ArticleEnvironmental health and preventive medicine2020
Household heating associated with disability in activities of daily living among Chinese middle-aged and elderly: a longitudinal study.
Article in Environmental health and preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 10 citations in OpenAlex.
- Source-Specific Air Pollution and Loss of Independence in Older Adults Across the US.JAMA network open · 2024Article
- Biomass fuel usage for cooking and frailty among older adults in China: a population-based cohort study.Frontiers in public health · 2023Article
- Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults.Scientific reports · 2022Article
- Determining the effect of air quality on activities of daily living disability: using tracking survey data from 122 cities in China.BMC public health · 2022Article
- Risk of functional disability associated with solid fuel use and population impact of reducing indoor air pollution in China: A national cohort study.Frontiers in public health · 2022Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundThe health hazards of indoor air pollution are well-established but studies of the health effects due to pollution from heating are rare. This study investigated the association of heating and disability for activities of daily living among Chinese middle-aged and elderly.
methodsWe used two consecutive surveys in a cohort of over 17,000 adults aged 45 or older, who were interviewed first in 2011-2012 and then in 2013. In these surveys, taking advantage of random survey time, we applied a random effects logit regression model that included an interaction between pollution-producing heating fuel and a dummy variable, which measured interview time based on whether or not it was heating season.
resultsExposure to pollution-producing heating fuel was associated with a 39.9% (OR 1.399; 95%CI 1.227-1.594) and 71.0% (OR 1.710; 95%CI 1.523-1.920) increase in the likelihood of disability in activities of daily living (DADL) and disability in instrumental activities of daily living (DIADL), respectively. In heating season between year 2011 and 2013, moving from clean heating energy for heating to pollution-producing fuel was linked with an increase in the likelihoods having DADL and DIADL, with the OR of 2.014 (95%CI 1.126-3.600) and 1.956 (95%CI 1.186-3.226), respectively. However, disability increases due to change from clean energy to pollution-producing heating energy did not appear in advantaged education respondents.
conclusionsWe found that exposure to heating by burning of coal, wood, or crop residue was associated with disability in performing daily living activities. Health policymakers should take indoor pollution due to heating into consideration as it is a major determinant of activities of daily living in elderly people; especially, such policy should focus on elderly people who have disadvantaged education.
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