PMID- 27113939
OWN - NLM
STAT- MEDLINE
DCOM- 20161013
LR  - 20220316
IS  - 1476-069X (Electronic)
IS  - 1476-069X (Linking)
VI  - 15
DP  - 2016 Apr 26
TI  - Household air pollution and under-five mortality in India (1992-2006).
PG  - 54
LID - 10.1186/s12940-016-0138-8 [doi]
LID - 54
AB  - BACKGROUND: Household air pollution (HAP) - predominantly from cooking fuel is a 
      major public health hazard and one of the leading causes of respiratory illness 
      and deaths among children under-five years in India. This study investigates the 
      association between HAP from cooking fuel and under-five mortality using India's 
      National Family and Health Survey (NFHS) datasets over the period 1992-2006 
      (total of 166,382 children), and the extent to which the association differed by 
      environmental and behavioral factors affecting level of exposure. METHODS: The 
      association between HAP and under-five mortality of three age-groups (neonatal 
      age between 0-28 days, post-neonatal age between 1-11 months and children aged 
      between 12-59 months) was examined using multi-level logistic regression models. 
      RESULTS: HAP was associated with mortality among children aged under-five 
      (OR = 1.30, 95%CI = 1.18-1.43, P < 0.001) and was more strongly associated in 
      sub-group analyses of post-neonatal mortality (OR = 1.42, 95%CI = 1.19-1.71, 
      P < 0.001) and child mortality (OR = 1.42, 95%CI = 1.05-1.91, P = 0.021) than 
      neonatal mortality (OR = 1.23, 95%CI = 1.09-1.39, P = 0.001). The association was 
      stronger for households in rural areas and for households without a separate 
      kitchen using polluting fuel, and in women who had never breastfed for all 
      age-groups. CONCLUSION: Use of cooking fuel in the household is associated with 
      increased risk of mortality in children aged under-five years. Factors relating 
      to access to clean fuels, improvements in infrastructure and household design and 
      behavioral factors are discussed, and can result in further declines in 
      under-five mortality in India.
FAU - Naz, Sabrina
AU  - Naz S
AD  - Centre of Health Research, School of Medicine, Western Sydney University, 
      Building 3, Campbelltown Campus, Locked Bag 1797, Penrith, NSW, 2571, Australia. 
      sabrinanaz@gmail.com.
FAU - Page, Andrew
AU  - Page A
AD  - Centre of Health Research, School of Medicine, Western Sydney University, 
      Building 3, Campbelltown Campus, Locked Bag 1797, Penrith, NSW, 2571, Australia.
FAU - Agho, Kingsley Emwinyore
AU  - Agho KE
AD  - School of Science and Health, Western Sydney University, Campbelltown Campus, 
      Locked Bag 1797, Penrith, NSW, 2571, Australia.
LA  - eng
PT  - Journal Article
DEP - 20160426
PL  - England
TA  - Environ Health
JT  - Environmental health : a global access science source
JID - 101147645
SB  - IM
MH  - Air Pollution, Indoor/*adverse effects/analysis
MH  - *Child Mortality
MH  - Child, Preschool
MH  - Cooking
MH  - Housing
MH  - Humans
MH  - India/epidemiology
MH  - Infant
MH  - Infant, Newborn
MH  - Odds Ratio
PMC - PMC4845508
OTO - NOTNLM
OT  - Child mortality
OT  - Cooking fuel
OT  - Household air pollution
OT  - India
OT  - Under-five mortality
EDAT- 2016/04/27 06:00
MHDA- 2016/10/14 06:00
PMCR- 2016/04/26
CRDT- 2016/04/27 06:00
PHST- 2015/12/17 00:00 [received]
PHST- 2016/04/19 00:00 [accepted]
PHST- 2016/04/27 06:00 [entrez]
PHST- 2016/04/27 06:00 [pubmed]
PHST- 2016/10/14 06:00 [medline]
PHST- 2016/04/26 00:00 [pmc-release]
AID - 10.1186/s12940-016-0138-8 [pii]
AID - 138 [pii]
AID - 10.1186/s12940-016-0138-8 [doi]
PST - epublish
SO  - Environ Health. 2016 Apr 26;15:54. doi: 10.1186/s12940-016-0138-8.