Consequences of household air pollution on child survival: evidence from demographic and health surveys in 47 countries |
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| Authors: | Lauren B. Kleimola Archana B. Patel Jitesh A. Borkar Patricia L. Hibberd |
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| Affiliation: | 1.Division of Global Health, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA;2.Lata Medical Research Foundation, Kinkinie Grover Memorial Charitable Trust, Nagpur, India;3.Department of Pediatrics, Indira Gandhi Government Medical College, Nagpur, India |
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| Abstract: | Background: Over one-third of the world’s population is exposed to household air pollution (HAP) but the separate effects of cooking with solid fuel and kerosene on childhood mortality are unclear.Objectives: To evaluate the effects of both solid fuels and kerosene on neonatal (0-28 days) and child (29 days-59 months) mortality.Methods: We used Demographic and Health Surveys from 47 countries and calculated adjusted relative risks (aRR) using Poisson regression models.Results: The aRR of neonatal and child mortality in households exposed to solid fuels were 1.24 (95% CI: 1.14, 1.34) and 1.21 (95% CI: 1.12, 1.30), respectively, and the aRR for neonatal and child mortality in households exposed to kerosene were 1.34 (95% CI: 1.18, 1.52) and 1.12 (95% CI: 0.99, 1.27), controlling for individual, household, and country-level predictors of mortality.Conclusions: Kerosene should not be classified as a clean fuel. Neonates are at risk for mortality from exposure to solid fuels and kerosene. |
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| Keywords: | Biomass Child mortality Cooking fuel Household air pollution Indoor air pollution Neonatal mortality Low and middle income countries Solid fuels |
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