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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(3
): e0173256
Nephropedia Template TP
gab.com Text
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English Wikipedia
Household air pollution from use of cooking fuel and under-five mortality: The
role of breastfeeding status and kitchen location in Pakistan
#MMPMID28278260
Naz S
; Page A
; Agho KE
PLoS One
2017[]; 12
(3
): e0173256
PMID28278260
show ga
Household air pollution (HAP) mainly from cooking fuel is one of the major causes
of respiratory illness and deaths among young children in low and middle-income
countries like Pakistan. This study investigates for the first time the
association between HAP from cooking fuel and under-five mortality using the 2013
Pakistan Demographic and Health Survey (PDHS) data. Multi-level logistic
regression models were used to examine the association between HAP and under-five
mortality in a total of 11,507 living children across four age-groups (neonatal
aged 0-28 days, post-neonatal aged 1-11 months, child aged 12-59 months and
under-five aged 0-59 months). Use of cooking fuel was weakly associated with
total under-five mortality (OR = 1.22, 95%CI = 0.92-1.64, P = 0.170), with
stronger associations evident for sub-group analyses of children aged 12-59
months (OR = 1.98, 95%CI = 0.75-5.25, P = 0.169). Strong associations between use
of cooking fuel and mortality were evident (ORs >5) in those aged 12-59 months
for households without a separate kitchen using polluting fuels, and in children
whose mother never breastfed. The results of this study suggest that HAP from
cooking fuel is associated with a modest increase in the risk of death among
children under five years of age in Pakistan, but particularly in those aged
12-59 months, and those living in poorer socioeconomic conditions. To reduce
exposure to cooking fuel which is a preventable determinant of under-five
mortality in Pakistan, the challenge remains to promote behavioural interventions
such as breastfeeding in infancy period, keeping young children away from the
cooking area, and improvements in housing and kitchen design.