The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

A neglected source of household air pollution? A preliminary, mixed methods study of purposely produced household smoke in Wollo, Ethiopia

A neglected source of household air pollution? A preliminary, mixed methods study of purposely produced household smoke in Wollo, Ethiopia
A neglected source of household air pollution? A preliminary, mixed methods study of purposely produced household smoke in Wollo, Ethiopia
Background
Ill health associated with Household Air Pollution (HAP) is increasingly recognised as a public health problem in sub-Saharan Africa. To date, attempts to reduce HAP have focussed on smoke from cooking fires and have ignored traditional cultural practices which generate Purposely Produced Smoke (PPS). This study aimed to investigate prevalence of PPS use, reasons for use and perceptions of PPS safety.

Methods
The study was conducted in Wollo, Ethiopia, and used a mixed methods approach of quantitative surveys (analysed descriptively) and qualitative interviews with householders and healthcare workers (analysed thematically).

Results
PPS use was reported by 99% of survey respondents and it was considered a fundamental part of life; reasons for use included housekeeping, culture/religion and wellbeing. Both householders and healthcare workers appeared to assume PPS is safe except for people with certain underlying conditions. Healthcare workers felt the lack of evidence of harm from PPS meant there was no justification for intervention.

Conclusion
This study, the first in-depth study of PPS, has shown its use to be widespread, with many perceived benefits and thus a very important part of local culture in this sample Ethiopian community. Consequently, any public health interventions aimed at reducing HAP in this setting need to consider PPS.
1741-3842
Wilkinson, R.
8aa522c3-f145-47c2-8e19-b3f53df110ce
Afework, T.
a8bd6ad2-767a-4b8e-a985-dbbb17e2dfd4
Mortimore, A.
ec7a9e73-482a-4778-8c13-64b972667c4e
Phillips, David
29b73be7-2ff9-4fff-ae42-d59842df4cc6
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Levene, Dan
fdf6fd40-020a-4cbb-b953-d5c2dcc6a002
Kaba, M.
d6a43767-fe2b-40dc-8b91-0adb1c1f8fc1
Wilkinson, R.
8aa522c3-f145-47c2-8e19-b3f53df110ce
Afework, T.
a8bd6ad2-767a-4b8e-a985-dbbb17e2dfd4
Mortimore, A.
ec7a9e73-482a-4778-8c13-64b972667c4e
Phillips, David
29b73be7-2ff9-4fff-ae42-d59842df4cc6
Willcox, Merlin
dad5b622-9ac2-417d-9b2e-aad41b64ffea
Levene, Dan
fdf6fd40-020a-4cbb-b953-d5c2dcc6a002
Kaba, M.
d6a43767-fe2b-40dc-8b91-0adb1c1f8fc1

Wilkinson, R., Afework, T., Mortimore, A., Phillips, David, Willcox, Merlin, Levene, Dan and Kaba, M. (2020) A neglected source of household air pollution? A preliminary, mixed methods study of purposely produced household smoke in Wollo, Ethiopia. Journal of Public Health. (doi:10.1093/pubmed/fdaa197).

Record type: Article

Abstract

Background
Ill health associated with Household Air Pollution (HAP) is increasingly recognised as a public health problem in sub-Saharan Africa. To date, attempts to reduce HAP have focussed on smoke from cooking fires and have ignored traditional cultural practices which generate Purposely Produced Smoke (PPS). This study aimed to investigate prevalence of PPS use, reasons for use and perceptions of PPS safety.

Methods
The study was conducted in Wollo, Ethiopia, and used a mixed methods approach of quantitative surveys (analysed descriptively) and qualitative interviews with householders and healthcare workers (analysed thematically).

Results
PPS use was reported by 99% of survey respondents and it was considered a fundamental part of life; reasons for use included housekeeping, culture/religion and wellbeing. Both householders and healthcare workers appeared to assume PPS is safe except for people with certain underlying conditions. Healthcare workers felt the lack of evidence of harm from PPS meant there was no justification for intervention.

Conclusion
This study, the first in-depth study of PPS, has shown its use to be widespread, with many perceived benefits and thus a very important part of local culture in this sample Ethiopian community. Consequently, any public health interventions aimed at reducing HAP in this setting need to consider PPS.

Text
smoke in Ethiopia_draft paper_20200721 - Accepted Manuscript
Download (208kB)

More information

Accepted/In Press date: 10 October 2020
e-pub ahead of print date: 10 December 2020

Identifiers

Local EPrints ID: 445053
URI: http://eprints.soton.ac.uk/id/eprint/445053
ISSN: 1741-3842
PURE UUID: 76913daa-eb50-4b2f-8cd2-645c27144c73
ORCID for Merlin Willcox: ORCID iD orcid.org/0000-0002-5227-3444

Catalogue record

Date deposited: 18 Nov 2020 17:31
Last modified: 13 Dec 2021 06:23

Export record

Altmetrics

Contributors

Author: R. Wilkinson
Author: T. Afework
Author: A. Mortimore
Author: David Phillips
Author: Merlin Willcox ORCID iD
Author: Dan Levene
Author: M. Kaba

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×