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Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Knowledge and perceptions of air pollution in Ningbo, China

Authors: Xujun Qian, Guozhang Xu, Li Li, Yueping Shen, Tianfeng He, Yajun Liang, Zuyao Yang, Wan Wei Zhou, Jiaying Xu

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

The residents’ knowledge, attitudes and practices related to ambient air pollution and health will help to improve the understanding of environmental protection and make environmental health policies more targeted and effective. This study aimed at knowing the attitudes and behaviors towards ambient air pollution and health.

Methods

A cross-sectional survey was conducted in Ningbo, China in January 2015. Personal information and questions pertaining to the knowledge, attitudes and practices towards ambient air pollution and health were collected through questionnaire investigations. Descriptive statistics, chi-square tests and multiple unconditional logistic regression analysis were used.

Results

The questionnaire was completed by 1604 respondents (59.41 % women). The awareness rate was 64.59 % and varied significantly with age, levels of education, and occupation (all p < 0.05). Only 5.80 % of the total participants were satisfied with the air quality in Ningbo in 2014. Most respondents (78.80 %) expressed concern about the possible aggravation of the haze. More than 80 % of participants believed that it will take at least 3-5 years or longer before the air quality is improved. Television and internet resources have replaced books and newspapers as the primary sources for obtaining knowledge about haze and related protective measures. 85.22 % of respondents were concerned about air quality index (AQI). Most of the residents have taken protective measures indoors during haze weather. 48.50 % have worn face masks when going outside, the most frequently type of face masks selected were cotton (39.85 %) or gauze face masks (36.24 %). Age and occupation were the main factors associated with the level of knowledge about air pollution (p < 0.05).

Conclusions

There were a relatively high knowledge awareness rate, strong health protection consciousness and high enthusiasm for air pollution control among Ningbo residents. The elderly people and less-educated residents are the targetable population for improving environment.
Literature
1.
go back to reference Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224–60.CrossRefPubMedPubMedCentral Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224–60.CrossRefPubMedPubMedCentral
3.
go back to reference Landrigan PJ, Fuller R. Global health and environmental pollution. Int J Public Health. 2015;60(7):1–2.CrossRef Landrigan PJ, Fuller R. Global health and environmental pollution. Int J Public Health. 2015;60(7):1–2.CrossRef
4.
go back to reference Johnston FH, Hanigan IC, Henderson SB, Morgan GG. Evaluation of interventions to reduce air pollution from biomass smoke on mortality in Launceston, Australia: retrospective analysis of daily mortality, 1994-2007. BMJ. 2013;346:e8446.CrossRefPubMedPubMedCentral Johnston FH, Hanigan IC, Henderson SB, Morgan GG. Evaluation of interventions to reduce air pollution from biomass smoke on mortality in Launceston, Australia: retrospective analysis of daily mortality, 1994-2007. BMJ. 2013;346:e8446.CrossRefPubMedPubMedCentral
5.
go back to reference Xiu-li JL-lX, Yang H. Analysis and countermeasures on fog and haze in Ningbo. Environ Sci Manage. 2015;40(2):43–6. Xiu-li JL-lX, Yang H. Analysis and countermeasures on fog and haze in Ningbo. Environ Sci Manage. 2015;40(2):43–6.
6.
go back to reference Zahedi L, Sizemore E, Malcolm S, Grossniklaus E, Nwosu O. Knowledge, attitudes and practices regarding cervical cancer and screening among Haitian health care workers. Int J Environ Res Public Health. 2014;11(11):11541–52.CrossRefPubMedPubMedCentral Zahedi L, Sizemore E, Malcolm S, Grossniklaus E, Nwosu O. Knowledge, attitudes and practices regarding cervical cancer and screening among Haitian health care workers. Int J Environ Res Public Health. 2014;11(11):11541–52.CrossRefPubMedPubMedCentral
7.
go back to reference Gu J-n, Ma W-j, Wang T-q, Zhang D-s, Zhou Q, Liu Z-h, Cai W-f, Liu S-f. Survey of knowledge, attitude and behavior related to PM2. 5 among 605 residents in Guangzhou City. South China J Prev Med. 2013;39(4):6–10. Gu J-n, Ma W-j, Wang T-q, Zhang D-s, Zhou Q, Liu Z-h, Cai W-f, Liu S-f. Survey of knowledge, attitude and behavior related to PM2. 5 among 605 residents in Guangzhou City. South China J Prev Med. 2013;39(4):6–10.
9.
go back to reference Li GX, Pan XC. Evaluation of excess mortality caused by PM2.5 in four typical Chinese big cities. Natl Med J China. 2013;93(34):2703–6. Li GX, Pan XC. Evaluation of excess mortality caused by PM2.5 in four typical Chinese big cities. Natl Med J China. 2013;93(34):2703–6.
10.
go back to reference Pei J, Li-guo C. Investigation on defense capability and information needs of Haze/fog in Changping District, Beijing. Chinese J Health Educ. 2014;30(12):1076–9. Pei J, Li-guo C. Investigation on defense capability and information needs of Haze/fog in Changping District, Beijing. Chinese J Health Educ. 2014;30(12):1076–9.
11.
go back to reference McCullough NV, Brosseau LM, Vesley D. Collection of three bacterial aerosols by respirator and surgical mask filters under varying conditions of flow and relative humidity. Ann Occup Hyg. 1997;41(6):677–90.CrossRefPubMed McCullough NV, Brosseau LM, Vesley D. Collection of three bacterial aerosols by respirator and surgical mask filters under varying conditions of flow and relative humidity. Ann Occup Hyg. 1997;41(6):677–90.CrossRefPubMed
12.
go back to reference Balazy A, Toivola M, Adhikari A, Sivasubramani SK, Reponen T, Grinshpun SA. Do N95 respirators provide 95% protection level against airborne viruses, and how adequate are surgical masks? Am J Infect Control. 2006;34(2):51–7.CrossRefPubMed Balazy A, Toivola M, Adhikari A, Sivasubramani SK, Reponen T, Grinshpun SA. Do N95 respirators provide 95% protection level against airborne viruses, and how adequate are surgical masks? Am J Infect Control. 2006;34(2):51–7.CrossRefPubMed
13.
go back to reference Rengasamy A, Zhuang Z, BerryAnn R. Respiratory protection against bioaerosols: Literature review and research needs. Am J Infect Control. 2004;32(6):345–54.CrossRefPubMed Rengasamy A, Zhuang Z, BerryAnn R. Respiratory protection against bioaerosols: Literature review and research needs. Am J Infect Control. 2004;32(6):345–54.CrossRefPubMed
14.
go back to reference Crouse DL, Peters PA, van Donkelaar A, Goldberg MS, Villeneuve PJ, Brion O, Khan S, Atari DO, Jerrett M, Pope CA, et al. Risk of nonaccidental and cardiovascular mortality in relation to long-term exposure to low concentrations of fine particulate matter: a Canadian national-level cohort study. Environ Health Perspect. 2012;120(5):708–14.CrossRefPubMedPubMedCentral Crouse DL, Peters PA, van Donkelaar A, Goldberg MS, Villeneuve PJ, Brion O, Khan S, Atari DO, Jerrett M, Pope CA, et al. Risk of nonaccidental and cardiovascular mortality in relation to long-term exposure to low concentrations of fine particulate matter: a Canadian national-level cohort study. Environ Health Perspect. 2012;120(5):708–14.CrossRefPubMedPubMedCentral
15.
go back to reference Lepeule J, Laden F, Dockery D, Schwartz J. Chronic exposure to fine particles and mortality: an extended follow-up of the Harvard Six Cities study from 1974 to 2009. Environ Health Perspect. 2012;120(7):965–70.CrossRefPubMedPubMedCentral Lepeule J, Laden F, Dockery D, Schwartz J. Chronic exposure to fine particles and mortality: an extended follow-up of the Harvard Six Cities study from 1974 to 2009. Environ Health Perspect. 2012;120(7):965–70.CrossRefPubMedPubMedCentral
16.
go back to reference Heroux ME, Anderson HR, Atkinson R, Brunekreef B, Cohen A, Forastiere F, Hurley F, Katsouyanni K, Krewski D, Krzyzanowski M, et al. Quantifying the health impacts of ambient air pollutants: recommendations of a WHO/Europe project. Int J Public Health. 2015;60(5):619–27.CrossRefPubMedPubMedCentral Heroux ME, Anderson HR, Atkinson R, Brunekreef B, Cohen A, Forastiere F, Hurley F, Katsouyanni K, Krewski D, Krzyzanowski M, et al. Quantifying the health impacts of ambient air pollutants: recommendations of a WHO/Europe project. Int J Public Health. 2015;60(5):619–27.CrossRefPubMedPubMedCentral
17.
go back to reference van Donkelaar A, Martin RV, Brauer M, Boys BL. Use of satellite observations for long-term exposure assessment of global concentrations of fine particulate matter. Environ Health Perspect. 2015;123(2):135–43.PubMed van Donkelaar A, Martin RV, Brauer M, Boys BL. Use of satellite observations for long-term exposure assessment of global concentrations of fine particulate matter. Environ Health Perspect. 2015;123(2):135–43.PubMed
18.
go back to reference Giles LV, Barn P, Kunzli N, Romieu I, Mittleman MA, van Eeden S, Allen R, Carlsten C, Stieb D, Noonan C, et al. From good intentions to proven interventions: effectiveness of actions to reduce the health impacts of air pollution. Environ Health Perspect. 2011;119(1):29–36.CrossRefPubMed Giles LV, Barn P, Kunzli N, Romieu I, Mittleman MA, van Eeden S, Allen R, Carlsten C, Stieb D, Noonan C, et al. From good intentions to proven interventions: effectiveness of actions to reduce the health impacts of air pollution. Environ Health Perspect. 2011;119(1):29–36.CrossRefPubMed
19.
go back to reference Morishita M, Thompson KC, Brook RD. Understanding air pollution and cardiovascular diseases: is it preventable? Curr Cardiovasc Risk Rep. 2015;9(6):1–9.CrossRef Morishita M, Thompson KC, Brook RD. Understanding air pollution and cardiovascular diseases: is it preventable? Curr Cardiovasc Risk Rep. 2015;9(6):1–9.CrossRef
20.
go back to reference Wang R, Yang Y, Chen R, Kan H, Wu J, Wang K, Maddock JE, Lu Y. Knowledge, attitudes, and practices (KAP) of the relationship between air pollution and children’s respiratory health in Shanghai, China. Int J Environ Res Public Health. 2015;12(2):1834–48.CrossRefPubMedPubMedCentral Wang R, Yang Y, Chen R, Kan H, Wu J, Wang K, Maddock JE, Lu Y. Knowledge, attitudes, and practices (KAP) of the relationship between air pollution and children’s respiratory health in Shanghai, China. Int J Environ Res Public Health. 2015;12(2):1834–48.CrossRefPubMedPubMedCentral
21.
go back to reference Stieb DM, Paola J, Neuman K. Do smog advisories work? Results of an evaluation of the Canadian Smog Advisory Program. Can J Public Health = Revue canadienne de sante publique. 1996;87(3):166–9.PubMed Stieb DM, Paola J, Neuman K. Do smog advisories work? Results of an evaluation of the Canadian Smog Advisory Program. Can J Public Health = Revue canadienne de sante publique. 1996;87(3):166–9.PubMed
22.
go back to reference Kim M, Yi O, Kim H. The role of differences in individual and community attributes in perceived air quality. Sci Total Environ. 2012;425:20–6.CrossRefPubMed Kim M, Yi O, Kim H. The role of differences in individual and community attributes in perceived air quality. Sci Total Environ. 2012;425:20–6.CrossRefPubMed
23.
go back to reference Jacquemin B, Sunyer J, Forsberg B, Gotschi T, Bayer-Oglesby L, Ackermann-Liebrich U, de Marco R, Heinrich J, Jarvis D, Toren K, et al. Annoyance due to air pollution in Europe. Int J Epidemiol. 2007;36(4):809–20.CrossRefPubMed Jacquemin B, Sunyer J, Forsberg B, Gotschi T, Bayer-Oglesby L, Ackermann-Liebrich U, de Marco R, Heinrich J, Jarvis D, Toren K, et al. Annoyance due to air pollution in Europe. Int J Epidemiol. 2007;36(4):809–20.CrossRefPubMed
24.
go back to reference Rotko T, Oglesby L, Künzli N, Carrer P, Nieuwenhuijsen MJ, Jantunen M. Determinants of perceived air pollution annoyance and association between annoyance scores and air pollution (PM2.5, NO2) concentrations in the European EXPOLIS study. Atmos Environ. 2002;36(29):4593–602.CrossRef Rotko T, Oglesby L, Künzli N, Carrer P, Nieuwenhuijsen MJ, Jantunen M. Determinants of perceived air pollution annoyance and association between annoyance scores and air pollution (PM2.5, NO2) concentrations in the European EXPOLIS study. Atmos Environ. 2002;36(29):4593–602.CrossRef
25.
go back to reference Semenza JC, Wilson DJ, Parra J, Bontempo BD, Hart M, Sailor DJ, George LA. Public perception and behavior change in relationship to hot weather and air pollution. Environ Res. 2008;107(3):401–11.CrossRefPubMed Semenza JC, Wilson DJ, Parra J, Bontempo BD, Hart M, Sailor DJ, George LA. Public perception and behavior change in relationship to hot weather and air pollution. Environ Res. 2008;107(3):401–11.CrossRefPubMed
26.
go back to reference Egondi T, Kyobutungi C, Ng N, Muindi K, Oti S, van de Vijver S, Ettarh R, Rocklov J. Community perceptions of air pollution and related health risks in Nairobi slums. Int J Environ Res Public Health. 2013;10(10):4851–68.CrossRefPubMedPubMedCentral Egondi T, Kyobutungi C, Ng N, Muindi K, Oti S, van de Vijver S, Ettarh R, Rocklov J. Community perceptions of air pollution and related health risks in Nairobi slums. Int J Environ Res Public Health. 2013;10(10):4851–68.CrossRefPubMedPubMedCentral
27.
go back to reference Zhang L, Yuan Z, Maddock JE, Zhang P, Jiang Z, Lee T, Zou J, Lu Y. Air quality and environmental protection concerns among residents in Nanchang, China. Air Qual, Atmosphere Health. 2014;7(4):441–8.CrossRef Zhang L, Yuan Z, Maddock JE, Zhang P, Jiang Z, Lee T, Zou J, Lu Y. Air quality and environmental protection concerns among residents in Nanchang, China. Air Qual, Atmosphere Health. 2014;7(4):441–8.CrossRef
28.
go back to reference Fischer GW, Morgan MG, Fischhoff B, Nair I, Lave LB. What risks are people concerned about. Risk Anal. 1991;11(2):303–14.CrossRef Fischer GW, Morgan MG, Fischhoff B, Nair I, Lave LB. What risks are people concerned about. Risk Anal. 1991;11(2):303–14.CrossRef
Metadata
Title
Knowledge and perceptions of air pollution in Ningbo, China
Authors
Xujun Qian
Guozhang Xu
Li Li
Yueping Shen
Tianfeng He
Yajun Liang
Zuyao Yang
Wan Wei Zhou
Jiaying Xu
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3788-0

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