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

Jary, Hannah, Simpson, Hope, Havens, Deborah, Manda, Geoffrey, Pope, Daniel ORCID: 0000-0003-2694-5478, Bruce, Nigel and Mortimer, Kevin (2016) Household Air Pollution and Acute Lower Respiratory Infections in Adults: A Systematic Review. PLOS ONE, 11 (12). e0167656-.

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Abstract

<h4>Introduction</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Discussion</h4>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.<h4>Registration number</h4>CRD42015028042.

Item Type:	Article
Uncontrolled Keywords:	Humans, Respiratory Tract Infections, Acute Disease, Family Characteristics, Air Pollution, Air Pollution, Indoor, Environmental Exposure, Adult, Child, Male
Depositing User:	Symplectic Admin
Date Deposited:	10 Feb 2017 14:13
Last Modified:	19 Jan 2023 07:19
DOI:	10.1371/journal.pone.0167656
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3005725