The Impact of Using Clean Fuel on the Risk of Stunting in Children Aged 0-59 Months
Stunting is a critical global health challenge, particularly in developing nations, affecting children's physical, cognitive, and socioeconomic outcomes. This study investigates the impact of clean cooking fuel use on stunting risk among children aged 0–59 months in Indonesia, employing cross-sectional data from the 2014 Indonesian Family Life Survey (IFLS) and the Propensity Score Matching (PSM) method. The results reveal that households using clean cooking fuels, such as liquefied petroleum gas (LPG), significantly improve children's Height-for-Age Z-scores, reducing stunting risk. Factors including higher household education, income levels, and access to urban areas positively influence clean fuel adoption. The study underscores the importance of clean energy policies and increased awareness, particularly in rural areas, to mitigate health disparities and improve childhood growth outcomes. These findings contribute to the growing evidence linking clean energy transitions with enhanced public health and child development indicators.
Amadu, I., Seidu, A.-A., Duku, E., Boadu Frimpong, J., Hagan Jnr., J. E., Aboagye, R. G., Ampah, B., Adu, C., & Ahinkorah, B. O. (2021). Risk factors associated with the coexistence of stunting, underweight, and wasting in children under 5 from 31 sub-Saharan African countries. BMJ Open, 11(12), e052267. https://doi.org/10.1136/bmjopen-2021-052267
A'yun, I. Q., & Umaroh, R. (2023). Indoor Air Pollution and Health Conditions: An Analysis of Indonesian Households. Indonesian Journal of Economics and Development, 23(1), 16-26. https://doi.org/10.21002/jepi.2022.02
Caleyachetty, R., Lufumpa, N., Kumar, N., Mohammed, N. I., Bekele, H., Kurmi, O., Wells, J., & Manaseki-Holland, S. (2022). Exposure to household air pollution from solid cookfuels and childhood stunting: a population-based, cross-sectional study of half a million children in low- and middle-income countries. International Health, 14(6), 639-647. https://doi.org/10.1093/inthealth/ihab090
Crookston, B. T., Dearden, K. A., Alder, S. C., Porucznik, C. A., Stanford, J. B., Merrill, R. M., Dickerson, T. T., & Penny, M. E. (2011). Impact of early and concurrent stunting on cognition. Maternal & Child Nutrition, 7(4), 397-409. https://doi.org/10.1111/j.1740-8709.2010.00255.x
Demographic and Health Survey. (2018). Indonesian Demographic and Health Survey 2017.
E. Somanathan, Marc Jeuland, Eshita Gupta, Utkarsh Kumar, T. V. Ninan, R. K., Vidisha Chowdhury, Suvir Chandna, Michael H. Bergin, Karoline Barkjohn, Christina Norris, T. Robert Fetter, & Subhrendu Pattanayak. (2022). Electric stoves as a solution for household air pollution: Evidence from rural India. Econ Papers, 1-60.
González-Martín, J., Kraakman, N. J. R., Pérez, C., Lebrero, R., & Muñoz, R. (2021). A state-of-the-art review on indoor air pollution and strategies for indoor air pollution control. Chemosphere, 262, 128376. https://doi.org/10.1016/j.chemosphere.2020.128376
Imai, K. S., Annim, S. K., Kulkarni, V. S., & Gaiha, R. (2014). Women's Empowerment and Prevalence of Stunted and Underweight Children in Rural India. World Development, 62, 88-105. https://doi.org/10.1016/j.worlddev.2014.05.001
Imelda. (2020). Cooking that kills: Cleaner energy access, indoor air pollution, and health. Journal of Development Economics, 147, 102548. https://doi.org/10.1016/j.jdeveco.2020.102548
Islam, S., Rana, M. J., & Mohanty, S. K. (2021). Cooking, smoking, and stunting: Effects of household air pollution sources on childhood growth in India. Indoor Air, 31(1), 229-249. https://doi.org/10.1111/ina.12730
Indonesian Ministry of Health. (2022). Results of the nutritional status survey of Indonesia (SSGI) 2022.
Leroy, J. L., Ruel, M., Habicht, J.-P., & Frongillo, E. A. (2015). Using height-for-age differences (HAD) instead of height-for-age z-scores (HAZ) for the meaningful measurement of population-level catch-up in linear growth in children less than 5 years of age. BMC Pediatrics, 15(1), 145. https://doi.org/10.1186/s12887-015-0458-9
Li, H., Zhang, L., Chen, T., & Liao, H. (2022). Environmental and health impacts of heating fuel transition: Evidence from Northern China. Energy and Buildings, 276, 112483. https://doi.org/10.1016/j.enbuild.2022.112483
Liang, W., Wang, B., Shen, G., Cao, S., Mcswain, B., Qin, N., Zhao, L., Yu, D., Gong, J., Zhao, S., Zhang, Y., & Duan, X. (2020a). Association of solid fuel use with risk of stunting in children living in China. Indoor Air, 30(2), 264-274. https://doi.org/10.1111/ina.12627
Liang, W., Wang, B., Shen, G., Cao, S., Mcswain, B., Qin, N., Zhao, L., Yu, D., Gong, J., Zhao, S., Zhang, Y., & Duan, X. (2020b). Association of solid fuel use with risk of stunting in children living in China. Indoor Air, 30(2), 264-274. https://doi.org/10.1111/ina.12627
Liu, P., Han, C., & Teng, M. (2022). Does clean cooking energy improve mental health? Evidence from China. Energy Policy, 166, 113011. https://doi.org/10.1016/j.enpol.2022.113011
Ma, W., Zheng, H., & Gong, B. (2022). Rural income growth, ethnic differences, and household cooking fuel choice: Evidence from China. Energy Economics, 107, 105851. https://doi.org/10.1016/j.eneco.2022.105851
Maji, P., Mehrabi, Z., & Kandlikar, M. (2021). Incomplete transitions to clean household energy reinforce gender inequality by lowering women's respiratory health and household labor productivity. World Development, 139, 105309. https://doi.org/10.1016/j.worlddev.2020.105309
Mall, R., & Rani, S. (2020). Women's satisfaction with Pradhan Mantri Ujjwala Yojana (PMUY). International Journal of Home Science, 6(1), 363-368.
Mishra, V., & Retherford, R. D. (2007). Does biofuel smoke contribute to anaemia and stunting in early childhood? International Journal of Epidemiology, 36(1), 117-129. https://doi.org/10.1093/ije/dyl234
Qiu, X., Jin, J., He, R., & Zhang, C. (2023). Do solid fuels for cooking lead to an increased prevalence of respiratory disease? Empirical evidence from rural China. Energy for Sustainable Development, 74, 297-308. https://doi.org/10.1016/j.esd.2023.03.020
Ranathunga, N., Perera, P., Nandasena, S., Sathiakumar, N., Kasturiratne, A., & Wickremasinghe, A. R. (2021). Effects of indoor air pollution due to solid fuel combustion on physical growth of children under 5 in Sri Lanka: A descriptive cross sectional study. PLOS ONE, 16(5), e0252230. https://doi.org/10.1371/journal.pone.0252230
Schwartz. J. (2004). Air pollution and children's health. Pediatrics, 1037(43).
Smith, K. R. (2000). National burden of disease in India from indoor air pollution. Proceedings of the National Academy of Sciences, 97(24), 13286-13293. https://doi.org/10.1073/pnas.97.24.13286
Smith, K. R., Bruce, N., Balakrishnan, K., Adair-Rohani, H., Balmes, J., Chafe, Z., Dherani, M., Hosgood, H. D., Mehta, S., Pope, D., & Rehfuess, E. (2014). Millions Dead: How Do We Know and What Does It Mean? Methods Used in the Comparative Risk Assessment of Household Air Pollution. Annual Review of Public Health, 35(1), 185-206. https://doi.org/10.1146/annurev-publhealth-032013-182356
Sumiyati, T. (2023). Clean cooking energy transition and mental health in Indonesia. University of Indonesia.
Tang, Y., Guo, Y., Xie, G., & Liu, C. (2024). Nutrition impacts of non-solid cooking fuel adoption on under-five children in developing countries. Journal of Integrative Agriculture, 23(2), 397-413. https://doi.org/10.1016/j.jia.2023.11.032
World Health Organization. (2018, May 2). 9 out of 10 people worldwide breathe polluted air, but more countries are taking action. World Health Organization.
World Health Organization. (2022, January 20). WHO publishes new global data on the use of clean and polluting fuels for cooking by fuel type. World Health Organization.
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