Evidence map›Paper›PMID 33035121›Full record

ArticleEnvironmental health perspectives2020

Systems Science Approaches for Global Environmental Health Research: Enhancing Intervention Design and Implementation for Household Air Pollution (HAP) and Water, Sanitation, and Hygiene (WASH) Programs.

Joshua Rosenthal, Raphael E Arku, Jill Baumgartner, Joe Brown, Thomas Clasen, Joseph N S Eisenberg, Peter Hovmand, Pamela Jagger, Douglas A Luke, Ashlinn Quinn and 1 more

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In one paragraph

Article in Environmental health perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Joshua RosenthalDivision of Epidemiology and Population Studies, Fogarty International Center, National Institutes of Health, Department of Health and Human Services, Washington, DC, USA.
Raphael E ArkuDepartment of Environmental Health Sciences, Department of Environmental Health Sciences, University of Massachusetts, Amherst, Amherst, Massachusetts, USA.
Jill BaumgartnerDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Joe BrownDepartment of Environmental Engineering, Georgia Institute of Technology, Atlanta, Georgia, USA.
Thomas ClasenDepartment of Environmental Health, Emory University, Atlanta, Georgia, USA.
Joseph N S EisenbergDepartment of Epidemiology, University of Michigan, Ann Arbor, Michigan, USA.
Peter HovmandCenter for Community Health Integration, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Pamela JaggerSchool for Environment and Sustainability, University of Michigan, Ann Arbor, Michigan, USA.
Douglas A LukeCenter for Public Health Systems Science, Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Ashlinn QuinnDivision of Epidemiology and Population Studies, Fogarty International Center, National Institutes of Health, Department of Health and Human Services, Washington, DC, USA.
Gautam N YadamaSchool of Social Work, Boston College, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo of the most important causes of global disease fall in the realm of environmental health: household air pollution (HAP) and poor water, sanitation, and hygiene (WASH) conditions. Interventions, such as clean cookstoves, household water treatment, and improved sanitation facilities, have great potential to yield reductions in disease burden. However, in recent trials and implementation efforts, interventions to improve HAP and WASH conditions have shown few of the desired health gains, raising fundamental questions about current approaches.

objectivesWe describe how the failure to consider the complex systems that characterize diverse real-world conditions may doom promising new approaches prematurely. We provide examples of the application of systems approaches, including system dynamics, network analysis, and agent-based modeling, to the global environmental health priorities of HAP and WASH research and programs. Finally, we offer suggestions on how to approach systems science.

methodsSystems science applied to environmental health can address major challenges by DISCUSSION: Systems science offers powerful and underused tools to accelerate our ability to identify barriers and facilitators to success in environmental health interventions. This approach is especially useful in the context of implementation research because it explicitly accounts for the interaction of processes occurring at multiple scales, across social and environmental dimensions, with a particular emphasis on linkages and feedback among these processes. https://doi.org/10.1289/EHP7010.

Indexed as

Environmental HealthGlobal HealthAir PollutionAir Pollution, IndoorDeveloping CountriesHygieneSanitationWater Supply

Identifiers

PMID33035121
PMCPMC7546437

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.