Combustion of plastic waste and human health effects in Guatemala

摘要 家庭垃圾的焚烧，特别是塑料垃圾的焚烧，是一个尚未解决的重大环境和健康危害。 在缺乏废物管理基础设施以适当处理废物的低资源国家。在农村 危地马拉，95%的家庭使用固体燃料做饭，71%的家庭使用垃圾作为主要的 处理完了。塑料垃圾在固体燃料(如木头)炉灶和户外炉火中燃烧，作为一种手段 处理完了。ECOLECTIVOS是一项使用实施研究来开发和评估的整群随机试验 旨在减少家庭塑料垃圾焚烧的社区级工作组。使用此管理程序 补充我们将从以下人员中选出最多三名环境健康社区工作者(推广员) 在8个干预村参加为期12周的社区工作组会议的妇女中。 我们将使用行为改变轮和RE-AIM这两个实施科学框架来评估 决定行为的机会、能力和动机，以及影响范围、有效性、 社区驱动的干预措施的采用、实施保真度、维护和可持续性。在目标1中， 推广员将接受培训，对村里的25名妇女进行简短的清单调查 参加工作组，并继续实施村里选定的干预措施(例如， 社区回收)，以评估COM-B和RE-AIM的域。发起人将与 ECOLECTIVOS研究人员关于实施瓶颈(例如，回收车没有到达)和 成功的数量(例如，成功参与回收的村民数量)。在目标2中，推动者将帮助项目 工作人员设计和实施“干预集市”，在8个控制村铺开。这些交易会将被组织起来 促进在附近控制村开展干预活动。该项目与以下内容相关 NIEHS的任务，因为它促进了研究和社区团体之间的合作 旨在改善家庭和环境空气质量的社区参与研究。我们的发现将是 与政策制定者一起纳入社区驱动的公共卫生行动，以在其他地方发展项目 上下文。

ABSTRACT Household waste burning, especially of plastics, is a major, but unaddressed environmental and health hazard in low resource countries that lack a waste management infrastructure to properly dispose of waste. In rural Guatemala, 95% of households use solid fuels for cooking and 71% burn waste as the primary means of disposal. Plastic waste is burned in solid fuel (e.g., wood) cookstoves and in outdoor fires as a means of disposal. ECOLECTIVOS is a cluster randomized trial using implementation research to develop and evaluate community-level working groups that aim to reduce household burning of plastic waste. With this administrative supplement we will select up to three environmental health community workers (promotoras) per village from among the women who participate in the 12-week community working group sessions in 8 intervention villages. We will use the Behavior Change Wheel and RE-AIM, two implementation science frameworks to assess opportunities, capabilities and motivations that determine behaviors, as well as the reach, effectiveness, adoption, implementation fidelity, maintenance, and sustainability of community-driven interventions. In Aim 1, the promotoras will be trained to administer short checklist surveys to the 25 women in their village who participate in the working groups and who continue to implement the intervention selected by the village (e.g., community recycling) to assess domains of COM-B and RE-AIM. The promotoras will communicate with ECOLECTIVOS research staff about implementation bottlenecks (e.g., recycling truck didn’t arrive) and successes (e.g., number of villagers engaged successfully in recycling). In Aim 2, the promotoras will help project staff design and implement “intervention fairs” to be rolled out in 8 control villages. These fairs will be structured to promote the uptake and adoption of intervention activities in nearby control villages. The project is relevant to the NIEHS mission because it fosters collaboration between research and community groups in the conduct of community-engaged research that aims to improve household and ambient air quality. Our findings will be incorporated into community-driven public health actions with policymakers to develop programs in other local contexts.