ArticleEnvironmental health and preventive medicine2020
Household air pollution and under-five mortality in sub-Saharan Africa: an analysis of 14 demographic and health surveys.
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 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Air Pollution and Heat Impacts on Respiratory Morbidity and Mortality Outcomes in Africa: A Systematic Review Towards a Meta-analysis.Current environmental health reports · 2026Pooled it
- Under-five mortality and social determinants in africa: a systematic review.European journal of pediatrics · 2025Pooled it
- Pooled it
- Exposure to indoor air pollution and adverse pregnancy outcomes in low and middle-income countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Review
- Household air pollution and under-five mortality in Kyrgyzstan: a survival analysis using multiple indicator cluster survey 2023 data.Scientific reports · 2026Article
- Predicting household cooking fuel choice in sub-Saharan Africa using supervised machine learning analysis of DHS data from 28 countries.Scientific reports · 2026Article
- Impact of household air pollution on under 5 mortalities and ARI in sub saharan africa: evidence from demographic and health survey 2010-2020.Scientific reports · 2026Article
- Article
- A Machine Learning Approach to Predicting Household Smoke Exposure Risk in Somalia: An Analysis With SHAP Explanations.Environmental health insights · 2026Article
- Global, regional, and national cataract burden attributable to household air pollution and smoking (1990-2021) and projection to 2050.Frontiers in public health · 2026Article
- Proxy-based modeling of indoor air pollution exposure and nonlinear health patterns in biomass-dependent households using machine learning.Frontiers in public health · 2026Article
- Spatial patterns and determinants of under-five mortality in Sub-Saharan Africa: a spatial and multilevel analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Association between Personal Exposure to Household Air Pollution and Glycated Hemoglobin among Women in Rural Areas of Guatemala, India, Peru, and Rwanda: Household Air Pollution Intervention Network Trial.Journal of health & pollution · 2025Article
- Household smoke exposure risk and acute respiratory infection among children under five years in sub-Saharan Africa: evidence from the demographic and health surveys.BMC public health · 2025Article
- Impacts of Improved Cookstove Interventions on Personal Exposure to Carbon Monoxide and Particulate Matter in Zambia.GeoHealth · 2025Article
- Determinants and spatial patterns of solid fuel use in East Africa based on demographic and health survey data from 2012 to 2023.Scientific reports · 2025Article
- Bayesian generalized poisson regression analysis of number of death attributed to household air pollution and associate factors in East Africa from 2010 to 2019 and projection up to 2030.Scientific reports · 2025Article
- Under-five mortality and its associated factors in sub-Saharan Africa: a multilevel analysis of recent demographic and health surveys data based on Bayesian approach.BMC pediatrics · 2025Article
- Article
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6 authors.
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Abstract
backgroundGlobally, over four million deaths are attributed to exposure to household air pollution (HAP) annually. Evidence of the association between exposure to HAP and under-five mortality in sub-Saharan Africa (SSA) is insufficient. We assessed the association between exposure to HAP and under-five mortality risk in 14 SSA countries.
methodsWe pooled Demographic and Health Survey (DHS) data from 14 SSA countries (N = 164376) collected between 2015 and 2018. We defined exposure to HAP as the use of biomass fuel for cooking in the household. Under-five mortality was defined as deaths before age five. Data were analyzed using mixed effects logistic regression models.
resultsOf the study population, 73% were exposed to HAP and under-five mortality was observed in 5%. HAP exposure was associated with under-five mortality, adjusted odds ratio (OR) 1.33 (95% confidence interval (CI) [1.03-1.71]). Children from households who cooked inside the home had higher risk of under-five mortality compared to households that cooked in separate buildings [0.85 (0.73-0.98)] or outside [0.75 (0.64-0.87)]. Lower risk of under-five mortality was also observed in breastfed children [0.09 (0.05-0.18)] compared to non-breastfed children.
conclusionsHAP exposure may be associated with an increased risk of under-five mortality in sub-Saharan Africa. More carefully designed longitudinal studies are required to contribute to these findings. In addition, awareness campaigns on the effects of HAP exposure and interventions to reduce the use of biomass fuels are required in SSA.
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