Determination of Lung Health Amongst Children Living in Slums of Gurugram, Haryana, India
DOI:
https://doi.org/10.47203/IJCH.2025.v37i05.022Keywords:
Children, Household Air Pollution, Pulmonary Function, SlumsAbstract
Introduction: Household air pollution (HAP) contributes to morbidity and mortality not only in adults but also in children. There is little evidence of the effects of HAP amongst out-of-school children living in the slums. Objectives: To determine the effect of HAP and presence of ventilation on lung health of out-of-school children from urban slum clusters in North India. Methods: Cross-sectional analytical study was conducted in December 2022 in urban slum clusters of Gurugram, Haryana, India. We interviewed parents for demographic information, type of fuel used for cooking, presence of ventilation, place of cooking. We conducted lung function tests on children using forced expiratory volume in first second (FEV1) to forced vital capacity (FVC) ratio to test the pulmonary function of the children. Results: 280 parents and 339 children were enrolled for the study. Chulha was used for cooking in 21.8%, no ventilation in 29.5%, and no separate kitchen for cooking in 79.4% of the households. FEV1/FVC was found to be lower amongst the children of those households where chulha was used for cooking with P = 0.091. Conclusion: Chulha is still being used in households. We found a lower FEV1/FVC ratio, in children from households using chulha as fuel.
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References
World Health Organization. Household air pollution [Internet]. Geneva: World Health Organization; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/household-air-pollution-and-health. Accessed Oct 25, 2025.
Rohra H, Taneja A. Indoor air quality scenario in India—An outline of household fuel combustion. Atmos Environ. 2016;129(5):243–255.
Patel S, Khandelwal A, Leavey A, Biswas P. A model for cost-benefit analysis of cooking fuel alternatives from a rural Indian household perspective. Renew Sustain Energy Rev. 2016;56:291–302.
Arora P, Jain DS, Kamna S. Physical characterization of particulate matter emitted from wood combustion in improved and traditional cookstoves. Energy Sustain Dev. 2013;17(5):497–503.
Kar A, Rehman IH, Burney J, Puppala SP, Suresh R, Singh L, et al. Real-time assessment of black carbon pollution in Indian households due to traditional and improved biomass cookstoves. Environ Sci Technol. 2012;46(5):2993–3000.
World Health Organization. Household air pollution [Internet]. Geneva: World Health Organization; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/household-air-pollution-and-health. Accessed Oct 25, 2025.
Huisman AHM, Rani U, Smits JPJM. School characteristics, socio-economic status and culture as determinants of primary school enrolment in India [Internet]. 2010. Available from: https://repository.ubn.ru.nl/handle/2066/83255.
Vogt B, Falkenberg C, Weiler N, Frerichs I. Pulmonary function testing in children and infants. Physiol Meas. 2014;35(3):R59–R90.
Beydon N, Davis SD, Lombardi E, Allen JL, Arets HGM, Aurora P, et al. An official American Thoracic Society/European Respiratory Society statement: Pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175(12):1304–1345.
Reddel HK, Taylor DR, Bateman ED, Boulet LP, Boushey HA, Busse WW, et al. An official American Thoracic Society/European Respiratory Society statement: Asthma control and exacerbations—standardizing endpoints for clinical asthma trials and clinical practice. Am J Respir Crit Care Med. 2009;180(1):59–99.
Kurti SP, Kurti AN, Emerson SR, Rosenkranz RR, Smith JR, Harms CA, et al. Household air pollution exposure and influence of lifestyle on respiratory health and lung function in Belizean adults and children: A field study. Int J Environ Res Public Health. 2016;13(7):643.
Teng J, Li J, Yang T, Cui J, Xia X, Chen G, et al. Long-term exposure to air pollution and lung function among children in China: Association and effect modification. Front Public Health. 2022;10:988242.
Lucas SR, Platts-Mills TAE. Physical activity and exercise in asthma: Relevance to etiology and treatment. J Allergy Clin Immunol. 2005;115(5):928–934.
International Institute for Population Sciences (IIPS). Final compendium of fact sheets: India and 14 States/UTs (Phase II) [Internet]. Mumbai: IIPS; 2021. Available from: http://rchiips.org/nfhs/NFHS-5_FCTS/Final%20Compendium%20of%20fact%20sheets_India%20and%2014%20States_UTs%20(Phase-II).pdf . Accessed Oct 25, 2025.
Dutta S, Shukla V, Basu M, Mukherjee M, Mishra A, Saha R. A study on the perceived impact of indoor air pollution in a slum area of Kolkata, West Bengal. Indian J Health Sci Biomed Res. 2022;15(1):63–67.
Rana J, Islam RM, Khan MN, Aliani R, Oulhote Y. Association between household air pollution and child mortality in Myanmar using a multilevel mixed-effects Poisson regression with robust variance. Sci Rep. 2021;11(1):12983.
Bassani DG, Jha P, Dhingra N, Kumar R. Child mortality from solid-fuel use in India: A nationally representative case-control study. BMC Public Health. 2010;10:491.
Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report: GOLD executive summary. Eur Respir J. 2017;49(3):1700214.
Patel S, Leavey A, Sheshadri A, Kumar P, Kandikuppa S, Tarsi J, et al. Associations between household air pollution and reduced lung function in women and children in rural southern India. J Appl Toxicol. 2018;38(11):1405–1415.
Oguonu T, Obumneme-Anyim IN, Eze JN, Ayuk AC, Okoli CV, Ndu IK. Prevalence and determinants of airflow limitation in urban and rural children exposed to cooking fuels in South-East Nigeria. Paediatr Int Child Health. 2018;38(2):121–127.
Tiwari M, Sahu SK, Bhangare RC, Yousaf A, Pandit GG. Particle size distributions of ultrafine combustion aerosols generated from household fuels. Atmos Pollut Res. 2014;5(1):145–150.
World Health Organization. Burning opportunity: Clean household energy for health, sustainable development, and wellbeing of women and children [Internet]. Geneva: World Health Organization; 2016:113. Available from https://www.who.int/publications/i/item/9789241565233 accessed on 25 Oct 2025.
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Copyright (c) 2025 DR. SHIBAL, Dr. Tarundeep Singh, Dr. Manoj K. Goel, 4. Dr. Meenakshi Wadhwani, DR. ATHULYA
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