Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based study

BackgroundPrevious studies have suggested that air pollution affects physiological and psychological health. Using solid fuel at home is a significant source of indoor air pollution. The associations between solid fuel use and depressive symptoms and cognitive health were unclear among older adults...

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Main Authors: Yuming Jin, Xianghong Zhou, Linghui Deng, Xingyu Xiong, Yifan Li, Qiang Wei, Birong Dong, Shi Qiu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1038573/full
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author Yuming Jin
Xianghong Zhou
Linghui Deng
Xingyu Xiong
Yifan Li
Qiang Wei
Birong Dong
Shi Qiu
Shi Qiu
author_facet Yuming Jin
Xianghong Zhou
Linghui Deng
Xingyu Xiong
Yifan Li
Qiang Wei
Birong Dong
Shi Qiu
Shi Qiu
author_sort Yuming Jin
collection DOAJ
description BackgroundPrevious studies have suggested that air pollution affects physiological and psychological health. Using solid fuel at home is a significant source of indoor air pollution. The associations between solid fuel use and depressive symptoms and cognitive health were unclear among older adults from low- and middle-income countries (LMICs).MethodsTo evaluate the association of solid fuel use with depressive symptoms and cognitive health among older adults, we obtained data from the Longitudinal Aging Study in India (LASI) and excluded subjects younger than 60 years and without critical data (solid fuel use, depressive symptoms, and cognitive health). The 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to assess depressive symptoms, with more than ten indicative of depression. Cognitive health was assessed using measures from the Health and Retirement Study (HRS), and subjects with the lowest 10th percentile were considered to have cognitive impairment. The participants' responses defined solid fuel use. Multivariable logistic regression, linear regression, subgroup analysis, and interaction tests were performed to appraise the relationship between solid fuel use and depression and cognitive impairment.ResultsA total of 29,789 participants over 60 years old were involved in this study. Almost half of the participants (47.5%) reported using solid fuel for home cooking. Compared with clean fuel use, solid fuel use was related to an increased prevalence of depression [odds ratio (OR) 1.09, 95% CI 1.03–1.16] and higher CES-D-10 scores (β 0.23, 95% CI 0.12–0.35) after fully adjusted covariables. Using solid fuel was also related to a higher risk of cognitive impairment (OR 1.21, 95% CI 1.11–1.32) and a lower cognitive score (β −0.63, 95% CI −0.79 to −0.47) compared with those who used clean fuel. In the subgroup analysis, the prevalence of depression increased in females and non-smokers. The association of solid fuel use with depression and cognitive impairment exists in subgroups of BMI, economic status, caste, living area, education, and drinking.ConclusionsThe use of solid fuel at home was associated with an increased prevalence of depression and cognitive impairment among older adults in India.
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spelling doaj.art-e159f143a14e4071abe3c6f5d441fc7e2022-12-22T02:54:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.10385731038573Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based studyYuming Jin0Xianghong Zhou1Linghui Deng2Xingyu Xiong3Yifan Li4Qiang Wei5Birong Dong6Shi Qiu7Shi Qiu8Department of Urology, National Clinical Research Center for Geriatrics, Institute of Urology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, National Clinical Research Center for Geriatrics, Institute of Urology, West China Hospital, Sichuan University, Chengdu, ChinaNational Clinical Research Center of Geriatrics, The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, National Clinical Research Center for Geriatrics, Institute of Urology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, National Clinical Research Center for Geriatrics, Institute of Urology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, National Clinical Research Center for Geriatrics, Institute of Urology, West China Hospital, Sichuan University, Chengdu, ChinaNational Clinical Research Center of Geriatrics, The Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, National Clinical Research Center for Geriatrics, Institute of Urology, West China Hospital, Sichuan University, Chengdu, ChinaInstitute of Oncology Research (IOR) and Oncology Institute of Southern Switzerland (IOSI), Bellinzona, SwitzerlandBackgroundPrevious studies have suggested that air pollution affects physiological and psychological health. Using solid fuel at home is a significant source of indoor air pollution. The associations between solid fuel use and depressive symptoms and cognitive health were unclear among older adults from low- and middle-income countries (LMICs).MethodsTo evaluate the association of solid fuel use with depressive symptoms and cognitive health among older adults, we obtained data from the Longitudinal Aging Study in India (LASI) and excluded subjects younger than 60 years and without critical data (solid fuel use, depressive symptoms, and cognitive health). The 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to assess depressive symptoms, with more than ten indicative of depression. Cognitive health was assessed using measures from the Health and Retirement Study (HRS), and subjects with the lowest 10th percentile were considered to have cognitive impairment. The participants' responses defined solid fuel use. Multivariable logistic regression, linear regression, subgroup analysis, and interaction tests were performed to appraise the relationship between solid fuel use and depression and cognitive impairment.ResultsA total of 29,789 participants over 60 years old were involved in this study. Almost half of the participants (47.5%) reported using solid fuel for home cooking. Compared with clean fuel use, solid fuel use was related to an increased prevalence of depression [odds ratio (OR) 1.09, 95% CI 1.03–1.16] and higher CES-D-10 scores (β 0.23, 95% CI 0.12–0.35) after fully adjusted covariables. Using solid fuel was also related to a higher risk of cognitive impairment (OR 1.21, 95% CI 1.11–1.32) and a lower cognitive score (β −0.63, 95% CI −0.79 to −0.47) compared with those who used clean fuel. In the subgroup analysis, the prevalence of depression increased in females and non-smokers. The association of solid fuel use with depression and cognitive impairment exists in subgroups of BMI, economic status, caste, living area, education, and drinking.ConclusionsThe use of solid fuel at home was associated with an increased prevalence of depression and cognitive impairment among older adults in India.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1038573/fullindoor air pollutionsolid fueldepressionolder adultscognitive impairment
spellingShingle Yuming Jin
Xianghong Zhou
Linghui Deng
Xingyu Xiong
Yifan Li
Qiang Wei
Birong Dong
Shi Qiu
Shi Qiu
Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based study
Frontiers in Public Health
indoor air pollution
solid fuel
depression
older adults
cognitive impairment
title Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based study
title_full Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based study
title_fullStr Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based study
title_full_unstemmed Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based study
title_short Association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country: A large-scale population-based study
title_sort association between the domestic use of solid cooking fuel and increased prevalence of depression and cognitive impairment in a big developing country a large scale population based study
topic indoor air pollution
solid fuel
depression
older adults
cognitive impairment
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1038573/full
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