Childhood illness in households using biomass fuels in India: secondary data analysis of nationally representative national family health surveys

Patel, Archana; Dhande, Leena; Pusdekar, Yamini; Borkar, Jitesh; Badhoniya, Neetu; Hibberd, Patricia L.

doi:10.1179/2049396712y.0000000013

Cited by 14 publications

(11 citation statements)

References 19 publications

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“…Stoves and cooking fuels were confirmed by inspectionALRI: cough or breathing difficulty combined with fast breathing ( > 50 breaths/min for children 2–11 months of age, > 40 breaths/min for children ≥ 12 months of age). Severe ALRI: cough or breathing difficulty accompanied by lower chest wall indrawingMaternal education and occupation, having one or more family members who smoke indoors, and living in a single-family dwelling or shared homeRelative to use of electricity for cooking, ALRI was increased in association with any use of biomass stoves (OR = 1.9, 95% CI: 1.24, 2.98), kerosene stoves (OR = 1.87, 95% CI: 1.24, 2.83), and gas stoves (OR = 1.62; 95% CI: 1.05, 2.50)Ramesh Bhat et al 44 (2012)Case-control101 cases, 101 controlsCases: Children under 5 years of age admitted to Udupi District Hospital with ALRI; Controls: Healthy children under 5 years of age presenting for immunizationSelf-report by child’s mother of cooking fuel type (LPG, wood, kerosene, dung, crop residues)Acute lower respiratory tract infection as defined by the 1995 WHO definitionNone describedCooking fuel other than LPG was associated significantly with acute lower respiratory tract infection (94.1% vs 7.6%, OR = 26.3, 95% CI: 10.5–65.7; p < 0.0001)Patel et al 45 (2013)Cross-sectional survey3 surveys were conducted across India. The 3 surveys are: NFHS-1 (1992–1993): 88562 households, 89777 women age 13–49 surveyed; NFHS-2 (1998–1999): 91196 households, 92300 women aged 15–49 surveyed, NFHS-3 (2005–2006): 109, 041 households, 124385 women aged 15–49 surveyedIncluded participants from rural and urban India.…”

Section: Resultsmentioning

confidence: 99%

The health and social implications of household air pollution and respiratory diseases

Simkovich

Goodman

Roa

et al. 2019

npj Prim. Care Respir. Med.

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Approximately three billion individuals are exposed to household air pollution (HAP) from the burning of biomass fuels worldwide. Household air pollution is responsible for 2.9 million annual deaths and causes significant health, economic and social consequences, particularly in low- and middle-income countries. Although there is biological plausibility to draw an association between HAP exposure and respiratory diseases, existing evidence is either lacking or conflicting. We abstracted systematic reviews and meta-analyses for summaries available for common respiratory diseases in any age group and performed a literature search to complement these reviews with newly published studies. Based on the literature summarized in this review, HAP exposure has been associated with acute respiratory infections, tuberculosis, asthma, chronic obstructive pulmonary disease, pneumoconiosis, head and neck cancers, and lung cancer. No study, however, has established a causal link between HAP exposure and respiratory disease. Furthermore, few studies have controlled for tobacco smoke exposure and outdoor air pollution. More studies with consistent diagnostic criteria and exposure monitoring are needed to accurately document the association between household air pollution exposure and respiratory disease. Better environmental exposure monitoring is critical to better separate the contributions of household air pollution from that of other exposures, including ambient air pollution and tobacco smoking. Clinicians should be aware that patients with current or past HAP exposure are at increased risk for respiratory diseases or malignancies and may want to consider earlier screening in this population.

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Section: Resultsmentioning

confidence: 99%

The health and social implications of household air pollution and respiratory diseases

Simkovich

Goodman

Roa

et al. 2019

npj Prim. Care Respir. Med.

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show abstract

“…This practice results in high levels of household air pollution, which is the leading environmental cause of morbidity and mortality worldwide [ 16 ]. To date, biomass smoke has been linked to increased risks of acute lower respiratory infections in children, chronic obstructive pulmonary disease, tuberculosis, lung cancer, nasopharyngeal and laryngeal cancer, cardiovascular disease, cataracts, low birth weight, and stillbirth [ 14 , 16 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

Does Smoke from Biomass Fuel Contribute to Anemia in Pregnant Women in Nagpur, India? A Cross-Sectional Study

2015

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BackgroundAnemia affects upwards of 50% of pregnant women in developing countries and is associated with adverse outcomes for mother and child. We hypothesized that exposure to smoke from biomass fuel – which is widely used for household energy needs in resource-limited settings – could exacerbate anemia in pregnancy, possibly as a result of systemic inflammation.ObjectiveTo evaluate whether exposure to smoke from biomass fuel (wood, straw, crop residues, or dung) as opposed to clean fuel (electricity, liquefied petroleum gas, natural gas, or biogas) is an independent risk factor for anemia in pregnancy, classified by severity.MethodsA secondary analysis was performed using data collected from a rural pregnancy cohort (N = 12,782) in Nagpur, India in 2011-2013 as part of the NIH-funded Maternal and Newborn Health Registry Study. Multinomial logistic regression was used to estimate the effect of biomass fuel vs. clean fuel use on anemia in pregnancy, controlling for maternal age, body mass index, education level, exposure to household tobacco smoke, parity, trimester when hemoglobin was measured, and receipt of prenatal iron and folate supplements.ResultsThe prevalence of any anemia (hemoglobin < 11 g/dl) was 93% in biomass fuel users and 88% in clean fuel users. Moderate-to-severe anemia (hemoglobin < 10 g/dl) occurred in 53% and 40% of the women, respectively. Multinomial logistic regression showed higher relative risks of mild anemia in pregnancy (hemoglobin 10-11 g/dl; RRR = 1.38, 95% CI = 1.19-1.61) and of moderate-to-severe anemia in pregnancy (RRR = 1.79, 95% CI = 1.53-2.09) in biomass fuel vs. clean fuel users, after adjusting for covariates.ConclusionIn our study population, exposure to biomass smoke was associated with higher risks of mild and moderate-to-severe anemia in pregnancy, independent of covariates.Trial RegistrationClinicalTrials.gov NCT 01073475

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“…42,[78][79][80][81] Lower respiratory tract infections are the leading cause of death for children under 5 years of age in the AP region, and both ambient and household air pollution exposure have been found to increase the overall risk and mortality of lower respiratory tract infections among the youngest children in Asian countries. [82][83][84][85][86][87][88][89][90]…”

Section: Population Health Burdenmentioning

confidence: 99%

Air Pollution in the Asia-Pacific Region. A Joint Asian Pacific Society of Respirology/American Thoracic Society Perspective

North

Rice

Ferkol

et al. 2019

Am J Respir Crit Care Med

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Childhood illness in households using biomass fuels in India: secondary data analysis of nationally representative national family health surveys

Abstract: There is an urgent need to increase the use of LPF or equivalent clean household fuel to reduce the burden of childhood illness associated with IAP in India.

Cited by 14 publications

References 19 publications

The health and social implications of household air pollution and respiratory diseases

The health and social implications of household air pollution and respiratory diseases

Does Smoke from Biomass Fuel Contribute to Anemia in Pregnant Women in Nagpur, India? A Cross-Sectional Study

Air Pollution in the Asia-Pacific Region. A Joint Asian Pacific Society of Respirology/American Thoracic Society Perspective

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