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Exposure to household air pollution from solid cookfuels and childhood stunting : a population-based, cross-sectional study of half a million children in low- and middle-income countries
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Caleyachetty, Rishi, Lufumpa, Nakawala, Kumar, Niraj, Mohammed, Nuredin Ibrahim, Bekele, Hana, Kurmi, Om, Wells, Jonathan and Manaseki-Holland, Semira (2022) Exposure to household air pollution from solid cookfuels and childhood stunting : a population-based, cross-sectional study of half a million children in low- and middle-income countries. International Health, 14 (6). pp. 639-647. doi:10.1093/inthealth/ihab090 ISSN 1876-3405.
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Official URL: https://doi.org/10.1093/inthealth/ihab090
Abstract
Background Household air pollution from the incomplete combustion of solid cookfuels in low- and middle-income countries (LMICs) has been largely ignored as a potentially important correlate of stunting. Our objective was to examine the association between solid cookfuel use and stunting in children aged <5 y. Methods We used data from 59 LMICs’ population-based cross-sectional demographic and health surveys; 557 098 children aged <5 y were included in our analytical sample. Multilevel logistic regression was used to examine the association between exposure to solid cookfuel use and childhood stunting, adjusting for child sex, age, maternal education and number of children living in the household. We explored the association across key subgroups. Results Solid cookfuel use was associated with child stunting (adjusted OR 1.58, 95% CI 1.55 to 1.61). Children living in households using solid cookfuels were more likely to be stunted if they lived in rural areas, the poorest households, had a mother who smoked tobacco or were from the Americas. Conclusions Focused strategies to reduce solid cookfuel exposure might contribute to reductions in childhood stunting in LMICs. Trial evidence to assess the effect of reducing solid cookfuel exposure on childhood stunting is urgently needed.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
SWORD Depositor: | Library Publications Router | ||||||||
Library of Congress Subject Headings (LCSH): | Indoor air pollution -- Health aspects, Children -- Growth -- Statistics, Children -- Nutrition -- Government policy, Health promotion, Ventilation -- Health aspects, Child development, Health surveys | ||||||||
Journal or Publication Title: | International Health | ||||||||
Publisher: | Oxford University Press | ||||||||
ISSN: | 1876-3405 | ||||||||
Official Date: | November 2022 | ||||||||
Dates: |
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Volume: | 14 | ||||||||
Number: | 6 | ||||||||
Page Range: | pp. 639-647 | ||||||||
DOI: | 10.1093/inthealth/ihab090 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 24 November 2022 | ||||||||
Date of first compliant Open Access: | 24 November 2022 | ||||||||
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