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Household Air Pollution from Biomass Fuel for Cooking and Adverse Fetal Growth Outcomes in Rural Sri Lanka

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  • Alicia Vakalopoulos

    (Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia)

  • Shyamali C. Dharmage

    (Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia)

  • Samath Dharmaratne

    (Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya 20400, Sri Lanka
    Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation, School of Medicine, University of Washington, Seattle, WA 98195, USA)

  • Pasan Jayasinghe

    (Department of Health Services, Central Province, Kandy 20000, Sri Lanka)

  • Olivia Lall

    (Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia)

  • Isabella Ambrose

    (Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia)

  • Rohan Weerasooriya

    (National Institute of Fundamental Studies, Hantana Road, Kandy 20000, Sri Lanka)

  • Dinh S. Bui

    (Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia)

  • Duminda Yasaratne

    (Department of Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya 20400, Sri Lanka)

  • Jane Heyworth

    (School of Population and Public Health, Faculty of Health and Medical Sciences, University of Western Australia, Nedlands, WA 6009, Australia)

  • Gayan Bowatte

    (Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC 3053, Australia
    National Institute of Fundamental Studies, Hantana Road, Kandy 20000, Sri Lanka
    Department of Basic Sciences, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya 20400, Sri Lanka)

Abstract

The aim of this study was to investigate the impact of biomass fuel for cooking on adverse fetal growth outcomes in Sri Lanka. A cross-sectional study of mothers recruited at maternity clinics in rural communities in Sri Lanka’s Central Province was undertaken. Data pertaining to household air pollution and fetal growth parameters were collected using an interviewer-administered questionnaire. Logistic regression models, adjusted for potential confounders, were used to evaluate the impact of biomass fuel for cooking on low birth weight (LBW) and small for gestational age (SGA) parameters. Findings showed that exposure to biomass cooking fuels during pregnancy was associated with an increased risk of LBW adjusted odds ratio (aOR) 2.74 (95% CI 1.08–6.96) and SGA (aOR: 1.87, 95% CI 1.03–3.41) compared with the use of clean energy. The risk of LBW was highest for traditional biomass stoves compared to improved biomass stoves (aOR: 3.23, 95% 1.17–8.89) and biomass use in kitchens without a chimney compared to kitchens with a chimney (aOR: 4.63, 95% 1.54–13.93). Similar trends were observed for SGA.

Suggested Citation

  • Alicia Vakalopoulos & Shyamali C. Dharmage & Samath Dharmaratne & Pasan Jayasinghe & Olivia Lall & Isabella Ambrose & Rohan Weerasooriya & Dinh S. Bui & Duminda Yasaratne & Jane Heyworth & Gayan Bowat, 2021. "Household Air Pollution from Biomass Fuel for Cooking and Adverse Fetal Growth Outcomes in Rural Sri Lanka," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1878-:d:499694
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    References listed on IDEAS

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    1. Michael J. Phillips & Emily A. Smith & Paul L. Mosquin & Ryan Chartier & Sumal Nandasena & Katherine Bronstein & Myles F. Elledge & Vanessa Thornburg & Jonathan Thornburg & Linda M. Brown, 2016. "Sri Lanka Pilot Study to Examine Respiratory Health Effects and Personal PM 2.5 Exposures from Cooking Indoors," IJERPH, MDPI, vol. 13(8), pages 1-11, August.
    2. Myles F. Elledge & Michael J. Phillips & Vanessa E. Thornburg & Kibri H. Everett & Sumal Nandasena, 2012. "A Profile of Biomass Stove Use in Sri Lanka," IJERPH, MDPI, vol. 9(4), pages 1-14, March.
    3. Dhammika Deepani Siriwardhana & Arunasalam Pathmeswaran & Ananda Rajitha Wickremasinghe, 2019. "Socioeconomic inequality and determinants of postnatal home visits made by public health midwives: An analysis of the Sri Lanka Demographic and Health Survey," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
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    Cited by:

    1. Joshua Epuitai & Katherine E. Woolley & Suzanne E. Bartington & G. Neil Thomas, 2022. "Association between Wood and Other Biomass Fuels and Risk of Low Birthweight in Uganda: A Cross-Sectional Analysis of 2016 Uganda Demographic and Health Survey Data," IJERPH, MDPI, vol. 19(7), pages 1-14, April.
    2. Jonathan Thornburg & Sajia Islam & Sk Masum Billah & Brianna Chan & Michelle McCombs & Maggie Abbott & Ashraful Alam & Camille Raynes-Greenow, 2022. "Pregnant Women’s Exposure to Household Air Pollution in Rural Bangladesh: A Feasibility Study for Poriborton: The CHANge Trial," IJERPH, MDPI, vol. 19(1), pages 1-13, January.

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