Assessing Household Awareness of Indoor Air Pollution in Cagayan de Oro City: Implications for Health Promotion


  • Paolo Araune Research Deputy Director
  • Glenda De Vera
  • Shane Stiffany Agudong
  • Joea Carmel Abarquez
  • Hannah Catherine Apag
  • Paul Kenneth Basalo
  • Alyana Kyle Batayola
  • Janet Co
  • Mary Ann Daanoy
  • John Ray Dante
  • Nicolle Ebale
  • Cindy Mae Estonilo
  • Stephen Christian Fabela
  • Justine Joy Fullo



Indoor air pollution, awareness, health promotion


Background & Aim: Indoor air pollution is a significant health threat, yet public awareness remains low, particularly in regions like the Philippines. This study assessed household awareness of indoor air pollution sources in a barangay in Cagayan de Oro City. Using the Health Promotion Model by Nola Pender and the Environmental Theory by Florence Nightingale, it sought to understand factors influencing awareness and inform health programs addressing indoor air pollution in the community. Methods & Materials: This study used a descriptive correlational design to explore how demographic factors influence awareness of indoor air pollution sources in a barangay in Cagayan De Oro City. Surveys, translated into the local language and validated through pilot testing, were administered to 264 randomly selected respondents. Statistical analyses, including T-tests and ANOVA, were conducted to assess associations between demographic variables and awareness levels. Results: Significant differences were observed in respondents' awareness levels of indoor air pollution sources across age groups, with middle-aged individuals demonstrating the highest awareness. Females exhibited consistently higher awareness compared to males across all pollution sources. Educational attainment influenced awareness levels, with postgraduates showing the highest awareness. Conclusion: The study revealed significant correlations between demographic factors and respondents' awareness of indoor air pollution sources. Age, gender, and educational attainment influence awareness levels, motivating individuals to prioritize proper ventilation for health preservation. Recommendation: Clinical practitioners should prioritize health education programs targeting middle-aged individuals, females, and those with higher educational attainment levels in addressing indoor air pollution awareness, emphasizing the importance of proper ventilation practices for health preservation and promoting healthier indoor environments in communities


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(1) World Health Organization. Household air pollution and health [Internet]. World Health Organization; 2022 [cited 2022 Sep 9]. Available from:

(2) Tran VV, Park D, Lee YC. Indoor air pollution, related human diseases, and recent trends in the control and improvement of Indoor Air Quality. MDPI. 2020;17(8) [cited 2022 Sep 19]. Available from:

(3) Yang DL, Zhang ZN, Liu H, Yang ZY, Liu MM, Zheng QX, et al. Indoor air pollution and human ocular diseases: Associated contaminants and underlying pathological mechanisms. Chemosphere. 2022;311:137037. doi:10.1016/j.chemosphere.2022.137037

(4) Schraufnagel DE, Balmes JR, Cowl CT, De Matteis S, Jung SH, Mortimer K, et al. Air Pollution and noncommunicable diseases. Chest. 2019;155(2):417–26. doi:10.1016/j.chest.2018.10.041

(5) Pender NJ, Murdaugh CL, Parsons MA. The health promotion model. Health Promotion in Nursing Practice. 2002;4:59–79.

(6) Medeiros AB, de A, Enders BC, Lira ALBDC. The Florence Nightingale’s Environmental Theory: A Critical Analysis. Esc Anna Nery. 2015;19:518–24.

(7) Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. Wolters Kluwer; 2018.

(8) Odonkor ST, Mahami T. Knowledge, attitudes, and perceptions of air pollution in Accra, Ghana: A critical survey. Journal of Environmental and Public Health. 2020;2020:3657161. doi:10.1155/2020/3657161.

(9) Sarker R, Yeasmin M, Rahman A, Islam A. People’s perception and awareness on air pollution in rural and urban areas of Mymensingh Sadar Upazila. Progressive Agriculture. 2018;29(1):22–32. doi:10.3329/pa.v29i1.37477

(10) National Institute on Aging. How the Aging Brain Affects Thinking [Internet]. National Institute on Aging; 2020. Available from:

(11) Unni B, Tang N, Cheng YM, Gan D, Aik J. Community knowledge, attitude and behaviour towards indoor air quality: A national cross-sectional study in Singapore. Environmental Science & Policy. 2022;136:348–56. doi:10.1016/j.envsci.2022.06.021

(12) Maharana S, Paul B, Garg S, Dasgupta A, Bandyopadhyay L. Exposure to indoor air pollution and its perceived impact on health of women and their children: A household survey in a slum of Kolkata, India. Indian Journal of Public Health. 2018;62(3):182–7. doi:10.4103/ijph.IJPH_259_18

(13) Tariq N, Jaffry T, Fiaz R, Rajput AM, Khalid S. Awareness about indoor air pollution in general population of Rawalpindi and Islamabad. Pakistan Journal of Public Health. 2018;8(2):80–3. doi:10.32413/pjph.v8i2.118

(14) Bala A, Singh K, Chauhan K, Mehta M. Assessing the indoor air pollution level as per energy ladder and its effect on respiratory health. Environment Conservation Journal. 2022;23(1 & 2):8–14. doi:10.36953/ecj.021778-2105

(15) Devakumar D, Qureshi Z, Mannell J, Baruwal M, Sharma N, Rehfuess E, et al. Women’s ideas about the health effects of household air pollution, developed through focus group discussions and artwork in southern Nepal. International Journal of Environmental Research and Public Health. 2018;15(2):248. doi:10.3390/ijerph15020248

(16) Saini J, Dutta M, Marques G. A comprehensive review on indoor air quality monitoring systems for Enhanced Public Health. Sustainable Environment Research. 2020;30(1):1-12. doi:10.1186/s42834-020-0047-y

(17) Esong MB, Goura AP, Mbatchou BH, Walage B, Simo HS, Medjou RM, et al. Distribution of sources of Household Air Pollution: A cross-sectional study in Cameroon. BMC Public Health. 2021;21(1):1-8. doi:10.1186/s12889-021-10350-6

(18) Ghimire S, Mishra SR, Sharma A, Siweya A, Shrestha N, Adhikari B. Geographic and socio-economic variation in markers of indoor air pollution in Nepal: Evidence from nationally-representative data. BMC Public Health. 2019;19(1):1-15. doi:10.1186/s12889-019-6512-z

(19) Li B, Xiao D. The Impact of Income Inequality on Subjective Environmental Pollution: Individual Evidence from China. International Journal of Environmental Research and Public Health. 2021;18(15):8090. doi:10.3390/ijerph18158090

(20) Rajper SA, Ullah S, Li Z. Exposure to air pollution and self-reported effects on Chinese students: A case study of 13 megacities. PLOS ONE. 2018;13(3):1-21. doi:10.1371/journal.pone.0194364




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