Household air pollution from use of cooking fuel and under-five mortality: The role of breastfeeding status and kitchen location in Pakistan

Naz, Sabrina; Page, Andrew; Agho, Kingsley

doi:10.1371/journal.pone.0173256

Cited by 60 publications

(75 citation statements)

References 36 publications

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“…However, the present study found that predominant breastfeeding was associated with a lower odds of infants to experience diarrhoea in Ethiopia. Our finding was consistent with studies conducted in sub-Saharan African [11,13,15] and South Asian countries [39,40], which showed that predominant breastfeeding was associated with a lower risk of diarrhoea in children. Despite the variations in the literature on the health effect of predominant breastfeeding, some authors have argued that promoting both EBF and predominant breastfeeding may be beneficial to the infant as some studies found lower risk of ARI and diarrhoea among predominantly breastfed infants [11,13].…”

Section: Plos Onesupporting

confidence: 92%

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Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

et al. 2020

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Background Acute respiratory infection (ARI) and diarrhoea are the leading causes of childhood morbidity and mortality in Ethiopia. Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. Methods This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. The IYCF practices include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, introduction of complementary foods, continued breastfeeding at two years and bottle feeding. Results Infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed had a lower prevalence of ARI. Infants who were exclusively and predominantly breastfed had a lower prevalence of diarrhoea. Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of

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Section: Plos Onesupporting

confidence: 92%

“…In the current study, households that used electricity, natural gas, biogas, or kerosene as a cooking fuel were classified as 'improved', while those households that used charcoal, firewood, or dung were grouped as 'not improved'. This classification was based on previously published studies conducted in LMICs [39][40][41].…”

Section: Potential Confoundersmentioning

confidence: 99%

Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

et al. 2020

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“…was not certified by peer review) (which The copyright holder for this preprint this version posted November 2, 2019. . https://doi.org/10.1101/19010801 doi: medRxiv preprint on their mother's back or placed to sleep or stand beside their mother when they are cooking because this is common practice in South-East Asian countries, including Myanmar (20,21,32,34).…”

Section: Exposuresmentioning

confidence: 99%

Effect of indoor air pollution on infant and child-mortality in Myanmar: Evidence from the first Demographic and Health Survey

Rana

Khan

Aliani³

et al. 2019

Preprint

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Background: Indoor air pollution (IAP) from solid fuels for cooking has been considered as a public health threat, particularly for women and children in low- and lower-middle-income countries (LMICs). We investigated the effects of solid fuel use (SFU) on neonatal, infant and under-five child mortality in Myanmar. Materials and Methods: We used data from Myanmars first Demographic and Health Survey conducted in 2016. The sample consists of ever-married mothers with under-five children in the household (n=3249). We calculated the adjusted odds ratio (aOR) to investigate the effects of SFU on neonatal, infant, and under-five mortality using multivariable logistic regression model accounting for survey weight and clustering. Additional analysis was conducted using an augmented measure of the exposure to IAP accounting for both SFU and the location of cooking (high exposure, moderate, and unexposed). Results: The prevalence of SFU was 79.0%, and the neonatal, infant and the under-five mortality rates were 26, 45 and 49 per 1,000 live births, respectively. The odds of infant (aOR 2.17, 95% CI: 1.21, 3.88) and under-five child mortality (aOR 2.22, 95% CI: 1.24, 3.95) were higher in households with SFU compared with households with clean fuel use. When applying an augmented measure of exposure to IAP by incorporating both SFU and the kitchens location, the likelihood of infant and under-five mortality was higher among moderately and highly exposed children compared to unexposed children with similar trends. Neonatal mortality was not associated with both SFU and levels of exposure to IAP. Conclusion: Infants and under-five children are at higher risk of mortality from exposure to IAP. The findings suggest that the risk of infants and under-five child mortality may be reduced by increasing access to clean cookstoves and clean fuels in LMICs, especially in Myanmar.

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“…12,13 It is also shown that the kind of cooking fuel used at the household influences the incidence of ARI in children. [14][15][16] In Ethiopia, according to the Ethiopian demographic and health survey (EDHS), the prevalence of ARI in children under five years of age was 13% in 2005, and the magnitude reduced to 7% in EDHS 2011, however, the prevalence remained 7% in EDHS 2016. Despite the persistent higher prevalence of ARI among children in Ethiopia, contributing factors for the disease were not well explored.…”

Section: Introductionmentioning

confidence: 99%

<p>Determinants of Acute Respiratory Infection Among Children in Ethiopia: A Multilevel Analysis from Ethiopian Demographic and Health Survey</p>

Anteneh¹,

Hassen²

2020

IJGM

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Background: Acute respiratory infection (ARI) is one of the leading public health challenges among children in low-and middle-income countries. Child mortality due to ARI is disproportionately higher in African regions. In Ethiopia, an encouraging progress in the reduction of ARI was observed until 2010, however, since then the national prevalence is unchanged. There is limited information for the persistently higher prevalence of the infection. Therefore, the aim of this study was to determine regional variations and identify factors associated with the infection. Methods: This study used data from the Ethiopian Demographic and Health Survey (EDHS) conducted in 2016. The analysis used information from 10,006 children. A twolevel logistic regression analysis was used to consider the cluster random effect. Results: Out of 10,006 children included, 15.9%, 8.9%, and 8.8% reported cough, short rapid breaths, and chest complaint respectively two weeks before the survey, making the overall prevalence of ARI 8.8%. Children aged six to 11 years (adjusted odds ratio (AOR)=1.466, 95% CI: 1.143-1.881), and 12 to 23 (AOR=1.390, 95%CI: 1.109-1.742), small birth size (AOR=1.387, 95%CI), and animal dung as cooking fuel (AOR=1.904, 95%CI: 1.152-3.146) are significantly associated with higher odds of ARI in the final multilevel modeling. The AOR (95%CI) for ARI for differing levels of altitude were: 1000 to 2000, 1.805 (1.403-2.483); 2000 to 3000, 1.882 (1.427-2.483); above 3000, 2.24 (1.023-4.907). Conclusion: ARI is still a significant public health problem in Ethiopia among children underfive, with a huge variation in the burden across the regional states. Age of children, birth size, household cooking fuel, and altitude above sea level were important variables. Therefore, regional governments, health-care workers and concerned organizations should give emphasis to minimize ARI and the consequences associated with the disease.

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Household air pollution from use of cooking fuel and under-five mortality: The role of breastfeeding status and kitchen location in Pakistan

Cited by 60 publications

References 36 publications

Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

Effect of indoor air pollution on infant and child-mortality in Myanmar: Evidence from the first Demographic and Health Survey

<p>Determinants of Acute Respiratory Infection Among Children in Ethiopia: A Multilevel Analysis from Ethiopian Demographic and Health Survey</p>

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