Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12940-017-0272-y
Title: Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: A nationwide population-based study
Authors: Khan, M.N
Nurs, C.Z.B
Islam, M.M
Islam, M.R
Rahman, M.M 
Keywords: atmospheric pollution
birth rate
cooking appliance
demographic survey
developing world
health risk
health survey
indoor air
infant mortality
maternal health
national planning
pollution effect
pollution exposure
respiratory disease
spatiotemporal analysis
adolescent
adult
adverse outcome
air pollution
Article
Bangladesh
cesarean section
child
controlled study
cooking
female
health hazard
household
household air pollution
human
infant mortality
maternal welfare
newborn mortality
pregnancy complication
pregnancy outcome
priority journal
respiratory tract infection
smoke
acute disease
air pollutant
chemically induced
childhood mortality
indoor air pollution
infant
low birth weight
middle aged
newborn
pregnancy
prenatal exposure
preschool child
prevalence
Respiratory Tract Infections
risk factor
stillbirth
young adult
Bangladesh
air pollutant
Acute Disease
Adolescent
Adult
Air Pollutants
Air Pollution, Indoor
Bangladesh
Child Mortality
Child, Preschool
Cooking
Female
Humans
Infant
Infant Mortality
Infant, Low Birth Weight
Infant, Newborn
Middle Aged
Pregnancy
Prenatal Exposure Delayed Effects
Prevalence
Respiratory Tract Infections
Risk Factors
Stillbirth
Young Adult
Issue Date: 2017
Citation: Khan, M.N, Nurs, C.Z.B, Islam, M.M, Islam, M.R, Rahman, M.M (2017). Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: A nationwide population-based study. Environmental Health: A Global Access Science Source 16 (1) : 57. ScholarBank@NUS Repository. https://doi.org/10.1186/s12940-017-0272-y
Rights: Attribution 4.0 International
Abstract: Background: Household air pollution (HAP) from cooking with solid fuels has become a leading cause of death and disability in many developing countries including Bangladesh. We assess the association between HAP and risk of selected adverse birth and maternal health outcomes. Methods: Data for this study were extracted from Bangladesh Demographic and Health Survey conducted during 2007-2014. Selected adverse birth outcomes were acute respiratory infection (ARI) among children, stillbirth, low birth weight (LBW), under-five mortality, neonatal mortality and infant mortality. Maternal pregnancy complications and cesarean delivery were considered as the adverse maternal health outcomes. Place of cooking, use of solid fuel within the house boundary and in living room were the exposure variables. To examine the association between exposure and outcome variables, we used a series of multiple logistic regression models accounted for complex survey design. Results: Around 90% of the respondents used solid fuel within the house boundary, 11% of them used solid fuel within the living room. Results of multiple regression indicated that cooking inside the house increased the risk of neonatal mortality (aOR,1.25; 95% CI, 1.02-1.52), infant mortality (aOR, 1.18; 95% CI, 1.00-1.40), ARI (aOR, 1.18; 95% CI, 1.08-1.33), LBW (aOR, 1.25; 95% CI, 1.10-1.43), and cesarean delivery (aOR,1.18; 95% CI, 1.01-1.29). Use of solid fuel, irrespective of cooking places, increased the risk of pregnancy complications (aOR, 1.36; 95% CI, 1.19-1.55). Compared to participants who reported cooking outside the house, the risk of ARI, LBW were significantly high among those who performed cooking within the house, irrespective of type of cooking fuel. Conclusion: Indoor cooking and use of solid fuel in household increase the risk of ARI, LBW, cesarean delivery, and pregnancy complication. These relationships need further investigation using more direct measures of smoke exposure and clinical measures of health outcomes. The use of clean fuels and structural improvement in household design such as provision of stove ventilation should be encouraged to reduce such adverse health consequences. Trail registration: Data related to health were collected by following the guidelines of ICF international and Bangladesh Medical Research Council. The registration number of data collection was 132,989.0.000, and the data-request was registered on March 11, 2015. © 2017 The Author(s).
Source Title: Environmental Health: A Global Access Science Source
URI: https://scholarbank.nus.edu.sg/handle/10635/181270
ISSN: 1476069X
DOI: 10.1186/s12940-017-0272-y
Rights: Attribution 4.0 International
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