Skip to main content

Advertisement

Log in

Household air pollution from cooking fuel and respiratory health risks for children in Pakistan

  • Research Article
  • Published:
Environmental Science and Pollution Research Aims and scope Submit manuscript

Abstract

Around 2.7 billion people in the world cook with polluting fuels, such as wood, crop residue, animal dung, charcoal, coal, and kerosene. Household air pollution from cooking with polluting fuels is recognized as a major risk factor for the disease burden. In this study, we examine the effect of using polluting fuels for cooking on the respiratory health of children in Pakistan. This study uses cross-sectional data from Pakistan Demographic and Health Survey 2012–13, with the sample size of 11,040 children under 5 years of age. Using logistic regression model, we control for factors such as averting activities, child characteristics, household characteristics, mother characteristics, and the unobserved factors using fixed effects. The results show that children in households using polluting fuels are 1.5 times more likely to have symptoms of acute respiratory infection (ARI) than children in households using cleaner fuels.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Acharya P, Mishra SR, Berg-Beckhoff G (2015) Solid fuel in kitchen and acute respiratory tract infection among under five children: evidence from Nepal demographic and health survey 2011. J Community Health 40:515–521. https://doi.org/10.1007/s10900-014-9965-0

    Article  Google Scholar 

  • Ali Mir A, Fazili AAI, Iqbal J, Jabeen R, Salathia A (2012) Prevalence and risk factor analysis of acute respiratory tract infections in rural areas of Kashmir valley under 5 years of age. Int J Med Public Heal 2:47–52. https://doi.org/10.5530/ijmedph.2.3.10

    Article  Google Scholar 

  • Baker M, McDonald A, Zhang J, Howden-Chapman P (2013) Infectious diseases attributable to household crowding in New Zealand: a systematic review and burden of disease estimate, 2013 / Professor Michael G. Baker, Dr. Andrea McDonald, Jane Zhang, Professor Philippa Howden-Chapman. 1–80. http://www.healthyhousing.org.nz/wp-content/uploads/2010/01/HH-Crowding-ID-Burden-25-May-2013.pdf

  • Bruce N, Neufeld L, Boy E, West C (1998) Indoor biofuel air pollution and respiratory health: the role of confounding factors among women in highland Guatemala. Int J Epidemiol 27:454–458

  • Butt S, Hartmann I, Lenz V (2013) Bioenergy potential and consumption in Pakistan. Biomass Bioenergy 58:379–389. https://doi.org/10.1016/j.biombioe.2013.08.009

    Article  Google Scholar 

  • Capuno JJ, Tan CAR, Javier X (2018) Cooking and coughing: estimating the effects of clean fuel for cooking on the respiratory health of children in the Philippines. Glob Public Health 13:20–34. https://doi.org/10.1080/17441692.2016.1202297

    Article  Google Scholar 

  • Cardoso MRA, Cousens SN, De Góes Siqueira LF et al (2004) Crowding: risk factor or protective factor for lower respiratory disease in young children? BMC Public Health 4:1–8. https://doi.org/10.1186/1471-2458-4-19

    Article  Google Scholar 

  • Clark ML, Peel JL, Balakrishnan K, et al. (2013) Health and household air pollution from solid fuel use: the need for improved exposure assessment. 1120:1120–1129

  • Colbeck I, Nasir ZA, Hasnain S, Sultan S (2008) Indoor air quality at rural and urban sites in Pakistan. Water, Air, Soil Pollut Focus 8:61–69. https://doi.org/10.1007/s11267-007-9139-5

    Article  Google Scholar 

  • Dahal GP, Johnson FA, Padmadas SS (2009) Maternal smoking and acute respiratory infection symptoms among young children in Nepal: multilevel analysis. J Biosoc Sci 41:747–761. https://doi.org/10.1017/S0021932009990113

    Article  Google Scholar 

  • Das I, Pedit J, Handa S, Jagger P (2018) Household air pollution (HAP), microenvironment and child health: strategies for mitigating HAP exposure in urban Rwanda. Environ Res Lett 13:045011. https://doi.org/10.1088/1748-9326/aab047

    Article  Google Scholar 

  • Devakumar D, Qureshi Z, Mannell J, Baruwal M, Sharma N, Rehfuess E, Saville N, Manandhar D, Osrin D (2018) Women’s ideas about the health effects of household air pollution, developed through focus group discussions and artwork in southern Nepal. Int J Environ Res Public Health 15:1–13. https://doi.org/10.3390/ijerph15020248

    Article  Google Scholar 

  • Duflo E, Greenstone M, Hanna R (2008) Indoor air pollution, health and economic well-being. Surv Perspect Integr Environ Soc 1:1–9. https://doi.org/10.5194/sapiens-1-1-2008

    Article  Google Scholar 

  • Ezzati M, Kammen DM (2002) The health impacts of exposure to and data needs the health impacts of exposure to indoor air pollution from solid fuels in developing countries: knowledge, gaps, and data needs. Environ Health Perspect 110:1057–1068

    Article  Google Scholar 

  • Freeman MA, Herriges JA, Kling CL (2014) The measurement of environmental resource values, Third edn. RFF Press, Taylor & Francis, Oxon

    Book  Google Scholar 

  • GBD (2016) Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the global burden of disease study 2015. Lancet 388:1659–1724. https://doi.org/10.1016/S0140-6736(16)31679-8

    Article  Google Scholar 

  • Gitawati R (2014) Bahan aktif dalam kombinasi obat flu dan batuk-pilek, dan pemilihan obat flu yang rasional Active ingredients in common cold fixed-dose combination products and analysis of its rationale. Media Litbangkes 24:10–18. https://doi.org/10.4172/2161-0711.1000176

    Article  Google Scholar 

  • Grossman M (1972) On the concept of health capital and the demand for health. J Polit Econ 80:223–255. https://doi.org/10.1086/259880

    Article  Google Scholar 

  • Harrington W, Portney P (1987) Valuing the benefits of health and safety regulations. J Urban Econ 22:101–112

    Article  Google Scholar 

  • Horne BD, Joy EA, Hofmann MG, et al. (2018) Short-term elevation of fine particulate matter air pollution and acute lower respiratory infection. Am J Respir Crit Care Med 1–39. https://doi.org/10.1164/rccm.201709-1883OC

  • International Energy Agency (2016) Energy and air pollution. World Energy Outlook - Spec Rep 266:133–156. https://doi.org/10.1021/ac00256a010

    Article  Google Scholar 

  • Jacbos MB, Manoharan A, Goldwater LJ (1962) Comparison of dust counts of indoor and outdoor air. Int J Air Water Pollut 6:205–213

    Google Scholar 

  • Jamali T, Fatmi Z, Shahid A, Khoso A, Kadir MM, Sathiakumar N (2017) Evaluation of short-term health effects among rural women and reduction in household air pollution due to improved cooking stoves: quasi experimental study. Air Qual Atmos Heal 10:809–819. https://doi.org/10.1007/s11869-017-0481-0

    Article  CAS  Google Scholar 

  • Janjua NZ, Mahmood B, Dharma VK, Sathiakumar N, Khan MI (2012) Use of biomass fuel and acute respiratory infections in rural Pakistan. Public Health 126:855–862. https://doi.org/10.1016/j.puhe.2012.06.012

    Article  CAS  Google Scholar 

  • Khan MN, Nurs CZB, Islam MM et al (2017) Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: a nationwide population-based study. Environ Health 16:57. https://doi.org/10.1186/s12940-017-0272-y

    Article  Google Scholar 

  • Kilabuko JH, Nakai S (2007) Effects of cooking fuels on acute respiratory infections in children in Tanzania. Int J Environ Res Public Health 4:283–288. https://doi.org/10.3390/ijerph200704040003

    Article  CAS  Google Scholar 

  • Lawther PJ, Waller RE, Henderson M (1970) Air pollution and exacerbations of bronchitis. Thorax 25:525–539. https://doi.org/10.1136/thx.25.5.525

    Article  CAS  Google Scholar 

  • Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, AlMazroa MA, Amann M, Anderson HR, Andrews KG, Aryee M, Atkinson C, Bacchus LJ, Bahalim AN, Balakrishnan K, Balmes J, Barker-Collo S, Baxter A, Bell ML, Blore JD, Blyth F, Bonner C, Borges G, Bourne R, Boussinesq M, Brauer M, Brooks P, Bruce NG, Brunekreef B, Bryan-Hancock C, Bucello C, Buchbinder R, Bull F, Burnett RT, Byers TE, Calabria B, Carapetis J, Carnahan E, Chafe Z, Charlson F, Chen H, Chen JS, Cheng ATA, Child JC, Cohen A, Colson KE, Cowie BC, Darby S, Darling S, Davis A, Degenhardt L, Dentener F, Des Jarlais DC, Devries K, Dherani M, Ding EL, Dorsey ER, Driscoll T, Edmond K, Ali SE, Engell RE, Erwin PJ, Fahimi S, Falder G, Farzadfar F, Ferrari A, Finucane MM, Flaxman S, Fowkes FGR, Freedman G, Freeman MK, Gakidou E, Ghosh S, Giovannucci E, Gmel G, Graham K, Grainger R, Grant B, Gunnell D, Gutierrez HR, Hall W, Hoek HW, Hogan A, Hosgood HD III, Hoy D, Hu H, Hubbell BJ, Hutchings SJ, Ibeanusi SE, Jacklyn GL, Jasrasaria R, Jonas JB, Kan H, Kanis JA, Kassebaum N, Kawakami N, Khang YH, Khatibzadeh S, Khoo JP, Kok C, Laden F, Lalloo R, Lan Q, Lathlean T, Leasher JL, Leigh J, Li Y, Lin JK, Lipshultz SE, London S, Lozano R, Lu Y, Mak J, Malekzadeh R, Mallinger L, Marcenes W, March L, Marks R, Martin R, McGale P, McGrath J, Mehta S, Memish ZA, Mensah GA, Merriman TR, Micha R, Michaud C, Mishra V, Hanafiah KM, Mokdad AA, Morawska L, Mozaffarian D, Murphy T, Naghavi M, Neal B, Nelson PK, Nolla JM, Norman R, Olives C, Omer SB, Orchard J, Osborne R, Ostro B, Page A, Pandey KD, Parry CDH, Passmore E, Patra J, Pearce N, Pelizzari PM, Petzold M, Phillips MR, Pope D, Pope CA III, Powles J, Rao M, Razavi H, Rehfuess EA, Rehm JT, Ritz B, Rivara FP, Roberts T, Robinson C, Rodriguez-Portales JA, Romieu I, Room R, Rosenfeld LC, Roy A, Rushton L, Salomon JA, Sampson U, Sanchez-Riera L, Sanman E, Sapkota A, Seedat S, Shi P, Shield K, Shivakoti R, Singh GM, Sleet DA, Smith E, Smith KR, Stapelberg NJC, Steenland K, Stöckl H, Stovner LJ, Straif K, Straney L, Thurston GD, Tran JH, van Dingenen R, van Donkelaar A, Veerman JL, Vijayakumar L, Weintraub R, Weissman MM, White RA, Whiteford H, Wiersma ST, Wilkinson JD, Williams HC, Williams W, Wilson N, Woolf AD, Yip P, Zielinski JM, Lopez AD, Murray CJL, Ezzati M (2012) A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet 380:2224–2260. https://doi.org/10.1016/S0140-6736(12)61766-8

    Article  Google Scholar 

  • Mishra V (2003) Indoor air pollution from biomass combustion and acute respiratory illness in preschool age children in Zimbabwe. Int J Epidemiol 32:847–853. https://doi.org/10.1093/ije/dyg240

    Article  Google Scholar 

  • Mishra V, Smith KR, Retherford RD (2005) Effects of cooking smoke and environmental tobacco smoke on acute respiratory infections in young Indian children. Popul Environ 26:375–396. https://doi.org/10.1007/s11111-005-0005-y

    Article  Google Scholar 

  • Munroe RL, Gauvain M (2012) Exposure to open-fire cooking and cognitive performance in children. Int J Environ Health Res 22:156–164. https://doi.org/10.1080/09603123.2011.628642

    Article  CAS  Google Scholar 

  • Murray EL, Klein M, Brondi L et al (2012) Rainfall, household crowding, and acute respiratory infections in the tropics. Epidemiol Infect 140:78–86. https://doi.org/10.1017/S0950268811000252

    Article  CAS  Google Scholar 

  • Naz S, Page A, Agho KE (2017) Household air pollution from use of cooking fuel and under-five mortality: the role of breastfeeding status and kitchen location in Pakistan. PLoS One 12:1–14. https://doi.org/10.1371/journal.pone.0173256

    Article  CAS  Google Scholar 

  • NIPS and ICF International (2013) Pakistan Demographic and Health Survey 2012–13. https://dhsprogram.com/pubs/pdf/FR290/FR290.pdf

  • Prietsch SOM, Fischer GB, César JA et al (2008) Acute lower respiratory illness in under-five children in Rio Grande, Rio Grande do Sul State, Brazil: prevalence and risk factors. Cad Saúde Pública 24:1429–1438

    Article  Google Scholar 

  • Samet JM, Marbury MC, Spengler JD (1987) Health effects and sources of indoor air pollution. Part I. Am Rev Respir Dis 136:1486–1508. https://doi.org/10.1164/ajrccm/136.6.1486

    Article  CAS  Google Scholar 

  • Shibata T, Wilson JL, Watson LM, LeDuc A, Meng C, Ansariadi, la Ane R, Manyullei S, Maidin A (2014) Childhood acute respiratory infections and household environment in an eastern indonesian urban setting. Int J Environ Res Public Health 11:12190–12203. https://doi.org/10.3390/ijerph111212190

    Article  Google Scholar 

  • Siddiqui AR, Lee K, Bennett D, Yang X, Brown KH, Bhutta ZA, Gold EB (2009) Indoor carbon monoxide and PM2.5 concentrations by cooking fuels in Pakistan. Indoor Air 19:75–82. https://doi.org/10.1111/j.1600-0668.2008.00563.x

    Article  CAS  Google Scholar 

  • Simon AK, Hollander GA, McMichael A (2015) Evolution of the immune system in humans from infancy to old age. Proc R Soc B Biol Sci 282:20143085. https://doi.org/10.1098/rspb.2014.3085

    Article  CAS  Google Scholar 

  • Spengler JD, Sexton K (1983) Indoor air pollution: a public health perspective. Science (80- ) 221:9–17

    Article  CAS  Google Scholar 

  • Tazinya AA, Halle-Ekane GE, Mbuagbaw LT, Abanda M, Atashili J, Obama MT (2018) Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon. BMC Pulm Med 18:1–8. https://doi.org/10.1186/s12890-018-0579-7

    Article  Google Scholar 

  • Tekle AG, Worku A, Berhane Y (2015) Factors associated with acute respiratory infection in children under the age of 5 years: evidence from the 2011 Ethiopia Demographic and Health Survey. Pediatr Heal Med Ther 9. https://doi.org/10.2147/PHMT.S77915

  • Toman M, Bluffstone R (2017) Challenges in assessing the costs of household cooking energy in lower-income countries. World Bank Group, Policy Res Work Pap 25. https://doi.org/10.1596/1813-9450-8008

  • Torres-Duque C, Maldonado D, Perez-Padilla R, Ezzati M, Viegi G, on behalf of the Forum of International Respiratory Societies (FIRS) Task Force on Health Effects of Biomass Exposure (2008) Biomass fuels and respiratory diseases: a review of the evidence. Proc Am Thorac Soc 5:577–590. https://doi.org/10.1513/pats.200707-100RP

    Article  Google Scholar 

  • UNICEF (2016) Clear the air for children—the impact of air pollution on children. https://www.unicef.org/publications/index_92957.html

  • Watts N, Amann M, Ayeb-Karlsson S, Belesova K, Bouley T, Boykoff M, Byass P, Cai W, Campbell-Lendrum D, Chambers J, Cox PM, Daly M, Dasandi N, Davies M, Depledge M, Depoux A, Dominguez-Salas P, Drummond P, Ekins P, Flahault A, Frumkin H, Georgeson L, Ghanei M, Grace D, Graham H, Grojsman R, Haines A, Hamilton I, Hartinger S, Johnson A, Kelman I, Kiesewetter G, Kniveton D, Liang L, Lott M, Lowe R, Mace G, Odhiambo Sewe M, Maslin M, Mikhaylov S, Milner J, Latifi AM, Moradi-Lakeh M, Morrissey K, Murray K, Neville T, Nilsson M, Oreszczyn T, Owfi F, Pencheon D, Pye S, Rabbaniha M, Robinson E, Rocklöv J, Schütte S, Shumake-Guillemot J, Steinbach R, Tabatabaei M, Wheeler N, Wilkinson P, Gong P, Montgomery H, Costello A (2017) The Lancet countdown on health and climate change: from 25 years of inaction to a global transformation for public health. Lancet 391:581–630. https://doi.org/10.1016/S0140-6736(17)32464-9

    Article  Google Scholar 

  • WHO (2016) Clean Household Energy for Health, Sustainable Development, and Wellbeing of Women and Children. In: WHO Guidel. http://apps.who.int/iris/bitstream/10665/204717/1/9789241565233_eng.pdf?ua=1. Accessed 16 Mar 2017

  • Wilson H (1968) Indoor air pollution. Publ online OurWorldInDataorg 307:215–221. https://doi.org/10.1098/rspa.1968.0185

  • Wohlers HC, Newstein H, Daunis D (1967) Carbon monoxide and sulfur dioxide adsorption on— and desorption from glass, plastic, and metal tubings. J Air Pollut Control Assoc 17:753–756. https://doi.org/10.1080/00022470.1967.10469068

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Special thanks to Dr. Christopher Baum, Professor of Economics and Social Work at Boston College for his input regarding economic modeling and estimation process.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohammad Shayan Babar Khan.

Additional information

Responsible editor: Philippe Garrigues

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Khan, M.S.B., Lohano, H.D. Household air pollution from cooking fuel and respiratory health risks for children in Pakistan. Environ Sci Pollut Res 25, 24778–24786 (2018). https://doi.org/10.1007/s11356-018-2513-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11356-018-2513-1

Keywords

JEL Classification

Navigation