TY - JOUR
T1 - Effects of Household Air Pollution from Solid Fuel Use and Environmental Tobacco Smoke on Child Health Outcomes in Indonesia
AU - Suryadhi, Made Ayu Hitapretiwi
AU - Abudureyimu, Kawuli
AU - Kashima, Saori
AU - Yorifuji, Takashi
N1 - Funding Information:
The authors acknowledge the Indonesia Endowment Fund for Education and the Ministry of Research, Technology and Higher Education and Saori Irie for their valuable support, and also thank Dean Meyer, PhD, ELS from Edanz Group (www.edanzediting.com/ ac) for editing a draft of this manuscript.
Publisher Copyright:
© 2019 Lippincott Williams and Wilkins. All rights reserved.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Objective:We assessed the combined effect of household air pollution from solid fuel use and from environmental tobacco smoke and child health outcomes in Indonesia.Methods:Survey subjects self-reported solid fuel use, frequency of indoor smoking, and health outcomes in children. We then evaluated the effect of a combined exposure using multivariate logistic regression.Results:Children exposed to high levels of pollution from solid fuel use had an increased risk of low birth weight, neonatal death, infant death, and acute lower respiratory infection. Exposure to environmental tobacco smoke increased the risk of acute lower respiratory infection. The combined effect of both pollution sources outweighed the independent risk of each exposure alone.Conclusions:Solid fuel use and environmental tobacco smoke independently increased the risk and child health outcomes and the combined exposure showed the additive effect.
AB - Objective:We assessed the combined effect of household air pollution from solid fuel use and from environmental tobacco smoke and child health outcomes in Indonesia.Methods:Survey subjects self-reported solid fuel use, frequency of indoor smoking, and health outcomes in children. We then evaluated the effect of a combined exposure using multivariate logistic regression.Results:Children exposed to high levels of pollution from solid fuel use had an increased risk of low birth weight, neonatal death, infant death, and acute lower respiratory infection. Exposure to environmental tobacco smoke increased the risk of acute lower respiratory infection. The combined effect of both pollution sources outweighed the independent risk of each exposure alone.Conclusions:Solid fuel use and environmental tobacco smoke independently increased the risk and child health outcomes and the combined exposure showed the additive effect.
KW - combined exposure
KW - environmental tobacco smoke
KW - infant mortality
KW - low birth weight
KW - neonatal mortality
KW - respiratory infections
KW - solid fuel use
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U2 - 10.1097/JOM.0000000000001554
DO - 10.1097/JOM.0000000000001554
M3 - Article
C2 - 30724770
AN - SCOPUS:85064239153
SN - 1076-2752
VL - 61
SP - 335
EP - 339
JO - Journal of Occupational and Environmental Medicine
JF - Journal of Occupational and Environmental Medicine
IS - 4
ER -
