Evidence map›Paper›PMID 40420019›Full record

ArticleBMC public health2025

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.

Bingsong Li, Xiaotong Sun, Yue Wang, Qinling Li, Yizhan He, Menglu Wang, Xuemei Zhen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Bingsong LiDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
Xiaotong SunDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
Yue WangBusiness School, Shandong University, Weihai, 315211, China.
Qinling LiDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
Yizhan HeDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
Menglu WangDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.
Xuemei ZhenDepartment of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China. zhenxuemei@sdu.edu.cn.

Funding

National Natural Science Foundation of China 72304174Young Talent of Lifting engineering for Science and Technology in Shandong，China SDAST2024QTA097
6 · The paper itself

Abstract

objectiveIn low - and middle-income countries, a large number of people still use solid fuels, including crop residues such as biofuels/wood and coal, for heating and cooking. Compared with clean fuels(electric, liquefied petroleum gas, natural gas, marsh gas and solar), solid fuels can cause numerous health hazards. There is limited evidence suggesting that the use of solid fuel is associated with self-perceived low back pain (LBP) and neck pain (NP). This study aimed to analyze the association between household solid fuel use and the risk of LBP and NP in middle aged and elderly adults.

methodsWe used data from the China Health and Retirement Longitudinal Study for five cross-sectional and ten panel analyses. Multivariable logistic regression model and generalized estimation equation were used to elucidate the relationship between solid fuel and the number of solid fuels used and two pains(LBP and NP). Moreover, the effect of fuel type conversion on LBP and NP is also done.

resultsThe results indicate that users of solid fuels, particularly those using solid cooking fuels, may have a higher risk of LBP(OR: 1.13, 95% CI: 1.05-1.22 for 2011-2020) and NP(OR: 1.22, 95% CI: 1.13-1.31 for 2018-2020). The use of solid fuels for heating also raises the risk of LBP(OR: 1.15, 95% CI: 1.06-1.24 for 2011-2020) and NP(OR: 1.34, 95% CI: 1.22-1.46 for 2015-2020). Compared to complete clean fuel users, both mixed fuel and complete solid fuel users face a greater risk for LBP (OR: 1.29, 95% CI: 1.17-1.43 for complete solid fuel users) and NP(OR: 1.38, 95% CI: 1.22-1.55 for complete solid fuel users). Additionally, persistent solid fuel users and those who switch fuel types exhibit higher risks of LBP (OR: 1.33, 95% CI: 1.20-1.47 for persistent solid fuel heating; OR: 1.39, 95% CI: 1.26-1.54 for persistent solid fuel cooking) and NP (OR: 1.38, 95% CI: 1.20-1.59 for persistent solid fuel heating; OR: 1.34, 95% CI: 1.17-1.54 for persistent solid fuel cooking) than persistent clean fuel users.

conclusionLong-term exposure to household solid fuels is associated with a higher risk of LBP and NP. It is suggested that multiple departments cooperate to increase the global use of clean energy and thereby reduce the risk of LBP and NP among middle-aged and elderly people.

Indexed as

CookingHeatingLow Back PainNeck PainAgedChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsHousehold solid fuelIndoor air pollutionLow back painNeck pain

Identifiers

PMID40420019
PMCPMC12105265

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LicenceCC BY-NC-ND
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Registered trials

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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.