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Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal

Household air pollution is a major cause of ill health, but few solutions have been effective to date. While many quantitative studies have been conducted, few have explored the lived experiences and perceptions of women who do the cooking, and as a result are those most exposed to household air pol...

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Autores principales: Devakumar, Delan, Qureshi, Zeshan, Mannell, Jenevieve, Baruwal, Manju, Sharma, Neha, Rehfuess, Eva, Saville, Naomi M., Manandhar, Dharma S., Osrin, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858317/
https://www.ncbi.nlm.nih.gov/pubmed/29389909
http://dx.doi.org/10.3390/ijerph15020248
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author Devakumar, Delan
Qureshi, Zeshan
Mannell, Jenevieve
Baruwal, Manju
Sharma, Neha
Rehfuess, Eva
Saville, Naomi M.
Manandhar, Dharma S.
Osrin, David
author_facet Devakumar, Delan
Qureshi, Zeshan
Mannell, Jenevieve
Baruwal, Manju
Sharma, Neha
Rehfuess, Eva
Saville, Naomi M.
Manandhar, Dharma S.
Osrin, David
author_sort Devakumar, Delan
collection PubMed
description Household air pollution is a major cause of ill health, but few solutions have been effective to date. While many quantitative studies have been conducted, few have explored the lived experiences and perceptions of women who do the cooking, and as a result are those most exposed to household air pollution. In this study, we worked with groups of home cooks, and sought to use art as a means of engaging them in discussions of how household air pollution from cooking affects their lives. In the Terai district of southern Nepal, we held four focus groups that included 26 local women from urban and peri-urban areas, as well as six local artists. The women then met approximately weekly over four months, and produced images related to air pollution. Transcripts from the focus groups were reviewed independently by two authors, who initially categorised data deductively to pre-defined nodes, and subsequently inductively reviewed emergent themes. Women identified a number of health effects from air pollution. The main physical effects related to the eye and the respiratory system, and women and young children were seen as most vulnerable. The psychosocial effects of air pollution included reduced food intake by women and lethargy. Suggested solutions included modifications to the cooking process, changing the location of stoves, and increasing ventilation. The main barriers were financial. The lived experiences of women in southern Nepal around the problem of air pollution offers a more nuanced and context-specific understanding of the perceptions and challenges of addressing air pollution, which can be used to inform future interventions.
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spelling pubmed-58583172018-03-19 Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal Devakumar, Delan Qureshi, Zeshan Mannell, Jenevieve Baruwal, Manju Sharma, Neha Rehfuess, Eva Saville, Naomi M. Manandhar, Dharma S. Osrin, David Int J Environ Res Public Health Article Household air pollution is a major cause of ill health, but few solutions have been effective to date. While many quantitative studies have been conducted, few have explored the lived experiences and perceptions of women who do the cooking, and as a result are those most exposed to household air pollution. In this study, we worked with groups of home cooks, and sought to use art as a means of engaging them in discussions of how household air pollution from cooking affects their lives. In the Terai district of southern Nepal, we held four focus groups that included 26 local women from urban and peri-urban areas, as well as six local artists. The women then met approximately weekly over four months, and produced images related to air pollution. Transcripts from the focus groups were reviewed independently by two authors, who initially categorised data deductively to pre-defined nodes, and subsequently inductively reviewed emergent themes. Women identified a number of health effects from air pollution. The main physical effects related to the eye and the respiratory system, and women and young children were seen as most vulnerable. The psychosocial effects of air pollution included reduced food intake by women and lethargy. Suggested solutions included modifications to the cooking process, changing the location of stoves, and increasing ventilation. The main barriers were financial. The lived experiences of women in southern Nepal around the problem of air pollution offers a more nuanced and context-specific understanding of the perceptions and challenges of addressing air pollution, which can be used to inform future interventions. MDPI 2018-02-01 2018-02 /pmc/articles/PMC5858317/ /pubmed/29389909 http://dx.doi.org/10.3390/ijerph15020248 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Devakumar, Delan
Qureshi, Zeshan
Mannell, Jenevieve
Baruwal, Manju
Sharma, Neha
Rehfuess, Eva
Saville, Naomi M.
Manandhar, Dharma S.
Osrin, David
Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
title Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
title_full Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
title_fullStr Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
title_full_unstemmed Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
title_short Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
title_sort women’s ideas about the health effects of household air pollution, developed through focus group discussions and artwork in southern nepal
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858317/
https://www.ncbi.nlm.nih.gov/pubmed/29389909
http://dx.doi.org/10.3390/ijerph15020248
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