Global, regional, and national burden of household air pollution, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

作者：F. Bennitt, Sarah Wozniak, K. Causey, Sandra Spearman, C. Okereke, Vanessa García, Nadim Hashmeh, Charlie Ashbaugh, A. Abdelkader, M. Abdoun, Muhammed Jemal Abdurebi, Armita Abedi, Roberto Ariel Abeldaño Zuñiga, R. Aboagye, Bilyaminu Abubakar, A. Abu-Zaid, M. M. Adane, O. Adegboye, Victor Adekanmbi, Abiola Adepoju, T. Adeyeoluwa, O. Adeyomoye, Rishan Adha, M. Afzal, Saira Afzal, Feleke Doyore Agide, Aqeel Ahmad, Danish Ahmad, Muayyad M. Ahmad, Sajjad Ahmad, Ali Ahmadi, Sepideh Ahmadi, Anisuddin Ahmed, Ayman Ahmed, H. Ahmed, Marjan Ajami, R. Akinyemi, S. Awaidy, H. A. Hamad, Muaaz M. Alajlani, M. A. Alemayohu, A. Al-Gheethi, Abid Ali, Waad Ali, S. M. Alif, Sami A. Almustanyir, N. Alvis-Guzmán, N. Alvis-Zakzuk, Hany M. Aly, Hubert Amu, G. Amusa, Tadele Fentabel Anagaw, B. Anuoluwa, I. Anuoluwa, Saeid Anvari, Ekenedilichukwu Emmanuel Anyabolo, Geminn Louis C. Apostol, A. Aravkin, D. Areda, Brhane Berhe Aregawi, O. Aremu, A. Asgedom, Mubarek Yesse Ashemo, Tahira Ashraf, S. Athari, S. Azadnajafabad, A. Azzam, G. Babu, Saeed Bahramian, Kiran Bam, Maciej Banach, B. Banik, Mehmet Fırat Baran, Francesco Barone-Adesi, S. Barteit, H. Bashiru, Pritish Baskaran, Mohammad-Mahdi Bastan, S. Basu, S. Basu, Sefealem Assefa Belay, Melesse Belayneh, A. Beloukas, Derrick A Bennett, D. S. Bhagat, D. Bhandari, Pankaj Bhardwaj, Sonu Bhaskar, A. Bhat, P. Bhattacharjee, G. K. Bhatti, M. Bhatti, Cem Bilgin, M. S. Boampong, S. Boppana, S. Bosoka, S. Boudalia, Fan Cao, R. Chandika, Gashaw Sisay Chanie, V. Chattu, A. Chaudhary, A. Chaurasia, Guangjin Chen, Yifan Chen, Ritesh Chimoriya, B. Chong, D. Christopher, I. Chukwu, Aaron J. Cohen, N. Cruz-Martins, O. Dadras, X. Dai, Patience Unekwuojo Daikwo, S. Darcho, Saswati Das, J. Delgado-Saborit, Belay Desye, Sagnik Dey, M. Dhimal, D. Díaz, T. Do, Ojas Prakashbhai Doshi, A. E’mar, Alireza Ebrahimi, H. Edinur, Aziz Eftekharimehrabad, T. C. Ekundayo, Ibrahim Farahat El Bayoumy, S. Haque, T. Emeto, H. D. Enyew, Ayesha Fahim, A. Fakunle, S. Faridi, Timur Fazylov, Alireza Feizkhah, Florian Fischer, M. Foláyan, G. Sridevi, M. Gadanya, Xiang Gao, M. W. Gebregergis, Mesfin Gebrehiwot, T. G. Gebremeskel, Afsaneh Ghasemzadeh, N. Ghith, Mahaveer Golechha, Davide Golinelli, Shi-Yang Guan, Zhifeng Guo, Bhawna Gupta, Lalit Gupta, R. Halwani, Ahmed I Hasaballah, M. Hasnain, S. Hay, Demisu Zenbaba Heyi, Kamal Hezam, Nguyen Quoc Hoan, R. Holla, Hassan Hosseinzadeh, Chengxi Hu, H. Huynh, Bing-Fang Hwang, S. E. Ibitoye, O. O. Idowu, A. Ikiroma, Mustapha Immurana, Arit Inok, M. Iqhrammullah, Rakibul M. Islam, Sheikh Mohammed Shariful Islam, J. Vinothini, A. Jairoun, A. Jaiswal, Mihajlo Jakovljevic, R. J. Yengejeh, M. Janodia, S. Jayaram, Alelign Tasew Jema, R. Jha, J. Jonas, Nitin Joseph, Vidya Kadashetti, K. Kanmodi, S. Kansal, Ibraheem M. Karaye, G. Kayode, H. Khajuria, A. Khalaji, Vishnu Khanal, Khaled Khatab, K. Kheirallah, A. Khosla, Majid Khosravi, Shivakumar K M, L. Knibbs, Gerbrand Koren, P. Koul, K. Krishan, B. K. Defo, M. Kuddus, M. Kulimbet, Vishnutheertha Kulkarni, Ashish Kumar, Dewesh Kumar, Nithin Kumar, O. Kurmi, C. Lahariya, Hanpeng Lai, Tuo Lan, P. Lauriola, N. Le, Munjae Lee, S. Lee, Stephen S. Lim, Gang Liu, Shuke Liu, Wei Liu, J. López-Gil, Jay B. Lusk, Sandeep B. Maharaj, Kashish Malhotra, A. Malik, Iram Malik, L. Malinga, A. Mathioudakis, Rita Mattiello, Andrea Maugeri, Tesfahun Mekene Meto, H. Meles, Ritesh G. Menezes, S. Meo, S. Mereta, T. Meretoja, T. Meštrović, L. Mhlanga, Ted R. Miller, Andreea Mirica, E. Mirrakhimov, Moonis Mirza, A. Misganaw, P. Mithra, J. Mohamed, N. Mohamed, A. Mohammadian-Hafshejani, M. Mohammed, Shafiu Mohammed, A. Mokdad, S. Momani, Himel Mondal, L. Morawska, R. Motappa, S. Mubarik, Kavita Munjal, Yanjinlkham Munkhsaikhan, Christopher J. L. Murray, W. Myung, Sanjeev Nair, V. Nangia, M. Naveed, Nawsherwan, R. Ndejjo, D. Nguyen, Hien Quang Nguyen, V. Nguyễn, T. Nikolouzakis, Vikram R. Niranjan, E. Noman, Syed Toukir Ahmed Noor, A. N. Baghani, J. J. Noubiap, O. Nzoputam, B. Oancea, I. A. Odetokun, Daniel Odo, A. Ofakunrin, O. Oghenetega, Osaretin Christabel Okonji, A. Olagunju, T. Olasehinde, I. Olufadewa, G. Oluwatunase, A. Bali, M. M. Ommati, A. Omotayo, Maureene Ondayo, Adrian Oțoiu, M. Owolabi, A. MaheshPadukudruP, J. Padubidri, Ioannis Pantazopoulos, S. Pardhan, P. Parija, Romil R. Parikh, Eun-Kee Park, Ashwaghosha Parthasarathi, J. Patel, S. Pati, Shrikant Pawar, P. Peprah, G. Pereira, Arokiasamy Perianayagam, Hoang T. Pham, Ramesh Poluru, A. Pourshams, Jalandhar Pradhan, E. J. S. Prates, Dimas Ria Angga Pribadi, J. Puvvula, Ata Rafiee, P. Raghav, Fakher Rahim, Mohammad Hifz Ur Rahman, Mosiur Rahman, M. A. Rahman, Amir Masoud Rahmani, M. Rahmanian, Sathish Rajaa, Rayan Rajabi, P. Rajput, M. Ramadan, J. Rana, Kritika Rana, C. Ranabhat, D. Rasali, S. K. Rauniyar, S. Rawaf, E. Redwan, N. Rezaei, Jefferson Rodríguez, Susanne Röhr, G. Roshandel, Himanshu Sekhar Rout, Priyanka Roy, Michele Russo, C. Sabet, B. Saddik, U. Saeed, N. Sharif-Askari, A. Sahebkar, Pragyan Monalisa Sahoo, A. Salami, DR. Salihu, A. Samy, Milena M. Santric-Milicevic, Tanmay Sarkar, Maheswar Satpathy, G. Saya, M. Sayeed, Austin E. Schumacher, Mihretu Tagesse Sergindo, Yashendra Sethi, Allen Seylani, Samiah Shahid, Sunder Sham, M. A. Shamim, Anas Shamsi, Aziz Sheikh, Pavanchand H Shetty, A. Shittu, I. Shiue, E. Siddig, Paramdeep Singh, Surjit Singh, Md. Shahjahan Siraj, J. Stanaway, Leo Stockfelt, K. Straif, C. Swain, Berwin Singh Swami Vetha, Seyyed Mohammad Tabatabaei, Mircea Tampa, Haosu Tang, M. Tanwar, E. Tarkang, Y. Tefera, M. Temsah, R. Temsah, Ramna Thakur, F. Thienemann, Nigusie Selomon Tibebu, Krishna Tiwari, M. Tovani-Palone, J. Tripathy, Aristidis Tsatsakis, M. Tumurkhuu, A. Udoakang, Sana Ullah, Sanaz Vahdati, Siavash Vaziri, Madhur Verma, Simone Vidale, S. Villani, K. Vohra, T. Vos, Gizachew Tadesse Wassie, Haftom Legese Legese Weldetinsaa, A. Werkneh, N. Wickramasinghe, M. W. Wojewodzic, Tewodros Eshete Wonde, Felicia Wu, Zenghong Wu, Hong Xiao, Suowen Xu, M. Yadav, S. Syed, Sanni Yaya, A. Yi̇ği̇t, Vahit Yi̇ği̇t, Dehui Yin, D. Yon, N. Yonemoto, Chuanhua Yu, Leila Zaki, Mohammed G. M. Zeariya, Youjie Zeng, Chunxia Zhai, Haijun Zhang, Zhiqiang Zhang, Bin Zhu, Sa’ed H. Zyoud, S. Zyoud, Michael Brauer, Katrin Burkart · 发表于：The Lancet · 年份：2025 · DOI：10.1016/s0140-6736(24)02840-x · 被引用次数：92 · 研究领域：Medicine

Summary Background Despite a substantial reduction in the use of solid fuels for cooking worldwide, exposure to household air pollution (HAP) remains a leading global risk factor, contributing considerably to the burden of disease. We present a comprehensive analysis of spatial patterns and temporal trends in exposure and attributable disease from 1990 to 2021, featuring substantial methodological updates compared with previous iterations of the Global Burden of Diseases, Injuries, and Risk Factors Study, including improved exposure estimations accounting for specific fuel types. Methods We estimated HAP exposure and trends and attributable burden for cataract, chronic obstructive pulmonary disease, ischaemic heart disease, lower respiratory infections, tracheal cancer, bronchus cancer, lung cancer, stroke, type 2 diabetes, and causes mediated via adverse reproductive outcomes for 204 countries and territories from 1990 to 2021. We first estimated the mean fuel type-specific concentrations (in μg/m3) of fine particulate matter (PM2·5) pollution to which individuals using solid fuels for cooking were exposed, categorised by fuel type, location, year, age, and sex. Using a systematic review of the epidemiological literature and a newly developed meta-regression tool (meta-regression: Bayesian, regularised, trimmed), we derived disease-specific, non-parametric exposure–response curves to estimate relative risk as a function of PM2·5 concentration. We combined our exposure estima...