Health impacts of a randomized biomass cookstove intervention in northern Ghana

Abstract Background Household air pollution (HAP) from cooking with solid fuels has adverse health effects. REACCTING (Research on Emissions, Air quality, Climate, and Cooking Technologies in Northern Ghana) was a randomized cookstove intervention study that aimed to determine the effects of two typ...

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Autores principales:	Mona Abdo, Ernest Kanyomse, Rex Alirigia, Evan R. Coffey, Ricardo Piedrahita, David Diaz-Sanchez, Yolanda Hagar, Daniel J. Naumenko, Christine Wiedinmyer, Michael P. Hannigan, Abraham Rexford Oduro, Katherine L. Dickinson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Household air pollution Cookstoves Inflammation Anthropometrics Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4bc211ec13904a588921500ff098b59b
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spelling	oai:doaj.org-article:4bc211ec13904a588921500ff098b59b2021-12-05T12:09:24ZHealth impacts of a randomized biomass cookstove intervention in northern Ghana10.1186/s12889-021-12164-y1471-2458https://doaj.org/article/4bc211ec13904a588921500ff098b59b2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12164-yhttps://doaj.org/toc/1471-2458Abstract Background Household air pollution (HAP) from cooking with solid fuels has adverse health effects. REACCTING (Research on Emissions, Air quality, Climate, and Cooking Technologies in Northern Ghana) was a randomized cookstove intervention study that aimed to determine the effects of two types of “improved” biomass cookstoves on health using self-reported health symptoms and biomarkers of systemic inflammation from dried blood spots for female adult cooks and children, and anthropometric growth measures for children only. Methods Two hundred rural households were randomized into four different cookstove groups. Surveys and health measurements were conducted at four time points over a two-year period. Chi-square tests were conducted to determine differences in self-reported health outcomes. Linear mixed models were used to assess the effect of the stoves on inflammation biomarkers in adults and children, and to assess the z-score deviance for the anthropometric data for children. Results We find some evidence that two biomarkers of oxidative stress and inflammation, serum amyloid A and C-reactive protein, decreased among adult primary cooks in the intervention groups relative to the control group. We do not find detectable impacts for any of the anthropometry variables or self-reported health. Conclusions Overall, we conclude that the REACCTING intervention did not substantially improve the health outcomes examined here, likely due to continued use of traditional stoves, lack of evidence of particulate matter emissions reductions from “improved” stoves, and mixed results for HAP exposure reductions. Clinical trial registry ClinicalTrials.gov (National Institutes of Health); Trial Registration Number: NCT04633135 ; Date of Registration: 11 November 2020 – Retrospectively registered. URL: https://clinicaltrials.gov/ct2/show/NCT04633135?term=NCT04633135&draw=2&rank=1Mona AbdoErnest KanyomseRex AlirigiaEvan R. CoffeyRicardo PiedrahitaDavid Diaz-SanchezYolanda HagarDaniel J. NaumenkoChristine WiedinmyerMichael P. HanniganAbraham Rexford OduroKatherine L. DickinsonBMCarticleHousehold air pollutionCookstovesInflammationAnthropometricsPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Household air pollution Cookstoves Inflammation Anthropometrics Public aspects of medicine RA1-1270
spellingShingle	Household air pollution Cookstoves Inflammation Anthropometrics Public aspects of medicine RA1-1270 Mona Abdo Ernest Kanyomse Rex Alirigia Evan R. Coffey Ricardo Piedrahita David Diaz-Sanchez Yolanda Hagar Daniel J. Naumenko Christine Wiedinmyer Michael P. Hannigan Abraham Rexford Oduro Katherine L. Dickinson Health impacts of a randomized biomass cookstove intervention in northern Ghana
description	Abstract Background Household air pollution (HAP) from cooking with solid fuels has adverse health effects. REACCTING (Research on Emissions, Air quality, Climate, and Cooking Technologies in Northern Ghana) was a randomized cookstove intervention study that aimed to determine the effects of two types of “improved” biomass cookstoves on health using self-reported health symptoms and biomarkers of systemic inflammation from dried blood spots for female adult cooks and children, and anthropometric growth measures for children only. Methods Two hundred rural households were randomized into four different cookstove groups. Surveys and health measurements were conducted at four time points over a two-year period. Chi-square tests were conducted to determine differences in self-reported health outcomes. Linear mixed models were used to assess the effect of the stoves on inflammation biomarkers in adults and children, and to assess the z-score deviance for the anthropometric data for children. Results We find some evidence that two biomarkers of oxidative stress and inflammation, serum amyloid A and C-reactive protein, decreased among adult primary cooks in the intervention groups relative to the control group. We do not find detectable impacts for any of the anthropometry variables or self-reported health. Conclusions Overall, we conclude that the REACCTING intervention did not substantially improve the health outcomes examined here, likely due to continued use of traditional stoves, lack of evidence of particulate matter emissions reductions from “improved” stoves, and mixed results for HAP exposure reductions. Clinical trial registry ClinicalTrials.gov (National Institutes of Health); Trial Registration Number: NCT04633135 ; Date of Registration: 11 November 2020 – Retrospectively registered. URL: https://clinicaltrials.gov/ct2/show/NCT04633135?term=NCT04633135&draw=2&rank=1
format	article
author	Mona Abdo Ernest Kanyomse Rex Alirigia Evan R. Coffey Ricardo Piedrahita David Diaz-Sanchez Yolanda Hagar Daniel J. Naumenko Christine Wiedinmyer Michael P. Hannigan Abraham Rexford Oduro Katherine L. Dickinson
author_facet	Mona Abdo Ernest Kanyomse Rex Alirigia Evan R. Coffey Ricardo Piedrahita David Diaz-Sanchez Yolanda Hagar Daniel J. Naumenko Christine Wiedinmyer Michael P. Hannigan Abraham Rexford Oduro Katherine L. Dickinson
author_sort	Mona Abdo
title	Health impacts of a randomized biomass cookstove intervention in northern Ghana
title_short	Health impacts of a randomized biomass cookstove intervention in northern Ghana
title_full	Health impacts of a randomized biomass cookstove intervention in northern Ghana
title_fullStr	Health impacts of a randomized biomass cookstove intervention in northern Ghana
title_full_unstemmed	Health impacts of a randomized biomass cookstove intervention in northern Ghana
title_sort	health impacts of a randomized biomass cookstove intervention in northern ghana
publisher	BMC
publishDate	2021
url	https://doaj.org/article/4bc211ec13904a588921500ff098b59b
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Health impacts of a randomized biomass cookstove intervention in northern Ghana

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