The FRESHAIR4Life study: Global implementation research on non-communicable disease prevention targeting adolescents’ exposure to tobacco and air pollution in disadvantaged populations

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Abstract

Abstract In the FRESHAIR4Life study, we aim to reduce the non-communicable disease (NCD) burden by implementing preventive interventions targeting adolescents’ exposure to tobacco use and air pollution (AP). This paper presents the methodology of FRESHAIR4Life and initial rapid review results. The rapid review showed variable NCD mortality rates related to tobacco use and AP exposure in the five participating countries. Tobacco is the predominant risk factor for NCD-related deaths in the Kyrgyz Republic, Greece, and Romania, whereas AP exposure causes most NCD-related deaths in Pakistan and Uganda. Adolescents’ risk factor exposure, sources of exposure, and trends also differ significantly. As the next step in FRESHAIR4Life, an in-depth situational analysis will inform the selection, adaptation, and integration of evidence-based interventions into the FRESHAIR4Life prevention package. Subsequently, this package will be implemented, evaluated, and iteratively refined. Throughout the research process, a strong emphasis is on co-creation, capacity building, and comprehensive communication and dissemination.

Authors 18

1. Charlotte M. Hoffman Aachen

   Leiden University Medical Center

   Affiliation as printed

   Leiden University Medical Center

2. Anke Versluis Aachen

   Leiden University Medical Center

   Affiliation as printed

   Leiden University Medical Center

3. Sergiu Ioachim Chirila

   Ovidius University

   Affiliation as printed

   Ovidius University

4. Bruce Kirenga

   Makerere University

   Affiliation as printed

   Makerere University College of Health Sciences

5. Amina Khan
   Affiliation as printed

   The Initiative

6. Saima Saeed

   Indus Hospital

   Affiliation as printed

   Indus Hospital and Health Network

7. Talant Sooronbaev

   National Center of Cardiology and Internal Medicine

   Affiliation as printed

   National Center of Cardiology and Internal Medicine named after Academician M.Mirrakhimov, Bishkek. Kyrgyzstan

8. Ioanna Tsiligianni

   University of Crete

   Affiliation as printed

   University of Crete

9. DK Arvind

   University of Edinburgh

   Affiliation as printed

   University of Edinburgh

10. Linda Bauld

    University of Edinburgh

    Affiliation as printed

    The University of Edinburgh

11. Floor A van den Brand

    Maastricht University

    Affiliation as printed

    Maastricht University

12. Niels Henrik Chavannes Aachen

    Leiden University Medical Center

    Affiliation as printed

    Leiden University Medical Center

13. Hilary Pinnock

    University of Edinburgh

    Affiliation as printed

    University of Edinburgh

14. Pippa Powell

    European Lung Foundation

    Affiliation as printed

    European Lung Foundation

15. Jurjen van der Schans

    University Medical Center Groningen

    Affiliation as printed

    University Medical Center Groningen

16. Kamran Siddiqi

    University of York

    Affiliation as printed

    University of York

17. Siân Williams
    Affiliation as printed

    IPCRG

18. Rianne van der Kleij Aachen

    Leiden University Medical Center

    Affiliation as printed

    Leiden University Medical Center