Behavioural change, indoor air pollution and child respiratory health in developing countries: a review

Int J Environ Res Public Health. 2014 Apr 25;11(5):4607-18. doi: 10.3390/ijerph110504607.

Abstract

Indoor air pollution caused by the indoor burning of solid biomass fuels has been associated with Acute Respiratory Infections such as pneumonia amongst children of less than five years of age. Behavioural change interventions have been identified as a potential strategy to reduce child indoor air pollution exposure, yet very little is known about the impact of behavioural change interventions to reduce indoor air pollution. Even less is known about how behaviour change theory has been incorporated into indoor air pollution behaviour change interventions. A review of published studies spanning 1983-2013 suggests that behavioural change strategies have the potential to reduce indoor air pollution exposure by 20%-98% in laboratory settings and 31%-94% in field settings. However, the evidence is: (1) based on studies that are methodologically weak; and (2) have little or no underlying theory. The paper concludes with a call for more rigorous studies to evaluate the role of behavioural change strategies (with or without improved technologies) to reduce indoor air pollution exposure in developing countries as well as interventions that draw more strongly on existing behavioural change theory and practice.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Air Pollutants / analysis*
  • Air Pollutants / toxicity
  • Air Pollution, Indoor / analysis*
  • Behavior Control*
  • Child
  • Child, Preschool
  • Developing Countries*
  • Humans
  • Respiratory Tract Diseases / chemically induced
  • Respiratory Tract Diseases / epidemiology*
  • Respiratory Tract Diseases / prevention & control*

Substances

  • Air Pollutants