AUTHOR=Liu Zhiguang , Li Mengya , Zhu Yibing , Hystad Perry , Ma Yuanting , Rangarajan Sumathy , Zhao Qian , Hu Lihua , Yusuf Salim , Li Yang , Tse Lap Ah 

TITLE=Association of Household Utility of Cleaner Fuel With Lower Hypertension Prevalence and Blood Pressure in Chinese Adults

JOURNAL=International Journal of Public Health

VOLUME=Volume 67 - 2022

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1605193

DOI=10.3389/ijph.2022.1605193

ISSN=1661-8564

ABSTRACT=To investigate whether higher hypertension prevalence or blood pressure was associated with less clean household fuels uses for cooking and heating among Chinese. 44,862 Chinese aged 35 to 70 were enrolled at the baseline of the prospective urban and rural epidemiology study (PURE) in China during 2005-2009, as a subset of PURE-global. Household fuel type for cooking or heating and ambient PM2.5 concentration were collected. Multilevel logistic regression and generalized linear mixed models were conducted to estimate the adjusted odds ratio (AOR) for hypertension and blood pressure respectively. Compared with the least clean household solid fuel group, gas and electricity as the cleaner fuel type was associated with significantly lower hypertension prevalence (gas: AOR=0.91, 95%CI=0.83, 0.99; electricity:  AOR=0.72, 95%CI=0.60, 0.87), and lower levels of blood pressure, respectively. A similar pattern on the association between cleaner fuel use and hypertension was consistently observed among high ambient PM2.5 exposure and urban areas. Household utility of cleaner fuel type was associated with lower hypertension prevalence and blood pressure in Chinese. Our study urges to utilize household cleaner energy to mitigate burden of hypertension.