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

应对气候变化，提高清洁炉灶的使用率，减少家庭空气污染，预防高血压 (ACT4ICC)

• 批准号: 10838948
• 负责人: OLUGBENGA G. OGEDEGBE
• 金额: $ 55.03万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-15 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10838948
• 关键词: Address; Administrative Supplement; Adoption; Africa; Air Pollutants; Air Pollution; Area; Authorization documentation; Blood Pressure; Carbon Black; Carbon Dioxide; Charcoal; Chicago; Climate; Collaborations; Communities; Cookstove; Country; Data Analyses; Data Collection; Diastolic blood pressure; Electricity; Energy-Generating Resources; Environmental Health; Epidemiology; Exposure to; Funding; Goals; Health; Household; Household Air Pollution; Hypertension; Infrastructure; Instruction; Intervention; Knowledge; Local Government; Low Birth Weight Infant; Maintenance; Measurement; Measures; Medicine; Monitor; Morbidity - disease rate; Needs Assessment; New York; Nigeria; Outcome; Output; Parents; Participant; Persons; Phase; Pollution; Population; Poverty; Readiness; Research; Resources; Role; Self Direction; Technology; Testing; Training; United States National Institutes of Health; Universities; Urban Community; Work; air monitoring; anthropogenesis; arm; authority; blood pressure control; blood pressure elevation; blood pressure reduction; climate change; climate impact; climate-related health; college; cooking; environmental agent; falls; fine particles; health management; hybrid type 2 design; hypertension prevention; implementation strategy; implementation trial; improved; low and middle-income countries; medical schools; mortality; peri-urban; pilot test; pollutant; pressure; primary outcome; recruit; research to practice; response; secondary outcome; study population; uptake

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.

抽象的 社区动员以改善清洁炉灶的使用、减少家庭空气污染和 高血压预防 (R01HL157091) (CF-CS) 母研究是一项正在进行的 2 型混合设计 实施试验，检验社区动员在减少家庭空气污染 (HAP) 中的作用 尼日利亚拉各斯 32 个城郊社区的血压 (BP) 控制。回应 NOT-HD-23- 006，我们提出这个行政补充，解决气候变化以改善清洁 COOKSTOVE 摄入、减少家庭空气污染和预防高血压 (ACT4ICC)。 ACT4ICC 将利用地方政府地区 (LGA) 团队（特别是负责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的黑碳（BC）浓度 家庭（实验组和对照组），并将其影响纳入家长研究分析 HAP 对 BP 的影响 控制。此外，ACT4ICC 将建设地方当局的流行病学能力，以促进 减少家庭 HAP 并改善血压结果。扩展到监测和评估领域 研究人群中 BC 浓度对血压的影响以及流行病学能力建设将允许 我们全面理解 BC 的影响并将其置于背景中，众所周知，BC 是主要组成部分 HAP 与高血压的关联，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，已开始招募。此外 参与拟议的气候和健康研究，ACT4ICC 将在当地建立流行病学能力 环境合作伙伴通过数据收集和BC浓度监测方面的培训，让 利益相关者，解释研究结果，并将这些新知识整合到实际战略中，以潜在地 扩大中低收入国家的气候变化和健康举措。 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。