Cited by 104Energy and Environment ImpactsAir Quality and Health ImpactsGlobal Maternal and Child Health

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Adverse birth outcomes associated with household air pollution from unclean cooking fuels in low- and middle-income countries: A systematic review

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Younger, Ashley, Alkon, Abbey, Harknett, Kristen, Jean Louis, Roseline, Thompson, Lisa M.·2022·Environmental Research

DOI 10.1016/j.envres.2021.112274

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Abstract

Approximately 3.8 billion people in low- and middle-income countries use unclean fuels as a source of primary cooking fuel as well as for heating. For pregnant women, the toxic chemicals produced by combustion of unclean fuels not only affect women's health directly, but particulate matter and carbon monoxide are absorbed in maternal blood and cross the placental barrier impairing fetal tissue growth. PRISMA 2009 guidelines were used for this systematic review. The inclusion criteria were quantitative, peer reviewed journal articles published within a date range of May 1, 2013-June 12, 2021 examining birth outcomes related to household air pollution from type of cooking fuel in low- and middle-income countries. The quality of available evidence was evaluated using the Office of Health Assessment and Translation (OHAT) risk of bias rating tool. Of the 553 studies screened, 23 satisfied the inclusion criteria. Of the studies that met the inclusion criteria, 14 were cross-sectional, 5 cohort, 1 case-control and 3 randomized control trials conducted across 15 different countries. A range of birth outcomes are reported across studies including birthweight (19), small for gestational age (6), spontaneous abortion (3), preterm birth (6), stillbirth (7) and neonatal mortality (6). The reviewed studies presented evidence for an increased risk of low birth weight (LBW), preterm birth (PTB), small for gestational age (SGA), stillbirth, neonatal mortality and reduction in birthweight with solid fuel and kerosene use compared to cleaner fuels like gas and LPG. Systematically reviewing the evidence and risk of bias ratings illuminated several gaps in the current literature related to exposure assessment, outcome measurement and adequacy of adjustment for confounding.

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Additional file 2 of The effect of exposure to traffic related air pollutants in pregnancy on birth anthropometry: a cohort study in a heavily polluted low-middle income country
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Additional file 4 of The effect of exposure to traffic related air pollutants in pregnancy on birth anthropometry: a cohort study in a heavily polluted low-middle income country
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Additional file 3 of The effect of exposure to traffic related air pollutants in pregnancy on birth anthropometry: a cohort study in a heavily polluted low-middle income country
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Additional file 5 of The effect of exposure to traffic related air pollutants in pregnancy on birth anthropometry: a cohort study in a heavily polluted low-middle income country
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Self-citation
Antenatal environmental exposure to indoor air pollution and environmental tobacco smoke: association with birth outcomes in an African birth cohort
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Authors: Younger, A., Alkon, A., Harknett, K., Jean Louis, R., & Thompson, L. M.
Affiliations: University of California, San Francisco (US)
Emory University (US)
Corresponding author: Younger, Ashley
ORCID: Younger, Ashley
Alkon, Abbey
Harknett, Kristen
Thompson, Lisa M.
Venue: Environmental Research
Publisher: Elsevier BV
Published: 2022-03
Volume: 204
Issue: Pt C
Pages: 112274
ISSN: 0013-9351 (ISSN-L)
DOI: 10.1016/j.envres.2021.112274
OpenAlex: W3209418432
Cited by: 104
References: 57
Citations by year: 2026: 19 · 2025: 22 · 2024: 21 · 2023: 24 · 2022: 17
FWCI: 0.75
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor)
Locations: Environmental Research (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Topics: Physical Sciences › Environmental Science › Pollution › Energy and Environment Impacts
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords: household air pollution, cooking fuel, solid fuels, kerosene, low birth weight, preterm birth, small for gestational age, stillbirth, neonatal mortality, miscarriage, pregnancy, low- and middle-income countries, clean cooking fuels, liquefied petroleum gas, gas stoves, particulate matter, carbon monoxide, placental transfer
MeSH terms: Air Pollution, Cooking, Developing Countries, Female, Humans, Infant, Newborn, Placenta, Pregnancy, Pregnancy Complications, Air Pollution, Indoor, Premature Birth

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Adverse birth outcomes associated with household air pollution from unclean cooking fuels in low- and middle-income countries: A systematic review

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