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Household Air Pollution and Acute Lower Respiratory Infections in Adults: A Systematic Review

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Jary, Hannah, Simpson, Hope, Havens, Deborah, Manda, Geoffrey, Pope, Daniel, Bruce, Nigel and Mortimer, Kevin ORCID: https://orcid.org/0000-0002-8118-8871 (2016) 'Household Air Pollution and Acute Lower Respiratory Infections in Adults: A Systematic Review'. PLoS ONE, Vol 11, Issue 12, e0167656.

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Abstract

Introduction
Household air pollution from solid fuel burning kills over 4 million people every year including half a million children from acute lower respiratory infections. Although biologically plausible, it is not clear whether household air pollution is also associated with acute lower respiratory infections in adults. We systematically reviewed the literature on household air pollution and acute lower respiratory infection in adults to identify knowledge gaps and research opportunities.

Methods
Ten bibliographic databases were searched to identify studies of household air pollution and adult acute lower respiratory infection. Data were extracted from eligible studies using standardised forms.

Results
From 4617 titles, 513 abstracts and 72 full-text articles were reviewed. Eight studies met the inclusion criteria of which 2 found a significant adjusted increased risk of acute lower respiratory infection, 2 identified a univariate association whilst 4 found no significant association. Study quality was generally limited. Heterogeneity in methods and findings precluded meta-analysis.

Discussion
A systematic review of the literature found limited evidence for an association between household air pollution and risk of acute lower respiratory infection in adults. Additional research, with carefully defined exposure and outcome measures, is required to complete the risk profile caused by household air pollution in adults.

Registration number
CRD42015028042.

Item Type: Article
Subjects: WA Public Health > Health Administration and Organization > WA 525 General works
WA Public Health > Air pollution > WA 750 Air sanitation and hygiene
WA Public Health > Air pollution > WA 754 Pollution and pollutants (incl. tobacco pollution; passive smoking)
WF Respiratory System > WF 140 Diseases of the respiratory system (General)
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1371/journal.pone.0167656
SWORD Depositor: JISC Pubrouter
Depositing User: JISC Pubrouter
Date Deposited: 06 Dec 2016 10:29
Last Modified: 12 Sep 2019 13:07
URI: https://archive.lstmed.ac.uk/id/eprint/6413

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