ArticlePloS one2020
Effects of indoor pollution on acute respiratory infections among under-five children in India: Evidence from a nationally representative population-based study.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Indoor air pollution exposure and acute respiratory infection among under-five children in low- and middle-income countries: a systematic review and meta-analysis of epidemiological studies.BMC infectious diseases · 2025Pooled it
- A Systematic Review and Appraisal of Epidemiological Studies on Household Fuel Use and Its Health Effects Using Demographic and Health Surveys.International journal of environmental research and public health · 2021Pooled it
- Impact of improved stove intervention on infant acute respiratory infections: Results from a randomized trial in Northwest Ethiopia.PloS one · 2026Trial
- Health impacts of a randomized biomass cookstove intervention in northern Ghana.BMC public health · 2021Trial
- Is Household Mosquito Coil Use a Neglected Risk Factor for Childhood Respiratory Morbidity? A Cross-Sectional Study from South India.Indian journal of pediatrics · 2026Article
- Review
- Factors Associated with Acute Respiratory Infection among Children Under 5 Years in India: Results from 2019 to 2021 National Family Health Survey.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
- Epidemiology and surveillance of influenza, RSV and SARS-CoV-2 in children admitted with severe acute respiratory infection in West bengal, India from 2022 to 2023.BMC infectious diseases · 2025Article
- Risk factors for acute respiratory infection among children in Yemen: a hospital based matched case-control study.BMC pediatrics · 2025Article
- The effect of indoor air pollution on under-five child health in South Sudan.BMC public health · 2025Article
- The relationship between authenticity and death anxiety in individuals with Acute Respiratory Tract Infections.BMC psychology · 2025Article
- Comorbidity of diarrhea and respiratory infection symptoms, and associated factors among under-five children in Gondar City, Northwest Ethiopia: a community-based cross-sectional study.Italian journal of pediatrics · 2025Article
- Acute Respiratory Tract Infections in Pediatric Populations of Slum Areas: Navigating Challenges and Dynamics of Immune Responses.Current pediatric reviews · 2025Review
- Acute respiratory infections and its associated risk factors among children aged 6-59 months in Ghana: a multinomial regression analysis of the 2022 demographic and health survey.Frontiers in public health · 2025Article
- A protocol for estimating health burden posed by early life exposure to ambient fine particulate matter and its heavy metal composition: a mother-child birth (ELitE) cohort from Central India.Frontiers in public health · 2025Article
- Air pollution and under-5 child mortality: linking satellite and IPUMS-DHS data across 41 countries in South Asia and Sub-Saharan Africa.BMC public health · 2024Article
- Decoding India's Child Malnutrition Puzzle: A Multivariable Analysis Using a Composite Index.Children (Basel, Switzerland) · 2024Article
- Exploring drivers of unsafe disposal of child stool in India using hierarchical regression model.PloS one · 2024Article
- Patterns of antibiotic use for acute respiratory infections in under-three-year-old children in India: A cross-sectional study.Journal of global health · 2023Article
- Prevalence, potential determinants, and treatment-seeking behavior of acute respiratory infection among children under age five in India: Findings from the National Family Health Survey, 2019-21.BMC pulmonary medicine · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAcute respiratory infections (ARI) are the leading causes of neonatal and child mortality. Despite several national efforts to reduce the incidence of mortality among children, India is one of the largest contributors to under-five mortality in the world. In this study, we examined the effects of indoor pollution on ARI among under-five children in India.
methodsA cross-sectional study was carried using nationally representative data from the 2015-2016 National Family Health Survey (NFHS-4). This study is based on 247,743 living children under the age of five years. Bivariate and multivariate analyses were performed to assess the impact of indoor air pollution on children's ARI.
resultsAlmost two-thirds of households (65.2%) used biomass fuels for cooking, 54.9% of households had a separate kitchen, and 47.2% of households had a smoker. About 2.7% of children suffered from ARI in the past two weeks preceding the survey. The use of biomass fuels (OR [odds ratio]: 1.10, 95% CI: 1.01-1.20), households having no separate kitchen (OR: 1.22, 95% CI: 1.14-1.30), and smoking behavior of household members (OR: 1.06, 95% CI: 1.00-1.12) were associated with greater risk of ARI among under-five children even after adjusting for age of child, sex of child, birth order, maternal age, maternal education, caste, religion, wealth quintile, any HH members suffer from tuberculosis (TB), and household crowding. Furthermore, the results revealed that the combined effects of biomass fuels and households without separate kitchen increased the likelihood of children's ARI by 36% (Adjusted OR: 1.35, 95% CI: 1.21-1.51).
conclusionThe findings of this study suggest policy interventions to reduce the exposure of indoor air pollution, particularly among the impoverished groups. The government should ensure cleaner fuels for cooking, such as LPG and electricity, to minimize the risk of respiratory diseases among children.
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