Exposure to household air pollution from biomass cookstoves and self-reported symptoms among women in rural Honduras

ABSTRACTHousehold air pollutionfrom combustion of solid fuelsis an important risk factor for morbidity and mortality, causing an estimated 2.6 million premature deaths globally in 2016. Self-reported health symptoms are a meaningful measure of quality of life, however, few studies have evaluated symptoms and quantitative measures of exposure to household air pollution. We assessed the cross-sectional association of self-reported symptoms and exposures to household air pollutionamong women in rural Honduras using stovetype (traditional [n = 76]; cleaner-burning Justa [n = 74]) and 24-hour average personal and kitchen fine particulate matter (PM2.5) concentrations. The odds of prevalent symptoms were higher among women using traditional stovesvs Justa stoves(e.g. headache: odds ratio = 2.23; 95% confidence interval = 1.13–4.39). Associations between symptoms and measured PM2.5 were generally consistent with the null. These results add to the evidence suggesting reduced exposures and better health- rela...