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A cross-sectional study of the association between ventilation of gas stoves and chronic respiratory illness in U.S. children enrolled in NHANESIII

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Title A cross-sectional study of the association between ventilation of gas stoves and chronic respiratory illness in U.S. children enrolled in NHANESIII
Names Kile, Molly L. (creator)
Coker, Eric S. (creator)
Smit, Ellen (creator)
Sudakin, Daniel (creator)
Molitor, John (creator)
Harding, Anna K. (creator)
Date Issued 2014-09-02 (iso8601)
Note This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by BioMed Central Ltd. The published article can be found at: http://www.ehjournal.net/.
Abstract BACKGROUND: Gas stoves emit pollutants that are respiratory irritants. U.S. children under age 6 who live in homes
where gas stoves are used for cooking or heating have an increased risk of asthma, wheeze and reduced lung
function. Yet few studies have examined whether using ventilation when operating gas stoves is associated with a
decrease in the prevalence of respiratory illnesses in this population.
METHODS: The Third National Health and Nutrition Examination Survey was used to identify U.S. children aged 2–16
years with information on respiratory outcomes (asthma, wheeze, and bronchitis) who lived in homes where gas
stoves were used in the previous 12 months and whose parents provided information on ventilation. Logistic
regression models evaluated the association between prevalent respiratory outcomes and ventilation in homes that
used gas stoves for cooking and/or heating. Linear regression models assessed the association between spirometry
measurements and ventilation use in children aged 8–16 years.
RESULTS: The adjusted odds of asthma (Odds Ratio [OR] = 0.64; 95% confidence intervals [CI]: 0.43, 0.97), wheeze
(OR = 0.60, 95% CI: 0.42, 0.86), and bronchitis (OR = 0.60, 95% CI: 0.37, 0.95) were lower among children whose
parents reported using ventilation compared to children whose parents reported not using ventilation when
operating gas stoves. One-second forced expiratory volume (FEV₁) and FEV₁/FVC ratio was also higher in girls who
lived in households that used gas stoves with ventilation compared to households that used gas stoves without
ventilation.
CONCLUSIONS: In homes that used gas stoves, children whose parents reported using ventilation when operating
their stove had higher lung function and lower odds of asthma, wheeze, and bronchitis compared to homes that
never used ventilation or did not have ventilation available after adjusting for other risk factors. Additional research
on the efficacy of ventilation as an intervention for ameliorating respiratory symptoms in children with asthma is
warranted.
Genre Article
Access Condition http://creativecommons.org/licenses/by/3.0/us/
Topic Asthma
Identifier Kile, M. L., Coker, E. S., Smit, E., Sudakin, D., Molitor, J., & Harding, A. K. (2014). A cross-sectional study of the association between ventilation of gas stoves and chronic respiratory illness in US children enrolled in NHANESIII. Environmental Health, 13, 71. doi:10.1186/1476-069X-13-71

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