Evaluation of respiratory health in children exposed to air pollution by biomass combustion at home or during maternal professional activities in Abidjan, Côte d'Ivoire (APIMAMA Kids)
The APIMAMA study (ANRS, 2022-2026) is studying exposure to pollution in 3 groups of women in Côte d’Ivoire exposed to pollution from biomass combustion for professional and personal reasons: women who smoke fish, women who produce charcoal, and housewives who use charcoal for cooking.
The study includes the measurement of pollutant levels, the study of the socio-economic determinants of air pollution, the assessment of women’s respiratory health, the measurement of risk culture indices in relation to air pollution, the installation and supply of improved stoves and hearths and the one-year assessment of the implementation of these mitigation strategies on women’s health, the environment and the socio-economic impact.
The APIMAMA Kids study is a sub-study of the participatory and interdisciplinary APIMAMA study.
It consists of a repeated cross-sectional observational study combined with a longitudinal cohort to monitor children with functional respiratory disorders or asthma. Its main objective is to assess the frequency and determinants of respiratory disorders and symptoms in the children and grandchildren aged under 15 of women included in APIMAMA and a control group of women who use gas for cooking.
In addition, the effect on children’s health of the introduction of improved combustion technologies to mothers will be studied. This study will include around 50-60 children under the age of 15 per group of women.
The measurements carried out will be clinical assessments, spirometry, ambulatory measurement of exposure to fine particles and spirometry in a sub-group of children aged 9 and over. In addition, focus groups including a “draw and express yourself” workshop will be organised, as well as a questionnaire on the theme of air pollution and a time-space budget.
All these measures are complementary to those carried out in the APIMAMA project, in particular the individual and collective measurements of pollution levels, the questionnaires on the socio-economic characteristics of households and the characteristics of dwellings.
Keywords: air pollution, biomass combustion, respiratory health, children, Ivory Coast
Auriane Pajot
auriane.pajot@u-bordeaux.fr
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