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. 2015 Jun;25(3):341-52.
doi: 10.1111/ina.12144. Epub 2014 Aug 11.

Effect of indoor air pollution from biomass and solid fuel combustion on symptoms of preeclampsia/eclampsia in Indian women

S Agrawal  1 , S Yamamoto
Affiliations

Effect of indoor air pollution from biomass and solid fuel combustion on symptoms of preeclampsia/eclampsia in Indian women

S Agrawal et al. Indoor Air. 2015 Jun.

Abstract

Available evidence concerning the association between indoor air pollution (IAP) from biomass and solid fuel combustion and preeclampsia/eclampsia is not available in developing countries. We investigated the association between exposure to IAP from biomass and solid fuel combustion and symptoms of preeclampsia/eclampsia in Indian women by analyzing cross-sectional data from India's third National Family Health Survey (NFHS-3, 2005-2006). Self-reported symptoms of preeclampsia/eclampsia during pregnancy such as convulsions (not from fever), swelling of legs, body or face, excessive fatigue or vision difficulty during daylight, were obtained from 39,657 women aged 15-49 years who had a live birth in the previous 5 years. Effects of exposure to cooking smoke, ascertained by type of fuel used for cooking on preeclampsia/eclampsia risk, were estimated using logistic regression after adjusting for various confounders. Results indicate that women living in households using biomass and solid fuels have two times higher likelihood of reporting preeclampsia/eclampsia symptoms than do those living in households using cleaner fuels (OR = 2.21; 95%: 1.26-3.87; P = 0.006), even after controlling for the effects of a number of potentially confounding factors. This study is the first to empirically estimate the associations of IAP from biomass and solid fuel combustion and reported symptoms suggestive of preeclampsia/eclampsia in a large nationally representative sample of Indian women and we observed increased risk. These findings have important program and policy implications for countries such as India, where large proportions of the population rely on polluting biomass fuels for cooking and space heating. More epidemiological research with detailed exposure assessments and clinical measures of preeclampsia/eclampsia is needed in a developing country setting to validate these findings.

Keywords: Biomass fuels; Cooking smoke; India; Indoor air pollution; NFHS-3; Preeclampsia/eclampsia; Solid fuels; Women.

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Comment in

  • Pre-eclampsia, solid-fuel cooking, and magnesium.
    Rylander R. Rylander R. Indoor Air. 2015 Jun;25(3):353. doi: 10.1111/ina.12157. Indoor Air. 2015. PMID: 25912981 No abstract available.
  • Author's reply.
    Agrawal S, Yamamoto S. Agrawal S, et al. Indoor Air. 2015 Jun;25(3):354-5. doi: 10.1111/ina.12169. Indoor Air. 2015. PMID: 25912982 Free PMC article. No abstract available.

References

    1. Aagaard-Tillery KM, Belfort MA. Eclampsia: morbidity, mortality, and management. Clin. Obstet. Gynecol. 2005;48:12–23. - PubMed
    1. Agrawal S. Effect of Indoor air pollution from biomass and solid fuel combustion on prevalence of self-reported asthma among adult men and women in India: findings from a nation-wide large scale cross sectional survey. J. Asthma. 2012;49:355–365. - PMC - PubMed
    1. Albalak R. 1997. Cultural practices and exposure to particulate pollution from Indoor biomass cooking: effects on respiratory health and nutritional status among the Aymara Indians of the Bolivian Highlands [PhD Thesis]. Ann Arbor, MI: University of Michigan.
    1. Ali AA, Rayis DA, Abdallah TM, Elbashir MI, Adam I. Severe anaemia is associated with a higher risk for preeclampsia and poor perinatal outcomes in Kassala Hospital, Eastern Sudan. BMC Res. Notes. 2011;26:311. - PMC - PubMed
    1. Angrist JD, Imbens GW, Rubin DB. Identification of causal effects using instrumental variables. J. Am. Stat. Assoc. 1996;91:444–455.

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