Dataset Information

Assessing Exposure to Household Air Pollution: A Systematic Review and Pooled Analysis of Carbon Monoxide as a Surrogate Measure of Particulate Matter.

ABSTRACT:

Background

Household air pollution from solid fuel burning is a leading contributor to disease burden globally. Fine particulate matter (PM_2.5) is thought to be responsible for many of these health impacts. A co-pollutant, carbon monoxide (CO) has been widely used as a surrogate measure of PM_2.5 in studies of household air pollution.

Objective

The goal was to evaluate the validity of exposure to CO as a surrogate of exposure to PM_2.5 in studies of household air pollution and the consistency of the PM_2.5-CO relationship across different study settings and conditions.

Methods

We conducted a systematic review of studies with exposure and/or cooking area PM_2.5 and CO measurements and assembled 2,048 PM_2.5 and CO measurements from a subset of studies (18 cooking area studies and 9 personal exposure studies) retained in the systematic review. We conducted pooled multivariate analyses of PM_2.5-CO associations, evaluating fuels, urbanicity, season, study, and CO methods as covariates and effect modifiers.

Results

We retained 61 of 70 studies for review, representing 27 countries. Reported PM_2.5-CO correlations (r) were lower for personal exposure (range: 0.22-0.97; median=0.57) than for cooking areas (range: 0.10-0.96; median=0.71). In the pooled analyses of personal exposure and cooking area concentrations, the variation in ln(CO) explained 13% and 48% of the variation in ln(PM_2.5), respectively.

Conclusions

Our results suggest that exposure to CO is not a consistently valid surrogate measure of exposure to PM_2.5. Studies measuring CO exposure as a surrogate measure of PM exposure should conduct local validation studies for different stove/fuel types and seasons. https://doi.org/10.1289/EHP767.

SUBMITTER: Carter E

PROVIDER: S-EPMC5744652 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

Assessing Exposure to Household Air Pollution: A Systematic Review and Pooled Analysis of Carbon Monoxide as a Surrogate Measure of Particulate Matter.

Carter Ellison E Norris Christina C Dionisio Kathie L KL Balakrishnan Kalpana K Checkley William W Clark Maggie L ML Ghosh Santu S Jack Darby W DW Kinney Patrick L PL Marshall Julian D JD Naeher Luke P LP Peel Jennifer L JL Sambandam Sankar S Schauer James J JJ Smith Kirk R KR Wylie Blair J BJ Baumgartner Jill J

Environmental health perspectives 20170728 7

<h4>Background</h4>Household air pollution from solid fuel burning is a leading contributor to disease burden globally. Fine particulate matter (PM<sub>2.5</sub>) is thought to be responsible for many of these health impacts. A co-pollutant, carbon monoxide (CO) has been widely used as a surrogate measure of PM<sub>2.5</sub> in studies of household air pollution.<h4>Objective</h4>The goal was to evaluate the validity of exposure to CO as a surrogate of exposure to PM<sub>2.5</sub> in studies of ...[more]

PMID: 28886596

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Dataset Information

Assessing Exposure to Household Air Pollution: A Systematic Review and Pooled Analysis of Carbon Monoxide as a Surrogate Measure of Particulate Matter.

Background

Objective

Methods

Results

Conclusions

Publications

Assessing Exposure to Household Air Pollution: A Systematic Review and Pooled Analysis of Carbon Monoxide as a Surrogate Measure of Particulate Matter.

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