Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011)
Household air pollution (HAP) is one of the leading causes of respiratory illness and deaths among children under five years in Bangladesh. This study investigates the association between HAP from cooking fuel and under-five mortality using Bangladesh Demographic and Health Survey (BDHS) datasets ov...
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doaj-b2876dd0cb0f4612b992c74c907b0e642020-11-24T23:21:13ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012015-10-011210128471286210.3390/ijerph121012847ijerph121012847Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011)Sabrina Naz0Andrew Page1Kingsley Emwinyore Agho2Centre for Health Research, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, AustraliaCentre for Health Research, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, AustraliaSchool of Science and Health, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, AustraliaHousehold air pollution (HAP) is one of the leading causes of respiratory illness and deaths among children under five years in Bangladesh. This study investigates the association between HAP from cooking fuel and under-five mortality using Bangladesh Demographic and Health Survey (BDHS) datasets over the period 2004–2011 (n = 18,308 children), and the extent to which this association differed by environmental and behavioral factors affecting level of exposure. The association between HAP and neonatal (age between 0–28 days), infant (age between 0 and 11 months) and under–five (age between 0 and 59 months) mortality was examined using multilevel logistic regression models. HAP was not strongly associated with overall neonatal (OR = 1.49, 95% CI = 1.01–2.22, p = 0.043), infant (OR = 1.27, 95% CI = 0.91–1.77, p = 0.157) or under-five mortality (OR = 1.14, 95% CI = 0.83–1.55, p = 0.422) in the context of overall decreasing trends in under-five mortality. The association was stronger for households with an indoor kitchen using polluting fuels, and in women who had never breastfed. Reductions in exposure to pollution from cooking fuel, given it is a ubiquitous and modifiable risk factor, can result in further declines in under-five mortality with household design and behavioural interventions.http://www.mdpi.com/1660-4601/12/10/12847Household air pollutionindoor air pollutionunder-five mortalitycooking fuelsBangladesh |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sabrina Naz Andrew Page Kingsley Emwinyore Agho |
spellingShingle |
Sabrina Naz Andrew Page Kingsley Emwinyore Agho Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011) International Journal of Environmental Research and Public Health Household air pollution indoor air pollution under-five mortality cooking fuels Bangladesh |
author_facet |
Sabrina Naz Andrew Page Kingsley Emwinyore Agho |
author_sort |
Sabrina Naz |
title |
Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011) |
title_short |
Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011) |
title_full |
Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011) |
title_fullStr |
Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011) |
title_full_unstemmed |
Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011) |
title_sort |
household air pollution and under-five mortality in bangladesh (2004–2011) |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2015-10-01 |
description |
Household air pollution (HAP) is one of the leading causes of respiratory illness and deaths among children under five years in Bangladesh. This study investigates the association between HAP from cooking fuel and under-five mortality using Bangladesh Demographic and Health Survey (BDHS) datasets over the period 2004–2011 (n = 18,308 children), and the extent to which this association differed by environmental and behavioral factors affecting level of exposure. The association between HAP and neonatal (age between 0–28 days), infant (age between 0 and 11 months) and under–five (age between 0 and 59 months) mortality was examined using multilevel logistic regression models. HAP was not strongly associated with overall neonatal (OR = 1.49, 95% CI = 1.01–2.22, p = 0.043), infant (OR = 1.27, 95% CI = 0.91–1.77, p = 0.157) or under-five mortality (OR = 1.14, 95% CI = 0.83–1.55, p = 0.422) in the context of overall decreasing trends in under-five mortality. The association was stronger for households with an indoor kitchen using polluting fuels, and in women who had never breastfed. Reductions in exposure to pollution from cooking fuel, given it is a ubiquitous and modifiable risk factor, can result in further declines in under-five mortality with household design and behavioural interventions. |
topic |
Household air pollution indoor air pollution under-five mortality cooking fuels Bangladesh |
url |
http://www.mdpi.com/1660-4601/12/10/12847 |
work_keys_str_mv |
AT sabrinanaz householdairpollutionandunderfivemortalityinbangladesh20042011 AT andrewpage householdairpollutionandunderfivemortalityinbangladesh20042011 AT kingsleyemwinyoreagho householdairpollutionandunderfivemortalityinbangladesh20042011 |
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