January 1990

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

Author Affiliations

From the Department of Clinical Epidemiology and Preventive Medicine, University of Pittsburgh, Pa (Drs Morris, Morganlander, Coulehan, and Arena); and the Tuba City (Ariz) Indian Hospital, US Public Health Service (Dr Gahagen).

Am J Dis Child. 1990;144(1):105-108. doi:10.1001/archpedi.1990.02150250117047

• 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)