Exposure to Household Air Pollution from Solid Biomass Fuel and Diabetic Status among Rural Women: A Cross-Sectional Study in Odisha

IJEP 43(2): 127-133 : Vol. 43 Issue. 2 (February 2023)

Kulumina Dash1 and Sasmita Nayak2*

1. Kalinga Institute of Industrial Technology (Deemed to be University), KIIT School of Public Health, Bhubaneswar – 751 024, Odisha, India
2. Kalinga Institute of Industrial Technology (Deemed to be University), Kalinga Institute of Nursing Sciences, Department of Community Health Nursing, Bhubaneswar – 751 024, Odisha, India


Household air pollution from biomass fuels is estimated to be responsible for more than two and a half million premature deaths annually, mainly in low and middle income countries where cardio-metabolic disorders, such as type II diabetes, are increasing. Although there is growing evidence linking ambient air pollution to diabetes, there is less evidence for household air pollution. This cross sectional study of 609 women (18–49 years) selected randomly in rural Odisha was conducted to evaluate the association of exposure to household air pollution (type of fuel (cleaner vs solid biomass); place of cooking (separate kitchen, outdoor, cook and sleep in same room); duration of exposure (hours of cooking per day, age of cooking) with glycated haemoglobin (HbA1c) levels and diabetic status based on HbA1c levels. The current study shows that the overall prevalence of diabetes and prediabetes was 19.7% and 32.3%, respectively. Participants from the households using solid fuel (AOR:1.61, p=0.004), those sleeping and cooking in the same room (AOR:1.79, p=0.047) and with longer (>3 hr) cooking hours (AOR:1.76, p=0.013) were significant predictors of diabetes status. Health promotion and behavioural changes that impact cooking patterns which can decrease the risk of diabetes may be targeted.


Biomass fuel, Diabetes, rural women


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