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Effectiveness of an Indoor Air Pollution (IAP) Intervention on Reducing IAP and Improving Women’s Health Status in Rural Areas of Gansu Province, China

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DOI: 10.4236/ojap.2015.41004    5,022 Downloads   5,736 Views   Citations

ABSTRACT

Given the deleterious health effects associated with indoor air pollution (IAP), this study was conducted to evaluate an IAP intervention in rural areas in Gansu, one of the poorest provinces of China. We selected 371 rural households to take part in intervention measures including stove improvement and health education. Eight of 371 households were selected to conduct IAP sampling. Four hundred and thirteen women in these households completed a questionnaire and 49 women took part in lung function tests. After the intervention, PM4 levels reduced from 455 μg/m3 to 200 μg/m3 and CO reduced from 3.40 ppm to 2.90 ppm in indoor air. The percentage of predicted value of FEV1 and FVC improved to some degree after the intervention, but all the parameters of lung function assessment did not show a significant change. Prevalence rates of several symptoms associated with IAP significantly declined in the study population, compared with baseline levels. Intervention measures combining stove improvement with health education were effective in reducing IAP levels. Women’s health status, including eye and respiratory symptoms, also showed improvement. However, the effect on lung function was not apparent and warranted additional follow-up. Similarly, evaluation of the long term effects of the IAP intervention will require future studies.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Cheng, Y. , Kang, J. , Liu, F. , Bassig, B. , Leaderer, B. , He, G. , Holford, T. , Tang, N. , Wang, J. , He, J. , Liu, Y. , Liu, Y. , Liu, J. , Chen, X. , Gu, H. , Ma, X. , Zheng, T. and Jin, Y. (2015) Effectiveness of an Indoor Air Pollution (IAP) Intervention on Reducing IAP and Improving Women’s Health Status in Rural Areas of Gansu Province, China. Open Journal of Air Pollution, 4, 26-37. doi: 10.4236/ojap.2015.41004.

References

[1] World Health Organization (2013) World Health Statistics.
http://www.who.int/gho/publications/world_health_statistics/2013/en/
[2] World Health Organization (2007) Indoor Air Pollution: National Burden of Disease Estimates. World Health Organization, Geneva.
http://www.who.int/indoorair/publications/indoor_air_national_burden_estimate_revised.pdf
[3] Lim, S., Vos, T., Flaxman, A.D., Danaei, G., Shibuya, K., Adair-Rohani, H., et al. (2012) A Comparative Risk Assessment of Burden of Disease and Injury Attributable to 67 Risk Factors and Risk Factor Clusters in 21 Regions, 1990-2010: A Systematic Analysis for the Global Burden of Disease Study 2010. The Lancet, 380, 2224-2260.
http://dx.doi.org/10.1016/S0140-6736(12)61766-8
[4] Kurmi, O.P., Semple, S., Simkhada, P., Smith, W.C. and Ayres, J.G. (2010) COPD and Chronic Bronchitis Risk of Indoor Air Pollution from Solid Fuel: A Systematic Review and Meta-Analysis. Thorax, 65, 221-228.
http://dx.doi.org/10.1136/thx.2009.124644
[5] Regalado, J., Perez-Padilla, R., Sansores, R., Paramo Ramirez, J.I., Brauer, M., Pare, P., et al. (2006) The Effect of Biomass Burning on Respiratory Symptoms and Lung Function in Rural Mexican Women. American Journal of Respiratory and Critical Care Medicine, 174, 901-905.
http://dx.doi.org/10.1164/rccm.200503-479OC
[6] Díaz, E., Smith-Sivertsen, T., Pope, D., Lie, R.T., Díaz, A., McCracken, J., et al. (2007) Eye Discomfort, Headache and Back Pain among Mayan Guatemalan Women Taking Part in a Randomised Stove Intervention Trial. Journal of Epidemiology and Community Health, 61, 74-79.
http://dx.doi.org/10.1136/jech.2006.043133
[7] Liu, S., Zhou, Y., Wang, X., Wang, D., Lu, J., Zheng, J., et al. (2007) Biomass Fuels Are the Probable Risk Factor for Chronic Obstructive Pulmonary Disease in Rural South China. Thorax, 62, 889-897.
http://dx.doi.org/10.1136/thx.2006.061457
[8] Mishra, V. (2003) Effect of Indoor Air Pollution from Biomass Combustion on Prevalence of Asthma in the Elderly. Environmental Health Perspectives, 111, 71-78.
http://dx.doi.org/10.1289/ehp.5559
[9] Mestl, H.E., Aunan, K., Seip, H.M., Wang, S., Zhao, Y. and Zhang, D. (2007) Urban and Rural Exposure to Indoor Air Pollution from Domestic Biomass and Coal Burning across China. Science of the Total Environment, 377, 12-26.
http://dx.doi.org/10.1016/j.scitotenv.2007.01.087f
[10] World Health Organization (2009) Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks.
http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf
[11] Jin, Y., Ma, X., Chen, X., Cheng, Y., Baris, E. and Ezzati, M. (2006) Exposure to Indoor Air Pollution from Household Energy Use in Rural China: The Interactions of Technology, Behavior, and Knowledge in Health Risk Management. Social Science Medicine, 62, 3161-3176.
http://dx.doi.org/10.1016/j.socscimed.2005.11.029
[12] He, G., Ying, B., Liu, J., Gao, S., Shen, S., Balakrishnan, K., et al. (2005) Patterns of Household Concentrations of Multiple Indoor Air Pollutants in China. Environmental Science Technology, 39, 991-998.
http://dx.doi.org/10.1021/es049731f
[13] Chapman, R.S., He, X., Blair, A.E. and Lan, Q. (2005) Improvement in Household Stoves and Risk of Chronic Obstructive Pulmonary Disease in Xuanwei, China: Retrospective Cohort Study. British Medical Journal, 331, 1050.
http://dx.doi.org/10.1136/bmj.38628.676088.55
[14] Lan, Q., Chapman, R.S., Schreinemachers, D.M., Tian, L. and He, X. (2002) Household Stove Improvement and Risk of Lung Cancer in Xuanwei, China. Journal of the National Cancer Institute, 94, 826-835.
http://dx.doi.org/10.1093/jnci/94.11.826
[15] Shen, M., Chapman, R.S., Vermeulen, R., Tian, L., Zheng, T., Chen, B.E., et al. (2009) Coal Use, Stove Improvement, and Adult Pneumonia Mortality in Xuanwei, China: A Retrospective Cohort Study. Environmental Health Perspectives, 117, 261-266. http://dx.doi.org/10.1289/ehp.11521
[16] Zhou, Z., Jin, Y., Liu, F., Cheng, Y., Liu, J., Kang, J., et al. (2006) Community Effectiveness of Stove and Health Education Interventions for Reducing Exposure to Indoor Air Pollution from Solid Fuels in Four Chinese Provinces. Environmental Research Letters, 1, 1-12.
http://dx.doi.org/10.1088/1748-9326/1/1/014010
[17] Jin, Y., Zhou, Z., He, G., Wei, H., Liu, J., Liu, F., et al. (2005) Geographical, Spatial, and Temporal Distributions of Multiple Indoor Air Pollutants in Four Chinese Provinces. Environmental Science Technology, 39, 9431-9439.
http://dx.doi.org/10.1021/es0507517
[18] Mu, K. and Liu, S. (1990) National Compilation of Normal Value of Lung Function. Peking Union Medical College, Beijing Medical University Joint Publishing House, Beijing.
[19] Ministry of Health (2002) Indoor Air Quality Standard Ministry of Health, China.
http://www.moh.gov.cn/publicfiles//business/htmlfiles/zwgkzt/pwsbz/index.htm
[20] Smith-Sivertsen, T., Diaz, E., Pope, D., Lie, R.T., Diaz, A., McCracken, J., et al. (2009) Effect of Reducing Indoor Air Pollution on Women’s Respiratory Symptoms and Lung Function: The RESPIRE Randomized Trial, Guatemala. American Journal of Epidemiology, 170, 211-220.
http://dx.doi.org/10.1093/aje/kwp100
[21] Rinne, S., Rodas, E., Bender, B., Rinne, M., Simpson, J., Galer-Unti, R., et al. (2005) Relationship of Pulmonary Function among Women and Children to Indoor Air Pollution from Biomass Use in Rural Ecuador. Respiratory Medicine, 100, 1208-1215. http://dx.doi.org/10.1016/j.rmed.2005.10.020

  
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