Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance

Abstract Household air pollution (HAP) from solid fuel use (SFU) for cooking is a major public health threat for women and children in low and middle-income countries. This study investigated the associations between HAP and neonatal, infant, and under-five child mortality in Myanmar. The study cons...

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Autores principales:	Juwel Rana, Rakibul M. Islam, Md Nuruzzaman Khan, Razia Aliani, Youssef Oulhote
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4545ac49a0e1410d9efa97cde6d6003f
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spelling	oai:doaj.org-article:4545ac49a0e1410d9efa97cde6d6003f2021-12-02T18:02:49ZAssociation between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance10.1038/s41598-021-92193-02045-2322https://doaj.org/article/4545ac49a0e1410d9efa97cde6d6003f2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92193-0https://doaj.org/toc/2045-2322Abstract Household air pollution (HAP) from solid fuel use (SFU) for cooking is a major public health threat for women and children in low and middle-income countries. This study investigated the associations between HAP and neonatal, infant, and under-five child mortality in Myanmar. The study consisted of 3249 sample of under-five children in the households from the first Myanmar Demographic and Health Survey 2016. Fuel types and levels of exposure to SFU (no, moderate and high) were proxies for HAP. We estimated covariate-adjusted relative risks (aRR) of neonatal, infant, and under-five child mortality with 95% confidence intervals, accounting for the survey design. The prevalence of SFU was 79.0%. The neonatal, infant, and under-five child mortality rates were 26, 45, and 49 per 1000 live births, respectively. The risks of infant (aRR 2.02; 95% CI 1.01–4.05; p-value = 0.048) and under-five mortality (aRR 2.16; 95% CI 1.07–4.36; p-value = 0.031), but not neonatal mortality, were higher among children from households with SFU compared to children from households using clean fuel. Likewise, children highly exposed to HAP had higher risks of mortality than unexposed children. HAP increases the risks of infant and under-five child mortality in Myanmar, which could be reduced by increasing access to clean cookstoves and fuels.Juwel RanaRakibul M. IslamMd Nuruzzaman KhanRazia AlianiYoussef OulhoteNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Juwel Rana Rakibul M. Islam Md Nuruzzaman Khan Razia Aliani Youssef Oulhote Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance
description	Abstract Household air pollution (HAP) from solid fuel use (SFU) for cooking is a major public health threat for women and children in low and middle-income countries. This study investigated the associations between HAP and neonatal, infant, and under-five child mortality in Myanmar. The study consisted of 3249 sample of under-five children in the households from the first Myanmar Demographic and Health Survey 2016. Fuel types and levels of exposure to SFU (no, moderate and high) were proxies for HAP. We estimated covariate-adjusted relative risks (aRR) of neonatal, infant, and under-five child mortality with 95% confidence intervals, accounting for the survey design. The prevalence of SFU was 79.0%. The neonatal, infant, and under-five child mortality rates were 26, 45, and 49 per 1000 live births, respectively. The risks of infant (aRR 2.02; 95% CI 1.01–4.05; p-value = 0.048) and under-five mortality (aRR 2.16; 95% CI 1.07–4.36; p-value = 0.031), but not neonatal mortality, were higher among children from households with SFU compared to children from households using clean fuel. Likewise, children highly exposed to HAP had higher risks of mortality than unexposed children. HAP increases the risks of infant and under-five child mortality in Myanmar, which could be reduced by increasing access to clean cookstoves and fuels.
format	article
author	Juwel Rana Rakibul M. Islam Md Nuruzzaman Khan Razia Aliani Youssef Oulhote
author_facet	Juwel Rana Rakibul M. Islam Md Nuruzzaman Khan Razia Aliani Youssef Oulhote
author_sort	Juwel Rana
title	Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance
title_short	Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance
title_full	Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance
title_fullStr	Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance
title_full_unstemmed	Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance
title_sort	association between household air pollution and child mortality in myanmar using a multilevel mixed-effects poisson regression with robust variance
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/4545ac49a0e1410d9efa97cde6d6003f
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Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance

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