dc.date.accessioned2019-01-25T16:59:37Z
dc.date.available2019-01-25T16:59:37Z
dc.date.created2019-01-25T16:59:37Z
dc.date.issued2017
dc.identifierhttps://hdl.handle.net/20.500.12866/4895
dc.identifierhttps://doi.org/10.1186/s13063-017-2179-x
dc.description.abstractBACKGROUND: Biomass fuel smoke is a leading risk factor for the burden of disease worldwide. International campaigns are promoting the widespread adoption of liquefied petroleum gas (LPG) in resource-limited settings. However, it is unclear if the introduction and use of LPG stoves, in settings where biomass fuels are used daily, reduces pollution concentration exposure, improves health outcomes, or how cultural and social barriers influence the exclusive adoption of LPG stoves. METHODS: We will conduct a randomized controlled, field intervention trial of LPG stoves and fuel distribution in rural Puno, Peru, in which we will enroll 180 female participants aged 25-64 years and follow them for 2 years. After enrollment, we will collect information on sociodemographic characteristics, household characteristics, and cooking practices. During the first year of the study, LPG stoves and fuel tanks will be delivered to the homes of 90 intervention participants. During the second year, participants in the intervention arm will keep their LPG stoves, but the gas supply will stop. Control participants will receive LPG stoves and vouchers to obtain free fuel from distributors at the beginning of the second year, but gas will not be delivered. Starting at baseline, we will collect longitudinal measurements of respiratory symptoms, pulmonary function, blood pressure, endothelial function, carotid artery intima-media thickness, 24-h dietary recalls, exhaled carbon monoxide, quality-of-life indicators, and stove-use behaviors. Environmental exposure assessments will occur six times over the 2-year follow-up period, consisting of 48-h personal exposure and kitchen concentration measurements of fine particulate matter and carbon monoxide, and 48-h kitchen concentrations of nitrogen dioxide for a subset of 100 participants. DISCUSSION: Findings from this study will allow us to better understand behavioral patterns, environmental exposures, and cardiovascular and pulmonary outcomes resulting from the adoption of LPG stoves. If this trial indicates that LPG stoves are a feasible and effective way to reduce household air pollution and improve health, it will provide important information to support widespread adoption of LPG fuel as a strategy to reduce the global burden of disease.
dc.languageeng
dc.publisherBioMed Central
dc.relationTrials
dc.relation1745-6215
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectHousehold Articles
dc.subjectAdult
dc.subjectAir Pollution, Indoor/adverse effects/prevention & control
dc.subjectBehavior change
dc.subjectBiomass fuel
dc.subjectCardiopulmonary outcomes
dc.subjectCardiovascular System/physiopathology
dc.subjectCooking/instrumentation
dc.subjectCookstove
dc.subjectEnvironmental Monitoring/methods
dc.subjectEquipment Design
dc.subjectExclusive adoption
dc.subjectFemale
dc.subjectGases
dc.subjectHeart Diseases/diagnosis/etiology/physiopathology/prevention & control
dc.subjectHousehold air pollution
dc.subjectHousing
dc.subjectHumans
dc.subjectIndoor air pollution
dc.subjectInhalation Exposure/adverse effects/prevention & control
dc.subjectLPG
dc.subjectLung Diseases/diagnosis/etiology/physiopathology/prevention & control
dc.subjectLung/physiopathology
dc.subjectMiddle Aged
dc.subjectPersonal exposure
dc.subjectPeru
dc.subjectPetroleum/adverse effects
dc.subjectResearch Design
dc.subjectRisk Factors
dc.subjectRural Health
dc.subjectTime Factors
dc.titleEffects of a liquefied petroleum gas stove intervention on pollutant exposure and adult cardiopulmonary outcomes (CHAP): study protocol for a randomized controlled trial
dc.typeinfo:eu-repo/semantics/article


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