Epidemiological insights into neonatal deaths: The role of cooking fuel pollution in Colombia

IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES
Federico Andrade-Rivas , Arnold Ikedichi Okpani , Diego I. Lucumí , Maria D. Castillo , Mohammad Ehsanul Karim
{"title":"Epidemiological insights into neonatal deaths: The role of cooking fuel pollution in Colombia","authors":"Federico Andrade-Rivas ,&nbsp;Arnold Ikedichi Okpani ,&nbsp;Diego I. Lucumí ,&nbsp;Maria D. Castillo ,&nbsp;Mohammad Ehsanul Karim","doi":"10.1016/j.ijheh.2024.114429","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Household air pollution is one of the leading causes of death and disease globally. Emerging evidence of elevated risk of neonatal death has been reported in Africa and South Asia. However, evidence on the extent of the problem in Latin America is limited despite the persistent use of highly polluting cooking fuels. We assessed whether the use of high-polluting household cooking fuels increases the risk of neonatal death compared to low-polluting fuels in Colombia.</p></div><div><h3>Methods</h3><p>We used cross-sectional data from the 2005–2015 Colombian Demographic Health Survey and performed a survey-featured multivariate logistic regression. We selected adjustment covariates based on a causal diagram, addressed missing data through multiple imputation, and conducted several sensitivity analysis, such as propensity score matching.</p></div><div><h3>Result</h3><p>We found evidence suggesting an increased risk of neonatal death in households using high-polluting fuels (OR: 1.48; 95% CI: 0.91, 2.39). The sensitivity analyses were consistent with the main analysis.</p></div><div><h3>Conclusion</h3><p>We observed increased odds of neonatal death associated with using high-polluting household cooking fuels compared to low-polluting fuels, although this association was not statistically significant. This study contributes evidence to a region where the issue is not yet a priority and should be included in national-level discussions and interventions that impact cooking fuel use patterns.</p></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":null,"pages":null},"PeriodicalIF":4.5000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S143846392400110X/pdfft?md5=9a658a4fe051c393a8e2b177baaf2d64&pid=1-s2.0-S143846392400110X-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of hygiene and environmental health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S143846392400110X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose

Household air pollution is one of the leading causes of death and disease globally. Emerging evidence of elevated risk of neonatal death has been reported in Africa and South Asia. However, evidence on the extent of the problem in Latin America is limited despite the persistent use of highly polluting cooking fuels. We assessed whether the use of high-polluting household cooking fuels increases the risk of neonatal death compared to low-polluting fuels in Colombia.

Methods

We used cross-sectional data from the 2005–2015 Colombian Demographic Health Survey and performed a survey-featured multivariate logistic regression. We selected adjustment covariates based on a causal diagram, addressed missing data through multiple imputation, and conducted several sensitivity analysis, such as propensity score matching.

Result

We found evidence suggesting an increased risk of neonatal death in households using high-polluting fuels (OR: 1.48; 95% CI: 0.91, 2.39). The sensitivity analyses were consistent with the main analysis.

Conclusion

We observed increased odds of neonatal death associated with using high-polluting household cooking fuels compared to low-polluting fuels, although this association was not statistically significant. This study contributes evidence to a region where the issue is not yet a priority and should be included in national-level discussions and interventions that impact cooking fuel use patterns.

新生儿死亡的流行病学研究:哥伦比亚烹饪燃料污染的作用。
目的:家庭空气污染是全球死亡和疾病的主要原因之一。据报道,非洲和南亚有新生儿死亡风险升高的新证据。然而,尽管拉丁美洲一直在使用高污染的烹饪燃料,但有关该问题严重程度的证据却很有限。我们评估了在哥伦比亚,与使用低污染燃料相比,使用高污染家庭烹饪燃料是否会增加新生儿死亡风险:我们使用了 2005-2015 年哥伦比亚人口健康调查的横截面数据,并进行了具有调查特征的多元逻辑回归。我们根据因果关系图选择了调整协变量,通过多重估算处理了缺失数据,并进行了几项敏感性分析,如倾向得分匹配:结果:我们发现有证据表明,使用高污染燃料的家庭新生儿死亡风险增加(OR:1.48;95% CI:0.91,2.39)。敏感性分析结果与主要分析结果一致:我们观察到,与使用低污染燃料相比,使用高污染家庭烹饪燃料会增加新生儿死亡的几率,尽管这种关联在统计学上并不显著。这项研究为这一问题尚未成为优先事项的地区提供了证据,应将其纳入影响烹饪燃料使用模式的国家级讨论和干预措施中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
11.50
自引率
5.00%
发文量
151
审稿时长
22 days
期刊介绍: The International Journal of Hygiene and Environmental Health serves as a multidisciplinary forum for original reports on exposure assessment and the reactions to and consequences of human exposure to the biological, chemical, and physical environment. Research reports, short communications, reviews, scientific comments, technical notes, and editorials will be peer-reviewed before acceptance for publication. Priority will be given to articles on epidemiological aspects of environmental toxicology, health risk assessments, susceptible (sub) populations, sanitation and clean water, human biomonitoring, environmental medicine, and public health aspects of exposure-related outcomes.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信