Association of household fuel use with hypertension and blood pressure among adult women in rural Bangladesh: A cross‐sectional study

Islam, Rabiul; Sheba, Nusrat Hossain; Siddique, Ruhul Furkan; Hannan, J. M. A.; Hossain, Shakhaoat

doi:10.1002/ajhb.23899

Cited by 6 publications

(2 citation statements)

References 51 publications

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“…This might be because women in villages use more solid fuels, as clean fuels are not widely available in rural places. Similar results were found in a study in which the prevalence of high BP was high among women from rural areas [23]. However, these findings contradict the findings of previous studies in which urban women were found to be more likely to have high BP [12].…”

Section: Discussionsupporting

confidence: 79%

Association between Cooking Fuels and Hypertension among Women at Reproductive Age in Bangladesh: A Nationally Representative Population Dataset from the BDHS 2017-2018

Bishwas,

Alin,

Ashor

et al. 2024

Preprint

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Background: Air pollution, a critical environmental issue, encompasses various pollutants from several sources, including household fuel combustion. This study aimed to explore the association between cooking fuel types and hypertension among Bangladeshi women, using data from the Bangladesh Demographic and Health Survey (BDHS 2017–18). The study focuses on the high prevalence of solid fuel use (e.g., wood, animal dung) for cooking in Bangladeshi households and its potential impact on women’s health, particularly hypertension. Methods: The BDHS data encompassed 5,219 women, with a stratified cluster sampling method used to ensure nationwide representation. The analysis included blood pressure measurements, categorizing participants into normal and hypertensive groups, and identifying cooking fuel type as the primary exposure variable. Covariates such as age, education, residence, body mass index (BMI), household size, wealth index, and stove location were considered in the multivariate model. Results: Age, urban residency, education, wealth, obesity, and cooking fuel use all influence high blood pressure in various ways. Older individuals show a higher prevalence of high blood pressure. Obesity is a significant factor, with obese individuals having more than four times the odds of developing hypertension. The use of solid fuels for cooking is linked to a 13% higher likelihood of hypertension among women of reproductive age. More specifically, using solid fuel for cooking is associated with a 60% higher risk of elevated systolic blood pressure (OR 1.60, 95% CI: 1.21-2.12) and a 70% higher risk of elevated diastolic blood pressure (OR 1.70, 95% CI: 1.30-2.00). Conclusion: The study underscores the health implications of household air pollution in Bangladesh, particularly for women exposed to solid cooking fuels. It highlights the need for public health interventions and policy shifts towards cleaner cooking technologies, especially in low- and middle-income countries. Despite its strengths, including a nationally representative sample and robust statistical analysis, the cross-sectional design limits the ability to infer causality. Future longitudinal studies are necessary to understand the temporal dynamics of cooking fuel use and hypertension. This research is crucial for global health, given the rising prevalence of hypertension and the extensive use of solid fuels in similar socioeconomic contexts.

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Section: Discussionsupporting

confidence: 79%

Association between Cooking Fuels and Hypertension among Women at Reproductive Age in Bangladesh: A Nationally Representative Population Dataset from the BDHS 2017-2018

Bishwas,

Alin,

Ashor

et al. 2024

Preprint

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“…Cooking with solid-fuels contributes to 12% of the global ambient PM 2.5 burden [11] and to 25% of ambient black carbon [10]. This results in signi cant health disorders such as respiratory [6], blood pressure, and cardiovascular disorders mostly among women [27,58], as well as 3.2 million premature deaths per annum as of 2020 [56]. Without any major change in policy, the number of people relying on traditional biomass fuels in 2030 is expected to remain roughly the same as now, about 40% of the current world population [23].…”

Section: Introductionmentioning

confidence: 99%

Carbon Emission Reduction Potentials of Improved Biomass Cookstoves Used In Gambella Refugee Camps, Southwest Ethiopia

Destaw,

Birhanu,

Gurmessa

2024

Preprint

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Background In many countries of the world, households burn firewood or biomass to fulfill their cooking and heating needs. The excessive reliance on biomass fuels by inefficient traditional cookstove produces and emits substantial amount of smoke which brings effects associated with high indoor air pollution, deforestation, climate change and losses productivity. Therefore, this study focused on carbon emission reduction potentials of improved biomass cookstoves used in Gambella refugee camps and compares it with traditional open-fire stove. Methods For this study, Water Boiling Test (WBT) was carried out at laboratory level. The most commonly used improved biomass cookstoves and the three stone traditional cook stove were selected for the assessment and comparison. The emission of greenhouse gasses (carbon monoxide, carbon dioxide and particulate matters) was used as indicators to compare the emissions of each stove. Results The results indicated that, three-stone open-fire traditional stove, Clay (User Centered Design-UCD), Flexy and Tikikil stoves were found to be the preferred mode of biomass cooking stove used by most refugees. From the experimental test results, the performance model showed a significant reduction in greenhouse gasses and/or pollutant (CO2, CO, and PM2.5) concentrations. The use of one Flexy stove could avoid the emission of 1.21 tons, Clay 1.15 tons, and Tikikil 0.96 tons of CO2e per stove per year. The average amount of CO emission from the three-stone stove was 1105ppm and from ICS was 370.3 ppm. Particulate matter (PM2.5) emissions of Flexy, Clay, Tikikil and Traditional cook stoves were recorded as 329, 339, 337, 614 mg respectively. Conclusion Therefore, it can be conclude that improved biomass cook stoves can produce less smoke and reduce greenhouse gas emissions and health effects. Thus, concerned organizations should disseminate and monitor improved biomass cooking stoves for the refugees so as to protect individuals from negative impact of traditional three-stone cookstoves.

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Association of indoor solid fuel pollution with risk factors for cardiovascular disease among Chinese adults: A nationally multi-center study

Shi,

Li,

Huang

et al. 2024

Building and Environment

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Association of household fuel use with hypertension and blood pressure among adult women in rural Bangladesh: A cross‐sectional study

Cited by 6 publications

References 51 publications

Association between Cooking Fuels and Hypertension among Women at Reproductive Age in Bangladesh: A Nationally Representative Population Dataset from the BDHS 2017-2018

Association between Cooking Fuels and Hypertension among Women at Reproductive Age in Bangladesh: A Nationally Representative Population Dataset from the BDHS 2017-2018

Carbon Emission Reduction Potentials of Improved Biomass Cookstoves Used In Gambella Refugee Camps, Southwest Ethiopia

Association of indoor solid fuel pollution with risk factors for cardiovascular disease among Chinese adults: A nationally multi-center study

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