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Comparison of Respiratory Health Impacts Associated with Wood and Charcoal Biomass Fuels: A Population-Based Analysis of 475,000 Children from 30 Low- and Middle-Income Countries

Author

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  • Katherine E. Woolley

    (Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK)

  • Suzanne E. Bartington

    (Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK)

  • Telesphore Kabera

    (College of Science and Technology, University of Rwanda, Avenue de l’Armee, Kigali P.O. Box 3900, Rwanda)

  • Xiang-Qian Lao

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong)

  • Francis D. Pope

    (School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK)

  • Sheila M. Greenfield

    (Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK)

  • Malcolm J. Price

    (Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
    NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust and University of Birmingham, Birmingham B15 2TT, UK)

  • G. Neil Thomas

    (Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK)

Abstract

Background: The World Health Organisation reported that 45% of global acute respiratory infection (ARI) deaths in children under five years are attributable to household air pollution, which has been recognised to be strongly associated with solid biomass fuel usage in domestic settings. The introduction of legislative restrictions for charcoal production or purchase can result in unintended consequences, such as reversion to more polluting biomass fuels such as wood; which may increase health and environmental harms. However, there remains a paucity of evidence concerning the relative health risks between wood and charcoal. This study compares the risk of respiratory symptoms, ARI, and severe ARI among children aged under five years living in wood and charcoal fuel households across 30 low- and middle-income countries. Methods: Data from children ( N = 475,089) residing in wood or charcoal cooking households were extracted from multiple population-based Demographic and Health Survey databases (DHS) ( N = 30 countries). Outcome measures were obtained from a maternal report of respiratory symptoms (cough, shortness of breath and fever) occurring in the two weeks prior to the survey date, generating a composite measure of ARI (cough and shortness of breath) and severe ARI (cough, shortness of breath and fever). Multivariable logistic regression analyses were implemented, with adjustment at individual, household, regional and country level for relevant demographic, social, and health-related confounding factors. Results: Increased odds ratios of fever (AOR: 1.07; 95% CI: 1.02–1.12) were observed among children living in wood cooking households compared to the use of charcoal. However, no association was observed with shortness of breath (AOR: 1.03; 95% CI: 0.96–1.10), cough (AOR: 0.99; 95% CI: 0.95–1.04), ARI (AOR: 1.03; 95% CI: 0.96–1.11) or severe ARI (AOR: 1.07; 95% CI: 0.99–1.17). Within rural areas, only shortness of breath was observed to be associated with wood cooking (AOR: 1.08; 95% CI: 1.01–1.15). However, an increased odds ratio of ARI was observed in Asian (AOR: 1.25; 95% CI: 1.04–1.51) and East African countries (AOR: 1.11; 95% CI: 1.01–1.22) only. Conclusion: Our population-based observational data indicates that in Asia and East Africa there is a greater risk of ARI among children aged under 5 years living in wood compared to charcoal cooking households. These findings have major implications for understanding the existing health impacts of wood-based biomass fuel usage and may be of relevance to settings where charcoal fuel restrictions are under consideration.

Suggested Citation

  • Katherine E. Woolley & Suzanne E. Bartington & Telesphore Kabera & Xiang-Qian Lao & Francis D. Pope & Sheila M. Greenfield & Malcolm J. Price & G. Neil Thomas, 2021. "Comparison of Respiratory Health Impacts Associated with Wood and Charcoal Biomass Fuels: A Population-Based Analysis of 475,000 Children from 30 Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(17), pages 1-18, September.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9305-:d:628563
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    References listed on IDEAS

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    1. Eldred Tunde Taylor & Satoshi Nakai, 2012. "Prevalence of Acute Respiratory Infections in Women and Children in Western Sierra Leone due to Smoke from Wood and Charcoal Stoves," IJERPH, MDPI, vol. 9(6), pages 1-14, June.
    2. Shupler, Matthew & Mwitari, James & Gohole, Arthur & Anderson de Cuevas, Rachel & Puzzolo, Elisa & Čukić, Iva & Nix, Emily & Pope, Daniel, 2021. "COVID-19 impacts on household energy & food security in a Kenyan informal settlement: The need for integrated approaches to the SDGs," Renewable and Sustainable Energy Reviews, Elsevier, vol. 144(C).
    3. van Buuren, Stef & Groothuis-Oudshoorn, Karin, 2011. "mice: Multivariate Imputation by Chained Equations in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i03).
    4. Muller, Christophe & Yan, Huijie, 2018. "Household fuel use in developing countries: Review of theory and evidence," Energy Economics, Elsevier, vol. 70(C), pages 429-439.
    5. Langbein, Jörg & Peters, Jörg & Vance, Colin, 2017. "Outdoor cooking prevalence in developing countries and its implication for clean cooking policies," Ruhr Economic Papers 680, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    6. Debbi Stanistreet & Lirije Hyseni & Elisa Puzzolo & James Higgerson & Sara Ronzi & Rachel Anderson de Cuevas & Oluwakorede Adekoje & Nigel Bruce & Bertrand Mbatchou Ngahane & Daniel Pope, 2019. "Barriers and Facilitators to the Adoption and Sustained Use of Cleaner Fuels in Southwest Cameroon: Situating ‘Lay’ Knowledge within Evidence-Based Policy and Practice," IJERPH, MDPI, vol. 16(23), pages 1-18, November.
    7. Hiemstra-van der Horst, Greg & Hovorka, Alice J., 2008. "Reassessing the "energy ladder": Household energy use in Maun, Botswana," Energy Policy, Elsevier, vol. 36(9), pages 3333-3344, September.
    8. 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.
    9. Zulu, Leo Charles, 2010. "The forbidden fuel: Charcoal, urban woodfuel demand and supply dynamics, community forest management and woodfuel policy in Malawi," Energy Policy, Elsevier, vol. 38(7), pages 3717-3730, July.
    10. Adama Sana & Nicolas Meda & Gisèle Badoum & Benoit Kafando & Catherine Bouland, 2019. "Primary Cooking Fuel Choice and Respiratory Health Outcomes among Women in Charge of Household Cooking in Ouagadougou, Burkina Faso: Cross-Sectional Study," IJERPH, MDPI, vol. 16(6), pages 1-11, March.
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