TY - JOUR
T1 - Cooking fuel and risk of under-five mortality in 23 Sub-Saharan African countries
T2 - a population-based study
AU - Owili, Patrick Opiyo
AU - Muga, Miriam Adoyo
AU - Pan, Wen Chi
AU - Kuo, Hsien Wen
N1 - Publisher Copyright:
© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2017/5/4
Y1 - 2017/5/4
N2 - Relationship between cooking fuel and under-five mortality has not been adequately established in Sub-Saharan Africa (SSA). We therefore investigated the association between cooking fuel and risk of under-five mortality in SSA, and further investigated its interaction with smoking. Using the most recent Demographic Health Survey data of 23 SSA countries (n = 783,691), Cox proportional hazard was employed to determine the association between cooking fuel and risk of under-five deaths. The adjusted hazard ratios were 1.21 (95 % CI, 1.10–1.34) and 1.20 (95 % CI, 1.08–1.32) for charcoal and biomass cooking fuel, respectively, compared to clean fuels. There was no positive interaction between biomass cooking fuel and smoking. Use of charcoal and biomass were associated with the risk of under-five mortality in SSA. Disseminating public health information on health risks of cooking fuel and development of relevant public health policies are likely to have a positive impact on a child’s survival.
AB - Relationship between cooking fuel and under-five mortality has not been adequately established in Sub-Saharan Africa (SSA). We therefore investigated the association between cooking fuel and risk of under-five mortality in SSA, and further investigated its interaction with smoking. Using the most recent Demographic Health Survey data of 23 SSA countries (n = 783,691), Cox proportional hazard was employed to determine the association between cooking fuel and risk of under-five deaths. The adjusted hazard ratios were 1.21 (95 % CI, 1.10–1.34) and 1.20 (95 % CI, 1.08–1.32) for charcoal and biomass cooking fuel, respectively, compared to clean fuels. There was no positive interaction between biomass cooking fuel and smoking. Use of charcoal and biomass were associated with the risk of under-five mortality in SSA. Disseminating public health information on health risks of cooking fuel and development of relevant public health policies are likely to have a positive impact on a child’s survival.
KW - Indoor air pollution
KW - Sub-Saharan Africa
KW - cooking fuel
KW - under-five mortality
UR - http://www.scopus.com/inward/record.url?scp=85019678000&partnerID=8YFLogxK
U2 - 10.1080/09603123.2017.1332347
DO - 10.1080/09603123.2017.1332347
M3 - Article
C2 - 28552005
AN - SCOPUS:85019678000
SN - 0960-3123
VL - 27
SP - 191
EP - 204
JO - International Journal of Environmental Health Research
JF - International Journal of Environmental Health Research
IS - 3
ER -