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The Innovation > 2024 Vol. 5 > No. 3
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Residential energy transition and chronic respiratory diseases

  • 1.

    State Key Laboratory of Reproductive Medicine and Offspring Health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing 211166, China

  • 2.

    Key Laboratory of Modern Toxicology of Ministry of Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China

  • 3.

    The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi 214023, China

  • 4.

    Biological Systems and Engineering Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA

  • 5.

    Toxicological Centre, University of Antwerp, 2610 Wilrijk, Belgium

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  • 6These authors contributed equally

  • Corresponding author: yankaixia@njmu.edu.cn
  • Received Date:  October 07, 2023
    Accepted Date:  February 26, 2024
    Published Online:  February 28, 2024
The Innovation  5(3),  https://doi.org/10.1016/j.xinn.2024.100597  |  Cite this article
    GRAPHICAL ABSTRACT
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    • PUBLIC SUMMARY
    1. ■ Obtaining clean energy is of prime importance for planetary health and sustainable development.
    2. ■ Despite great progress, huge disparities in access to clean energy persist globally.
    3. ■ Household energy transition from solid to clean fuels could reduce the risk of chronic respiratory diseases.
    4. ■ Accelerating energy switching could achieve promising gains in public health.
    • ABSTRACT
  • Obtaining clean energy is of prime importance for planetary health and sustainable development. We aimed to assess the association between residential energy transition and the risk of chronic respiratory diseases. Using data from the Global Health Observatory and Global Burden of Diseases, Injuries, and Risk Factors Study, we delineated the spatial distribution and temporal trends of the population using clean fuels for cooking at a global scale. In the China Health and Retirement Longitudinal Study, we performed rigorous and well-structured multistage analyses incorporating both cross-sectional and prospective data analyses to examine the associations between solid fuel use, residential energy transition, duration of solid fuel use, and the risk of chronic respiratory diseases. Despite great progress, huge disparities in access to clean energy persist globally. Residential energy transition was associated with a lower risk of chronic respiratory diseases. In the period of 2011–2013, compared with persistent solid fuel users, both participants who switched from solid to clean fuels (adjusted risk ratio [RR] 0.78, 95% confidence interval [CI] 0.62–0.98) and persistent clean fuel users (adjusted RR 0.71, 95% CI 0.57–0.89) had significantly lower risk of chronic respiratory diseases (p < 0.001 for trend). Consistent associations were observed in the period of 2011–2015 and 2011–2018. Household energy transition from solid to clean fuels could reduce the risk of chronic respiratory diseases. This is a valuable lesson for policy-makers and the general public to accelerate energy switching to alleviate the burden of chronic respiratory diseases and achieve health benefits, particularly in low- and middle-income countries.
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  • Cite this article:

    Wei H., Yu Q., Chen D., et al., (2024). Residential energy transition and chronic respiratory diseases. The Innovation 5(3), 100597. https://doi.org/10.1016/j.xinn.2024.100597
    Wei H., Yu Q., Chen D., et al., (2024). Residential energy transition and chronic respiratory diseases. The Innovation 5(3), 100597. https://doi.org/10.1016/j.xinn.2024.100597

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