Abstract
Household air pollution is the sixth leading risk factor for premature mortality in Guatemala. Households in Guatemala are gradually adopting liquefied petroleum gas (LPG) stoves, but a strong tradition of woodstove use persists. We conducted a mixed-methods study of LPG stove use in peri-urban Guatemala. We used knowledge, attitudes and practices surveys with 187 LPG stove owners who also used woodstoves to identify perceptions of stove and cooking practices. Barriers to sustained use of LPG stoves were evaluated through focus groups, participant observations with stove users, and key informant interviews with community leaders. Seven themes emerged that explain household decisions to use LPG stoves: (1) The “new technology” should be framed in terms of what the “old technology” lacks, (2) income is not a predictor of gas stove acquisition but may predict sustained use, (3) men are key decision-makers but messages about LPG do not target them, (4) when stoves are viewed as “prize possessions” they may not be used, (5) collective fear about gas stoves is not based on personal experience, but on “stories we hear,” (6) sustained LPG use is hampered by two major factors, seasonally available wood and LPG retailers who are perceived as dishonest, and (7) wood fuel collection is a time to enjoy the company of friends and family and is not “drudgery.” National policies should promote the use of clean cookstove technologies in peri-urban and rapidly urbanizing areas in Guatemala where LPG stoves are in use, but used intermittently, instead of the current plan to install 100,000 “improved” woodstoves by 2032. This could be done by improving dependable cylinder distribution services, targeting gas safety and promoting positive health messages that appeal to men, as well as women.
Similar content being viewed by others
References
Alexander, D., J. C. Linnes, S. Bolton, and T. Larson. 2014. Ventilated cookstoves associated with improvements in respiratory health-related quality of life in rural Bolivia. J Public Health (Oxf) 36:460-466.
Bielecki, C., and G. Wingenbach. 2014. Rethinking improved cookstove diffusion programs: A case study of social perceptions and cooking choices in rural Guatemala. Energy Policy 66:350-358.
Bryman, A. 2006. Integrating quantitative and qualitative research: how is it done? Qualitative Research 6:97-113.
DeWalt, K. M., and B. R. DeWalt. 2011. Participant Observation. A Guide for Fieldworkers. Rowman and Littlefield Publishers, Plymouth, UK.
Edwards, J., and C. Langpap. 2005. Startup Costs and the Decision to Switch from Firewood to Gas Fuel. Land Economics 81:570-586.
Glaser, B. 1967. The discovery of grounded theory: Strategies for qualitative research. Aldine Transaction, New Jersey.
Glaser, B. 1978. Theoretical sensitivity. Sociology Press, Mill Valley, CA.
Glaser, B. 1992. Basics of grounded theory analysis: Emergence vs. forcing. Sociology Press, Mill Valley, CA.
Glaser, B. 1998. Doing grounded theory: Issues and discussion. Sociology Press, Mill Valley, CA.
Global Alliance for Clean Cookstoves (2014) Guatemala country action plan for clean cookstoves and fuels, Guatemala City, Guatemala
Gobierno de Guatemala Instituto Nacional de Estadistica (2015) Compendio Estadistico Ambiental 2015, Guatemala City, Guatemala
Gobierno de Guatemala Ministerio de Energia y Minas (2017a) Plan Nacional de Energia 2017–2032 [National Energia Plan 2017–2032], Guatemala City, Guatemala: Gobierno de Guatemala
Gobierno de Guatemala Ministerio de Energia y Minas (2017b) Statistics on hydrocarbons, First report 2017, Guatemala City, Guatemala: Ministerio de Energia y Minas
Goodwin, N. J., S. E. O’Farrell, K. Jagoe, J. Rouse, E. Roma, A. Biran, and E. A. Finkelstein. 2015. Use of behavior change techniques in clean cooking interventions: a review of the evidence and scorecard of effectiveness. J Health Commun 20 Suppl 1:43–54.
Hollada, J., K. N. Williams, C. H. Miele, D. Danz, S. A. Harvey, and W. Checkley. 2017. Perceptions of Improved Biomass and Liquefied Petroleum Gas Stoves in Puno, Peru: Implications for Promoting Sustained and Exclusive Adoption of Clean Cooking Technologies. Int J Environ Res Public Health 14.
Institute for Health Metrics and Evaluation (2017) GBD compare, Seattle, WA: IHME, University of Washington
Kumar, P., A. Dhand, R. G. Tabak, R. C. Brownson, and G. N. Yadama. 2017. Adoption and sustained use of cleaner cooking fuels in rural India: a case control study protocol to understand household, network, and organizational drivers. Arch Public Health 75:70.
Lewis, J. J., and S. K. Pattanayak. 2012. Who adopts improved fuels and cookstoves? A systematic review. Environ Health Perspect 120:637-645.
Matinga, M. N., H. J. Annegarn, and J. S. Clancy. 2013. Healthcare provider views on the health effects of biomass fuel collection and use in rural Eastern Cape, South Africa: an ethnographic study. Soc Sci Med 97:192-200.
Mortimer, K., S. B. Gordon, S. K. Jindal, R. A. Accinelli, J. Balmes, and W. J. Martin, 2nd. 2012. Household air pollution is a major avoidable risk factor for cardiorespiratory disease. Chest 142:1308-1315.
Mukhopadhyay, R., S. Sambandam, A. Pillarisetti, D. Jack, K. Mukhopadhyay, K. Balakrishnan, M. Vaswani, M. N. Bates, P. L. Kinney, N. Arora, and K. R. Smith. 2012. Cooking practices, air quality, and the acceptability of advanced cookstoves in Haryana, India: an exploratory study to inform large-scale interventions. Glob Health Action 5:1-13.
Naeher, L. P., M. Brauer, M. Lipsett, J. T. Zelikoff, C. D. Simpson, J. Q. Koenig, and K. R. Smith. 2007. Woodsmoke health effects: a review. Inhal Toxicol 19:67-106.
Namagembe, A., N. Muller, L. M. Scott, G. Zwisler, M. Johnson, J. Arney, D. Charron, and E. Mugisha. 2015. Factors influencing the acquisition and correct and consistent use of the top-lit updraft cookstove in Uganda. J Health Commun 20 Suppl 1:76-83.
Person, B., J. D. Loo, M. Owuor, L. Ogange, M. E. Jefferds, and A. L. Cohen. 2012. “It is good for my family’s health and cooks food in a way that my heart loves”: qualitative findings and implications for scaling up an improved cookstove project in rural Kenya. Int J Environ Res Public Health 9:1566-1580.
Puzzolo, E., D. Pope, D. Stanistreet, E. A. Rehfuess, and N. G. Bruce. 2016. Clean fuels for resource-poor settings: A systematic review of barriers and enablers to adoption and sustained use. Environ Res 146:218-234.
Rehfuess, E. A., E. Puzzolo, D. Stanistreet, D. Pope, and N. G. Bruce. 2014. Enablers and barriers to large-scale uptake of improved solid fuel stoves: a systematic review. Environ Health Perspect 122:120-130.
Rosenbaum, J., E. Derby, and K. Dutta. 2015. Understanding consumer preference and willingness to pay for improved cookstoves in bangladesh. J Health Commun 20 Suppl 1:20-27.
Smith, K. R. 2015. Changing Paradigms in Clean Cooking. Ecohealth 12:196-199.
Strauss, A., and J. Corbin. 1998. Basics of qualitative research: Grounded theory procedures and techniques (2nd ed.). Sage, Los Angeles.
Thurber, M. C., C. Warner, L. Platt, A. Slaski, R. Gupta, and G. Miller. 2013. To promote adoption of household health technologies, think beyond health. Am J Public Health 103:1736-1740.
WHO. 2006. Fuel for Life: Household Energy and Health.
WHO. 2014. Indoor Air Quality Guidelines: Household Fuel Combustion. World Health Organization, Geneva.
World Bank. 2018. Guatemala: urbanization from 2007 to 2017.in W. Bank, editor. World Bank.
Acknowledgments
We wish to acknowledge the hard work of the local field team in Guatemala. Without their commitment, this study would not have been achievable. Many thanks to César Vega González, Eduardo Canuz Castro, Paola García López, Elena Jirón Aguilar, Claudia Cojolón, Mirna Betzabé Esqueque and Rutilia Pérez Chicojay. We thank the participating families and community members in San Juan Alotenango for participating in this study. This project was part of a joint funding effort by the Global Alliance for Clean Cookstoves, a public–private partnership hosted by the United Nations Foundation and the USAID Translating Research into Action Project (TRAction).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Additional information
Lisa M. Thompson and Mayari Hengstermann: Co-first authors.
Rights and permissions
About this article
Cite this article
Thompson, L.M., Hengstermann, M., Weinstein, J.R. et al. Adoption of Liquefied Petroleum Gas Stoves in Guatemala: A Mixed-Methods Study. EcoHealth 15, 745–756 (2018). https://doi.org/10.1007/s10393-018-1368-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10393-018-1368-8