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Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011)

Author

Listed:
  • Sabrina Naz

    (Centre for Health Research, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Andrew Page

    (Centre for Health Research, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

  • Kingsley Emwinyore Agho

    (School of Science and Health, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571, Australia)

Abstract

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.

Suggested Citation

  • Sabrina Naz & Andrew Page & Kingsley Emwinyore Agho, 2015. "Household Air Pollution and Under-Five Mortality in Bangladesh (2004–2011)," IJERPH, MDPI, vol. 12(10), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:10:p:12847-12862:d:57139
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    References listed on IDEAS

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    1. Kirk R. Smith, 2003. "Indoor Air Pollution," World Bank Publications - Reports 9723, The World Bank Group.
    2. Brendon R. Barnes, 2014. "Behavioural Change, Indoor Air Pollution and Child Respiratory Health in Developing Countries: A Review," IJERPH, MDPI, vol. 11(5), pages 1-12, April.
    3. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    4. Kuntala Lahiri-Dutt, 2006. "Energy resources in South Asia: The last frontier?," ASARC Working Papers 2006-10, The Australian National University, Australia South Asia Research Centre.
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    Cited by:

    1. Nihit Goyal & David Canning, 2017. "Exposure to Ambient Fine Particulate Air Pollution in Utero as a Risk Factor for Child Stunting in Bangladesh," IJERPH, MDPI, vol. 15(1), pages 1-12, December.
    2. Daniel B. Odo & Ian A. Yang & Luke D. Knibbs, 2021. "A Systematic Review and Appraisal of Epidemiological Studies on Household Fuel Use and Its Health Effects Using Demographic and Health Surveys," IJERPH, MDPI, vol. 18(4), pages 1-31, February.

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