Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, India

Abstract Background The majority of people in rural developing counties still rely on unclean and solid fuels for cooking, putting their health at risk. Adult and elderly women are most vulnerable due to prolonged exposure in cooking areas, and Indoor Air Pollution (IAP) may negatively impact their...

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Main Authors: Manoj Dakua, Ranjan Karmakar, Papai Barman
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14749-7
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author Manoj Dakua
Ranjan Karmakar
Papai Barman
author_facet Manoj Dakua
Ranjan Karmakar
Papai Barman
author_sort Manoj Dakua
collection DOAJ
description Abstract Background The majority of people in rural developing counties still rely on unclean and solid fuels for cooking, putting their health at risk. Adult and elderly women are most vulnerable due to prolonged exposure in cooking areas, and Indoor Air Pollution (IAP) may negatively impact their health and cognitive function. This study examines the effect of IAP on the cognitive function of middle-aged and elderly rural women in India. Methods The study utilized the data from the Longitudinal Ageing Study in India (LASI 2017–18, Wave-1). Bivariate analysis and multilevel linear regression models were applied to show the association between IAP and the cognitive abilities of rural women and results from regression were presented by beta coefficient (β) with 95% confidence interval (CI). Confounding factors such as age, education, health risk behaviours, marital status, monthly per capita consumption expenditure (MPCE), religion etc. were adjusted in the final model. Results The study found that 18.71 percent of the rural women (n = 3,740) lived in Indoor Air Pollution exposed households. IAP was significantly found to be associated with the cognitive functional abilities among the middle and older aged rural women. Middle and older aged rural women exposed to IAP had lower cognitive functional abilities than non-exposed women. Comparing to the non-exposed group, the cognitive score was worse for those exposed to IAP in both the unadjusted (β = -1.96; 95%CI: -2.22 to -1.71) and the adjusted (β = -0.72; 95%CI: -0.92 to -0.51) models. Elderly rural women from lower socioeconomic backgrounds were more likely to have cognitive impairment as a result of IAP. Conclusion Findings revealed that IAP from solid fuels could significantly affect the cognitive health of elderly rural women in India, indicating the need for immediate intervention efforts to reduce the use of solid fuels, IAP and associated health problems.
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spelling doaj.art-6404f33157bb4da1ab66d6fc6965b5f52022-12-22T03:50:38ZengBMCBMC Public Health1471-24582022-12-0122111110.1186/s12889-022-14749-7Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, IndiaManoj Dakua0Ranjan Karmakar1Papai Barman2International Institute for Population SciencesInternational Institute for Population SciencesInternational Institute for Population SciencesAbstract Background The majority of people in rural developing counties still rely on unclean and solid fuels for cooking, putting their health at risk. Adult and elderly women are most vulnerable due to prolonged exposure in cooking areas, and Indoor Air Pollution (IAP) may negatively impact their health and cognitive function. This study examines the effect of IAP on the cognitive function of middle-aged and elderly rural women in India. Methods The study utilized the data from the Longitudinal Ageing Study in India (LASI 2017–18, Wave-1). Bivariate analysis and multilevel linear regression models were applied to show the association between IAP and the cognitive abilities of rural women and results from regression were presented by beta coefficient (β) with 95% confidence interval (CI). Confounding factors such as age, education, health risk behaviours, marital status, monthly per capita consumption expenditure (MPCE), religion etc. were adjusted in the final model. Results The study found that 18.71 percent of the rural women (n = 3,740) lived in Indoor Air Pollution exposed households. IAP was significantly found to be associated with the cognitive functional abilities among the middle and older aged rural women. Middle and older aged rural women exposed to IAP had lower cognitive functional abilities than non-exposed women. Comparing to the non-exposed group, the cognitive score was worse for those exposed to IAP in both the unadjusted (β = -1.96; 95%CI: -2.22 to -1.71) and the adjusted (β = -0.72; 95%CI: -0.92 to -0.51) models. Elderly rural women from lower socioeconomic backgrounds were more likely to have cognitive impairment as a result of IAP. Conclusion Findings revealed that IAP from solid fuels could significantly affect the cognitive health of elderly rural women in India, indicating the need for immediate intervention efforts to reduce the use of solid fuels, IAP and associated health problems.https://doi.org/10.1186/s12889-022-14749-7Indoor air pollutionCognitive functional healthOlder adultsLASI
spellingShingle Manoj Dakua
Ranjan Karmakar
Papai Barman
Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, India
BMC Public Health
Indoor air pollution
Cognitive functional health
Older adults
LASI
title Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, India
title_full Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, India
title_fullStr Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, India
title_full_unstemmed Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, India
title_short Exposure to indoor air pollution and the cognitive functioning of elderly rural women: a cross-sectional study using LASI data, India
title_sort exposure to indoor air pollution and the cognitive functioning of elderly rural women a cross sectional study using lasi data india
topic Indoor air pollution
Cognitive functional health
Older adults
LASI
url https://doi.org/10.1186/s12889-022-14749-7
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AT papaibarman exposuretoindoorairpollutionandthecognitivefunctioningofelderlyruralwomenacrosssectionalstudyusinglasidataindia