Dataset Information

Impact of air pollution on stunting among children in Africa.

ABSTRACT:

Background

Undernutrition is a global public health crisis, causing nearly half of deaths for children under age 5 years. Little is known regarding the impact of air pollution in-utero and early childhood on health outcomes related to undernutrition. The aim of our study is to evaluate the association of prenatal and early-life exposure to PM_2.5 and child malnutrition as captured by the height-for-age z-score (HAZ), and stunting in 32 countries in Africa. We also evaluated critical windows of susceptibility during pregnancy to each environmental risk.

Methods

We linked nationally representative anthropometric data from 58 Demographic and Health Surveys (DHS) (n = 264,207 children < 5 years of age) with the average in-utero PM_2.5 concentrations derived from satellite imagery. We then estimated associations between PM_2.5 and stunting and HAZ after controlling for child, mother and household factors, and trends in time and seasonality.

Results

We observed lower HAZ and increased stunting with higher in-utero PM_2.5 exposure, with statistically significant associations observed for stunting (OR: 1.016 (95% CI: 1.002, 1.030), for a 10 μg/m³ increase). The associations observed were robust to various model specifications. Wald tests revealed that sex, wealth quintile and urban/rural were not significant effect modifiers of these associations. When evaluating associations between trimester-specific PM_2.5 levels, we observed that associations between PM_2.5 and stunting was the largest.

Conclusions

This is one of the first studies for the African continent to investigate in-utero and early-life exposure to PM_2.5 is an important marker of childhood undernutrition. Our results highlight that PM_2.5 concentrations need to be urgently mitigated to help address undernutrition in children on the continent.

SUBMITTER: deSouza PN

PROVIDER: S-EPMC9743768 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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Publications

Impact of air pollution on stunting among children in Africa.

deSouza Priyanka N PN Hammer Melanie M Anthamatten Peter P Kinney Patrick L PL Kim Rockli R Subramanian S V SV Bell Michelle L ML Mwenda Kevin M KM

Environmental health : a global access science source 20221212 1

<h4>Background</h4>Undernutrition is a global public health crisis, causing nearly half of deaths for children under age 5 years. Little is known regarding the impact of air pollution in-utero and early childhood on health outcomes related to undernutrition. The aim of our study is to evaluate the association of prenatal and early-life exposure to PM<sub>2.5</sub> and child malnutrition as captured by the height-for-age z-score (HAZ), and stunting in 32 countries in Africa. We also evaluated cri ...[more]

PMID: 36503479

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Project description:BackgroundExposure to air pollution, especially indoor air pollution, was associated with an increased risk of childhood stunting. However, few longitudinal studies have explored the long-term impacts of indoor air pollution from household solid fuel use on child growth. We aimed to investigate the association between household air pollution (HAP) from solid fuel use and childhood stunting in Chinese children.MethodThe longitudinal data from the Chinese Family Panel Study over 2010-2018 were included in this study with a total of 6,013 children aged 0-15 years enrolled at baseline. Exposure to HAP was measured as solid fuel use for cooking, while solid fuel was defined as coal and firewood/straw according to the questionnaire survey. Stunting was defined as-2SD below the height-for-age z-score (HAZ) of the reference children. Logistic regression and Cox proportional hazards models with time-varying exposures were employed to estimate the association between childhood stunting and HAP exposure.ResultsAt baseline, children with exposure to HAP from combusting solid fuels had a relatively higher risk of stunting [OR (95%CI): 1.42 (1.24-1.63)]. Among children without stunning at baseline, those living in households with solid fuel use had a higher stunting risk over an 8-year follow-up [HR (95%CI): 2.05 (1.64-2.57)]. The risk of childhood stunting was increased for those with HAP exposure from firewood/straw combustion or with longer exposure duration [HR (95%CI): 2.21 (1.74-2.79) and 3.01 (2.23-4.08), respectively]. Meanwhile, this risk was significantly decreased among children from households switching from solid fuels to clean fuels [HR (95%CI): 0.53 (0.39-0.70)]. Solid fuel use was suggested to be a mediator of the relationship between poor socioeconomic factors (i.e., household income and parental education level) and childhood stunning, with a mediation effect ranging from 11.25 to 14.26%.ConclusionsHAP exposure from solid fuel use was associated with childhood stunting. Poor parental education and low household income might be socioeconomic factors contributing to solid fuel use. Therefore, household energy policies to facilitate access to clean fuels are urgently needed, especially for low-income and low-educated households.

Dataset Information

Impact of air pollution on stunting among children in Africa.

Background

Methods

Results

Conclusions

Publications

Impact of air pollution on stunting among children in Africa.

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