The association of cooking fuels with depression and anxiety symptoms among adults aged ≥65 years from low- and middle-income countries
| Autor: | Lee Smith, Nicola Veronese, Guillermo F. López Sánchez, Laurie Butler, Yvonne Barnett, Jae Il Shin, San Lee, Jae Won Oh, Pinar Soysal, Damiano Pizzol, Hans Oh, Karel Kostev, Louis Jacob, Ai Koyanagi |
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| Přispěvatelé: | SOYSAL, PINAR, Smith, Lee, Veronese, Nicola, López Sánchez, Guillermo F, Butler, Laurie, Barnett, Yvonne, Shin, Jae Il, Lee, San, Oh, Jae Won, Soysal, Pinar, Pizzol, Damiano, Oh, Han, Kostev, Karel, Jacob, Loui, Koyanagi, Ai |
| Rok vydání: | 2022 |
| Předmět: |
Male
Depression Low- and middle-income countries Anxiety Cooking fuel Anxiety Cooking fuel Depression Low- and middle-income countries Mental health Older adults Sustainable goal 7 Psychiatry and Mental health Clinical Psychology Sustainable goal 7 Cross-Sectional Studies Air Pollution Indoor Older adults Humans Female Mental health Cooking Developing Countries |
| ISSN: | 1573-2517 |
| Popis: | Background: We aimed to investigate associations of unclean cooking fuels with depression and anxiety symptoms in a large sample of adults aged ≥65years from six low- and middle-income countries (LMICs). Methods: Cross-sectional, community-based, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Unclean cooking fuel referred to kerosene/paraffin, coal/charcoal, wood, agriculture/crop, animal dung, and shrubs/grass. Depression referred to DSM-IV depression based on past 12-month symptoms or receiving depression treatment in the last 12months. Anxiety symptoms referred to severe/extreme problems with worry or anxiety in the past 30days. Multivariable logistic regression analysis and meta-analysis were conducted. Results: Data on 14,585 people aged ≥65years were analyzed [mean (SD) age 72.6 (11.5) years; maximum age 114years; 55.0% females]. After adjustment for potential confounders, unclean cooking fuel was associated with a significant 2.52 (95%CI=1.66-3.82) times higher odds for depression with a low level of between-country heterogeneity (I2=0.0%). For anxiety symptoms, unclean fuel use was not significantly associated with anxiety symptoms (OR=1.13; 95%CI=0.77-1.68; I2=0.0%). Limitations: 1. Cross-sectional design. 2. Self-reported measures. 3. No information about outdoor pollution exposure, personal exposure, and smoke composition of different cooking fuels. Conclusions: Unclean cooking fuel was significantly associated with higher odds for depression, but not anxiety, with little observed variability between settings. Findings from the present study provide further support and call for action in appropriate implementation of the United Nations Sustainable Goal 7, which advocates affordable, reliable, sustainable, and modern energy for all. |
| Databáze: | OpenAIRE |
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