Effect of stove intervention on household air pollution and the respiratory health of women and children in rural Nigeria

Oluwole, Oluwafemi; Ana, Godson; Arinola, Ganiyu Olatunbosun; Wiskel, Tess; Falusi, Adeyinka G.; Huo, Dezheng; Olopade, Olufunmilayo I.; Olopade, Christopher O.

doi:10.1007/s11869-013-0196-9

Cited by 50 publications

(30 citation statements)

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“…In the present study, the authors do not feel that the reason for underdiagnosis among children in these rural settings was due to diagnostic differences in asthma recognition because the survey instrument used was translated from English to the Yoruba language and reverse-translated by expert translators for clarity and better understanding of symptoms; it was also piloted by the authors in similar rural communities [16]. Instead, it may be due to lack of symptoms awareness among parents and accessibility to healthcare centers, which could signify target interventions for children’s respiratory health in these communities.…”

Section: Discussionmentioning

confidence: 99%

“…The major source of occupation for households in these communities was farming. Hence, the majority of households are largely dependent on biomass fuel for daily cooking and energy needs; and spend, on average, five hours per day cooking with biomass fuels [16]. As a result, women and children receive substantial daily biomass smoke exposure.…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaire was translated from English to Yoruba (the common language in the community) and was then reverse-translated for accuracy at the Department of Linguistics at the University of Ibadan. The translated version of this questionnaire was pilot-tested in our initial study in similar rural communities [16] and adjusted after discussions with other health workers and community representatives.…”

Section: Methodsmentioning

confidence: 99%

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Household biomass fuel use, asthma symptoms severity, and asthma underdiagnosis in rural schoolchildren in Nigeria: a cross-sectional observational study

et al. 2017

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BackgroundIn 2014, the International Study of Asthma and Allergies in Childhood (ISAAC) reported that the highest prevalence of symptoms of severe asthma was found in the low- and middle-income countries (LMICs), including Nigeria. While exposure to biomass fuel use may be an important risk factor in the development of asthma, its association with asthma symptoms severity has not been well-established. The aim of this study is to extend the spectrum of environmental risk factors that may be contributing towards increasing asthma morbidity, especially asthma symptoms severity in rural schoolchildren in Nigeria and to examine possible asthma underdiagnosis among this population.MethodsAuthors conducted a cross-sectional survey in three rural communities in Nigeria. Asthma symptoms were defined according to the ISAAC criteria. Information on the types of household fuel used for cooking was used to determine household cooking fuel status. Asthma symptoms severity was defined based on frequencies of wheeze, day- and night-time symptoms, and speech limitations. Logistic regression analyses were used to explore associations.ResultsA total of 1,690 Nigerian schoolchildren participated in the study. Overall, 37 (2.2%) had diagnosed asthma and 413 (24.4%) had possible asthma (asthma-related symptoms but not diagnosed asthma). Children from biomass fuel households had higher proportion of possible asthma (27.7 vs. 22.2%; p < 0.05) and symptoms of severe asthma (18.2 vs. 7.6%; p = 0.048). In adjusted analyses, biomass fuel use was associated with increased odds of severe symptoms of asthma [odds ratios (OR) = 2.37; 95% CI: 1.16–4.84], but not with possible asthma (OR = 1.22; 95% CI: 0.95–1.56).ConclusionIn rural Nigerian children with asthma symptoms, the use of biomass fuel for cooking is associated with an increased risk of severe asthma symptoms. There is additional evidence that rural children might be underdiagnosed for asthma.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Household biomass fuel use, asthma symptoms severity, and asthma underdiagnosis in rural schoolchildren in Nigeria: a cross-sectional observational study

et al. 2017

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“…The combustion of solid fuels burned in open fire or traditional stoves will emit substantial toxic pollutants such as respirable particulate matters (PM), carbon monoxide (CO), and many other organic pollutants (Smith et al 2004;Zhang and Smith 2007), resulting in serious household air pollution (HAP). HAP has been estimated to be a third contributor to global disease burden, responsible for about 4 million premature deaths every year (Lim et al 2012), and significantly increases the morbidity and mortality of many respiratory diseases in China and other countries (Bates et al 2013;Dutta and Ray 2014;Ingale et al 2013;Kim et al 2011;Oluwole et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Impact of household solid fuel use on blood pressure and hypertension among adults in China

Yan

Liu

Yin

et al. 2016

Air Qual Atmos Health

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The widespread use of solid fuel as primary household energy resource has been demonstrated to be linked to significant adverse health effects. However, limited studies examined the cardiovascular-related health effects of household solid fuel exposure, especially from the view of blood pressure (BP) measurements, a leading risk factor for cardiovascular diseases. Using a large-scale population-based data, this study evaluated the association between household solid fuel exposure and adults' blood pressure as well as hypertension in nine provinces of China. Multiple linear regression and logistic regression models were used to estimate the coefficients, odd ratios (ORs), and the corresponding 95 % confidence intervals (CI). After adjusting for potential confounders, we observed a 0.75 % (95 % CI 0.74-0.76 %, p < 0.05) higher systolic blood pressure (SBP) and 1.05 % (95 % CI 1.04-1.06 %, p < 0.01) higher diastolic blood pressure (DBP) in current solid fuel users. Users with longest duration of solid fuel exposure had a 1.63 % (95 % CI 1.62-1.64 %, p < 0.01) higher SBP and 1.31 % (95 % CI 1.30-1.32 %, p < 0.01) higher DBP than non-users. Besides, current use of solid fuel also was associated with an increased risk for hypertension (OR = 1.11, 95 % CI 1.11-1.12 %). Compared with non-users, those with the longest duration of solid fuel also experienced a larger risk of hypertension with an OR of 1.55 (95 % CI 1.54-1.56 %). The findings suggest that solid fuel exposure may link to higher blood pressure and elevated risk of hypertension in adults in China.

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“…Chronic exposure to high level of the indoor air pollutants particularly the respirable particulate matter could possibly compromise the lung function status of women [4]. [47] in their study of the effects of stove intervention on household air pollution and the respiratory health of women and children in rural Nigeria, demonstrated an association between cooking with biomass fuel, increased prevalence of respiratory symptoms and presence of obstructive lung disease. The high frequency of respirator y and other exposurerelated symptoms seen in mothers and children at baseline (pre-intervention) were substantially reduced a year later following replacement of the traditional stoves with low-emission stoves (Fig.3).…”

Section: Household Biomass Fuelmentioning

confidence: 99%

Indoor Air Quality and Risk Factors Associated with Respiratory Conditions in Nigeria

Ana¹,

Morakinyo²,

Fakunle³

2015

Current Air Quality Issues

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Effect of stove intervention on household air pollution and the respiratory health of women and children in rural Nigeria

Cited by 50 publications

References 31 publications

Household biomass fuel use, asthma symptoms severity, and asthma underdiagnosis in rural schoolchildren in Nigeria: a cross-sectional observational study

Household biomass fuel use, asthma symptoms severity, and asthma underdiagnosis in rural schoolchildren in Nigeria: a cross-sectional observational study

Impact of household solid fuel use on blood pressure and hypertension among adults in China

Indoor Air Quality and Risk Factors Associated with Respiratory Conditions in Nigeria

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