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

Smith, Lee and Veronese, Nicola and López-Sánchez, Guillermo F. and Butler, Laurie T. and Barnett, Yvonne A. and Shin, Jae Il and Lee, San and Oh, Jae Won and Soysal, Pinar and Pizzol, Damiano and Oh, Hans and Kostev, Karel and Jacob, Louis and Koyanagi, Ai (2022) The association of cooking fuels with depression and anxiety symptoms among adults aged ≥65 years from low- and middle-income countries. Journal of Affective Disorders, 311. pp. 494-499. ISSN 1573-2517

[img]
Preview
Text
Published Version
Available under the following license: Creative Commons Attribution.

Download (440kB) | Preview
[img] Text
Accepted Version
Restricted to Repository staff only
Available under the following license: Creative Commons Attribution.

Download (134kB) | Request a copy
Official URL: https://doi.org/10.1016/j.jad.2022.05.103

Abstract

Background- 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). Methods- 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. Results- 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 (I2 = 0.0%). For anxiety symptoms, unclean fuel use was not significantly associated with anxiety symptoms (OR = 1.13; 95%CI = 0.77–1.68; I2 = 0.0%). Limitations- 1. Cross-sectional design. 2. Self-reported measures. 3. No information about outdoor pollution exposure, personal exposure, and smoke composition of different cooking fuels. Conclusions- 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.

Item Type: Journal Article
Keywords: Cooking fuel, Depression, Anxiety, Low- and middle-income countries, Sustainable goal 7, Mental health, Older adults
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 18 May 2022 13:15
Last Modified: 13 Jun 2022 14:48
URI: https://arro.anglia.ac.uk/id/eprint/707602

Actions (login required)

Edit Item Edit Item