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Knowledge, Attitudes, and Practices (KAP) of the Relationship between Air Pollution and Children’s Respiratory Health in Shanghai, China

Author

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  • Rui Wang

    (School of Public Health, Fudan University, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China
    These authors contributed equally to this work.)

  • Yingying Yang

    (School of Public Health, Fudan University, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China
    These authors contributed equally to this work.)

  • Renjie Chen

    (School of Public Health, Fudan University, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China)

  • Haidong Kan

    (School of Public Health, Fudan University, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China)

  • Jinyi Wu

    (School of Public Health, Fudan University, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China)

  • Keran Wang

    (School of Public Health, Fudan University, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China)

  • Jay E. Maddock

    (Department of Public Health Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA)

  • Yuanan Lu

    (Department of Public Health Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA)

Abstract

To assess the status of, and factors associated with, residents’ knowledge, attitudes, and practices (KAP) related to air pollution and respiratory health of children in Shanghai, we conducted a cross-sectional survey. Demographic factors associated with residents’ knowledge were identified by multiple logistic regressions. The questionnaires were completed by 972 participants, half from the Shanghai Children Hospital and the other half from the Jiading communities. Half of the participants’ scores of knowledge and attitudes were equal or greater than 8.0 on a 9-point scale, over 75% of respondents’ practice scores were equal to or less than 4.0. Our studies demonstrated a significant difference of average knowledge scores between the two groups ( t = 1.27, p < 0.05). The parents’ educational level (OR = 1.89, 2.48) and average annual household income (AAHI) (OR = 2.37, 2.40, 2.12) were the two strongest factors on knowledge awareness. In addition, statistical analysis revealed a significant difference between the two groups in their attitudes towards air quality and their perception of the government’s efforts to alleviate it. The hospital and community groups also showed significant differences in practices geared towards protecting their children’s health. Nearly 90% of the respondents agreed that improving air quality is the responsibility of every citizen, and the joint action of governments and all citizens should be utilized for enhanced control. In addition, more resources should be allocated towards providing citizens with appropriate practices to help lessen the effects of poor air quality.

Suggested Citation

  • Rui Wang & Yingying Yang & Renjie Chen & Haidong Kan & Jinyi Wu & Keran Wang & Jay E. Maddock & Yuanan Lu, 2015. "Knowledge, Attitudes, and Practices (KAP) of the Relationship between Air Pollution and Children’s Respiratory Health in Shanghai, China," IJERPH, MDPI, vol. 12(2), pages 1-15, February.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:2:p:1834-1848:d:45529
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    References listed on IDEAS

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    1. Berger, Lawrence M. & Paxson, Christina & Waldfogel, Jane, 2009. "Income and child development," Children and Youth Services Review, Elsevier, vol. 31(9), pages 978-989, September.
    2. Gary S. Young & Mary A. Fox & Michael Trush & Norma Kanarek & Thomas A. Glass & Frank C. Curriero, 2012. "Differential Exposure to Hazardous Air Pollution in the United States: A Multilevel Analysis of Urbanization and Neighborhood Socioeconomic Deprivation," IJERPH, MDPI, vol. 9(6), pages 1-22, June.
    3. Amit K. Gorai & Francis Tuluri & Paul B. Tchounwou, 2014. "A GIS Based Approach for Assessing the Association between Air Pollution and Asthma in New York State, USA," IJERPH, MDPI, vol. 11(5), pages 1-25, May.
    4. Evridiki Patelarou & Frank J. Kelly, 2014. "Indoor Exposure and Adverse Birth Outcomes Related to Fetal Growth, Miscarriage and Prematurity—A Systematic Review," IJERPH, MDPI, vol. 11(6), pages 1-30, June.
    5. Fengying Zhang & Liping Li & Thomas Krafft & Jinmei Lv & Wuyi Wang & Desheng Pei, 2011. "Study on the Association between Ambient Air Pollution and Daily Cardiovascular and Respiratory Mortality in an Urban District of Beijing," IJERPH, MDPI, vol. 8(6), pages 1-15, June.
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    Cited by:

    1. Xiaojun Liu & Hui Zhu & Yongxin Hu & Sha Feng & Yuanyuan Chu & Yanyan Wu & Chiyu Wang & Yuxuan Zhang & Zhaokang Yuan & Yuanan Lu, 2016. "Public’s Health Risk Awareness on Urban Air Pollution in Chinese Megacities: The Cases of Shanghai, Wuhan and Nanchang," IJERPH, MDPI, vol. 13(9), pages 1-14, August.
    2. Paul Brown & Linda Cameron & Ricardo Cisneros & Rachel Cox & Erin Gaab & Mariaelena Gonzalez & Steven Ramondt & Anna Song, 2016. "Latino and Non-Latino Perceptions of the Air Quality in California’s San Joaquin Valley," IJERPH, MDPI, vol. 13(12), pages 1-10, December.

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