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January 1990, Vol 144, No. 1 >
Article | January 1990

Wood-Burning Stoves and Lower Respiratory Tract Infection in American Indian Children FREE

Karen Morris, MD; Marcia Morganlander, MD; John L. Coulehan, MD, MPH; Sheila Gahagen, MD; Vincent C. Arena, PhD
[+] Author Affiliations

Accepted for publication September 29, 1989.

Reprints not available.


Arch Pediatr Adolesc Med. 1990;144(1):105-108. doi:10.1001/archpedi.1990.02150250117047
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Comments

• Some studies suggest that home use of wood-burning stoves is an independent risk factor for lower respiratory tract infection in young children. To test this hypothesis in a population with a high prevalence of wood-burning stove use, we studied Navajo children with diagnosed pneumonia or bronchiolitis. We matched each case (≤24 months of age) with a child of identical sex and age who was seen for well-child care or a minor health problem, and we interviewed an adult caretaker about family history and environmental exposures. Analyzing 58 case-control pairs, we found that home wood-burning stove use, recent respiratory illness exposure, family history of asthma, dirt floors, and lack of running water in the home increased the risk of lower respiratory tract infection. On multiple logistic regression analysis, however, only wood-burning stove use and respiratory illness exposure were independently associated with higher risk.

(AJDC. 1990;144:105-108)

REFERENCES

1 +
Denny W, Clyde WA.  Acute lower respiratory tract infections in nonhospitalized children . J Pediatr . 1986;;105:635-646.
2 +
Anderson HR.  Respiratory disease in childhood . Br Med Bull . 1986;;42:167-171.
3 +
Henderson FW, Clyde WA, Collier AM, et al.  The etiologic and epidemiologic spectrum of bronchiolitis in pediatric practice . J Pediatr . 1979;; 95:183-190.
4 +
Wohl MEB, Chernick V.  State of the art: bronchiolitis . Am Rev Respir Dis . 1978;:118:759-781.
5 +
Kattan M, Keens TG, Lapierre JG, Levison H, Bryan C, Reilly BJ.  Pulmonary function abnormalities in symptom-free children after bronchiolitis . Pediatrics . 1977;;59:683-688.
6 +
Leeder SR, Corkhill RT, Wysocki MJ, Holland WW, Colley JRT.  Influence of personal and family factors on ventilatory function of children . Br J Prev Soc Med . 1976;;30:219-224.
7 +
Strope GL, Stemple DA.  Risk factors associated with the development of chronic lung disease in children . Pediatr Clin North Am . 1984;;31:757-771.
8 +
Colley JRT, Douglas JWB, Reid DD.  Respiratory disease in young adults: influence of early childhood lower respiratory tract infection, social class, air pollution, and smoking . Br Med J . 1973;; 3:195-198.
9 +
McConnochie KM, Roghmann KJ.  Predicting clinically significant lower respiratory infection in childhood following mild bronchiolitis . AJDC . 1985;;139:625-631.
10 +
Leeder SR, Corkhill R, Irving LM, Holland WW, Colley JRT.  Influence of family factors on the incidence of lower respiratory infections during the first year of life . Br J Prev Soc Med . 1976;; 30:203-212.
11 +
McConnochie KM, Roghmann KJ.  Parental smoking, presence of older siblings, and family history of asthma increase the risk of bronchiolitis . AJDC . 1986;;140:806-812.
12 +
Pedreira FA, Guandolo VL, Feroli EJ, Mella GW, Weiss IP.  Involuntary smoking and incidence of respiratory illness during the first year of life . Pediatrics . 1985;;75:594-597.
13 +
Fitzhardinge PM, Pape K, Arstikaitis M, et al.  Mechanical ventilation of infants less than 1,501 gm birth weight: health, growth, and neurologic sequelae . J Pediatr . 1976;;88:531-541.
14 +
Sims DG, Downham PS, Gardner PS, Webb JKG, Weightman D.  Study of 8 year old children with a history of respiratory syncytial virus bronchiolitis in infancy . Br Med J . 1978;;1:11-14.
15 +
Fergusson DM, Horwood LJ, Shannon FT, Taylor B.  Parental smoking and lower respiratory illness in the first three years of life . J Epidemiol Community Health . 1981;;35:180-184.
16 +
Ogston SA, Florey CDV, Walker CHM.  The Tayside infant morbidity and mortality study: effect on health of using gas for cooking . Br Med J . 1985;;290:957-960.
17 +
Committee on Environmental Hazards.  Involuntary smoking: a hazard to children . Pediatrics . 1986;;77:755-757.
18 +
Melia RJW, Florey CDV, Altman DG, Swan AV.  Association between gas cooking and respiratory disease in children . Br Med J . 1977;;2:149-152.
19 +
Glezen WP, Denny FW.  Epidemiology of acute lower respiratory disease in children . N Engl J Med . 1973;;288:498.
20 +
Golding J.  Child health and the environment . Br Med Bull . 1986;;42:204-211.
21 +
Douglas JWB.  The extent of breast feeding in Great Britain in 1946 with special reference to the health and survival of children . J Obstet Gynecol Br Empire . 1950;;57:335-361.
22 +
Honicky RE, Akpom CA, Osborne JS.  Infant respiratory illness and indoor air pollution from a woodburning stove . Pediatrics . 1983;;71:126-128.
23 +
Honicky RE, Osborne JS, Akpom CA.  Symptoms of respiratory illness in young children and the use of woodburning stoves for indoor heating . Pediatrics . 1985;;75:587-593.
24 +
Kossove D.  Smoke-filled rooms and lower respiratory disease in infants . S Afr Med Tydskrif . 1982;;61:622-624.
25 +
Schlesselman JJ.  Basic methods of analysis . In: Case-Control Studies Design, Conduct, Analyses . New York, NY: Oxford University Press; 1982;:207-213.
26 +
Siegal S.  The case of two related samples . In: Nonparametric Statistics for the Behavioral Sciences . New York, NY: McGraw-Hill International Book Co; 1956;:63-67.
27 +
Breslow NE, Day NE.  Conditional logistic regression for matched sets . In: Statistical Methods in Cancer Research, the Analysis of Case-Control Studies . Lyons, France: International Agency for Research on Cancer; 1980;;1:248-253.
28 +
EGRET . Seattle, Wash: Statistics and Epidemiology Research Corp, 1985;.
29 +
Leaderer BP, Zagraniski RT, Berwick M, Stolwisk JAJ.  Assessment of exposure to indoor air contaminates from combustion sources: methodology and application . Am J Epidemiol . 1986;;124:275-289.

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1 +
Denny W, Clyde WA.  Acute lower respiratory tract infections in nonhospitalized children . J Pediatr . 1986;;105:635-646.
2 +
Anderson HR.  Respiratory disease in childhood . Br Med Bull . 1986;;42:167-171.
3 +
Henderson FW, Clyde WA, Collier AM, et al.  The etiologic and epidemiologic spectrum of bronchiolitis in pediatric practice . J Pediatr . 1979;; 95:183-190.
4 +
Wohl MEB, Chernick V.  State of the art: bronchiolitis . Am Rev Respir Dis . 1978;:118:759-781.
5 +
Kattan M, Keens TG, Lapierre JG, Levison H, Bryan C, Reilly BJ.  Pulmonary function abnormalities in symptom-free children after bronchiolitis . Pediatrics . 1977;;59:683-688.
6 +
Leeder SR, Corkhill RT, Wysocki MJ, Holland WW, Colley JRT.  Influence of personal and family factors on ventilatory function of children . Br J Prev Soc Med . 1976;;30:219-224.
7 +
Strope GL, Stemple DA.  Risk factors associated with the development of chronic lung disease in children . Pediatr Clin North Am . 1984;;31:757-771.
8 +
Colley JRT, Douglas JWB, Reid DD.  Respiratory disease in young adults: influence of early childhood lower respiratory tract infection, social class, air pollution, and smoking . Br Med J . 1973;; 3:195-198.
9 +
McConnochie KM, Roghmann KJ.  Predicting clinically significant lower respiratory infection in childhood following mild bronchiolitis . AJDC . 1985;;139:625-631.
10 +
Leeder SR, Corkhill R, Irving LM, Holland WW, Colley JRT.  Influence of family factors on the incidence of lower respiratory infections during the first year of life . Br J Prev Soc Med . 1976;; 30:203-212.
11 +
McConnochie KM, Roghmann KJ.  Parental smoking, presence of older siblings, and family history of asthma increase the risk of bronchiolitis . AJDC . 1986;;140:806-812.
12 +
Pedreira FA, Guandolo VL, Feroli EJ, Mella GW, Weiss IP.  Involuntary smoking and incidence of respiratory illness during the first year of life . Pediatrics . 1985;;75:594-597.
13 +
Fitzhardinge PM, Pape K, Arstikaitis M, et al.  Mechanical ventilation of infants less than 1,501 gm birth weight: health, growth, and neurologic sequelae . J Pediatr . 1976;;88:531-541.
14 +
Sims DG, Downham PS, Gardner PS, Webb JKG, Weightman D.  Study of 8 year old children with a history of respiratory syncytial virus bronchiolitis in infancy . Br Med J . 1978;;1:11-14.
15 +
Fergusson DM, Horwood LJ, Shannon FT, Taylor B.  Parental smoking and lower respiratory illness in the first three years of life . J Epidemiol Community Health . 1981;;35:180-184.
16 +
Ogston SA, Florey CDV, Walker CHM.  The Tayside infant morbidity and mortality study: effect on health of using gas for cooking . Br Med J . 1985;;290:957-960.
17 +
Committee on Environmental Hazards.  Involuntary smoking: a hazard to children . Pediatrics . 1986;;77:755-757.
18 +
Melia RJW, Florey CDV, Altman DG, Swan AV.  Association between gas cooking and respiratory disease in children . Br Med J . 1977;;2:149-152.
19 +
Glezen WP, Denny FW.  Epidemiology of acute lower respiratory disease in children . N Engl J Med . 1973;;288:498.
20 +
Golding J.  Child health and the environment . Br Med Bull . 1986;;42:204-211.
21 +
Douglas JWB.  The extent of breast feeding in Great Britain in 1946 with special reference to the health and survival of children . J Obstet Gynecol Br Empire . 1950;;57:335-361.
22 +
Honicky RE, Akpom CA, Osborne JS.  Infant respiratory illness and indoor air pollution from a woodburning stove . Pediatrics . 1983;;71:126-128.
23 +
Honicky RE, Osborne JS, Akpom CA.  Symptoms of respiratory illness in young children and the use of woodburning stoves for indoor heating . Pediatrics . 1985;;75:587-593.
24 +
Kossove D.  Smoke-filled rooms and lower respiratory disease in infants . S Afr Med Tydskrif . 1982;;61:622-624.
25 +
Schlesselman JJ.  Basic methods of analysis . In: Case-Control Studies Design, Conduct, Analyses . New York, NY: Oxford University Press; 1982;:207-213.
26 +
Siegal S.  The case of two related samples . In: Nonparametric Statistics for the Behavioral Sciences . New York, NY: McGraw-Hill International Book Co; 1956;:63-67.
27 +
Breslow NE, Day NE.  Conditional logistic regression for matched sets . In: Statistical Methods in Cancer Research, the Analysis of Case-Control Studies . Lyons, France: International Agency for Research on Cancer; 1980;;1:248-253.
28 +
EGRET . Seattle, Wash: Statistics and Epidemiology Research Corp, 1985;.
29 +
Leaderer BP, Zagraniski RT, Berwick M, Stolwisk JAJ.  Assessment of exposure to indoor air contaminates from combustion sources: methodology and application . Am J Epidemiol . 1986;;124:275-289.

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