Household fuel consumption, indoor air pollution, and respiratory health infections among children in Pakistan

Abstract Household energy use for cooking constitutes a significant portion of energy consumption in Pakistan. The use of unclean fuels releases harmful pollutants, increasing the risk of respiratory infections, which are a leading cause of mortality among children under five worldwide. This study a...

Full description

Saved in:
Bibliographic Details
Main Authors: Muhammad Nadeem, Mumtaz Anwar, Waseem Ul Rehman, Muhammad Irfan Malik, Wajid Ali, Mahmood Basil A. Al-Rawi, Wajid Syed
Format: Article
Language:English
Published: Springer Nature 2025-08-01
Series:Humanities & Social Sciences Communications
Online Access:https://doi.org/10.1057/s41599-025-05070-w
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849333035144577024
author Muhammad Nadeem
Mumtaz Anwar
Waseem Ul Rehman
Muhammad Irfan Malik
Wajid Ali
Mahmood Basil A. Al-Rawi
Wajid Syed
author_facet Muhammad Nadeem
Mumtaz Anwar
Waseem Ul Rehman
Muhammad Irfan Malik
Wajid Ali
Mahmood Basil A. Al-Rawi
Wajid Syed
author_sort Muhammad Nadeem
collection DOAJ
description Abstract Household energy use for cooking constitutes a significant portion of energy consumption in Pakistan. The use of unclean fuels releases harmful pollutants, increasing the risk of respiratory infections, which are a leading cause of mortality among children under five worldwide. This study assesses the impact of household fuel use on respiratory infections in children under five in Pakistan. This cross-sectional study utilized data from the Pakistan Demographic and Health Survey. The population included children less than five years of age. Logistic regression models were applied to assess the relationship between household energy type and respiratory infections, adjusting for confounding factors such as wealth status, maternal tobacco use, place of residence, and maternal education. The findings revealed that children in households using clean energy fuels had lower odds of respiratory infections (odds ratio [OR]: 0.70; 95% CI: 0.60–0.80). Having a separate kitchen was associated with reduced odds (OR: 0.80; 95% CI: 0.68–0.94), while children from the wealthiest households were significantly less likely to develop respiratory infections (OR: 0.54; 95% CI: 0.44–0.66). Conversely, maternal tobacco use increased the odds of respiratory infections in children (OR: 1.65; 95% CI: 1.34–2.04). Regional differences, urban vs. rural residence, and maternal education also emerged as important determinants. This study highlights the critical public health importance of promoting clean energy sources for cooking, improving kitchen design, discouraging maternal tobacco use, and addressing socioeconomic disparities to reduce respiratory infections among children in Pakistan. Policymakers should prioritize accessible clean energy solutions and targeted health interventions to improve child health outcomes.
format Article
id doaj-art-fd2e7111cf7a4e7f894abfbdd9b666c5
institution Kabale University
issn 2662-9992
language English
publishDate 2025-08-01
publisher Springer Nature
record_format Article
series Humanities & Social Sciences Communications
spelling doaj-art-fd2e7111cf7a4e7f894abfbdd9b666c52025-08-20T03:46:00ZengSpringer NatureHumanities & Social Sciences Communications2662-99922025-08-011211810.1057/s41599-025-05070-wHousehold fuel consumption, indoor air pollution, and respiratory health infections among children in PakistanMuhammad Nadeem0Mumtaz Anwar1Waseem Ul Rehman2Muhammad Irfan Malik3Wajid Ali4Mahmood Basil A. Al-Rawi5Wajid Syed6Department of Economics, Division of Management and Administrative Sciences, University of EducationSchool of Economics, University of the Punjab, Quaid-e-Azam CampusDepartment of Business Administration, University of the Punjab, Gujranwala CampusNUST School of Social Sciences and Humanities (S3H), National University of Science and TechnologyDepartment of Civil and Environmental Engineering, University of AlbertaDepartment of Optometry, College of Applied Medical Sciences, King Saud UniversityDepartment of Clinical Pharmacy, College of Pharmacy, King Saud UniversityAbstract Household energy use for cooking constitutes a significant portion of energy consumption in Pakistan. The use of unclean fuels releases harmful pollutants, increasing the risk of respiratory infections, which are a leading cause of mortality among children under five worldwide. This study assesses the impact of household fuel use on respiratory infections in children under five in Pakistan. This cross-sectional study utilized data from the Pakistan Demographic and Health Survey. The population included children less than five years of age. Logistic regression models were applied to assess the relationship between household energy type and respiratory infections, adjusting for confounding factors such as wealth status, maternal tobacco use, place of residence, and maternal education. The findings revealed that children in households using clean energy fuels had lower odds of respiratory infections (odds ratio [OR]: 0.70; 95% CI: 0.60–0.80). Having a separate kitchen was associated with reduced odds (OR: 0.80; 95% CI: 0.68–0.94), while children from the wealthiest households were significantly less likely to develop respiratory infections (OR: 0.54; 95% CI: 0.44–0.66). Conversely, maternal tobacco use increased the odds of respiratory infections in children (OR: 1.65; 95% CI: 1.34–2.04). Regional differences, urban vs. rural residence, and maternal education also emerged as important determinants. This study highlights the critical public health importance of promoting clean energy sources for cooking, improving kitchen design, discouraging maternal tobacco use, and addressing socioeconomic disparities to reduce respiratory infections among children in Pakistan. Policymakers should prioritize accessible clean energy solutions and targeted health interventions to improve child health outcomes.https://doi.org/10.1057/s41599-025-05070-w
spellingShingle Muhammad Nadeem
Mumtaz Anwar
Waseem Ul Rehman
Muhammad Irfan Malik
Wajid Ali
Mahmood Basil A. Al-Rawi
Wajid Syed
Household fuel consumption, indoor air pollution, and respiratory health infections among children in Pakistan
Humanities & Social Sciences Communications
title Household fuel consumption, indoor air pollution, and respiratory health infections among children in Pakistan
title_full Household fuel consumption, indoor air pollution, and respiratory health infections among children in Pakistan
title_fullStr Household fuel consumption, indoor air pollution, and respiratory health infections among children in Pakistan
title_full_unstemmed Household fuel consumption, indoor air pollution, and respiratory health infections among children in Pakistan
title_short Household fuel consumption, indoor air pollution, and respiratory health infections among children in Pakistan
title_sort household fuel consumption indoor air pollution and respiratory health infections among children in pakistan
url https://doi.org/10.1057/s41599-025-05070-w
work_keys_str_mv AT muhammadnadeem householdfuelconsumptionindoorairpollutionandrespiratoryhealthinfectionsamongchildreninpakistan
AT mumtazanwar householdfuelconsumptionindoorairpollutionandrespiratoryhealthinfectionsamongchildreninpakistan
AT waseemulrehman householdfuelconsumptionindoorairpollutionandrespiratoryhealthinfectionsamongchildreninpakistan
AT muhammadirfanmalik householdfuelconsumptionindoorairpollutionandrespiratoryhealthinfectionsamongchildreninpakistan
AT wajidali householdfuelconsumptionindoorairpollutionandrespiratoryhealthinfectionsamongchildreninpakistan
AT mahmoodbasilaalrawi householdfuelconsumptionindoorairpollutionandrespiratoryhealthinfectionsamongchildreninpakistan
AT wajidsyed householdfuelconsumptionindoorairpollutionandrespiratoryhealthinfectionsamongchildreninpakistan