Dataset Information

Implementation of clean cookstove interventions and its effects on blood pressure in low-income and middle-income countries: systematic review.

ABSTRACT:

Objective

A review of the implementation outcomes of clean cookstove use, and its effects on blood pressure (BP) in low-income and middle-income countries (LMICs).

Design

Systematic review of studies that reported the effect of clean cookstove use on BP among women, and implementation science outcomes in LMICs.

Data sources

We searched PubMed, Embase, INSPEC, Scielo, Cochrane Library, Global Health and Web of Science PLUS. We conducted searches in November 2017 with a repeat in May 2018. We did not restrict article publication date.

Eligibility criteria for selecting studies

We included only studies conducted in LMICs, published in English, regardless of publication year and studies that examined the use of improved or clean cookstove intervention on BP. Two authors independently screened journal article titles, abstracts and full-text articles to identify those that included the following search terms: high BP, hypertension and or household air pollution, LMICs, cookstove and implementation outcomes.

Results

Of the 461 non-duplicate articles identified, three randomised controlled trials (RCTs) (in Nigeria, Guatemala and Ghana) and two studies of pre-post design (in Bolivia and Nicaragua) met eligibility criteria. These articles evaluated the effect of cookstove use on BP in women. Two of the three RCTs reported a mean reduction in diastolic BP of -2.8?mm Hg (-5.0, -0.6; p=0.01) for the Nigerian study; -3.0?mm Hg; (-5.7, -0.4; p=0.02) for the Guatemalan study; while the study conducted in Ghana reported a non-significant change in BP. The pre-post studies reported a significant reduction in mean systolic BP of -5.5?mm Hg; (p=0.01) for the Bolivian study, and -5.9?mm Hg (-11.3, -0.4; p=0.05) for the Nicaraguan study. Implementation science outcomes were reported in all five studies (three reported feasibility, one reported adoption and one reported feasibility and adoption of cookstove interventions).

Conclusion

Although this review demonstrated that there is limited evidence on the implementation of clean cookstove use in LMICs, the effects of clean cookstove on BP were significant for both systolic and diastolic BP among women. Future studies should consider standardised reporting of implementation outcomes.

SUBMITTER: Onakomaiya D

PROVIDER: S-EPMC6530298 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Publications

Implementation of clean cookstove interventions and its effects on blood pressure in low-income and middle-income countries: systematic review.

Onakomaiya Deborah D Gyamfi Joyce J Iwelunmor Juliet J Opeyemi Jumoke J Oluwasanmi Mofetoluwa M Obiezu-Umeh Chisom C Dalton Milena M Nwaozuru Ucheoma U Ojo Temitope T Vieira Dorice D Ogedegbe Gbenga G Olopade Christopher C

BMJ open 20190514 5

<h4>Objective</h4>A review of the implementation outcomes of clean cookstove use, and its effects on blood pressure (BP) in low-income and middle-income countries (LMICs).<h4>Design</h4>Systematic review of studies that reported the effect of clean cookstove use on BP among women, and implementation science outcomes in LMICs.<h4>Data sources</h4>We searched PubMed, Embase, INSPEC, Scielo, Cochrane Library, Global Health and Web of Science PLUS. We conducted searches in November 2017 with a repea ...[more]

PMID: 31092656

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Dataset Information

Implementation of clean cookstove interventions and its effects on blood pressure in low-income and middle-income countries: systematic review.

Objective

Design

Data sources

Eligibility criteria for selecting studies

Results

Conclusion

Publications

Implementation of clean cookstove interventions and its effects on blood pressure in low-income and middle-income countries: systematic review.

Similar Datasets

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