Determinants of lung health across the life course in sub-Saharan Africa
| Autor: | Sarah Rylance, Refiloe Masekela, Kevin Mortimer, N.P.K Banda |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
wa_754
Adult Pulmonary and Respiratory Medicine medicine.medical_specialty Passive smoking Sub saharan Adolescent MEDLINE wa_395 wa_750a medicine.disease_cause Pulmonary Disease Chronic Obstructive 03 medical and health sciences 0302 clinical medicine Growth restriction Pregnancy Air Pollution Environmental health medicine Humans 030212 general & internal medicine Child Lung Africa South of the Sahara Asthma business.industry Public health medicine.disease Infectious Diseases Lung health Life course approach Female business wf_600 030217 neurology & neurosurgery |
| Zdroj: | The International Journal of Tuberculosis and Lung Disease. 24:892-901 |
| ISSN: | 1027-3719 |
| DOI: | 10.5588/ijtld.20.0083 |
| Popis: | LUNG HEALTH ACROSS THE life course is influenced by factors affecting airway and alveolar development and growth during antenatal and perinatal periods, throughout childhood and adolescence, and into adulthood. Lung function trajectories are set in early life and childhood deficits may predispose to non-communicable respiratory diseases, such as asthma and chronic obstructive pulmonary disease, in later years. Potential risk factors are common in many sub-Saharan African (sSA) countries; adverse antenatal environments cause in utero growth restriction and prematurity; HIV and respiratory infections, including TB are common; exposure to air pollution is widespread, including household air pollution from biomass fuel use, traffic-related pollution in rapidly expanding cities, and tobacco smoke exposure. Multiple disadvantages experienced in early life require an integrated approach that addresses reproductive, maternal and child health. Public health strategies need to tackle multiple risk factors, emphasising Universal Health Coverage, to maximise lung health in the world´s poorest, most vulnerable populations. This review explores potential determinants of lung health across the life course. Due to the extensive topic and wide range of related literature, we prioritised more recent citations, especially those from sSA, focusing on risk factors for which there is most information, and which are most prevalent in the region. |
| Databáze: | OpenAIRE |
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