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Acute respiratory infections among under-five children from households using biomass fuel in Ethiopia: systematic review and meta-analysis
Open accessAbstract
Acute respiratory infections are a serious public health concern across the globe, they are, however, prominently present in Sub-Saharan Africa. In Ethiopia, different primary studies were conducted in regard to the link between household biomass fuel use and acute respiratory infections among under-five children. However, there is no national study on the association between household biomass fuel use and acute respiratory infections among under-five children. Thus, the aim of this systematic review and meta-analysis to estimate the pooled prevalence of acute respiratory infections and its predictors among under-five children in Ethiopia.The systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. We systematically searched the databases: PubMed/Medline, Cochrane library, Google Scholar, Web of Science, and Scopus were searched to access potentially relevant articles conducted in Ethiopia about acute respiratory infections among under five children. Stata/SE 14.00 statistical software was used for analysis and the pooled prevalence with 95% confidence interval (CI) were presented using tables and forest plots. To assess the heterogeneity among studies, I square (I2) tests were used. Publication bias was checked by Begg’s and Egger’s regression test. The random effects meta-analysis model was employed to estimate the pooled prevalence and predictors of under-five acute respiratory infectionsA total of 7 studies with 8,529 study participants were included in this meta-analysis. The pooled prevalence of acute respiratory infection was 17.75% (95% CI: 16.95, 18.55). Child holding during cooking (OR: 2.84, 95% CI: 1.48, 5.47) and using unclean sources of energy for cooking (OR: 0.38, 95% CI: 0.21, 0.70) were identified predictors of under-five children acute respiratory infection.In the current study, the pooled prevalence of acute respiratory infection among under-five children was relatively high. Child holding during cooking and using unclean sources of energy for cooking were significantly associated with under five acute respiratory infections. Therefore, the policies and regulations enacted should address the barriers that impede the development of clean and efficient energy sources.
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Children under age five in Ethiopia who were physically close to polluting energy sources during cooking were at significant risk of developing acute respiratory infections.
“children who were physically close to polluting energy sources during cooking were at significant risk of developing acute respiratory infections.”
From Review of the Impact of Housing Quality on Inequalities in Health and Well-Being (2023) · cites this paper as [2]
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Cites
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164
A basic introduction to fixed-effect and random-effects models for meta-analysis
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2010) · Research Synthesis Methods · doi:10.1002/jrsm.12 · Cited by 6,793
Liu, L., Johnson, H. L., Cousens, S., Perin, J., Scott, S., Lawn, J. E., Rudan, I., Campbell, H., Cibulskis, R., Li, M., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60560-1 · Cited by 3,934
Ethiopia demographic and health survey, 2000
Central Statistical Agency, & Ethiopia (2017) · Cited by 3,873
4 million neonatal deaths: When? Where? Why?
Lawn, J. E., Cousens, S., & Zupan, J. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71048-5 · Cited by 3,670
Hoy, D., Brooks, P., Woolf, A., Blyth, F., March, L., Bain, C., Baker, P., Smith, E., & Buchbinder, R. (2012) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2011.11.014 · Cited by 2,555
Metaprop: a Stata command to perform meta-analysis of binomial data
Nyaga, V. N., Arbyn, M., & Aerts, M. (2014) · Archives of Public Health · doi:10.1186/2049-3258-72-39 · Cited by 2,139
Indoor air pollution in developing countries: a major environmental and public health challenge.
Bruce, N., Pérez‐Padilla, R., & Albalak, R. (2000) · Europe PMC (PubMed Central) · Cited by 1,589
Undue reliance on I 2 in assessing heterogeneity may mislead
Rücker, G., Schwarzer, G., Carpenter, J. R., & Schumacher, M. (2008) · BMC Medical Research Methodology · doi:10.1186/1471-2288-8-79 · Cited by 1,287
Indoor air pollution in developing countries and acute lower respiratory infections in children
Smith, K. R. (2000) · Thorax · doi:10.1136/thorax.55.6.518 · Cited by 948
Pneumonia: the leading killer of children
Wardlaw, T., Salama, P., Johansson, E. W., & Mason, E. M. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69334-3 · Cited by 348
Mishra, V. (2003) · International Journal of Epidemiology · doi:10.1093/ije/dyg240 · Cited by 238
(2004) · Cited by 220
Victora, C. G., Fenn, B., Bryce, J., & Kirkwood, B. R. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67599-x · Cited by 203
Tazinya, A. A., Halle-Ekane, G. E., Mbuagbaw, L. C. E., Abanda, M. H., Atashili, J., & Obama, M. T. (2018) · BMC Pulmonary Medicine · doi:10.1186/s12890-018-0579-7 · Cited by 201
Acute Respiratory Infections in Children
Chrétien, J., Holland, W., Macklem, P. T., Murray, J., & Woolcock, A. J. (1984) · New England Journal of Medicine · doi:10.1056/nejm198404123101509 · Cited by 174
Modifiable risk factors for acute lower respiratory tract infections
Savitha, M. R., Nandeeshwara, S. B., Kumar, M. J. P., Farhan-ul-haque, & Raju, C. K. (2007) · The Indian Journal of Pediatrics · doi:10.1007/s12098-007-0081-3 · Cited by 166
Ujunwa, F., & Ezeonu, C. (2014) · Annals of Medical and Health Sciences Research · doi:10.4103/2141-9248.126610 · Cited by 146
The Risk of Nitrogen Dioxide: What have we Learned from Epidemiological and Clinical Studies?
Samet, J. M., & Utell, M. J. (1990) · Toxicology and Industrial Health · doi:10.1177/074823379000600204 · Cited by 114
Kumar, S., Majumdar, A., Kumar, V., Naik, B. N., Selvaraj, K., & Laksham, K. B. (2015) · Journal of Natural Science Biology and Medicine · doi:10.4103/0976-9668.149069 · Cited by 108
Childhood pneumonia mortality—a permanent global emergency
Mulholland, K. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61130-1 · Cited by 107
Epidemiology of respiratory viral infections in two long-term refugee camps in Kenya, 2007-2010
Ahmed, J., Katz, M. A., Auko, E., Njenga, M. K., Weinberg, M. S., Kapella, B. K., Burke, H., Musyoka, R., Gichangi, A., Waiboci, L. W., et al. (2012) · BMC Infectious Diseases · doi:10.1186/1471-2334-12-7 · Cited by 100
Effects of Cooking Fuels on Acute Respiratory Infections in Children in Tanzania
Kilabuko, J. H., & 佐藤, 淳. (2007) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph200704040003 · Cited by 81
Seidu, A., Dickson, K. S., Ahinkorah, B. O., Amu, H., Darteh, E. K. M., & Kumi-Kyereme, A. (2019) · SSM - Population Health · doi:10.1016/j.ssmph.2019.100443 · Cited by 79
Akinyemi, J. O., & Morakinyo, O. M. (2018) · BMC Infectious Diseases · doi:10.1186/s12879-018-3207-5 · Cited by 78
Acute Respiratory Infections in Children
Cherian, T., Chow, J., John, T. J., Laxminarayan, R., Shahid-Salles, S., & Simoes, E. A. F. (2006) · Rare & Special e-Zone (The Hong Kong University of Science and Technology) · Cited by 77
Acute respiratory infection in children from developing nations: a multi-level study
Pinzón-Rondón, Á. M., Aguilera-Otalvaro, P. A., Zárate-Ardila, C., & Hoyos-Martínez, A. (2015) · Paediatrics and International Child Health · doi:10.1179/2046905515y.0000000021 · Cited by 74
Indoor Fuel Exposure and the Lung in Both Developing and Developed Countries
Sood, A. (2012) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2012.08.003 · Cited by 73
Sanbata, H., Asfaw, A., & Kumie, A. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-1122 · Cited by 73
Rana, J., Uddin, J., Peltier, R. E., & Oulhote, Y. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16162910 · Cited by 65
Acute respiratory infections in children: a community based longitudinal study in south India.
Acharya, D., Prasanna, K. S., Nair, S. N., & Rao, R. (2003) · PubMed · Cited by 61
Alterations in the antibacterial properties of rabbit pulmonary macrophages exposed to wood smoke.
Fick, R. B., Paul, E. S., Merrill, W. W., Reynolds, H. Y., & Loke, J. S. O. (1984) · PubMed · doi:10.1164/arrd.1984.129.1.76 · Cited by 57
Norman, R. E., Barnes, B. R., Mathee, A., & Bradshaw, D. (2007) · PubMed · Cited by 56
Adane, M. M., Alene, G. D., Mereta, S. T., & Wanyonyi, K. (2020) · BMC Public Health · doi:10.1186/s12889-020-08515-w · Cited by 48
Incidence of acute respiratory infections in Australia
Chen, Y., & Kirk, M. (2013) · Epidemiology and Infection · doi:10.1017/s0950268813002471 · Cited by 45
Risk Factors for Acute Respiratory Infections (ARI) Among Under-five Children in Bangladesh
Azad, K. M. A. K. (2008) · Journal of Scientific Research · doi:10.3329/jsr.v1i1.1055 · Cited by 44
Acharya, P., Mishra, S. R., & Berg‐Beckhoff, G. (2014) · Journal of Community Health · doi:10.1007/s10900-014-9965-0 · Cited by 40
Hasan, M. S., Tasfina, S., Haque, S. M. R., Saif‐Ur‐Rahman, K., Khalequzzaman, M., Bari, W., & Islam, S. S. (2019) · Environmental Health and Preventive Medicine · doi:10.1186/s12199-019-0827-3 · Cited by 39
Thomas, P. T., & Zelikoff, J. T. (1999) · Air Pollution and Health · doi:10.1016/b978-012352335-8/50092-2 · Cited by 35
Walke, S. P., Das, R., Acharya, A. S., & Pemde, H. K. (2014) · International Scholarly Research Notices · doi:10.1155/2014/165152 · Cited by 23
Alemayehu, M., Alemu, K., Sharma, H. R., Gizaw, Z., & Shibru, A. (2014) · Journals & Books Hosting (International Knowledge Sharing Platform) · Cited by 23
Acute respiratory tract infections in children under 5 years of age in Upper Egypt
Khalek, E. M. A., & Abdel-Salam, D. M. (2016) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20161377 · Cited by 18
Fakunle, G. A., Ana, G. R. E. E., & Ayede, A. I. (2013) · Paediatrics and International Child Health · doi:10.1179/2046905513y.0000000107 · Cited by 14
-, R. K. (2019) · Journal of Gandaki Medical College-Nepal · doi:10.3126/jgmcn.v12i2.27214 · Cited by 13
Solid biomass fuel: indoor air pollution and health effects.
Joshi, S. K. (2008) · PubMed · Cited by 10
Tsegay, T., & Biyadgie, W. (2018) · Journal of Harmonized Research in Medical and Health Sciences · doi:10.30876/johr.5.1.2018.1-9 · Cited by 7
Energy resources in a third world microstate: St. Lucia household energy survey
Wilkinson, P. (1984) · Resources and Energy · doi:10.1016/0165-0572(84)90011-2 · Cited by 2
Biswal, B., Dwidedi, B., Pal, B. B., & Kar, S. K. (2019) · Indian Journal of Public Health Research & Development · doi:10.5958/0976-5506.2019.01984.3 · Cited by 2
Flagged first, then by citations
1 of the 50 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- Wogderes B. Prevalence and associated factors of acute lower respiratory infection among under five children, Yeka Sub City, Addis Abeba, Ethiopia. PhD Thesis, Addis Ababa University; 2017.
- Dessalegn B. Household fuel use and acute respiratory infection among younger children: An exposure assessment in Shebedino Woreda, Southern Ethiopia. PhD Thesis, AAU Electronic Library [unpublished]; 2012.
- SNV Ethiopia, Ethio Resource Group (ERG), MEGEN Power (MGP). Review of policies and strategies related to the clean cooking sector in Ethiopia. 2018. Available from: https://snv.org/cms/sites/default/files/explore/download/eth-seeccs-review_of_policies_and_strategies_final_report.pdf
Cited by
Sorted by citations
Review of the Impact of Housing Quality on Inequalities in Health and Well-Being
Howden-Chapman, P., Bennett, J., Edwards, R., Jacobs, D., Nathan, K., & Ormandy, D. (2023) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-071521-111836 · Cited by 153
Islam, M. A., Hasan, M. N., Ahammed, T., Anjum, A., Majumder, A., Siddiqui, M. N.-E.-A., Mukharjee, S. K., Sultana, K. F., Sultana, S., Jakariya, M., et al. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.985445 · Cited by 45
Indoor environment exposure and children's health
Nardocci, A. C., Nogueira, T., Piai, K. D. A., Cavendish, T. A., & Kumar, P. (2023) · Current Opinion in Environmental Science & Health · doi:10.1016/j.coesh.2023.100449 · Cited by 23
Ekholuenetale, M., Nzoputam, C. I., Okonji, O. C., Barrow, A., Wegbom, A. I., & Edet, C. K. (2023) · Global Pediatric Health · doi:10.1177/2333794x231156715 · Cited by 16
Zhang, X., Zhu, X., Wang, X., Wang, L., Sun, H., Yuan, P., & Ji, Y. (2023) · International Journal of COPD · doi:10.2147/copd.s417600 · Cited by 14
Kalayou, M. H., Kassaw, A. K., & Shiferaw, K. B. (2024) · BMC Infectious Diseases · doi:10.1186/s12879-024-09195-2 · Cited by 13
Zacarias, R. M. C., Cavero, F. S. C. L., Caira‐Chuquineyra, B., Fernandez‐Guzman, D., Delgado‐Flores, C. J., Toro-Huamanchumo, C. J., Urrunaga‐Pastor, D., & Bendezú-Quispe, G. (2022) · Journal of Environmental and Public Health · doi:10.1155/2022/4334794 · Cited by 10
Demoze, L., Dessie, A., Azanaw, J., Yitageasu, G., Asrat, K., & Gizaw, Z. (2025) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-025-01866-3 · Cited by 9
Self-citationAbayneh, M., Muleta, D., Simieneh, A., Duguma, T. A., Asnake, M., Obolu, M. T., Endalkachew, B., & Toru, M. (2022) · European Journal of Inflammation · doi:10.1177/1721727x221139266 · Cited by 7
Desye, B., Geto, A. K., Daba, C., Berihun, G., & Berhanu, L. (2025) · BMC Infectious Diseases · doi:10.1186/s12879-025-12148-y · Cited by 10
Tadese, Z. B., Hailu, D. T., Abebe, A. W., Kebede, S. D., Walle, A. D., Seifu, B. L., & Nimani, T. D. (2024) · Digital Health · doi:10.1177/20552076241272739 · Cited by 9
Tesfaye, S. H., Seboka, B. T., & Sisay, D. (2023) · BMC Infectious Diseases · doi:10.1186/s12879-023-08273-1 · Cited by 5
Oluwaseun, A., & Seun-Addie, F. K. (2025) · BMC Public Health · doi:10.1186/s12889-025-23148-7 · Cited by 3
Natnael, T., Hassen, S., Kinfe, B., Yirdaw, A. T., Ayalew, S., Kassa, Y., Ebrahim, A. M., Daba, C., Geto, A. K., & Desye, B. (2025) · Scientific Reports · doi:10.1038/s41598-025-10483-3 · Cited by 2
Salami, L., Ahanhanzo, Y. G., Makoutodé, C. P., Mongbo, V., Sossa, C. J., & Sopoh, G. E. L. (2025) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20254406
Trends in acute respiratory infection and associated factors among under-5 children in Ethiopia
Beyene, E. T., Cha, S., Seo, D., & Jin, Y. (2026) · BMC Pediatrics · doi:10.1186/s12887-025-06100-x
Abdulraheem, K. S., Omotayo, M. T., Maduafokwa, B. A., Abdulazeez, A., & Abdulraheem, I. S. (2026) · medRxiv · doi:10.64898/2026.03.02.26347442
Metadata
- Authors
- Andualem, Z., Nigussie Azene, Z., Dessie, A., Dagne, H., & Dagnew, B.
- Affiliations
- University of Gondar (ET)
- Corresponding author
- Andualem, Zewudu
- Dessie, Awrajaw
- Dagne, Henok
- Dagnew, Baye
- Venue
- Multidisciplinary Respiratory Medicine
- Publisher
- Mattioli1885
- Published
- 2020-12-23
- Volume
- 15
- Issue
- 1
- Pages
- 710-710
- ISSN
- 1828-695X (ISSN-L)
- 2049-6958
- PMC
- PMC7789869
- OpenAlex
- W3118146678
- Cited by
- 17
- References
- 50
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 4 · 2022: 4
- FWCI
- 0.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Multidisciplinary Respiratory Medicine (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Environmental Science › Pollution › Energy and Environment Impacts
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric health and respiratory diseases
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Keywords
- acute respiratory infections, children under five, solid fuel cooking, prevalence, risk factors, Ethiopia
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