of disability-adjusted life years (DALYs), a risk which is compounded by exposure to other sources of indoor and outdoor air pollution including secondhand tobacco smoke (SHS). The purpose of this study was to measure the individual and combined prevalence of exposure to household and community sources of air pollution in a national sample of adults in Lao PDR. We analyzed data from the 2012 National Adult Tobacco Survey (NATSL) of Lao PDR—a multi-stage stratified cluster sample of 9706 subjects from 2822 households located in all 17 provinces. Our findings indicate a high prevalence of exposure to household air pollution from cooking fires (78%) and SHS exposure in the home (74.5%). More than a third (32.8%) reported exposure to both inside the home. Exposure to outdoor sources of smoke from cooking, trash, and crop fires was substantial (30.1% to 56.0%). The aggregation of exposures from multiple sources of household air pollution raises the need for initiatives that establish programmatic linkages in the health, environmental, and agricultural sectors to provide a comprehensive strategy to reduce risk factors for respiratory disease in Lao PDR and the region.

Suggested Citation

  • Glorietta Hurd-Kundeti & Anne Berit Petersen & Khamphithoun Somsamouth & Pramil N. Singh, 2019. "Air Pollution in a Nationally Representative Sample: Findings from the National Adult Tobacco Survey of Lao PDR," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3500-:d:268713
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    References listed on IDEAS

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    1. Wipfli, H. & Avila-Tang, E. & Navas-Acien, A. & Kim, S. & Onicescu, G. & Yuan, J. & Breysse, P. & Samet, J.M., 2008. "Secondhand smoke exposure among women and children: Evidence from 31 countries," American Journal of Public Health, American Public Health Association, vol. 98(4), pages 672-679.
    2. Lee, Janice Ser Huay & Jaafar, Zeehan & Tan, Alan Khee Jin & Carrasco, Luis R. & Ewing, J. Jackson & Bickford, David P. & Webb, Edward L. & Koh, Lian Pin, 2016. "Toward clearer skies: Challenges in regulating transboundary haze in Southeast Asia," Environmental Science & Policy, Elsevier, vol. 55(P1), pages 87-95.
    3. Louise Potvin, 2012. "Intersectoral action for health: more research is needed!," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 5-6, February.
    4. Anne Berit Petersen & Natassia Muffley & Khamphithoun Somsamouth & Pramil N. Singh, 2019. "Smoked Tobacco, Air Pollution, and Tuberculosis in Lao PDR: Findings from a National Sample," IJERPH, MDPI, vol. 16(17), pages 1-13, August.
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