Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution: a FRESH AIR study

Autor: Gemert, F. van, Jong, C. de, Kirenga, B., Musinguzi, P., Buteme, S., Sooronbaev, T., Tabyshova, A., Emilov, B., Mademilov, M., An, P.L., Quynh, N.N., Dang, T.N., Hong, L.H.T.C., Chartier, R., Brakema, E.A., J.F.M. van boven, Kocks, J., Nantanda, R., Katagira, W., Ndeezi, G., Tumwine, J., Walusimbi, S., Akylbekov, A., Binh, P.D.U., Tuan, T.D., Lan, L.T.T., Linh, T.T.D., Loan, K.X., L.T. van, Vinh, N.N., Chavannes, N.H., Kleij, R.M.J.J. van der, Poot, C., Anastasaki, M., Bertsias, A., Chatzea, V.E., Lionis, C., Papadakis, S., Sifaki-Pistolla, D., Tsiligianni, I., Singh, S., Burges, D., Hedrick, B., Stout, J., Warren, L., Ferarrio, I., Powell, P., Barton, A., Cartwright, L., Kampen, S. van, Jones, R., Pooler, J., Poulsen, A., Kjaergaard, J., Hopkinson, N., Cragg, L., Pinnock, H., Williams, S., McEwen, A., Reventlow, S., Stubbe-Ostergaard, M., Postma, M.J., Sousa, J.C. de, FRESH AIR
Přispěvatelé: Value, Affordability and Sustainability (VALUE), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Groningen Research Institute for Asthma and COPD (GRIAC), PharmacoTherapy, -Epidemiology and -Economics, Microbes in Health and Disease (MHD), Methods in Medicines evaluation & Outcomes research (M2O), Universidade do Minho
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Rural Population
Epidemiology
air pollution
Air pollution
medicine.disease_cause
Medicina Clínica [Ciências Médicas]
0302 clinical medicine
Chest infections
Who recommendations
Quantitative assessment
Medicine
awareness
middle income country
Uganda
Cooking
030212 general & internal medicine
Child
Household Articles
Respiratory Tract Infections
child
Family Characteristics
Public health
quantitative analysis
adult
Incidence
Viet nam
Vietnam
Viet Nam
Air Pollution
Indoor
Child
Preschool
Scale (social sciences)
Female
Adult
Pulmonary and Respiratory Medicine
comparative effectiveness
chest infection
Article
03 medical and health sciences
Fresh air
Environmental health
Humans
controlled study
human
rural population
Kyrgyzstan
Ciências Médicas::Medicina Clínica
lcsh:RC705-779
Science & Technology
business.industry
practice guideline
Public Health
Environmental and Occupational Health
lcsh:Diseases of the respiratory system
dyspnea
household
030228 respiratory system
Who guidelines
business
Zdroj: NPJ Primary Care Respiratory Medicine
npj Primary Care Respiratory Medicine
Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
instacron:RCAAP
Primary Care Respiratory Medicine, 29(1):32. SPRINGERNATURE
npj Primary Care Respiratory Medicine, 29
van Gemert, F, de Jong, C, Kirenga, B, Musinguzi, P, Buteme, S, Sooronbaev, T, Tabyshova, A, Emilov, B, Mademilov, M, Pham Le An, Nguyen Nhat Quynh, Tran Ngoc Dang, Le Huynh Thi Cam Hong, Chartier, R, Brakema, E A, van Boven, J F M, Kocks, J, Nantanda, R, Katagira, W, Ndeezi, G, Tumwine, J, Walusimbi, S, Akylbekov, A, Pham Duong Uyen Binh, Tran Diep Tuan, Le Thi Tuyet Lan, Tran Thanh Duv Linh, Loan, K X, Le Thanh Van, Nguyen Nhu Vinh, Chavannes, N H, van der Kleij, R M J J, Poot, C, Anastasaki, M, Bertsias, A, Chatzea, V E, Lionis, C, Papadakis, S, Sifaki-Pistolla, D, Tsiligianni, I, Singh, S, Burges, D, Hedrick, B, Stout, J, Warren, L, Ferarrio, I, Powell, P, Barton, A, Cartwright, L, van Kampen, S, Jones, R, Pooler, J, Poulsen, A, Kjærgaard, J, Hopkinson, N, Cragg, L, Pinnock, H, Williams, S, McEwen, A, Reventlow, S, Stubbe-Ostergaard, M, Postma, M J & de Sousa, J C 2019, ' Effects and acceptability of implementing improved cookstoves and heaters to reduce household air pollution : a FRESH AIR study ', npj Primary Care Respiratory Medicine, vol. 29, 32 . https://doi.org/10.1038/s41533-019-0144-8
npj Primary Care Respiratory Medicine, Vol 29, Iss 1, Pp 1-9 (2019)
ISSN: 2055-1010
DOI: 10.1038/s41533-019-0144-8
Popis: The objective was to evaluate the effectiveness and acceptability of locally tailored implementation of improved cookstoves/heaters in low- and middle-income countries. This interventional implementation study among 649 adults and children living in rural communities in Uganda, Vietnam and Kyrgyzstan, was performed after situational analyses and awareness programmes. Outcomes included household air pollution (PM2.5 and CO), self-reported respiratory symptoms (with CCQ and MRC-breathlessness scale), chest infections, school absence and intervention acceptability. Measurements were conducted at baseline, 2 and 6-12 months after implementing improved cookstoves/heaters. Mean PM2.5 values decrease by 31% (to 95.1 µg/m3) in Uganda (95%CI 71.5-126.6), by 32% (to 31.1 µg/m3) in Vietnam (95%CI 24.5-39.5) and by 65% (to 32.4 µg/m3) in Kyrgyzstan (95%CI 25.7-40.8), but all remain above the WHO guidelines. CO-levels remain below the WHO guidelines. After intervention, symptoms and infections diminish significantly in Uganda and Kyrgyzstan, and to a smaller extent in Vietnam. Quantitative assessment indicates high acceptance of the new cookstoves/heaters. In conclusion, locally tailored implementation of improved cookstoves/heaters is acceptable and has considerable effects on respiratory symptoms and indoor pollution, yet mean PM2.5 levels remain above WHO recommendations.
European Union’s Horizon 2020 programme under grant agreement no. 680997, TRIAL ID NTR5759, http://www.trialregister.nl/trialreg/admin/rctsearch.asp?Term=23332. The devices, measuring the personal HAP, were funded by Netherlands Enterprise Agency (RVO)
Databáze: OpenAIRE
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