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Int. J. Environ. Res. Public Health 2015, 12(2), 1834-1848; doi:10.3390/ijerph120201834

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

School of Public Health, Fudan University, 138 Yixueyuan Road, Xuhui District, Shanghai 200032, China
Department of Public Health Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 23 December 2014 / Revised: 21 January 2015 / Accepted: 30 January 2015 / Published: 5 February 2015
View Full-Text   |   Download PDF [742 KB, uploaded 5 February 2015]


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. View Full-Text
Keywords: air pollution; children’s respiratory health; knowledge; attitudes; practices (KAP) air pollution; children’s respiratory health; knowledge; attitudes; practices (KAP)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Wang, R.; Yang, Y.; Chen, R.; Kan, H.; Wu, J.; Wang, K.; Maddock, J.E.; 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, 1834-1848.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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