Investigating the Association between Wood and Charcoal Domestic Cooking, Respiratory Symptoms and Acute Respiratory Infections among Children Aged Under 5 Years in Uganda: A Cross-Sectional Analysis of the 2016 Demographic and Health Survey.
Int J Environ Res Public Health
; 17(11)2020 06 04.
Article
in En
| MEDLINE
| ID: mdl-32512693
ABSTRACT
Background:
Household air pollution associated with biomass (wood, dung, charcoal, and crop residue) burning for cooking is estimated to contribute to approximately 4 million deaths each year worldwide, with the greatest burden seen in low and middle-income countries. We investigated the relationship between solid fuel type and respiratory symptoms in Uganda, where 96% of households use biomass as the primary domestic fuel. Materials andMethods:
Cross-sectional study of 15,405 pre-school aged children living in charcoal or wood-burning households in Uganda, using data from the 2016 Demographic and Health Survey. Multivariable logistic regression analysis was used to identify the associations between occurrence of a cough, shortness of breath, fever, acute respiratory infection (ARI) and severe ARI with cooking fuel type (wood, charcoal); with additional sub-analyses by contextual status (urban, rural).Results:
After adjustment for household and individual level confounding factors, wood fuel use was associated with increased risk of shortness of breath (AOR 1.33 [1.10-1.60]), fever (AOR 1.26 [1.08-1.48]), cough (AOR 1.15 [1.00-1.33]), ARI (AOR 1.36 [1.11-1.66] and severe ARI (AOR 1.41 [1.09-1.85]), compared to charcoal fuel. In urban areas, Shortness of breath (AOR 1.84 [1.20-2.83]), ARI (AOR 1.77 [1.10-2.79]) and in rural areas ARI (AOR 1.23 [1.03-1.47]) and risk of fever (AOR 1.23 [1.03-1.47]) were associated with wood fuel usage.Conclusions:
Risk of respiratory symptoms was higher among children living in wood compared to charcoal fuel-burning households, with policy implications for mitigation of associated harmful health impacts.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Respiratory Tract Infections
/
Smoke
/
Wood
/
Charcoal
/
Air Pollution, Indoor
/
Cooking
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
/
Pregnancy
Country/Region as subject:
Africa
Language:
En
Journal:
Int J Environ Res Public Health
Year:
2020
Document type:
Article
Affiliation country:
Publication country:
CH
/
SUIZA
/
SUÍÇA
/
SWITZERLAND