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

Rishi Caleyachetty, Nakawala Lufumpa, Niraj Kumar, Nuredin Ibrahim Mohammed, Hana Bekele, Om Kurmi, Jonathan Wells, Semira Manaseki-Holland

    Research output: Contribution to journalArticlepeer-review

    5 Citations (Scopus)
    37 Downloads (Pure)

    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.

    Original languageEnglish
    Pages (from-to)639-647
    Number of pages9
    JournalInternational Health
    Volume14
    Issue number6
    Early online date12 Jan 2022
    DOIs
    Publication statusPublished - 1 Nov 2022

    Bibliographical note

    © The Author(s) 2022. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. This is an Open Access
    article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which
    permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

    Keywords

    • child growth
    • demographic and health surveys
    • indoor air pollution
    • stunting

    ASJC Scopus subject areas

    • Health(social science)
    • Public Health, Environmental and Occupational Health

    Fingerprint

    Dive into the research topics of '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'. Together they form a unique fingerprint.

    Cite this