Millions dead: how do we know and what does it mean? Methods used in the comparative risk assessment of household air pollution

Annu Rev Public Health. 2014:35:185-206. doi: 10.1146/annurev-publhealth-032013-182356.

Abstract

In the Comparative Risk Assessment (CRA) done as part of the Global Burden of Disease project (GBD-2010), the global and regional burdens of household air pollution (HAP) due to the use of solid cookfuels, were estimated along with 60+ other risk factors. This article describes how the HAP CRA was framed; how global HAP exposures were modeled; how diseases were judged to have sufficient evidence for inclusion; and how meta-analyses and exposure-response modeling were done to estimate relative risks. We explore relationships with the other air pollution risk factors: ambient air pollution, smoking, and secondhand smoke. We conclude with sensitivity analyses to illustrate some of the major uncertainties and recommendations for future work. We estimate that in 2010 HAP was responsible for 3.9 million premature deaths and ∼4.8% of lost healthy life years (DALYs), ranking it highest among environmental risk factors examined and one of the major risk factors of any type globally.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Age Factors
  • Air Pollution, Indoor / adverse effects*
  • Air Pollution, Indoor / statistics & numerical data*
  • Cooking / methods*
  • Environmental Exposure / adverse effects*
  • Environmental Exposure / statistics & numerical data*
  • Global Health
  • Humans
  • Quality-Adjusted Life Years
  • Risk Assessment
  • Risk Factors
  • Sex Factors
  • Smoking / adverse effects
  • Tobacco Smoke Pollution / adverse effects

Substances

  • Tobacco Smoke Pollution