Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data

Objectives: Household air pollution from the use of biomass fuels has been associated with low birth weight in many developing countries. This study aimed to investigate the effect of indoor air pollution from biomass fuels and kitchen location on maternal reports of child size at birth in Ethiopia....

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Autores principales: Girum Gebremeskel Kanno, Adane Tesfaye Anbesse, Mohammed Feyisso Shaka, Miheret Tesfu Legesse, Sewitemariam Desalegn Andarge
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/51ca3ce5e4794eceab4edf7ebbe5fe25
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spelling oai:doaj.org-article:51ca3ce5e4794eceab4edf7ebbe5fe252021-11-04T04:41:41ZEffect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data2666-535210.1016/j.puhip.2021.100211https://doaj.org/article/51ca3ce5e4794eceab4edf7ebbe5fe252021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666535221001361https://doaj.org/toc/2666-5352Objectives: Household air pollution from the use of biomass fuels has been associated with low birth weight in many developing countries. This study aimed to investigate the effect of indoor air pollution from biomass fuels and kitchen location on maternal reports of child size at birth in Ethiopia. Study design: A cross-sectional study design based on the secondary data analysis was used. Methods: A secondary data analysis was conducted using data from the 2016 Ethiopian Demographic Health Survey. Birth weight from child health cards and/or mother's recall was the dependent dichotomous variable. Fuel type was classified as high-pollution fuels (i.e. wood, straw, animal dung, crop residues, kerosene, coal and charcoal) and low-pollution fuels (i.e. electricity, liquid petroleum gas, natural gas and biogas). Hierarchical logistic regression was used to assess the effect of fuel type on birth weight. Adjusted odds ratios (AORs) and their 95% confidence interval (CIs) were calculated. A p-value less than 0.05 was considered significant. Results: The prevalence of low birth weight was 17% and 26.2% among low- and high-polluting fuel users, respectively. Compared with low-polluting fuels, the use of high-polluting cooking fuels was associated with an increased likelihood of low birth weight (unadjusted crude odds ratio 1.7; 95% CI 1.3, 2.3). AOR remained at 1.7 (95% CI 1.26, 2.3) after controlling for child variables. AOR after controlling for both child and maternal factors was 1.5 (95% CI 1.1, 2.1). In the final model, the association became insignificant with an AOR of 1.3 (95% CI 0.9, 1.9). The kitchen location, gender of the baby, mother's anaemia status, maternal chat chewing and wealth index were significant factors in the final model. Conclusions: In this study, the use of biomass fuels and kitchen location were associated with reduced child size at birth. Further observational studies should investigate this association using more direct methods for measurement of exposure to smoke emitted from biomass fuels on birth weight.Girum Gebremeskel KannoAdane Tesfaye AnbesseMohammed Feyisso ShakaMiheret Tesfu LegesseSewitemariam Desalegn AndargeElsevierarticleBiomass fuelDemographic and health surveyKitchen locationLow birth weightMaternal report of birth sizeEthiopiaPublic aspects of medicineRA1-1270ENPublic Health in Practice, Vol 2, Iss , Pp 100211- (2021)
institution DOAJ
collection DOAJ
language EN
topic Biomass fuel
Demographic and health survey
Kitchen location
Low birth weight
Maternal report of birth size
Ethiopia
Public aspects of medicine
RA1-1270
spellingShingle Biomass fuel
Demographic and health survey
Kitchen location
Low birth weight
Maternal report of birth size
Ethiopia
Public aspects of medicine
RA1-1270
Girum Gebremeskel Kanno
Adane Tesfaye Anbesse
Mohammed Feyisso Shaka
Miheret Tesfu Legesse
Sewitemariam Desalegn Andarge
Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data
description Objectives: Household air pollution from the use of biomass fuels has been associated with low birth weight in many developing countries. This study aimed to investigate the effect of indoor air pollution from biomass fuels and kitchen location on maternal reports of child size at birth in Ethiopia. Study design: A cross-sectional study design based on the secondary data analysis was used. Methods: A secondary data analysis was conducted using data from the 2016 Ethiopian Demographic Health Survey. Birth weight from child health cards and/or mother's recall was the dependent dichotomous variable. Fuel type was classified as high-pollution fuels (i.e. wood, straw, animal dung, crop residues, kerosene, coal and charcoal) and low-pollution fuels (i.e. electricity, liquid petroleum gas, natural gas and biogas). Hierarchical logistic regression was used to assess the effect of fuel type on birth weight. Adjusted odds ratios (AORs) and their 95% confidence interval (CIs) were calculated. A p-value less than 0.05 was considered significant. Results: The prevalence of low birth weight was 17% and 26.2% among low- and high-polluting fuel users, respectively. Compared with low-polluting fuels, the use of high-polluting cooking fuels was associated with an increased likelihood of low birth weight (unadjusted crude odds ratio 1.7; 95% CI 1.3, 2.3). AOR remained at 1.7 (95% CI 1.26, 2.3) after controlling for child variables. AOR after controlling for both child and maternal factors was 1.5 (95% CI 1.1, 2.1). In the final model, the association became insignificant with an AOR of 1.3 (95% CI 0.9, 1.9). The kitchen location, gender of the baby, mother's anaemia status, maternal chat chewing and wealth index were significant factors in the final model. Conclusions: In this study, the use of biomass fuels and kitchen location were associated with reduced child size at birth. Further observational studies should investigate this association using more direct methods for measurement of exposure to smoke emitted from biomass fuels on birth weight.
format article
author Girum Gebremeskel Kanno
Adane Tesfaye Anbesse
Mohammed Feyisso Shaka
Miheret Tesfu Legesse
Sewitemariam Desalegn Andarge
author_facet Girum Gebremeskel Kanno
Adane Tesfaye Anbesse
Mohammed Feyisso Shaka
Miheret Tesfu Legesse
Sewitemariam Desalegn Andarge
author_sort Girum Gebremeskel Kanno
title Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data
title_short Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data
title_full Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data
title_fullStr Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data
title_full_unstemmed Effect of biomass fuel use and kitchen location on maternal report of birth size: Cross-sectional analysis of 2016 Ethiopian Demographic Health Survey data
title_sort effect of biomass fuel use and kitchen location on maternal report of birth size: cross-sectional analysis of 2016 ethiopian demographic health survey data
publisher Elsevier
publishDate 2021
url https://doaj.org/article/51ca3ce5e4794eceab4edf7ebbe5fe25
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