Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countries
Objective This study sought to investigate the joint effect of household cooking fuel type and urbanicity (rural–urban residency) on anaemia among children under the age of five in sub-Saharan Africa.Design We analysed cross-sectional data of 123, 186 children under the age of five from 29 sub-Sahar...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2021-07-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/7/e048724.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850285301188001792 |
|---|---|
| author | Sanni Yaya Bright Opoku Ahinkorah Abdul-Aziz Seidu Iddrisu Amadu Abdul-Rahaman Afitiri |
| author_facet | Sanni Yaya Bright Opoku Ahinkorah Abdul-Aziz Seidu Iddrisu Amadu Abdul-Rahaman Afitiri |
| author_sort | Sanni Yaya |
| collection | DOAJ |
| description | Objective This study sought to investigate the joint effect of household cooking fuel type and urbanicity (rural–urban residency) on anaemia among children under the age of five in sub-Saharan Africa.Design We analysed cross-sectional data of 123, 186 children under the age of five from 29 sub-Saharan African countries gathered between 2010 and 2019 by the Demographic and Health Survey programme. Bivariate (χ2 test of independence) and multilevel logistic regression were used to examine the effect of urbanicity-household cooking fuel type on childhood anaemia. Results were reported as adjusted odds ratios (aORs) with 95% CIs at p<0.05.Outcome measures Anaemia status of children.Results More than half (64%) of children had anaemia. The percentage of children who suffered from anaemia was high in those born to mothers in Western Africa (75%) and low among those born in Southern Africa (54%). Children from rural households that depend on unclean cooking fuels (aOR=1.120; 95% CI 1.033 to 1.214) and rural households that depend on clean cooking fuels (aOR=1.256; 95% CI 1.080 to 1.460) were more likely to be anaemic as compared with children from urban households using clean cooking fuel. Child’s age, sex of child, birth order, perceived birth size, age of mother, body mass index of mother, education, marital status, employment status, antenatal care, wealth quintile, household size, access to electricity, type of toilet facility, source of drinking water and geographic region had significant associations with childhood anaemia status.Conclusions Our study has established a joint effect of type of household cooking fuel and urbanicity on anaemia among children under the age of five in sub-Saharan Africa. It is therefore critical to promote the usage of clean cooking fuels among households and women in rural areas. These should be done taking into consideration the significant child, maternal, household, and contextual factors identified in this study. |
| format | Article |
| id | doaj-art-3b8ecfd5b23c49519bf1bb2e58e7da7c |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-3b8ecfd5b23c49519bf1bb2e58e7da7c2025-08-20T01:47:21ZengBMJ Publishing GroupBMJ Open2044-60552021-07-0111710.1136/bmjopen-2021-048724Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countriesSanni Yaya0Bright Opoku Ahinkorah1Abdul-Aziz Seidu2Iddrisu Amadu3Abdul-Rahaman Afitiri4School of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, CanadaFaculty of Health, The Australian Centre for Public and Population Health Research, University of Technology Sydney, Sydney, New South Wales, AustraliaDepartment of Population and Health, Faculty of Social Sciences, University of Cape Coast, Cape Coast, Central, GhanaAfrica Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, GhanaDepartment of Environmental Science, University of Cape Coast, Cape Coast, GhanaObjective This study sought to investigate the joint effect of household cooking fuel type and urbanicity (rural–urban residency) on anaemia among children under the age of five in sub-Saharan Africa.Design We analysed cross-sectional data of 123, 186 children under the age of five from 29 sub-Saharan African countries gathered between 2010 and 2019 by the Demographic and Health Survey programme. Bivariate (χ2 test of independence) and multilevel logistic regression were used to examine the effect of urbanicity-household cooking fuel type on childhood anaemia. Results were reported as adjusted odds ratios (aORs) with 95% CIs at p<0.05.Outcome measures Anaemia status of children.Results More than half (64%) of children had anaemia. The percentage of children who suffered from anaemia was high in those born to mothers in Western Africa (75%) and low among those born in Southern Africa (54%). Children from rural households that depend on unclean cooking fuels (aOR=1.120; 95% CI 1.033 to 1.214) and rural households that depend on clean cooking fuels (aOR=1.256; 95% CI 1.080 to 1.460) were more likely to be anaemic as compared with children from urban households using clean cooking fuel. Child’s age, sex of child, birth order, perceived birth size, age of mother, body mass index of mother, education, marital status, employment status, antenatal care, wealth quintile, household size, access to electricity, type of toilet facility, source of drinking water and geographic region had significant associations with childhood anaemia status.Conclusions Our study has established a joint effect of type of household cooking fuel and urbanicity on anaemia among children under the age of five in sub-Saharan Africa. It is therefore critical to promote the usage of clean cooking fuels among households and women in rural areas. These should be done taking into consideration the significant child, maternal, household, and contextual factors identified in this study.https://bmjopen.bmj.com/content/11/7/e048724.full |
| spellingShingle | Sanni Yaya Bright Opoku Ahinkorah Abdul-Aziz Seidu Iddrisu Amadu Abdul-Rahaman Afitiri Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countries BMJ Open |
| title | Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countries |
| title_full | Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countries |
| title_fullStr | Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countries |
| title_full_unstemmed | Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countries |
| title_short | Household cooking fuel type and childhood anaemia in sub-Saharan Africa: analysis of cross-sectional surveys of 123, 186 children from 29 countries |
| title_sort | household cooking fuel type and childhood anaemia in sub saharan africa analysis of cross sectional surveys of 123 186 children from 29 countries |
| url | https://bmjopen.bmj.com/content/11/7/e048724.full |
| work_keys_str_mv | AT sanniyaya householdcookingfueltypeandchildhoodanaemiainsubsaharanafricaanalysisofcrosssectionalsurveysof123186childrenfrom29countries AT brightopokuahinkorah householdcookingfueltypeandchildhoodanaemiainsubsaharanafricaanalysisofcrosssectionalsurveysof123186childrenfrom29countries AT abdulazizseidu householdcookingfueltypeandchildhoodanaemiainsubsaharanafricaanalysisofcrosssectionalsurveysof123186childrenfrom29countries AT iddrisuamadu householdcookingfueltypeandchildhoodanaemiainsubsaharanafricaanalysisofcrosssectionalsurveysof123186childrenfrom29countries AT abdulrahamanafitiri householdcookingfueltypeandchildhoodanaemiainsubsaharanafricaanalysisofcrosssectionalsurveysof123186childrenfrom29countries |