ArticleBMJ open2019
Coronary heart disease, hypertension and use of biomass fuel among women: comparative cross-sectional study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 29 citations in OpenAlex.
- Exposure to solid and non-clean cooking fuels and the risk of obesity, hypertension, anemia, depression, and anxiety in women of reproductive age: a nationwide population-based study.Journal of health, population, and nutrition · 2025Article
- Influence of type of cooking fuel on risk of hypertension among reproductive-age women in sub-Saharan Africa: insights from nationally representative cross-sectional surveys.International health · 2024Article
- Association of cooking fuel with incident hypertension among adults in China: A population-based cohort study.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Household Air Pollution and High Blood Pressure: A Secondary Analysis of the 2016 Albania Demographic Health and Survey Dataset.International journal of environmental research and public health · 2022Article
- Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults.International journal of public health · 2022Article
- Household cooking fuels associated with elevated blood pressure among adult women: a national-wide assessment in Bangladesh.Environmental science and pollution research international · 2021Article
- Household Air Pollution and Angina Pectoris in Low- and Middle-Income Countries: Cross-Sectional Evidence from the World Health Survey 2002-2003.International journal of environmental research and public health · 2020Article
- Comparative study on respiratory function among rural women using biomass fuel and non-biomass fuel: evidence of a cross-sectional survey in Bangladesh.Environmental science and pollution research international · 2020Article
- Levels and Determinants of Fine Particulate Matter and Carbon Monoxide in Kitchens Using Biomass and Non-Biomass Fuel for Cooking.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
objectivesTo explore the associations of hypertension and coronary heart disease (CHD) with use of biomass fuel for cooking.
designComparative cross-sectional study.
settingRural villages in Sindh, Pakistan.
participantsWomen aged ≥40 years who had used biomass fuel for cooking for at least the last year (n=436), and a comparison group (n=414) who had cooked only with non-biomass fuel during the last year were recruited through door-to-door visits. None of those who were invited to take part declined. PRIMARY AND SECONDARY OUTCOME MEASURES: Hypertension was determined from blood pressure measurements and use of medication. CHD was assessed by three measures: history of angina (Rose angina questionnaire), previous history of 'heart attack', and definite or probable changes of CHD on ECG. Potentially confounding risk factors were ascertained by questionnaire and anthropometry. Associations of hypertension and CHD with use of biomass and other risk factors were assessed by logistic regression, and summarised by ORs with 95% CIs.
resultsAfter adjustment for potential confounders, there was no association of hypertension (OR: 1.0, 95% CI 0.8 to 1.4) angina (OR: 1.0, 95% CI 0.8 to 1.4), heart attack (OR: 1.2, 95% 0.7 to 2.2) or ECG changes of CHD (OR: 0.8, 95% CI 0.6 to 1.2) with current use of biomass for cooking. Nor were any associations apparent when analyses were restricted to long-term (≥10 years) users and non-users of biomass fuel.
conclusionsA linked air monitoring study indicated substantially higher airborne concentrations of fine particulate matter in kitchens where biomass was used for cooking. It is possible that associations with CHD and hypertension were missed because most of the comparison group had used biomass for cooking at some time in the past, and risk remains elevated for many years after last exposure.
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