The association of cooking fuels with depression and anxiety symptoms among adults aged ≥65 years from low- and middle-income countries.

Journal: Journal of affective disorders

Volume: 311

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK. Chair for Biomarkers of Chronic Diseases, Biochemistry Department, College of Science King Saud University, Riyadh , Saudi Arabia; University of Palermo, Department of Internal Medicine, Geriatrics Section, Palermo, Italy. Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain. Electronic address: gfls@um.es. Department of Pediatrics, Yonsei University College of Medicine, Yonsei-ro , Seodaemun-gu, , - Seoul, Republic of Korea. Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea; Department of Psychiatry, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea. Department of Psychiatry, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea. Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. Italian Agency for Development Cooperation, Khartoum, Sudan. Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, CA , USA. University Hospital of Marburg, Germany. Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain; Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France. Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain; ICREA, Pg. Lluis Companys , Barcelona, Spain.

Abstract summary 

We aimed to investigate associations of unclean cooking fuels with depression and anxiety symptoms in a large sample of adults aged ≥65 years from six low- and middle-income countries (LMICs).Cross-sectional, community-based, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. Unclean cooking fuel referred to kerosene/paraffin, coal/charcoal, wood, agriculture/crop, animal dung, and shrubs/grass. Depression referred to DSM-IV depression based on past 12-month symptoms or receiving depression treatment in the last 12 months. Anxiety symptoms referred to severe/extreme problems with worry or anxiety in the past 30 days. Multivariable logistic regression analysis and meta-analysis were conducted.Data on 14,585 people aged ≥65 years were analyzed [mean (SD) age 72.6 (11.5) years; maximum age 114 years; 55.0% females]. After adjustment for potential confounders, unclean cooking fuel was associated with a significant 2.52 (95%CI = 1.66-3.82) times higher odds for depression with a low level of between-country heterogeneity (I = 0.0%). For anxiety symptoms, unclean fuel use was not significantly associated with anxiety symptoms (OR = 1.13; 95%CI = 0.77-1.68; I = 0.0%).1. Cross-sectional design. 2. Self-reported measures. 3. No information about outdoor pollution exposure, personal exposure, and smoke composition of different cooking fuels.Unclean cooking fuel was significantly associated with higher odds for depression, but not anxiety, with little observed variability between settings. Findings from the present study provide further support and call for action in appropriate implementation of the United Nations Sustainable Goal 7, which advocates affordable, reliable, sustainable, and modern energy for all.

Authors & Co-authors:  Smith Lee L Veronese Nicola N López Sánchez Guillermo F GF Butler Laurie L Barnett Yvonne Y Shin Jae Il JI Lee San S Oh Jae Won JW Soysal Pinar P Pizzol Damiano D Oh Hans H Kostev Karel K Jacob Louis L Koyanagi Ai A

Study Outcome 

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Statistics
Citations : 
Authors :  14
Identifiers
Doi : 10.1016/j.jad.2022.05.103
SSN : 1573-2517
Study Population
Male,Female
Mesh Terms
Air Pollution, Indoor
Other Terms
Anxiety;Cooking fuel;Depression;Low- and middle-income countries;Mental health;Older adults;Sustainable goal 7
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Netherlands