ArticleEnvironment international2021
Household use of polluting cooking fuels and late-life cognitive function: A harmonized analysis of India, Mexico, and China.
Article in Environment international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Effect of Environment on the Cognition of Older Adults: A Narrative Review.Brain sciences · 2026Review
- Article
- Household fuel use, social engagement, and cognitive decline in older Chinese adults: a prospective cohort study based on CHARLS.BMC geriatrics · 2026Observational
- Prevalence and correlates of neurocognitive impairment among older persons in rural Eastern Uganda.NPJ dementia · 2026Article
- Association between physical activity patterns and health outcomes among older adults in India and China: a gendered perspective : First author.BMC public health · 2025Article
- Associations between widowhood status/duration, depression, and cognitive function among community-dwelling Indians age 60 years or older: Exploration of sex and residential factors.Social psychiatry and psychiatric epidemiology · 2025Article
- Particulate air pollution from different emission sources, cognitive performance, and cognitive declines in India.Environment international · 2025Article
- Association between solid cooking fuels and functional disability: evidence from a cross-sectional and longitudinal study.BMC public health · 2025Article
- Household Environments and Cognitive Decline Among Middle-Aged and Older Adults in China: Exploring Gender, Age, and Residential Variations.International journal of aging & human development · 2025Article
- The cognitive toll of household air pollution: cross-sectional associations between polluting cooking fuel use, cognitive functions and brain MRI in a rural aging population from Karnataka, India.The Lancet regional health. Southeast Asia · 2025Article
- The Effect of the Low-Carbon City Pilot Program on the Cognitive Function of Older Adults: Quasi-Experimental Evidence from China.The Gerontologist · 2025Article
- The association between solid fuel use for heating and cooking and low back pain and neck pain in middle-aged to elderly Chinese adults: a cross-sectional and panel data analysis.BMC public health · 2025Article
- Bayesian network analysis of cognitive impairment in empty-nest older adults: the role of living environment.Frontiers in public health · 2025Article
- Associations between cooking fuel use, its transitions, and worsening sensory impairments among Chinese middle-aged and older adults: a cohort study.BMC geriatrics · 2024Article
- Cross-national comparisons of later-life cognitive function using data from the Harmonized Cognitive Assessment Protocol (HCAP): Considerations and recommended best practices.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Indoor air pollution and cognitive function among older adults in India: a multiple mediation approach through depression and sleep disorders.BMC geriatrics · 2024Article
- Effect of Internet Use on Cognitive Function of Middle-Aged and Elderly Adults in China: Evidence from China Family Panel Studies.Journal of Alzheimer's disease reports · 2024Article
- The impact of energy poverty on the health and welfare of the middle-aged and older adults.Frontiers in public health · 2024Article
- Multiple socioeconomic risks and cognitive impairment among older men and women in India.Dialogues in health · 2023Article
- Does tandem balance test predict cognitive impairment among older adults? Findings from Longitudinal Ageing Study in India, 2017-18.Aging clinical and experimental research · 2023Article
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Abstract
introductionExposure to high levels of air pollution is associated with poor health, including worse cognitive function. Whereas many studies of cognition have assessed outdoor air pollution, we evaluate how exposure to air pollution from combustion of polluting household fuels relates with cognitive function using harmonized data from India, Mexico, and China. MATERIALS &
methodsWe analyze adults age 50+ in three nationally representative studies of aging with common data collection methods: the 2017-2019 Longitudinal Aging Study in India (n = 50,532), 2015 Mexican Health and Aging Study (n = 12,883), and 2013 China Health and Retirement Longitudinal Study (n = 12,913). Use of polluting fuels was assessed by self-report of wood, coal, kerosene, crop residue, or dung for cooking. Cognitive function was measured by performance across several cognitive domains and summarized into a total cognition score. We used linear regression, by country, to test how polluting cooking fuel use relates with cognition adjusting for key demographic and socioeconomic factors.
resultsApproximately 47%, 12%, and 48% of respondents in India, Mexico, and China, respectively, relied primarily on polluting cooking fuel, which was more common in rural areas. Using polluting cooking fuels was consistently associated with poorer cognitive function in all countries, independent of demographic and socioeconomic characteristics. Adjusted differences in cognitive function between individuals using polluting and clean cooking fuel were equivalent to differences observed between individuals who were 3 years of age apart in Mexico and China and 6 years of age apart in India. Across countries, associations between polluting cooking fuel use and poorer cognition were larger for women.
conclusionsResults suggest that household air pollution from the use of polluting cooking fuel may play an important role in shaping cognitive outcomes of older adults in countries where reliance on polluting fuels for domestic energy needs still prevails. As these countries continue to age, public health efforts should seek to reduce reliance on these fuels.
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