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Household Air Pollution and Angina Pectoris in Low- and Middle-Income Countries: Cross-Sectional Evidence from the World Health Survey 2002–2003

Author

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  • Ishwar Tiwari

    (School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada)

  • Raphael M. Herr

    (Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, 68167 Mannheim, Germany)

  • Adrian Loerbroks

    (Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, 40225 Düsseldorf, Germany)

  • Shelby S. Yamamoto

    (School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada)

Abstract

The evidence regarding the effects of household air pollution on angina pectoris is limited in low-and middle-income countries (LMICs). We sought to examine the association between household air pollution and angina pectoris across several countries. We analyzed data of individuals from 46 selected countries participating in the cross-sectional World Health Survey (WHS) 2002–2003. Pooled and stratified (sex, continent) logistic regression with sampling weights was used to estimate adjusted odds ratios (ORs) and 95% confidence intervals (CIs) to quantify associations between the use of different household fuels with angina pectoris. In the pooled sample, we observed lower odds of angina pectoris with electricity use (OR: 0.68, 95% CI: 0.56–0.83) compared to those households reporting the use of gas as a household fuel. Increased odds of angina pectoris were observed with the use of agriculture/dung/shrub/other (OR: 1.65, 95% CI: 1.30–2.09), mixed (solid and non-solid fuels) (OR: 1.31, 95% CI: 1.09–1.56), and mixed solid fuel use (OR: 1.59, 95% CI: 1.12–2.25). Higher odds of angina pectoris were observed mainly with solid fuel use. The results highlight the importance of addressing these issues, especially in regions with a high proportion of solid fuel users and increasing levels of cardiovascular disease.

Suggested Citation

  • Ishwar Tiwari & Raphael M. Herr & Adrian Loerbroks & Shelby S. Yamamoto, 2020. "Household Air Pollution and Angina Pectoris in Low- and Middle-Income Countries: Cross-Sectional Evidence from the World Health Survey 2002–2003," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5802-:d:397298
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    References listed on IDEAS

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    3. Masera, Omar R. & Saatkamp, Barbara D. & Kammen, Daniel M., 2000. "From Linear Fuel Switching to Multiple Cooking Strategies: A Critique and Alternative to the Energy Ladder Model," World Development, Elsevier, vol. 28(12), pages 2083-2103, December.
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    Cited by:

    1. Boqiang Lin & Kai Wei, 2022. "Does Use of Solid Cooking Fuels Increase Family Medical Expenses in China?," IJERPH, MDPI, vol. 19(3), pages 1-17, January.

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