Submitted:
21 January 2025
Posted:
22 January 2025
You are already at the latest version
Abstract
Keywords:
1. Introduction
1.1. Energy Ladder & Fuel Stacking Concepts
1.2. Health, Economic and Environmental Risks Associated with Cooking Fuels
2. Materials and Methods
2.1. Study Setting, Sampling, and Sample Size Calculation
2.2. Data Collection
2.2.1. Measures
Outcome Variables
Explanatory Variables
2.3. Data Analysis
3. Results
3.1. Characteristics of Study Participants
3.2. Bivariate Association Between Participant Characteristics and Fuel Type
3.3. Predicting the Association Between Study Characteristics and Fuel Choice
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| B4CooingF | Briquette for cooking fuel |
| CO2 | Carbon dioxide |
| HH | Household |
| LPG | Liquified petroleum gas |
| LVL | Lower volta lake |
| REDCap | Research electronic device capture |
| WHO | World Health Organisation |
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| Study population characteristics | Frequency | Percent | ||
| Characteristics of primary cook | ||||
| Age | 248 160 12 |
59.20 38.20 2.60 |
||
| Less than 40years | ||||
| 41 - 64years 65years and above |
||||
| Sex of primary cook Male Female |
27 393 |
6.40 93.50 |
||
| Educational level of primary cook Primary Secondary Tertiary |
331 68 21 |
79.00 16.20 4.80 |
||
| Civil status of primary cook Single Married Ever Married |
81 212 127 |
19.10 50.60 30.30 |
||
| Religion of primary cook Christian Muslim Agonist |
386 25 9 |
92.10 6.00 1.90 |
||
| Ethnicity of Primary Cook Ga-Adambge Ewe Akan Others |
83 239 19 79 |
19.80 57.00 4.50 18.60 |
||
| BMI category Under weight (<18.5) Normal (18.5- 24.9) Over weight (25.0-29.9) Obese (≥ 29,9) |
27.0 ±6.7 19 137 99 103 |
5.30 38.10 27.70 28.90 |
||
| Characteristics of household head | ||||
| Age of household head | 8 18 394 |
1.70 4.30 94.00 |
||
| Less than or equal to 40years | ||||
| 41 - 64years 65 years and above | ||||
| Sex of household head Male Female |
282 138 |
67.1032.90 | ||
| Educational level of household head Primary Secondary Tertiary |
296 93 30 |
70.60 22.20 7.20 |
||
| Characteristics of household | ||||
| Community type Peri urban Rural |
331 89 |
78.80 21.20 |
||
| Size of family Less than 3 3-5 6 or more |
112 142 166 |
26.70 33.70 39.60 |
||
| Toilet facility type *Improved Toilet Facility *Unimproved Toilet Facility |
336 84 |
80.20 19.80 |
||
| Water source ^Improved Water Source ^Unimproved water Source |
404 16 |
96.20 3.82 |
||
| Waste disposal Burning Indiscriminate Disposal Collection. |
156 225 36 |
37.20 53.70 8.60 |
||
| Wealth index Lower class Middle class Upper class |
284 107 29 |
67.80 25.30 6.90 |
||
| Charcoal | Wood fuel | LPG | Chi-square | P-value | |
| N (%) | N (%) | N (%) | |||
| Characteristics of Primary Cook | |||||
| Sex | |||||
| Male | 12 (44.4) | 13 (48.2) | 2 (7.4) | 8.7782 | 0.019b** |
| Female | 80 (20.4) | 254 (64.6) | 59 (15.0) | ||
| Age of primary cook | |||||
| Less than 40 | 4 (23.5) | 10 (58.8) | 3 (17.7) | 11.1562 | 0.427b |
| 41-64years | 24 (25.0) | 60 (62.5) | 12 (12.5) | ||
| 65 years and above | 7 (26.9) | 14 (53.9) | 5 (19.2) | ||
| Civil Status | |||||
| Single | 32 (15.5) | 136 (65.7) | 39 (18.8) | 14.2701 | 0.001a** |
| Married | 60 (28.2) | 131 (61.5) | 22 (10.3) | ||
| BMI | |||||
| Underweight | 4 (15.4) | 16 (61.5) | 6 (23.1) | 9.146 | 0.204b |
| Normal BMI | 27 (17.9) | 99 (65.5) | 25 (16.6) | ||
| Overweight | 31 (25.8) | 70 (58.4) | 19 (15.8) | ||
| Obese | 30 (24.4) | 82 (66.7) | 11 (8.9) | ||
| Education level of primary cook | |||||
| Primary | 22 (19.0) | 81 (69.8) | 13 (11.2) | 30.5222 | <0.001b |
| Secondary | 19 (33.9) | 33 (59.0) | 4 (7.1) | ||
| Tertiary | 8 (66.7) | 3 (25.0) | 1 (8.3) | ||
| Religion of primary cook | |||||
| Christianity | 35 (30.2) | 63 (54.3) | 18 (15.5) | 12.1612 | 0.075b |
| Muslim | 52 (19.2) | 178 (65.7) | 41 (15.1) | ||
| Agonist | 3 (12.0) | 21 (84.0) | 1 (4.0) | ||
| Ethnicity of primary cook | |||||
| Ga Adagmbe | 21 (16.3) | 91 (70.5) | 17 (13.2) | 16.0099 | 0.024b |
| Ewe | 57 (23.8) | 141 (58.7) | 42 (17.5) | ||
| Akan | 9 (40.9) | 12 (54.5) | 1 (4.6) | ||
| Others | 5 (17.2) | 23 (79.3) | 1 (3.5) | ||
| Household Head Characteristics | |||||
| Sex of household head | |||||
| Male | 73 (25.9) | 172 (61.0) | 37 (13.1) | 9.2732 | 0.016a |
| Female | 19 (13.8) | 95 (68.8) | 24 (17.4) | ||
| Educational level of household head | |||||
| Primary | 16 (15.7) | 76 (74.5) | 10 (9.8) | 59.3349 | <0.001b |
| Secondary | 27 (36.0) | 43 (57.3) | 5 (6.7) | ||
| Tertiary | 16 (57.1) | 11 (39.3) | 1 (3.6) | ||
| Household Characteristics | |||||
| Household average monthly income | |||||
| Less or equal GHS 250-500 | 15 (15.0) | 62 (62.0) | 23 (23.0) | 18.8999 | 0.022b |
| GHS 501-GHS 1000 | 37 (23.4) | 97 (61.4) | 24 (15.2) | ||
| GHS 1001 and above | 13 (36.1) | 20 (55.6) | 3 (8.3) | ||
| House ownership | |||||
| Sole Ownership | 23 (18.8) | 71 (58.2) | 28 (23.0) | 16.4935 | 0.004a |
| Family house | 21 (17.1) | 84 (68.3) | 18 (14.6) | ||
| Rented | 48 (27.4) | 112 (64.0) | 15 (8.6) | ||
| Dwelling | |||||
| Single | 20 (13.8) | 9 (62.1) | 35 (24.1) | 23.2729 | 0.001b |
| Multiple | 2 (16.7) | 90 (75.0) | 1 (8.3) | ||
| Enclosed | 11 (29.7) | 24 (64.9) | 2 (5.4) | ||
| Size of family | |||||
| Less than 3 | 37 (32.7) | 65 (57.5) | 11 (9.7) | 29.9784 | <0.001a |
| 5-Mar | 40 (20.2) | 138 (69.7) | 20 (10.1) | ||
| 6 or more | 15 (13.8) | 64 (58.7) | 30 (27.5) | ||
| Study population characteristics |
LPG OR (95% CI) |
P-value |
Charcoal OR (95% CI) |
P-value |
| Sex of primary cook | ||||
| Male | 1.00 | 1.00 | ||
| Female | 0.12 (0.01, 2.54) | 0.175 | 0.35 (0.02, 5.70) | 0.462 |
| Age range of primary cook | ||||
| 40years and less | 1.00 | 1.00 | ||
| 41 – 59years | 0.69 (0.21, 2.22) | 0.530 | 0.77 (0.30, 1.97) | 0.581 |
| 60years and above | 0.53 (0.05, 6.10) | 0.610 | 0.67 (0.09, 5.22) | 0.705 |
| Marital status of primary cook | ||||
| Married | 1.00 | 1.00 | ||
| Single | 0.56 (0.13, 2.38) | 0.436 | 0.62 (0.19, 1.99) | 0.426 |
| Ever married | 0.12 (0.02, 0.71) | 0.020 | 0.18 (0.04, 0.83) | 0.027 |
| Religion of primary cook | ||||
| Christian | 1.00 | 1.00 | ||
| Moslem | 0.25 (0.00, 112.20) | 0.657 | 0.64 (0.00, 2.31) | 0.883 |
| Agnostic | 0.96 (0.04, 21.84) | 0.980 | 1.40 (0.09, 21.93) | 0.810 |
| Ethnicity of primary cook | ||||
| Ga Adamgbe | 1.00 | 1.00 | ||
| Ewe | 0.73 (0.18, 2.88) | 0.648 | 0.43 (0.14, 1.30) | 0.136 |
| Krobo | 0.19 (0.02, 1.62) | 0.129 | 0.53 (0.10, 2.77) | 0.451 |
| Other | 5.09 (0.01, 2084.02) | 0.596 | 4.98 (0.01, 17.16) | 0.590 |
| Dwelling | ||||
| Single Occupancy | 1.00 | 1,00 | ||
| Multiple Occupancy | 2.06 (0.68, 6.20) | 0.200 | 1.36 (0.55, 3.35) | 0.505 |
| Enclosed Dwelling | 2.37 (0.36, 15.37) | 0.367 | 1.64 (0.33, 8.08) | 0.541 |
| Educational level of primary cook | ||||
| Primary | 1.00. | 100. | ||
| Secondary | 1. 70 (0.54, 5.33) | 0.363 | 2.11 (0.79, 5.56) | 0.132 |
| Tertiary | 0.047 (0.00, 3.63) | 0.168 | 0.012 (0.000, 1.033) | 0.052 |
| Relationship to household head | ||||
| Head of house | 1..00 | 1.00 | ||
| Married to household head | 0.70 (0.12, 4.10) | 0.696 | 1.35 (0.28, 6.52) | 0.711 |
| Partner | 0.39 (0.03, 5.88) | 0.499 | 0.64 (0.07, 6.41) | 0.708 |
| Other relative | 1.04 (0.04, 24.19) | 0.982 | 0.97 (0.05, 17.61) | 0.981 |
| Age of household head | ||||
| 40years and less | 1.00 | 1.00 | ||
| 41 – 59years | 0.99 (0.03, 36.44) | 0.995 | 15.00 (0.36, 62.07) | 0.154 |
| 60years and above | 0.74 (0.06, 8.56) | 0.811 | 12.93 (0.79, 21.26) | 0.073 |
| Sex of household head | ||||
| Male | 1.00 | 1.00. | ||
| Female | 0.85 (0.14, 5.29) | 0.858 | 2.41 (0.52, 11.08) | 0.260 |
| Educational level of household head | ||||
| Primary | 100. | 100 | ||
| Secondary | 2.38 (0.69, 8.11) | 0.167 | 0.91 (0.34, 2.45) | 0.853 |
| Tertiary | 11.66 (1.57,12.08) | 0.031 | 12.76 (0.16, 97.09) | 0.252 |
| House ownership | ||||
| Sole Ownership | 1.00 | 1.00 | ||
| Family house | 1.12 (0.29, 4.30) | 0.867 | 2.05 (0.71, 5.88) | 0.183 |
| Rented | 1.51 (0.44, 5.19) | 0.514 | 2.07 (0.74, 5.80) | 0.164 |
| Occupation of household head | ||||
| Trader | 1.00. | 1.00 | ||
| Farmer | 0.22 (0.05, 1.04) | 0.057 | 0.44 (0.13, 1.51) | 0.191 |
| Artisan | 0.55 (0.10, 2.94) | 0.482 | 0.61 (0.14, 2.63) | 0.509 |
| Employed | 0.63 (0.01, 3.97) | 0.622 | 0.96 (0.19, 4.98) | 0.963 |
| Unemployed | 0.92 (0.18, 4.53) | 0.920 | 0.50 (0.13, 1.96) | 0.319 |
| Household average monthly Income | ||||
| Ghc 250 or less | 1.00 | 1.00 | ||
| Ghc 251 – 1000 | 0.84 (0.12, 5.87) | 0.860 | 0.46 (0.11, 1.99) | 0.300 |
| Greater than or equal to Ghc 1001 | 3.18(0.29, 34.51) | 0.341 | 2.64 (0.39, 17.89) | 0.319 |
| Reluctant | 0.09 (0.00, 2.93) | 0.177 | 0.36 (0.04, 3.58) | 0.386 |
| Waste disposal | ||||
| Burning | 1.00 | 1.00 | ||
| Indiscriminate disposal | 1.07 (0.38, 3.00) | 0.894 | 1.14(0.49, 2.66) | 0.768 |
| Collection | 8.95 (1.20, 66.48) | 0.032 | 0.94 (0.16, 5.66) | 0.947 |
| Family size | ||||
| 5members or less | 1.00 | 1.00 | ||
| 6 members or more | 0.18 (0.06, 0.51) | 0.001 | 0.48 (0.21, 1.09) | 0.081 |
| ^Water sources | ||||
| Improved water source | 1.00 | 1.00 | ||
| Unimproved water source | 0.53 (0.07, 3.79) | 0.524 | 0.17 (0.03, 0.98) | 0.047 |
| *Toilet facilities | ||||
| Improved toilet facility | 1.00 | 1.00 | ||
| Unimproved toilet facility | 0.23(0.06,0.86) | 0.028 | 0.46(0.17,1.25) | 0.130 |
| #Wealth Index | ||||
| Relatively poor household | 1.00 | 1.00 | ||
| Relatively rich household | 3.65 (1.48,9.03) | 0.005 | 11(2.62,46.26) | 0.001 |
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