Evidence map›Paper›PMID 42180412›Full record

ArticleEnvironmental research communications2026

The Accra school health and environment study (ASHES): a study of the urban environment and child health and development in Accra.

Carissa L Lange, Abosede S Alli, Kate A Kyeremateng, Jennifer F Holmes, James Nimo, Nancy Dery, Prince Anku, Lilly Adzrakor, Geofrey K Kotoka, Philomina Oppong and 10 more

Abstract read
In one paragraph

Article in Environmental research communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Exposure of children to multiple long-term air pollutants (PMEnvironmental research letters : ERL [Web site] · 2026
    Article
  2. Article
  3. Article
  4. Article
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

20 authors.

Carissa L LangeDepartment of Environmental Health Sciences, University of Massachusetts, Amherst, MA, United States of America.ORCID https://orcid.org/0000-0001-5053-958X
Abosede S AlliDepartment of Environmental Health Sciences, University of Massachusetts, Amherst, MA, United States of America.
Kate A KyerematengDepartment of Environmental Health Sciences, University of Massachusetts, Amherst, MA, United States of America.
Jennifer F HolmesDepartment of Psychological and Brain Sciences, University of Massachusetts, Amherst, MA, United States of America.ORCID https://orcid.org/0009-0002-2597-9828
James NimoDepartment of Physics, University of Ghana, Legon, Accra, Ghana.
Nancy DeryDepartment of Physics, University of Ghana, Legon, Accra, Ghana.
Prince AnkuDepartment of Physics, University of Ghana, Legon, Accra, Ghana.
Lilly AdzrakorDepartment of Physics, University of Ghana, Legon, Accra, Ghana.
Geofrey K KotokaDepartment of Physics, University of Ghana, Legon, Accra, Ghana.
Philomina OppongDepartment of Physics, University of Ghana, Legon, Accra, Ghana.
Jessica KumahDepartment of Environmental Health Sciences, University of Massachusetts, Amherst, MA, United States of America.ORCID https://orcid.org/0009-0003-7346-3188
Adwoa Asante-PokuNoguchi Memorial Institute for Medical Research, University of Ghana, Accra, Ghana.
Michael BrauerSchool of Population and Public Health, The University of British Columbia, Vancouver, Canada.
Samuel Agyei-MensahDepartment of Geography and Resource Development, University of Ghana, Accra, Ghana.
Sierra N ClarkEnvironmental and Social Epidemiology Section, Population Health Research Institute, St George's, University of London, London, United Kingdom.ORCID https://orcid.org/0000-0002-8592-3466
Rebecca Mc SpencerDepartment of Psychological and Brain Sciences, University of Massachusetts, Amherst, MA, United States of America.ORCID https://orcid.org/0000-0002-8674-2384
Youssef OulhoteDepartment of Biostatistics and Epidemiology, University of Massachusetts, Amherst, MA, United States of America.ORCID https://orcid.org/0000-0002-2323-1982
Allison F HughesDepartment of Physics, University of Ghana, Legon, Accra, Ghana.ORCID https://orcid.org/0000-0002-9912-6935
Majid EzzatiDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom.
Raphael E ArkuDepartment of Environmental Health Sciences, University of Massachusetts, Amherst, MA, United States of America.ORCID https://orcid.org/0000-0001-8914-8463

Funding

Wellcome Trust
6 · The paper itself

Abstract

Elementary school and early education are crucial for children's cognitive and social development, as well as lifetime health and well-being. For children in cities, urban schools present numerous advantages in education quality and access to resources and opportunities that stimulate learning and improve health. In Sub-Saharan African (SSA) cities, the complexity of the urban environment requires careful consideration of school environments in enhancing child health and development. Yet, little is known about environmental conditions in schools and schoolchildren's health in rapidly urbanizing SSA cities. This paper describes the various datasets captured within the Accra School Health and Environment Study (ASHES), a study platform designed to characterize air and noise pollution at elementary schools and for schoolchildren, and their influence on key markers of childhood health and development. We outline environmental exposures and health and developmental outcomes among children living in a major metropolitan area in SSA, along with preliminary results and planned analyses. ASHES was implemented in Accra, one of the fastest growing metropolises in SSA. Between July 2022 and May 2023, 1,037 children (∼60% female) aged 8-12 were recruited from 90 public (74%) and private primary schools. Weeklong fine particulate matter (PM

Indexed as

air pollutionambient fine particulate matterblack carbonchild healthenvironmental noiseschool environmentSub-Saharan Africa

Identifiers

PMID42180412
PMCPMC13193033

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.