{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:55:04Z","timestamp":1781812504272,"version":"3.54.5"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the association between household air pollution (HAP) exposure and adverse maternal and perinatal outcomes among mothers in Ghana using evidence from the 2022 Demographic and Health Survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective secondary analysis was conducted using data from the 2022 Ghana Demographic and Health Survey (GDHS). The study included women aged 15\u201349\u2009years with a recent pregnancy outcome. HAP exposure was proxied using unclean cooking fuel. Outcomes assessed were maternal anemia (hemoglobin &lt;11.0 g\/dL), low birth weight (LBW) (&lt;2500 g), preterm birth (&lt;37\u2009weeks), and stillbirth. Multivariable logistic regression models were fitted to estimate associations between HAP exposure and outcomes. Statistical significance was set at\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Unclean cooking fuel use was highly prevalent (88.2%), especially in rural households (95.7%) and among the poorest households (99.8%). After adjustment, unclean fuel use was associated with higher odds of LBW (adjusted odds ratio [aOR] 1.47; 95% CI 1.10\u20131.96;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.008). Anemia, cesarean section and prolonged length of hospital stay after delivery were associated with HAP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HAP remains a significant risk factor for adverse maternal and perinatal outcomes in Ghana, underscoring the need to accelerate adoption of clean cooking technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70819","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T07:49:56Z","timestamp":1770450596000},"page":"405-415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Household air pollution exposure and prevalence of adverse maternal and perinatal outcomes among mothers in Ghana: Evidence from the 2022 Demographic Health Survey"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2975-9608","authenticated-orcid":false,"given":"Michael","family":"Mensah","sequence":"first","affiliation":[{"name":"Department of Community Health, Family Health Medical School Family Health University  Teshie Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sampson","family":"Opoku","sequence":"additional","affiliation":[{"name":"Department of Community Health, Family Health Medical School Family Health University  Teshie Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Promise Emmanuel","family":"Sefogah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Korle Bu Teaching Hospital  Teshie Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Aninagyei","sequence":"additional","affiliation":[{"name":"Department of Medicine Holy Family Hospital  Techiman Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102742"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2008.05.028"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2023.162163"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"KhanN NursCZB IslamMM IslamR RahmanM.Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: a nationwide population\u2010 based study. 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