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Attributable risk and potential impact of interventions to reduce household air pollution associated with under-five mortality in South Asia

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Global Health Research and Policy 2018年第1期3卷 361-369页

作者： sabrina naz Andrew Page Kingsley Emwinyore Agho Translational Health Research Institute School of MedicineWestern Sydney UniversityBuilding 3Campbelltown CampusLocked Bag 1797PenrithNSW 2571Australia School of Science and Health Western Sydney UniversityCampbelltown CampusLocked Bag 1797PenrithNSW 2571Australia

Background:Solid fuel use is the major source of household air pollution(HAP)and accounts for a substantial burden of morbidity and mortality in low and middle income *** evaluate and compare childhood mortality attributable to HAP in four South Asian ***:A series of Demographic and Health Survey(DHS)datasets for Bangladesh,India,Nepal and Pakistan were used for *** of relative risk and exposure prevalence relating to use of cooking fuel and under-five mortality were used to calculate population attributable fractions(PAFs)for each *** impact fractions(PIFs)were also calculated assessing theoretical scenarios based on published interventions aiming to reduce exposure ***:There are an increased risk of under-five mortality in those exposed to cooking fuel compared to those not exposed in the four South Asian countries(OR=1.30,95%CI=1.07-1.57,P=0.007).Combined PAF estimates for South Asia found that 66%(95%CI:43.1-81.5%)of the 13,290 estimated cases of under-five mortality was attributable to *** PIF estimates(assuming achievable reductions in HAP reported in intervention studies conducted in South Asia)indicates 47%of neonatal and 43%of under-five mortality cases associated with HAP could be avoidable in the four South Asian countries ***:Elimination of exposure to use of cooking fuel in the household targeting valuable intervention strategies(such as cooking in separate kitchen,improved cook stoves)could reduce substantially under-five mortality in South Asian countries.

关键词： Household air pollution Under-five mortality Cooking fuel Population attributable risk South Asia

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