AccScience Publishing / AJWEP / Volume 20 / Issue 2 / DOI: 10.3233/AJW230023
RESEARCH ARTICLE

Exposure of Ambient PM2.5 and Acute Upper-and Lower  Respiratory Infection in Children Under the Age of Five  in South and Southeast Asia

Made Ayu Hitapretiwi Suryadhi1* Kawuli Abudureyimu2 Ni Komang Ekawati1 I Made Winarsa Ruma3 Putu Ayu Rhamani Suryadhi4 Takashi Yorifuji5
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1 Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Jalan P.B. Sudirman, Denpasar, Bali, Indonesia
2 Department of Human Ecology, Graduate School of Environmental and Life Science, Okayama University Kita-ku, Okayama, Japan
3 Department of Biochemistry, Faculty of Medicine, Udayana University, Jalan P.B. Sudirman Sudirman Denpasar Campus, Bali, Indonesia
4 Department of Electrical Engineering, Engineering Faculty, Bukit Jimbaran Campus, Udayana University, Bali, Indonesia
5 Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Kita-ku, Okayama, Japan
AJWEP 2023, 20(2), 41–49; https://doi.org/10.3233/AJW230023
Received: 11 February 2022 | Revised: 18 August 2022 | Accepted: 18 August 2022 | Published online: 18 August 2022
© 2022 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Studies on ambient PM2.5 exposure and AURI and ALRI in regions such as South and South-East Asia,  where levels of PM2.5 are among the highest, are limited. We assessed the associations between ambient PM2.5  exposure and AURI and ALRI in children under the age of 5 years from South and Southeast Asia. We identified  subjects from the demographic health survey (DHS). We retrieved PM2.5 information from the Atmospheric  Compositional Analysis Group. Annual mean levels of PM2.5 ranged from 21.3 to 73.2 µg/m3 . We performed the  meta-analytical approach to obtain the pooled results. Our initial results show an association between ambient PM2.5  exposure and AURI (OR 1.06, 95% CI: 1.01-1.11) but not ALRI (OR 1.03, 95% CI: 0.98-1.09). However, after  controlling for indoor SHS, effect estimates became stronger for AURI and ALRI (OR 1.27, 95% CI: 1.04-1.54  and OR 1.20, 95% CI: 1.00-1.44) compared to the uncontrolled group. Our study shows an association between  ambient PM2.5 exposure and the prevalence of AURI and ALRI in children under the age of 5 years from South  and Southeast Asia. Promoting awareness of air pollution in line with the implementation and monitoring of  relevant policies is crucial in establishing clean air and health.

Keywords
Respiratory infection
particulate matter (PM2.5)
children
second-hand smoke
pooled-analysis.
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Asian Journal of Water, Environment and Pollution, Electronic ISSN: 1875-8568 Print ISSN: 0972-9860, Published by AccScience Publishing