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Title: Household environment and behavioral determinants of respiratory tract infection in infants and young children in northern Bangladesh
Authors: Nasanen-Gilmore, S.P.K.
Suha, Subir
Razul, Izaz
Rousham, Emily K.
Keywords: Indoor air pollution
Behavior
Child health
Cooking practices
Acute respiratory
Tract infections
Issue Date: 2015
Publisher: © 2015 Wiley Periodicals
Citation: NASANEN-GILMORE, S.P.K. ...et al., 2015. Household environment and behavioral determinants of respiratory tract infection in infants and young children in northern Bangladesh. American Journal of Human Biology, 27(6), pp.851-858.
Abstract: Objectives: Respiratory tract infections (RTI) are one of the leading causes of under-five mortality in Bangladesh. Solid biomass fuels are the main source of domestic fuel used for cooking across Bangladesh, leading to smoke and pollution exposure in the home. This paper aims to identify risk-factors for RTI among children aged under five years in Bangladesh with a particular focus on the household environment, fuel use and cooking practices. Method: A cross-sectional household-health survey was carried out in 321 households in northern Bangladesh. The survey included care-giver interviews on cooking practices, child health and household behaviors during cooking. Health status of the youngest child (under 5 years) from each household was recorded through maternal interviews, medical diagnosis, and assessment of biomarkers (c-reactive protein (CRP), hemoglobin) from finger-prick blood samples. Anthropometric status (weight, height) was recorded. Results: Children who spent ≥30 minutes/day within five feet of the stove during cooking had a significantly increased risk of moderate/severe RTI compared with children spending <30 minutes/day close to the stove (OR=2.15, 95%CI: 1.20-3.86, p=0.01), independent of socio-economic status (SES), biomass fuel type (wood, dung, plant-derived, compressed risk husks), child age, anthropometric status, CRP and hemoglobin. Conclusions: In environments with a heavy reliance on solid biomass fuels, the amount of time a child spends near the stove during cooking may be an important risk for RTI. These novel findings from Bangladesh warrant further investigation of mother-infant behaviors during cooking in relation to child health, to ascertain whether the association is likely to be causal.
Description: This is the peer reviewed version of the following article: NASANEN-GILMORE, SPK. ...et al., 2015. Household environment and behavioral determinants of respiratory tract infection in infants and young children in northern Bangladesh. American Journal of Human Biology, doi: 10.1002/ajhb.22736, which has been published in final form at http://dx.doi.org/10.1002/ajhb.22736. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Version: Accepted for publication
DOI: 10.1002/ajhb.22736
URI: https://dspace.lboro.ac.uk/2134/18448
Publisher Link: http://dx.doi.org/10.1002/ajhb.22736
ISSN: 1520-6300
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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