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• W2023211017 abstract "ISEE-221 Introduction: The relationship between indoor fuel smoke and low birth weight (LBW) has not been well studied, although the associations of cigarette smoking, both active and passive, and outdoor air pollution with increased risk of LBW have been reported. Aim: The aim of this report is to identify the contribution of indoor air pollution from biomass fuel use to LBW in a population in Pakistan. Methods: Data were available for 941 pregnant women interviewed for a maternal health program in Pakistan. LBW defined as a birth weight (measured within 48 hours of birth) of < 2500 g, was 31%. To adjust for socio-economic confounding factors, a composite socio-economic status (SES) variable was created using, water supply, lighting source, toilet facilities, house ownership, construction, and density (occupants/room). Results: Mothers reporting use of wood as fuel had LBW of 38% compared to 22% in mothers using natural gas as fuel. A multiple logistic regression model showed that use of wood fuel, adjusted for SES, body mass index, serum Vitamin A levels, age, gravid status, and not receiving a tetanus toxoid injection in pregnancy, was independently associated with LBW. For pilot data air concentrations of carbon monoxide (CO) and particulate matter (PM2.5) were measured by electrochemical monitors (TSI, IAQ-CALCTM, Model 8762, and TSI Dust Track), in summer (n=14) and winter (n=12) stratified by fuel (wood and natural gas) and house construction (straw or bricks). Mean levels for 24 hours for CO were 24 ppm for wood use compared to 5 ppm in natural gas using kitchens with cooking time levels reaching above 150 ppm in wood-burning houses. Mean levels for PM 2.5 were 12 mg/ m3 in wood and 0.25 mg/m3in houses using natural gas. In wood using houses daytime average levels for PM 2.5 were from 2.2 to 30 mg/m3, and during cooking, they were as high as 300 mg/m3. The increased air concentrations of CO and PM 2.5 correlated well with each other and varied by an order of magnitude by the type of fuel used. Discussion: The findings of this study suggest an independent effect of indoor air pollution on birth weight, in line with findings from the few other studies available to date. Our analyses also suggest the importance of assessing LBW in populations where pregnant women are exposed to high levels of indoor air pollution from solid fuels." @default.
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• W2023211017 date "2005-09-01" @default.
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• W2023211017 title "INDOOR AIR POLLUTION FROM SOLID FUEL USE AND LOW BIRTH WEIGHT (LBW) IN PAKISTAN" @default.
• W2023211017 doi "https://doi.org/10.1097/00001648-200509000-00215" @default.
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