Multidimensional energy poverty and acute respiratory infection in children under 5 years of age: evidence from 22 low-income and middle-income countries.

Autor:	Stevens M; Public Health, Erasmus Medical Center, Rotterdam, The Netherlands., Yang-Huang J; Public Health, Erasmus Medical Center, Rotterdam, The Netherlands., Nieboer D; Public Health, Erasmus Medical Center, Rotterdam, The Netherlands., Zhou S; Department of Maternal and Child Health, Peking University, Beijing, China., Osman KA; Departement of Child Health, University of Ghana Medical School, Accra, Ghana., Raat H; Public Health, Erasmus Medical Center, Rotterdam, The Netherlands., van Grieken A; Public Health, Erasmus Medical Center, Rotterdam, The Netherlands a.vangrieken@erasmusmc.nl.
Jazyk:	angličtina
Zdroj:	Journal of epidemiology and community health [J Epidemiol Community Health] 2023 Nov; Vol. 77 (11), pp. 687-693. Date of Electronic Publication: 2023 Aug 24.
DOI:	10.1136/jech-2023-220540
Abstrakt:	Background: In low-income and middle-income countries (LMICs), energy poverty has predominantly been studied from the unidimensional perspective of indoor air pollution. Acute respiratory infection (ARI) in children under 5 years of age is the most important disease associated with indoor air pollution attributable to solid fuel use in LMICs. This study aimed to extend the existing knowledge on the association between energy poverty and ARI among children under 5 years of age in LMICs, by adopting a multidimensional perspective. Methods: Using Demographic and Health Surveys from 22 LMICs, data from 483 088 children were analysed (mean age 2.00 years (SD 1.41); 51.3% male). Energy poverty was measured using the Multidimensional Energy Poverty Index (MEPI) (range 0-1), which comprises five dimensions of essential energy services. Binary logistic regression models were conducted to study the association between MEPI and ARI, adjusting for child, maternal, household and environmental characteristics. Results: A 0.1 increase in MEPI score was associated with greater odds of ARI (aOR 1.05; 95% CI 1.04 to 1.07). Likewise, MEPI indicators using biomass for cooking (aOR 1.15; 95% CI 1.07 to 1.23) and lack of access to electricity (aOR 1.17; 95% CI 1.10 to 1.26), entertainment/education appliances (aOR 1.07; 95% CI 1.02 to 1.13) and household appliances (aOR 1.12; 95% CI 1.04 to 1.21) were associated with greater odds of ARI. Conclusion: Multidimensional energy poverty was associated with greater odds of ARI in children under 5 years of age living in 22 LMICs. Hence, our findings justify the design and implementation of interventions that address energy poverty from a multidimensional perspective, integrating energy affordability and accessibility. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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