Evidence map›Paper›PMID 31981064›Full record

ArticleMaternal and child health journal2020

The Association of Childhood Pneumonia with Household Air Pollution in Nepal: Evidence from Nepal Demographic Health Surveys.

Shyam Sundar Budhathoki, Bhim Singh Tinkari, Amit Bhandari, Meghnath Dhimal, Hong Zhou, Anup Ghimire, Omkar Basnet, Johan Wrammert, Ashish Kc

Open access · hybridAbstract read
In one paragraph

Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 3 countries.

Shyam Sundar BudhathokiSchool of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.ORCID http://orcid.org/0000-0002-8614-1087
Bhim Singh TinkariMinistry of Health and Population, Government of Nepal, Kathmandu, Nepal.
Amit BhandariSociety of Public Health Physicians Nepal, Kathmandu, Nepal.
Meghnath DhimalNepal Health Research Council, Kathmandu, Nepal.ORCID http://orcid.org/0000-0001-7176-7821
Hong ZhouDepartment of Maternal and Child Health, School of Public Health, Peking University, Beijing, China.
Anup GhimireSchool of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Omkar BasnetGolden Community, Lalitpur, Nepal.
Johan WrammertDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Ashish KcDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden. aaashis7@yahoo.com.ORCID http://orcid.org/0000-0002-0541-4486
Nepal Development Research Institute · NPUppsala University · SEB.P. Koirala Institute of Health Sciences · NPGovernment of Nepal · NPMountain Medicine Society of Nepal · NPNepal Health Research Council · NPPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildhood pneumonia is a major cause of mortality worldwide while household air pollution (HAP) is a major contributor to childhood pneumonia in low and middle-income countries. This paper presents the prevalence trend of childhood pneumonia in Nepal and assesses its association with household air pollution.

methodsThe study analysed data from the 2006, 2011 and 2016 Nepal Demographic Health Surveys (NDHS). It calculated the prevalence of childhood pneumonia and the factors that cause household air pollution. The association of childhood pneumonia and HAP was assessed using univariate and multi-variate analysis. The population attributable fraction (PAF) of indoor pollution for causing pneumonia was calculated using 2016 NDHS data to assess the burden of pneumonia attributable to HAP factors.

resultsThe prevalence of childhood pneumonia decreased in Nepal between 2006 and 2016 and was higher among households using polluting cooking fuels. There was a higher risk of childhood pneumonia among children who lived in households with no separate kitchens in 2011 [Adjusted risk ratio (ARR) 1.40, 95% CI 1.01-1.97] and in 2016 (ARR 1.93, 95% CI 1.14-3.28). In 2016, the risk of children contracting pneumonia in households using polluting fuels was double (ARR 1.98, 95% CI 1.01-3.92) that of children from households using clean fuels. Based on the 2016 data, the PAF for pneumonia was calculated as 30.9% for not having a separate kitchen room and 39.8% for using polluting cooking fuel. DISCUSSION FOR PRACTICE: Although the occurrence of childhood pneumonia in Nepal has decreased, the level of its association with HAP remained high.

Indexed as

CookingHousingAdolescentAdultAir PollutionAir Pollution, IndoorChild, PreschoolFamily CharacteristicsFemaleHumansMaleNepalPneumoniaPrevalenceYoung AdultChildhood pneumoniaIndoor air pollutionNepalPolluting fuelsSolid fuels

Identifiers

PMID31981064
PMCPMC7048702
OpenAlexW3002895096

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.