Association of household fuel with acute respiratory infection (ARI) under-five years children in Bangladesh

Frontiers in Public Health

Public Health

Khandokar Fahmida Sultana¹  Sanjoy Kumar Mukharjee¹  Firoz Ahmed¹  Md. Aminul Islam²  Prosun Bhattacharya³  Ananya Majumder⁴  Sabrin Sultana⁵  Md. Jakariya⁶  Tanvir Ahammed⁷  Aniqua Anjum⁷  M. Noor-E-Alam Siddiqui⁷  Mohammad Nayeem Hasan⁸  Kuldeep Dhama⁹  Samuel Asumadu Sarkodie^1,10  Jubayer Mumin^1,11 

[1] COVID-19 Diagnostic Lab, Department of Microbiology, Noakhali Science and Technology University, Noakhali, Bangladesh;COVID-19 Diagnostic Lab, Department of Microbiology, Noakhali Science and Technology University, Noakhali, Bangladesh;Advanced Molecular Lab, Department of Microbiology, President Abdul Hamid Medical College, Karimganj, Bangladesh;COVID-19 Research, Department of Sustainable Development, Environmental Science and Engineering, KTH Royal Institute of Technology, Stockholm, Sweden;Department of Applied Chemistry and Chemical Engineering, Noakhali Science and Technology University, Noakhali, Bangladesh;Department of Banking and Insurance, University of Chittagong, Chittagong, Bangladesh;Department of Environmental Science and Management, North South University, Bashundhara, Dhaka, Bangladesh;Department of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh;Department of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh;Joint Rohingya Response Program, Food for the Hungry, Cox's Bazar, Bangladesh;Division of Pathology, ICAR-Indian Veterinary Research Institute, Bareilly, Uttar Pradesh, India;Nord University Business School (HHN), Bodø, Norway;Platform of Medical and Dental Society, Dhaka, Bangladesh;

关键词: developing countries;    solid fuels;    clean fuels;    under-five children;    acute respiratory infection (ARI);   

DOI  :  10.3389/fpubh.2022.985445

 received in 2022-07-04, accepted in 2022-10-17,  发布年份 2022

来源: Frontiers

【 摘 要 】

In developing countries, acute respiratory infections (ARIs) cause a significant number of deaths among children. According to Bangladesh Demographic and Health Survey (BDHS), about 25% of the deaths in children under-five years are caused by ARI in Bangladesh every year. Low-income families frequently rely on wood, coal, and animal excrement for cooking. However, it is unclear whether using alternative fuels offers a health benefit over solid fuels. To clear this doubt, we conducted a study to investigate the effects of fuel usage on ARI in children. In this study, we used the latest BDHS 2017–18 survey data collected by the Government of Bangladesh (GoB) and estimated the effects of fuel use on ARI by constructing multivariable logistic regression models. From the analysis, we found that the crude (the only type of fuel in the model) odds ratio (OR) for ARI is 1.69 [95% confidence interval (CI): 1.06–2.71]. This suggests that children in families using contaminated fuels are 69.3% more likely to experience an ARI episode than children in households using clean fuels. After adjusting for cooking fuel, type of roof material, child's age (months), and sex of the child–the effect of solid fuels is similar to the adjusted odds ratio (AOR) for ARI (OR: 1.69, 95% CI: 1.05–2.72). This implies that an ARI occurrence is 69.2% more likely when compared to the effect of clean fuel. This study found a statistically significant association between solid fuel consumption and the occurrence of ARI in children in households. The correlation between indoor air pollution and clinical parameters of ARI requires further investigation. Our findings will also help other researchers and policymakers to take comprehensive actions by considering fuel type as a risk factor as well as taking proper steps to solve this issue.

【 授权许可】

Unknown   
Copyright © 2022 Islam, Hasan, Ahammed, Anjum, Majumder, Siddiqui, Mukharjee, Sultana, Sultana, Jakariya, Bhattacharya, Sarkodie, Dhama, Mumin and Ahmed.