Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala

<p>Abstract</p> <p>Background</p> <p>Indoor air pollution (IAP) from solid fuels is a serious health problem in low-income countries that can be alleviated using improved stoves. Although women are the principal users, few studies have investigated the self-assessed imp...

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Main Authors: Smith Kirk R, Díaz Anaité, Pope Dan, Bruce Nigel, Díaz Esperanza, Smith-Sivertsen Tone
Format: Article
Language:English
Published: BMC 2008-06-01
Series:BMC International Health and Human Rights
Online Access:http://www.biomedcentral.com/1472-698X/8/7
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author Smith Kirk R
Díaz Anaité
Pope Dan
Bruce Nigel
Díaz Esperanza
Smith-Sivertsen Tone
author_facet Smith Kirk R
Díaz Anaité
Pope Dan
Bruce Nigel
Díaz Esperanza
Smith-Sivertsen Tone
author_sort Smith Kirk R
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Indoor air pollution (IAP) from solid fuels is a serious health problem in low-income countries that can be alleviated using improved stoves. Although women are the principal users, few studies have investigated the self-assessed impact of the stoves on their health and lives.</p> <p>Methods</p> <p>This study was conducted in rural highland Guatemala, involving 89 intervention and 80 control Mayan Indian young women (mean 27.8 years, SD 7.2). Outcomes were assessed after approximately 18 months use of the new stove. Our objectives were to compare self-rated health and change in health among women participating in a randomised control trial comparing a chimney stove with an open fire, to describe impacts on women's daily lives and their perceptions of how reduced kitchen smoke affects their own and their children's health.</p> <p>Results</p> <p>On intention-to-treat analysis, 52.8% of intervention women reported improvement in health, compared to 23.8% of control women (p < 0.001). Among 84 intervention women who reported reduced kitchen smoke as an important change, 88% linked this to improvement in their own health, particularly for non-respiratory symptoms (for example eye discomfort, headache); 57% linked reduced smoke to improvement in their children's health, particularly sore eyes.</p> <p>Conclusion</p> <p>Women's perception of their health was improved, but although smoke reduction was valued, this was linked mainly with alleviation of non-respiratory symptoms like eye discomfort and headache. More focus on such symptoms may help in promoting demand for improved stoves and cleaner fuels, but education about more severe consequences of IAP exposure is also required.</p>
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spelling doaj.art-9d60eb909d624e4cabf58ed3cad421a12022-12-21T17:16:01ZengBMCBMC International Health and Human Rights1472-698X2008-06-0181710.1186/1472-698X-8-7Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in GuatemalaSmith Kirk RDíaz AnaitéPope DanBruce NigelDíaz EsperanzaSmith-Sivertsen Tone<p>Abstract</p> <p>Background</p> <p>Indoor air pollution (IAP) from solid fuels is a serious health problem in low-income countries that can be alleviated using improved stoves. Although women are the principal users, few studies have investigated the self-assessed impact of the stoves on their health and lives.</p> <p>Methods</p> <p>This study was conducted in rural highland Guatemala, involving 89 intervention and 80 control Mayan Indian young women (mean 27.8 years, SD 7.2). Outcomes were assessed after approximately 18 months use of the new stove. Our objectives were to compare self-rated health and change in health among women participating in a randomised control trial comparing a chimney stove with an open fire, to describe impacts on women's daily lives and their perceptions of how reduced kitchen smoke affects their own and their children's health.</p> <p>Results</p> <p>On intention-to-treat analysis, 52.8% of intervention women reported improvement in health, compared to 23.8% of control women (p < 0.001). Among 84 intervention women who reported reduced kitchen smoke as an important change, 88% linked this to improvement in their own health, particularly for non-respiratory symptoms (for example eye discomfort, headache); 57% linked reduced smoke to improvement in their children's health, particularly sore eyes.</p> <p>Conclusion</p> <p>Women's perception of their health was improved, but although smoke reduction was valued, this was linked mainly with alleviation of non-respiratory symptoms like eye discomfort and headache. More focus on such symptoms may help in promoting demand for improved stoves and cleaner fuels, but education about more severe consequences of IAP exposure is also required.</p>http://www.biomedcentral.com/1472-698X/8/7
spellingShingle Smith Kirk R
Díaz Anaité
Pope Dan
Bruce Nigel
Díaz Esperanza
Smith-Sivertsen Tone
Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala
BMC International Health and Human Rights
title Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala
title_full Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala
title_fullStr Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala
title_full_unstemmed Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala
title_short Self-rated health among Mayan women participating in a randomised intervention trial reducing indoor air pollution in Guatemala
title_sort self rated health among mayan women participating in a randomised intervention trial reducing indoor air pollution in guatemala
url http://www.biomedcentral.com/1472-698X/8/7
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