Observational studyBMC pulmonary medicine2017
Household biomass fuel use, asthma symptoms severity, and asthma underdiagnosis in rural schoolchildren in Nigeria: a cross-sectional observational study.
Observational study in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 49 citations in OpenAlex.
- Improving asthma case detection among children and adolescents through clinic-based screening in primary care health facilities in Uganda: a cluster randomised trial.BMJ open respiratory research · 2026Trial
- The Struggle Against Air Pollution in African Megacities and the Hidden Problems for the Estimation of the Burden of Disease.Global challenges (Hoboken, NJ) · 2025Article
- Household air pollution and respiratory health in Africa: persistent risk and unchanged health burdens.Current opinion in pulmonary medicine · 2025Review
- Household fuel use and severe asthma symptoms among preschool children in Gauteng province, South Africa: a cross-sectional study.BMJ public health · 2024Article
- Household fuel use, smoking and prevalence of self-reported allergic rhinitis in university students in Palestine: a cross-sectional study.Frontiers in allergy · 2024Article
- Gaps in asthma diagnosis and treatment in low- and middle-income countries.Frontiers in allergy · 2023Article
- Challenges in the diagnosis of asthma in children, what are the solutions? A scoping review of 3 countries in sub Saharan Africa.Respiratory research · 2022Article
- Respiratory and allergic health effects in children living near agriculture: A review.The Science of the total environment · 2022Review
- Prevalence of Asthma and Its Associating Environmental Factors among 6-12-Year-Old Schoolchildren in a Metropolitan Environment-A Cross-Sectional, Questionnaire-Based Study.International journal of environmental research and public health · 2021Article
- Determinants of asthma in Ethiopia: age and sex matched case control study with special reference to household fuel exposure and housing characteristics.Asthma research and practice · 2021Article
- Prevalence and risk factors of asthma among school going children in urban area of North India.Journal of family medicine and primary care · 2021Article
- Investigating the Association between Wood and Charcoal Domestic Cooking, Respiratory Symptoms and Acute Respiratory Infections among Children Aged Under 5 Years in Uganda: A Cross-Sectional Analysis of the 2016 Demographic and Health Survey.International journal of environmental research and public health · 2020Article
- A worldwide charter for all children with asthma.Pediatric pulmonology · 2020Article
- Risk factors for asthma among schoolchildren who participated in a case-control study in urban Uganda.eLife · 2019Article
- Lung health and exposure to air pollution in Malawian children (CAPS): a cross-sectional study.Thorax · 2019Article
- The health and social implications of household air pollution and respiratory diseases.NPJ primary care respiratory medicine · 2019Review
- Environmental Health Research in Africa: Important Progress and Promising Opportunities.Frontiers in genetics · 2019Review
- The role of environmental exposure to non-cigarette smoke in lung disease.Clinical and translational medicine · 2018Review
- An Exposure Appraisal of Outdoor Air Pollution on the Respiratory Well-being of a Developing City Population.Journal of epidemiology and global health · 2018Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2014, the International Study of Asthma and Allergies in Childhood (ISAAC) reported that the highest prevalence of symptoms of severe asthma was found in the low- and middle-income countries (LMICs), including Nigeria. While exposure to biomass fuel use may be an important risk factor in the development of asthma, its association with asthma symptoms severity has not been well-established. The aim of this study is to extend the spectrum of environmental risk factors that may be contributing towards increasing asthma morbidity, especially asthma symptoms severity in rural schoolchildren in Nigeria and to examine possible asthma underdiagnosis among this population.
methodsAuthors conducted a cross-sectional survey in three rural communities in Nigeria. Asthma symptoms were defined according to the ISAAC criteria. Information on the types of household fuel used for cooking was used to determine household cooking fuel status. Asthma symptoms severity was defined based on frequencies of wheeze, day- and night-time symptoms, and speech limitations. Logistic regression analyses were used to explore associations.
resultsA total of 1,690 Nigerian schoolchildren participated in the study. Overall, 37 (2.2%) had diagnosed asthma and 413 (24.4%) had possible asthma (asthma-related symptoms but not diagnosed asthma). Children from biomass fuel households had higher proportion of possible asthma (27.7 vs. 22.2%; p < 0.05) and symptoms of severe asthma (18.2 vs. 7.6%; p = 0.048). In adjusted analyses, biomass fuel use was associated with increased odds of severe symptoms of asthma [odds ratios (OR) = 2.37; 95% CI: 1.16-4.84], but not with possible asthma (OR = 1.22; 95% CI: 0.95-1.56).
conclusionIn rural Nigerian children with asthma symptoms, the use of biomass fuel for cooking is associated with an increased risk of severe asthma symptoms. There is additional evidence that rural children might be underdiagnosed for asthma.
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