Efficacy of interventions targeting household air pollution from residential wood stoves.

Efficacy of interventions targeting household air pollution from residential wood stoves.
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DOI:
10.1038/jes.2015.73
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发表时间:
2017-01
影响因子:
4.5
通讯作者:
Noonan CW
Noonan CW
中科院分区:
医学3区
文献类型:
--
作者:
Ward TJ;Semmens EO;Weiler E;Harrar S;Noonan CW

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木材通常用于住宅供暖,但在室内环境中减少木材烟雾暴露的循证干预措施有限。室内木烟哮喘随机试验(ARTIS)研究旨在评估住宅干预措施减少室内木灶PM暴露的效果。作为三组随机安慰剂对照试验的一部分,评估了两种家庭水平的干预措施:更换柴炉和空气过滤装置。暴露结果包括室内测量,如连续PM2.5、颗粒计数和一氧化碳。干预前,燃烧木材的房屋室内PM2.5浓度中位数为17.5µg/m3。在接受安慰剂过滤器干预的40个家庭中,PM2.5浓度没有显著降低。16个家庭更换了柴火炉,PM2.5或颗粒计数没有明显变化。PM2.5浓度在过滤干预家庭中降低了68%。与安慰剂相比,空气过滤单元住宅的PM2.5总体减少了63% (95% CI: 47% - 75%)。相对于更换木质炉灶,过滤装置干预更有效,更便宜,但合规问题表明需要评估其他策略,以改善使用木质炉灶的家庭室内空气质量。
Wood is commonly used for residential heating, but there are limited evidence-based interventions for reducing wood smoke exposures in the indoor environment. The Asthma Randomized Trial of Indoor Wood Smoke (ARTIS) study was designed to assess the efficacy of residential interventions to reduce indoor PM exposure from wood stoves. As part of a three arm randomized placebo-controlled trial, two household-level interventions were evaluated: wood stove changeouts and air filtration units. Exposure outcomes included indoor measures such as continuous PM2.5, particle counts, and carbon monoxide. Median indoor PM2.5 concentration was 17.5 µg/m3 in wood burning homes prior to interventions. No significant reductions in PM2.5 concentrations were observed in the 40 homes receiving the placebo filter intervention. Sixteen homes received the wood stove changeout and showed no significant changes in PM2.5 or particle counts. PM2.5 concentrations were reduced by 68% in the filter intervention homes. Relative to placebo, air filtration unit homes had an overall PM2.5 reduction of 63% (95% CI: 47%−75%). Relative to the wood stove changeout, the filtration unit intervention was more efficacious and less expensive, yet compliance issues indicated a need for evaluation of additional strategies for improving indoor air quality in homes using wood stoves.
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