Chimney Stove Intervention to Reduce Long-term Wood Smoke Exposure Lowers Blood Pressure among Guatemalan Women
2007

Chimney Stove Intervention Reduces Blood Pressure in Guatemalan Women

Sample size: 120 publication 10 minutes Evidence: moderate

Author Information

Author(s): John P. McCracken, Kirk R. Smith, Anaité Díaz, Murray A. Mittleman, Joel Schwartz

Primary Institution: Harvard School of Public Health

Hypothesis

The intervention would lower blood pressure.

Conclusion

The chimney stove reduces blood pressure among women in Guatemala.

Supporting Evidence

  • Daily average PM2.5 exposures were significantly lower in the intervention group.
  • The improved stove was associated with a 3.7 mm Hg lower systolic blood pressure.
  • Similar associations were observed in before-and-after comparisons among control subjects.
  • Personal PM2.5 exposure was reduced by about 61% in the intervention group.

Takeaway

Using a special stove instead of an open fire helps lower blood pressure for women cooking in Guatemala.

Methodology

The study used randomized stove assignment and before-and-after comparisons to measure blood pressure and PM2.5 exposure.

Potential Biases

Potential selection bias due to differential participation rates.

Limitations

Participation rates differed by study group, which may introduce selection bias.

Participant Demographics

Women over 38 years of age from rural Guatemala.

Statistical Information

P-Value

0.06

Confidence Interval

−8.1 to 0.6

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.9888

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