{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T02:10:35Z","timestamp":1789524635028,"version":"build-2803163510"},"reference-count":56,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In utero exposure to household air pollution (HAP) from polluting cooking fuels has been linked to adverse pregnancy outcomes including low birthweight (LBW). No previous study in Uganda has attempted to investigate the association between the different types of biomass cooking fuels and LBW. This study was conducted to investigate the association between wood and other biomass cooking fuel use with increased risk of LBW, using the 2016 Uganda Demographic and Health Survey for 15,270 live births within five years prior to interview. LBW, defined as birthweight of &lt;2500 g, was estimated from maternal recall and health cards. Association between household exposure to the different solid biomass cooking fuels and LBW was determined using multivariable logistic regression. Biomass cooking fuels were used in 99.6% of the households, with few (0.3%) using cleaner fuels and 0.1% with no cooking, while the prevalence of LBW was 9.6% of all live-births. Although the crude analysis suggested an association between wood fuel use and LBW compared to other biomass and kerosene fuel use (AOR: 0.82; 95% CI: 0.67\u20131.00), after adjusting for socio-demographic and obstetric factors, no association was observed (AOR: 0.94; 95% CI: 0.72\u20131.22). LBW was significantly more likely among female neonates (AOR: 1.32 (95% CI: 1.13\u20131.55) and neonates born to mothers living in larger households (AOR: 1.03; 95% CI: 1.00\u20131.07). LBW was significantly less likely among neonates delivered at term (AOR: 0.39; 95% CI: 0.31\u20130.49), born to women with secondary or tertiary level of education (AOR: 0.80; 95% CI: 0.64\u20131.00), living in households with a higher wealth index (AOR: 0.69; 95% CI: 0.50\u20130.96), Eastern (AOR: 0.76; 95% CI:0.59\u20130.98) and Northern (AOR: 0.75; 95% CI: 0.57\u20130.99) regions. The study findings suggest inconclusive evidence regarding the association between the use of wood compared to other biomass and kerosene cooking fuels and risk of LBW. Given the close observed association between socioeconomic status and LBW, the Ugandan government should prioritize public health actions which support female education and broader sustainable development to improve household living standards in this setting.<\/jats:p>","DOI":"10.3390\/ijerph19074377","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T11:26:07Z","timestamp":1649157967000},"page":"4377","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Association between Wood and Other Biomass Fuels and Risk of Low Birthweight in Uganda: A Cross-Sectional Analysis of 2016 Uganda Demographic and Health Survey Data"],"prefix":"10.3390","volume":"19","author":[{"given":"Joshua","family":"Epuitai","sequence":"first","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK"},{"name":"Department of Nursing, Faculty of Health Sciences, Busitema University, Mbale P.O. Box 1460, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3743-9925","authenticated-orcid":false,"given":"Katherine E.","family":"Woolley","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8179-7618","authenticated-orcid":false,"given":"Suzanne E.","family":"Bartington","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Neil","family":"Thomas","sequence":"additional","affiliation":[{"name":"Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"5793","DOI":"10.1038\/s41467-021-26036-x","article-title":"Household cooking fuel estimates at global and country level for 1990 to 2030","volume":"12","author":"Stoner","year":"2021","journal-title":"Nat. Commun."},{"key":"ref_2","unstructured":"WHO (2021). Particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. WHO Global Air Quality Guidelines, World Health Organization."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1146\/annurev-publhealth-032013-182356","article-title":"Millions dead: How do we know and what does it mean? Methods used in the comparative risk assessment of household air pollution","volume":"35","author":"Smith","year":"2014","journal-title":"Annu. Rev. Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e1427","DOI":"10.1016\/S2214-109X(20)30343-0","article-title":"Adverse health effects associated with household air pollution: A systematic review, meta-analysis, and burden estimation study","volume":"8","author":"Lee","year":"2020","journal-title":"Lancet Glob. Health"},{"key":"ref_5","unstructured":"Avis, W.M.S., and Singh, A. (2022, February 11). Air Pollution Exposure in Low Income Households in Kampala. ASAP East Africa Vulnerability Scoping Study No. 6, Available online: https:\/\/assets.publishing.service.gov.uk."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.envint.2018.07.002","article-title":"Women and girls in resource poor countries experience much greater exposure to household air pollutants than men: Results from Uganda and Ethiopia","volume":"119","author":"Okello","year":"2018","journal-title":"Environ. Int."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Amegah, A.K., Quansah, R., and Jaakkola, J.J. (2014). Household air pollution from solid fuel use and risk of adverse pregnancy outcomes: A systematic review and meta-analysis of the empirical evidence. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0113920"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"112274","DOI":"10.1016\/j.envres.2021.112274","article-title":"Adverse birth outcomes associated with household air pollution from unclean cooking fuels in low-and middle-income countries: A systematic review","volume":"204","author":"Younger","year":"2021","journal-title":"Environ. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"19","DOI":"10.2471\/BLT.14.139790","article-title":"Neonatal cause-of-death estimates for the early and late neonatal periods for 194 countries: 2000\u20132013","volume":"93","author":"Oza","year":"2014","journal-title":"Bull. World Health Organ."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e849","DOI":"10.1016\/S2214-109X(18)30565-5","article-title":"National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: A systematic analysis","volume":"7","author":"Blencowe","year":"2019","journal-title":"Lancet Glob. Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1093\/tropej\/fms017","article-title":"Indoor air pollution-related acute lower respiratory infections and low birthweight: A systematic review","volume":"58","author":"Misra","year":"2012","journal-title":"J. Trop. Pediatrics"},{"key":"ref_12","first-page":"70","article-title":"Risk of low birth weight and stillbirth associated with indoor air pollution from solid fuel use in developing countries","volume":"32","author":"Pope","year":"2010","journal-title":"Epidemiol. Rev. Environ. Health Perspect."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/1476-069X-11-78","article-title":"Cooking fuel choices and garbage burning practices as determinants of birth weight: A cross-sectional study in Accra, Ghana","volume":"11","author":"Amegah","year":"2012","journal-title":"J. Environ. Health"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Adeyemi, R.A., Zewotir, T., and Ramroop, S. (2016). Semiparametric multinomial ordinal model to analyze spatial patterns of child birth weight in Nigeria. Int. J. Environ. Res. Public Health, 13.","DOI":"10.3390\/ijerph13111145"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.envint.2017.11.021","article-title":"Pregnancy outcomes and ethanol cook stove intervention: A randomized-controlled trial in Ibadan, Nigeria","volume":"111","author":"Alexander","year":"2018","journal-title":"Environ. Int."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Arinola, G.O., Dutta, A., Oluwole, O., and Olopade, C.O. (2018). Household air pollution, levels of micronutrients and heavy metals in cord and maternal blood, and pregnancy outcomes. Int. J. Environ. Res. Public Health Engl., 15.","DOI":"10.3390\/ijerph15122891"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Roberman, J., Emeto, T.I., and Adegboye, O.A. (2021). Adverse birth outcomes due to exposure to household air pollution from unclean cooking fuel among women of reproductive age in Nigeria. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18020634"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"160","DOI":"10.4314\/mmj.v29i2.16","article-title":"Maternal biomass smoke exposure and birth weight in Malawi: Analysis of data from the 2010 Malawi Demographic and Health Survey","volume":"29","author":"Milanzi","year":"2017","journal-title":"Malawi Med. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"298","DOI":"10.2174\/1874944501811010298","article-title":"Association of household fuel type, kitchen characteristics and house structure with child size at birth in Wolaita Sodo, Southern Ethiopia","volume":"11","author":"Admasie","year":"2018","journal-title":"Open Public Health J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"100211","DOI":"10.1016\/j.puhip.2021.100211","article-title":"Investigating the effect of biomass fuel use and kitchen location on maternal report of birth size: A Cross-Sectional Analysis of 2016 Ethiopian Demographic Health Survey data","volume":"2","author":"Kanno","year":"2021","journal-title":"Public Health Pract."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Demelash, H., Motbainor, A., Nigatu, D., Gashaw, K., and Melese, A. (2015). Risk factors for low birth weight in Bale zone hospitals, South-East Ethiopia: A case\u2013control study. BMC Pregnancy Childbirth, 15.","DOI":"10.1186\/s12884-015-0677-y"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.annepidem.2004.01.009","article-title":"Maternal exposure to biomass smoke and reduced birth weight in Zimbabwe","volume":"14","author":"Mishra","year":"2004","journal-title":"Ann. Epidemiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s12978-020-0878-3","article-title":"Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study","volume":"17","author":"Weber","year":"2020","journal-title":"J. Reprod. Health"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Woolley, K.E., Bagambe, T., Singh, A., Avis, W.R., Kabera, T., Weldetinsae, A., Mariga, S.T., Kirenga, B., Pope, F.D., and Thomas, G.N. (2020). Investigating the association between wood and charcoal domestic cooking, respiratory symptoms and acute respiratory infections among children aged under 5 Years in Uganda: A Cross-sectional analysis of the 2016 Demographic and Health Survey. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17113974"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"105471","DOI":"10.1016\/j.envint.2020.105471","article-title":"Household air pollution profiles associated with persistent childhood cough in urban Uganda","volume":"136","author":"Coker","year":"2020","journal-title":"Environ. Int."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"300","DOI":"10.4104\/pcrj.2013.00064","article-title":"Impact of chronic respiratory symptoms in a rural area of sub-Saharan Africa: An in-depth qualitative study in the Masindi district of Uganda","volume":"22","author":"Chavannes","year":"2013","journal-title":"Prim. Care Respir. J."},{"key":"ref_27","unstructured":"The World Bank Group (2021, March 08). Uganda | Data. Available online: https:\/\/data.worldbank.org\/country\/uganda."},{"key":"ref_28","unstructured":"Uganda Bureau of Statistics (UBOS), and ICF (2018). Uganda Demographic and Health Survey 2016."},{"key":"ref_29","unstructured":"(2021, September 01). Uganda Human Development Reports. Available online: http:\/\/hdr.undp.org\/sites\/all\/themes\/hdr_theme\/country-notes\/UGA.pdf."},{"key":"ref_30","unstructured":"Ministry of Energy and Mineral Development (2021, September 01). The Renewable Energy Policy for Uganda, Available online: https:\/\/www.era.go.ug\/index.php\/download-repo\/doc_details\/209-era-ceo-s-keynote-speech-at-the-era-getfit-uganda-solar-pv-award-event?tmpl=component."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/j.jpeds.2008.10.044","article-title":"Maternal age, multiple birth, and extremely low birth weight infants","volume":"154","author":"Vohr","year":"2009","journal-title":"J. Pediatrics"},{"key":"ref_32","unstructured":"Rutstein, S.O., and Johnson, K. (2004). The DHS Wealth Index, ORC Macro. DHS Comparative Reports No. 6."},{"key":"ref_33","unstructured":"Rutstein, S.O. (2015). Steps to Constructing the New DHS Wealth Index, ICF International."},{"key":"ref_34","unstructured":"Corp, I.S. (2020). IBM SPSS Statistics for Windows. Version 27.0, IBM."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Tusting, L.S., Bottomley, C., Gibson, H., Kleinschmidt, I., Tatem, A.J., Lindsay, S.W., and Gething, P.W. (2017). Housing improvements and malaria risk in sub-Saharan Africa: A multi-country analysis of survey data. PLoS Med., 14.","DOI":"10.1371\/journal.pmed.1002234"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Manyeh, A.K., Kukula, V., Odonkor, G., Ekey, R.A., Adjei, A., Narh-Bana, S., Akpakli, D.E., and Gyapongi, M. (2016). Socioeconomic and demographic determinants of birth weight in southern rural Ghana: Evidence from Dodowa Health and Demographic Surveillance System. BMC Pregnancy Childbirth, 16.","DOI":"10.1186\/s12884-016-0956-2"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"28822","DOI":"10.3402\/gha.v9.28822","article-title":"Risk factors for low birth weight in Nigeria: Evidence from the 2013 Nigeria Demographic and Health Survey","volume":"9","author":"Dahlui","year":"2016","journal-title":"Glob. Health Action"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"158","DOI":"10.4103\/SHB.SHB_46_20","article-title":"Socioeconomic and demographic factors associated with low birth weight in Nepal: Data from 2016 Nepal demographic and health survey","volume":"3","author":"Ahammed","year":"2020","journal-title":"Soc. Health Behav."},{"key":"ref_39","unstructured":"(2021, September 01). Poverty Maps of Uganda-Uganda Bureau of Statistics. Available online: https:\/\/www.ubos.org\/wp-content\/uploads\/publications\/02_2020Poverty_Map_report__Oct_2019.pdf."},{"key":"ref_40","unstructured":"World Health Organization (2007). Report of a WHO Technical Consultation on Birth Spacing: Geneva, Switzerland 13\u201315 June 2005, World Health Organization."},{"key":"ref_41","unstructured":"World Health Organization (2014). Global Nutrition Targets 2025: Low Birth Weight Policy Brief, World Health Organization."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3961\/jpmph.16.087","article-title":"Distribution and determinants of low birth weight in developing countries","volume":"50","author":"Mahumud","year":"2017","journal-title":"J. Prev. Med. Public Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"c3428","DOI":"10.1136\/bmj.c3428","article-title":"Overweight and obesity in mothers and risk of preterm birth and low birth weight infants: Systematic review and meta-analyses","volume":"341","author":"McDonald","year":"2010","journal-title":"BMJ"},{"key":"ref_44","unstructured":"StataCorp (2019). Stata Statistical Software: Release 16, StataCorp LLC."},{"key":"ref_45","unstructured":"(2021, December 20). The Demographic and Health Survey Program (DHS) The DHS Program US-AID. Available online: https:\/\/dhsprogram.com\/."},{"key":"ref_46","first-page":"57","article-title":"Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: A nationwide population-based study","volume":"16","author":"Khan","year":"2017","journal-title":"Environ. Health Perspect."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Sreeramareddy, C.T., Shidhaye, R.R., and Sathiakumar, N. (2011). Association between biomass fuel use and maternal report of child size at birth-an analysis of 2005\u201306 India Demographic Health Survey data. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-403"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Odo, D.B., Yang, I.A., and Knibbs, L.D. (2021). A systematic review and appraisal of epidemiological studies on household fuel use and its health effects using demographic and health surveys. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041411"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.trstmh.2008.05.028","article-title":"Indoor air pollution from biomass fuel smoke is a major health concern in the developing world","volume":"102","author":"Fullerton","year":"2008","journal-title":"Trans. R. Soc. Trop. Med. Hyg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1289\/ehp.02110109","article-title":"Birth weight and exposure to kitchen wood smoke during pregnancy in rural Guatemala","volume":"110","author":"Boy","year":"2002","journal-title":"Environ. Health Perspect."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"215","DOI":"10.2471\/BLT.15.155812","article-title":"Household air pollution and the sustainable development goals","volume":"94","author":"Amegah","year":"2016","journal-title":"Bull. World Health Organ."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s13643-021-01590-z","article-title":"Effectiveness of interventions to reduce household air pollution from solid biomass fuels and improve maternal and child health outcomes in low-and middle-income countries: A systematic review protocol","volume":"10","author":"Woolley","year":"2021","journal-title":"Syst. Rev."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"4607","DOI":"10.3390\/ijerph110504607","article-title":"Behavioural change, indoor air pollution and child respiratory health in developing countries: A review","volume":"11","author":"Barnes","year":"2014","journal-title":"Int. J. Environ. Res. Public Health Engl."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.esd.2017.11.003","article-title":"Clean cooking and the SDGs: Integrated analytical approaches to guide energy interventions for health and environment goals","volume":"42","author":"Rosenthal","year":"2018","journal-title":"J. Energy Sustain. Dev."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"e12958","DOI":"10.1111\/ina.12958","article-title":"Effectiveness of interventions to reduce household air pollution from solid biomass fuels and improve maternal and child health outcomes in low-and middle-income countries: A systematic review and meta-analysis","volume":"32","author":"Woolley","year":"2022","journal-title":"Indoor Air"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Vakalopoulos, A., Dharmage, S.C., Dharmaratne, S., Jayasinghe, P., Lall, O., Ambrose, I., Weerasooriya, R., Bui, D.S., Yasaratne, D., and Heyworth, J. (2021). Household air pollution from biomass fuel for cooking and adverse fetal growth outcomes in rural Sri Lanka. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041878"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4377\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:48:48Z","timestamp":1760136528000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,5]]},"references-count":56,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["ijerph19074377"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19074377","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,5]]}}}