中低收入国家使用固体燃料家庭中减少室内空气污染和/或改善健康干预措施的有效性：系统评价方案
Effectiveness of interventions to reduce indoor air pollution and/or improve health in homes using solid fuel in lower and middle income countries: protocol for a systematic review.
作者信息
Quansah Reginald, Ochieng Caroline A, Semple Sean, Juvekar Sanjar, Emina Jacques, Armah Frederick Ato, Luginaah Isaac
机构信息
Biological, Environmental & Occupational Health Sciences, School of Public Health, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.
Department of Immunology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.
出版信息
Syst Rev. 2015 Mar 4;4:22. doi: 10.1186/s13643-015-0012-8.
BACKGROUND
Indoor air pollution (IAP) interventions are widely promoted as a means of reducing indoor air pollution/health from solid fuel use; and research addressing impact of these interventions has increased substantially in the past two decades. It is timely and important to understand more about effectiveness of these interventions. We describe the protocol of a systematic review to (i) evaluate effectiveness of IAP interventions to improve indoor air quality and/or health in homes using solid fuel for cooking and/or heating in lower- and middle-income countries, (ii) identify the most effective intervention to improve indoor air quality and/or health, and (iii) identify future research needs.
METHODS
This review will be conducted according to the National Institute for Health and Care Excellence (NICE) guidelines and will be reported following the PRISMA statement. Ovid MEDLINE, Ovid Embase, SCOPUS, and PubMed searches were conducted in September 2013 and updated in November 2014 (and include any further search updates in February 2015). Additional references will be located through searching the references cited by identified studies and through the World Health Organization Global database of household air pollution measurements. We will also search our own archives. Data extraction and risk of bias assessment of all included papers will be conducted independently by five reviewers.
DISCUSSION
The study will provide insights into what interventions are most effective in reducing indoor air pollution and/or adverse health outcomes in homes using solid fuel for cooking or heating in lower- or middle-income countries. The findings from this review will be used to inform future IAP interventions and policy on poverty reduction and health improvement in poor communities who rely on biomass and solid fuels for cooking and heating.
SYSTEMATIC REVIEW REGISTRATION
The review has been registered with PROSPERO (registration number CRD42014009768 ).
背景
室内空气污染（IAP）干预措施作为减少因使用固体燃料导致的室内空气污染/健康问题的一种手段而被广泛推广；在过去二十年中，针对这些干预措施影响的研究大幅增加。进一步了解这些干预措施的有效性既及时又重要。我们描述了一项系统评价的方案，以（i）评估IAP干预措施在改善中低收入国家使用固体燃料做饭和/或取暖家庭的室内空气质量和/或健康方面的有效性，（ii）确定改善室内空气质量和/或健康的最有效干预措施，以及（iii）确定未来的研究需求。
方法
本评价将根据英国国家卫生与临床优化研究所（NICE）的指南进行，并将按照系统评价和Meta分析的首选报告项目（PRISMA）声明进行报告。2013年9月对Ovid MEDLINE、Ovid Embase、SCOPUS和PubMed进行了检索，并于2014年11月更新（并包括2015年2月的任何进一步检索更新）。将通过搜索已识别研究引用的参考文献以及通过世界卫生组织家庭空气污染测量全球数据库来查找其他参考文献。我们还将搜索我们自己的存档。所有纳入论文的数据提取和偏倚风险评估将由五名评审员独立进行。
讨论
该研究将深入了解哪些干预措施在减少中低收入国家使用固体燃料做饭或取暖家庭的室内空气污染和/或不良健康结局方面最有效。本评价的结果将用于为未来的IAP干预措施以及依赖生物质和固体燃料做饭和取暖的贫困社区的减贫和健康改善政策提供信息。
系统评价注册
该评价已在国际前瞻性系统评价注册库（PROSPERO）注册（注册号CRD42014009768）。
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