Wood stove interventions and child respiratory infections in rural communities: KidsAir rationale and methods

Noonan, Curtis W.; Semmens, Erin O.; Ware, Desirae; Smith, Paul; Boyer, Bert B.; Erdei, Esther; Hopkins, Scarlett E.; Lewis, Johnnye; Ward, Tony

doi:10.1016/j.cct.2019.105909

Cited by 18 publications

(21 citation statements)

References 58 publications

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“…A description of the methods for KidsAIR has been published previously. 16 The overall aims of the KidsAIR trial were to assess the effect of the interventions on PM 2.5 concentrations in study households and incidence of lower respiratory tract infection among children under 5 years of age who lived in the households. Eligibility criteria for the trial included households in the three study areas that used a wood stove as a primary heating source and had at least one child under 5 years of age.…”

Section: Study Design and Settingmentioning

confidence: 99%

Indoor fine particulate matter and demographic, household, and wood stove characteristics among rural US homes heated with wood fuel

et al. 2021

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Exposure to fine particulate matter air pollution (PM 2.5 ; airborne particles less than 2.5 µm in aerodynamic diameter) from the combustion of biomass fuels is an important global risk factor for morbidity and mortality. 1 However, much of the research on health effects and exposure characterization from biomass fuel combustion has been related to stoves used for domestic cooking purposes in lower-and middle-income countries. In the United States (US), approximately 12.7 million homes burn wood fuel as a primary or secondary heating source. 2 Previous studies indicate that the use of wood stoves for heating can result in indoor PM 2.5 concentrations that often

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Section: Study Design and Settingmentioning

confidence: 99%

Indoor fine particulate matter and demographic, household, and wood stove characteristics among rural US homes heated with wood fuel

et al. 2021

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“…Besides, most under-ve children's deaths caused by ARIs are closely associated with environmental factors including the use of solid fuels [21][22]. Therefore, avoiding the use of solid fuels such as wood stove seems as preventive measures to reduce the risks of ARIs for under-ve children [23].…”

Section: Globally Around 3 Billion People Cook With Polluting Open Rmentioning

confidence: 99%

Socio-ecological Determinants of Under-five Mortality in Nigeria: Exploring the Interaction Effects of Neighbourhood Poverty and Solid Cooking Fuel

Imo¹

2020

Preprint

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Background: In the context of global child health priority, under-five mortality remains considerably high with the current rate of 132 deaths per 1,000 live births in Nigeria, which translates to 1 in 8 children dying before his or her fifth birthday. This has been attributed to exposure of children to household air pollution due to environmental context and inefficient cooking practices. Therefore, this study examined the interaction effects of neighbourhood poverty and use of solid cooking fuels on under-five mortality in Nigeria.Methods: Data for the study were drawn from the 2018 Nigeria Demographic and Health Survey and covered a weighted sample of 124,442 birth history of childbearing women who reported using cooking fuels in kitchens located within the house. Descriptive and analytical analyses were carried out, including frequency tables, Pearson’s chi-square test, and multivariate using Cox proportional regression model.Results: The findings of this study showed that the risks of under-five mortality were significantly higher for children whose mothers were found in the areas of high neighbourhood poverty (HR: 1.44, CI: 1.34-1.54) and those whose mothers reported using solid cooking fuels within the house (HR: 2.26, CI: 2.06-2.49). The results further showed that the risks of death significantly reduced for children whose mothers had secondary or tertiary education (HR: 0.82, CI: 0.75-0.90) and children of mothers whose partners had at least primary education, but increased for children of mothers who were rural residents (HR: 1.25, CI: 1.16-1.35); and those found in the North-east (HR: 1.31, CI: 1.18-1.46) and North-west (HR: 1.84, CI: 1.68-2.02), compared with those in the reference categories. Conclusion: The risks of under-five mortality are significantly linked to areas of high neighbourhood poverty and use of solid cooking fuels in kitchens located within the house in Nigeria. There is the need for more pragmatic strategies to re-educate people, especially mothers on the need to use clean cooking fuels from the little resources they have to reduce the children’s exposure to harmful emissions within the house.

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“…A number of studies have examined elements of indoor air pollution in Native American homes, including wood-burning stoves ( 37 ), tobacco smoke ( 38 ), and outdoor air contamination from nearby anthropogenic sources (e.g., oil/gas extraction, mining, nearby industry) ( 39 , 40 ). However, the literature is limited to the specific exposures, and particular challenges, of a small number of tribes.…”

Section: Introductionmentioning

confidence: 99%

Indoor Air Quality Issues for Rocky Mountain West Tribes

Webb

Sleeth

Handy

et al. 2021

Front. Public Health

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Native American populations face considerable health disparities, especially among those who live on reservations, where access to healthcare, education, and safe housing can be limited. Previous research on tribal housing has raised concerns about housing construction, damage, and possible linkage to adverse health effects (e.g., asthma). This community-based participatory research (CBPR) project investigated indoor air quality issues on two Rocky Mountain west reservations. At the onset of the project, the research team formed a partnership with community advisory boards (CABs) consisting of representatives from tribal councils and community members. Research design, implementation, and dissemination all took place in full collaboration with the CABs following approval through official tribal resolutions. Residential homes were monitored for particulate matter with diameter <2.5 microns (PM2.5) and radon concentrations. Low-cost air quality sensors and activated charcoal radon test kits were placed in tribal households for 6-8 days. A large amount of data were below the sensor limit of quantification (LOQ), but several homes had daily averages that exceeded suggested PM2.5 guidelines, suggestive of the potential for high exposure. Additionally, nearly half of all homes sampled had radon levels above the EPA action level, with mitigation activities initiated for the most concerning homes. Findings from this study indicate the need for future community-wide assessments to determine the magnitude and patterns of indoor air quality issues.

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Wood stove interventions and child respiratory infections in rural communities: KidsAir rationale and methods

Cited by 18 publications

References 58 publications

Indoor fine particulate matter and demographic, household, and wood stove characteristics among rural US homes heated with wood fuel

Indoor fine particulate matter and demographic, household, and wood stove characteristics among rural US homes heated with wood fuel

Socio-ecological Determinants of Under-five Mortality in Nigeria: Exploring the Interaction Effects of Neighbourhood Poverty and Solid Cooking Fuel

Indoor Air Quality Issues for Rocky Mountain West Tribes

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