Unclean cooking fuel use and sleep problems among adults 65 years and older from 6 countries

We investigated the association between unclean cooking fuel use and sleep problems in a nationally representative sample of adults aged ≥65 years from 6 low- and middle-income countries (China, Ghana, India, Mexico, Russia, and South Africa). Cross-sectional, community-based 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. Outcomes related to sleep included self-reported nocturnal sleep problems, lethargy, poor sleep quality, and sleep duration. Multivariable logistic regression analysis was conducted. Data on 14 585 individuals aged ≥65 years were analyzed (mean [SD] age: 72.6 [11.5] years; 55.0% females). After adjustment for potential confounders, unclean cooking fuel use was associated with significant 1.51 (95% CI, 1.03-2.22) times higher odds for nocturnal sleep problems, while it was also associated with 1.64 (95% CI, 1.20-2.26) times higher odds for long sleep duration (ie, >9 vs >6 to 9 h), but not with other sleep-related outcomes. These findings suggest that the implementation of the United Nations Sustainable Development Goal 7, which advocates affordable, reliable, sustainable, and modern energy for all, may also have a positive impact on sleep problems, as well as a plethora of other health and environmental impacts. This article is part of a Special Collection on Cross-National Gerontology.

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Publication Details

Journal
American Journal of Epidemiology
Published
2025-02-05
DOI
https://doi.org/10.1093/aje/kwaf022
Citations
1
Primary Topic
Energy and Environment Impacts
Type
article
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0.50
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article

Unclean cooking fuel use and sleep problems among adults 65 years and older from 6 countries

Louis Jacob, Guillermo Felipe López Sánchez, Hans Y. Oh, Dong Keon Yon et al.
1 citations
American Journal of Epidemiology
Energy and Environment Impacts
0.50
article

Unclean cooking fuel use and sleep problems among adults 65 years and older from 6 countries

Louis Jacob, Guillermo Felipe López Sánchez, Hans Y. Oh, Dong Keon Yon, Nicola Veronese, Mark A. Tully, Ai Koyanagi, Karel Kostev, Lee Smith, Laurie T. Butler, Yvonne Barnett, Masoud Rahmati, Helen Keyes, Jae Il Shin, Pinar Soysal, Soeun Kim
article en
1 citations

Abstract

We investigated the association between unclean cooking fuel use and sleep problems in a nationally representative sample of adults aged ≥65 years from 6 low- and middle-income countries (China, Ghana, India, Mexico, Russia, and South Africa). Cross-sectional, community-based 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. Outcomes related to sleep included self-reported nocturnal sleep problems, lethargy, poor sleep quality, and sleep duration. Multivariable logistic regression analysis was conducted. Data on 14 585 individuals aged ≥65 years were analyzed (mean [SD] age: 72.6 [11.5] years; 55.0% females). After adjustment for potential confounders, unclean cooking fuel use was associated with significant 1.51 (95% CI, 1.03-2.22) times higher odds for nocturnal sleep problems, while it was also associated with 1.64 (95% CI, 1.20-2.26) times higher odds for long sleep duration (ie, >9 vs >6 to 9 h), but not with other sleep-related outcomes. These findings suggest that the implementation of the United Nations Sustainable Development Goal 7, which advocates affordable, reliable, sustainable, and modern energy for all, may also have a positive impact on sleep problems, as well as a plethora of other health and environmental impacts. This article is part of a Special Collection on Cross-National Gerontology.

American Journal of EpidemiologyVol. 195(2)
University of Southern California (US), Ceres (US), University of Ulster (GB), Inserm (FR), Philipps University of Marburg (DE), Yonsei University (KR), Université Paris Cité (FR), Aix-Marseille Université (FR), Universitätsklinikum Gießen und Marburg (DE), Severance Hospital (KR), Vali Asr University of Rafsanjan (IR), Lorestan University (IR), Bezmiâlem Vakıf Üniversitesi (TR), Sorbonne Paris Cité (FR), Saint Camillus International University of Health and Medical Sciences (IT), Assistance Publique – Hôpitaux de Paris (FR), Biruni University (TR), Hôpital Fernand-Widal (FR), Kyung Hee University Medical Center (KR), Parc Sanitari Sant Joan de Déu (ES), Anglia Ruskin University (GB), Universidad de Murcia (ES), University of Palermo (IT)
Openalex Percentile: Top 43%
Energy and Environment Impacts
0.50
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