Air Pollutant Exposure and Stove Use Assessment Methods for the Household Air Pollution Intervention Network (HAPIN) Trial
Michael Johnson, Kyle Steenland, Ricardo Piedrahita, Maggie L. Clark, Ajay Pillarisetti, Kalpana Balakrishnan, Jennifer L. Peel, Luke P. Naeher, Jiawen Liao, Daniel Wilson, Jeremy A. Sarnat, Lindsay J. Underhill, Vanessa Burrowes, John P. McCracken, Ghislaine Rosa, Joshua P. Rosenthal, Sankar Sambandam, Oscar de León, Miles A. Kirby, Katherine Kearns, William Checkley, Thomas Clasen, HAPIN Investigators
Abstract
BACKGROUND: High quality personal exposure data is fundamental to understanding the health implications of household energy interventions, interpreting analyses across assigned study arms, and characterizing exposure-response relationships for household air pollution. This paper describes the exposure data collection for the Household Air Pollution Intervention Network (HAPIN), a multicountry randomized controlled trial of liquefied petroleum gas stoves and fuel among 3,200 households in India, Rwanda, Guatemala, and Peru. OBJECTIVES: The primary objectives of the exposure assessment are to estimate the exposure contrast achieved following a clean fuel intervention and to provide data for analyses of exposure-response relationships across a range of personal exposures. METHODS: exposure from background concentration. Stove use monitors (Geocene) are being used to assess compliance with the intervention, given that stove stacking (use of traditional stoves in addition to the intervention gas stove) may occur. CONCLUSIONS: The tools and approaches being used for HAPIN to estimate personal exposures build on previous efforts and take advantage of new technologies. In addition to providing key personal exposure data for this study, we hope the application and learnings from our exposure assessment will help inform future efforts to characterize exposure to household air pollution and for other contexts. https://doi.org/10.1289/EHP6422.