Addressing ClimaTe Change FOR IMPROVED CLEAN COOKSTOVE Uptake, Household Air Pollution Reduction, and Hypertension Prevention (ACT4ICC)

摘要 社区动员改善清洁炉灶的吸收，减少家庭空气污染， 高血压预防（R 01 HL 157091）（CF-CS）母研究是一项正在进行的2型混合设计 实施试验，检查社区动员在减少家庭空气污染（HAP）中的作用 在拉各斯，尼日利亚的32个城郊社区进行血压（BP）控制。关于NOT-HD-23- 006，我们提出了这个行政补充，解决气候变化，以改善清洁 COOKSTOVE摄取，家庭空气污染减少和高血压预防（ACT 4 ICC）。ACT4ICC 将利用地方政府区域（LGA）团队（特别是工作的环境卫生官员 与社区密切合作），收集和监测所有参与项目的 家庭（实验组和对照组），并将其影响纳入HAP对BP的父母研究分析中 控制此外，ACT 4 ICC还将建设地方当局的流行病学能力， 减少家庭中的HAP并改善BP结果。扩展到监测和评估领域 研究人群中BC浓度对BP的影响，以及流行病学能力建设将使 我们要全面了解和背景的影响，BC，这是已知的主要组成部分 HAP与高BP的关系，以及当地主要参与者在环境健康管理中的作用， 拉各斯。CF-CS家长研究目前处于实施阶段，并已开始招募。除了 参与拟议的气候和健康研究，ACT 4 ICC将在当地建立流行病学能力， 通过数据收集和BC浓度监测方面的培训， 利益相关者，解释调查结果，并将这些新知识融入实际战略， 在中低收入国家推广气候变化和卫生举措。 根据NOT-HD-23-006中的说明，该补充剂专门针对气候变化和健康。

Abstract The Community Mobilization for Improved Clean Cookstove Uptake, Household Air Pollution Reduction, and Hypertension Prevention (R01HL157091) (CF-CS) parent study is an ongoing type-2 hybrid design implementation trial that examines the role of community mobilization in household air pollution (HAP) reduction and blood pressure (BP) control in 32 peri-urban communities of Lagos, Nigeria. In response to NOT-HD-23- 006, we propose this administrative supplement, Addressing ClimaTe Change FOR IMPROVED CLEAN COOKSTOVE Uptake, Household Air Pollution Reduction, and Hypertension Prevention (ACT4ICC). ACT4ICC will leverage Local Government Area (LGA) teams (particularly the environmental health officers that work closely with the communities) to collect and monitor black carbon (BC) concentrations across all participating households (experimental and control arms) and include its effects in the parent study analysis of HAP on BP control. Additionally, ACT4ICC will build the epidemiological capacity of local authorities, to facilitate the reduction in HAP in households and improve BP outcomes. Expansion into this area of monitoring and assessing the effects of BC concentrations in the study population on BP, and epidemiological capacity building will allow us to comprehensively understand and contextualize the effect of BC, which is known to be major components of HAP with associations with high BP, and the role of local key players in environmental health management of Lagos. CF-CS parent study is currently in the implementation phase and has begun recruitment. In addition to engaging in the proposed climate and health research, ACT4ICC will build epidemiological capacity among local environmental partners through training in data collection and monitoring of BC concentrations, engaging stakeholders, interpreting findings, and integrating this new knowledge into practical strategies to potentially scale climate change and health initiatives in LMICs. Per instructions in to NOT-HD-23-006, this supplement is specific to climate change and health.