Household and environment factors associated with asthma among Indian women: a multilevel approach.
BACKGROUND
Asthma is a prevalent disease among adults in India. This study aims to find prevalence and risk factors for asthma among Indian women aged 15 to 49 based on Indian National Family Health Survey-3.


METHODS
Prevalence of asthma was reported per 1,000 women among individual- and household-level variables. Chi-square test was used as test of association. Odds ratio with 95% confidence interval was used to find risk factors. Multilevel logistic regression was used to find risk factors adjusting for the confounding effect. Attributable risk percentage and population-attributable risk percentage were computed and interpreted.


RESULTS
The overall prevalence of asthma was 17 per 1,000 women. Overweight, obesity, exposure to alcohol, smoking, use of biomass for cooking, and low education are proven to be risk factors for asthma. The odds ratio ranges from 1.2 to 3. Not cooking under chimney and exposure to biomass fuels were observed to have high population-attributable risk percentage (19%, 18.6%). Controlling for these variables may reduce major burden of asthma.


CONCLUSIONS
Modification of household-level variables such as cooking fuel and cooking condition coupled with abstinence in consumption of alcohol and smoking may reduce the prevalence of asthma among women.
Guddattu
Vasudeva
V
Department of Statistics, Manipal university, Manipal, India. vasudev.guddattu@gmail.com
Swathi
A
A
Nair
N Sreekumaran
NS
D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000453:epidemiology* / Q000209:etiology; D003296:Cooking; D004781:Environmental Exposure / Q000009:adverse effects; D005260:Female; D015438:Health Behavior; D006306:Health Surveys; D006801:Humans; D007194:India / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors; D016387:Women's Health; D055815:Young Adult