{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:16:17Z","timestamp":1791821777382,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2-3","license":[{"start":{"date-parts":[[2024,1,21]],"date-time":"2024-01-21T00:00:00Z","timestamp":1705795200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100010221","name":"Higher Education Commision, Pakistan","doi-asserted-by":"publisher","award":["Grant No 20-2759\/ R&D\/HEC\/12"],"award-info":[{"award-number":["Grant No 20-2759\/ R&D\/HEC\/12"]}],"id":[{"id":"10.13039\/501100010221","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asia Pac J Public Health"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>We piloted the development and implementation of a multifaceted intervention package for improving respiratory health among textile workers using a pre-post design at six mills in Karachi. The intervention, implemented following a baseline survey (n = 498), included health and safety training of workers and managers, promotion of cotton dust control measures, and the provision of facemasks. Follow-up surveys were conducted at 1, 6, and 12 months post-intervention. Knowledge, attitude, and practice (KAP) scores and respiratory symptoms were assessed through a questionnaire and spirometry was conducted. The intervention was provided to 230 workers and led to an improvement in KAP scores that was more likely among workers with a higher educational status, spinners, smokers, those with a permanent employment status, working in morning shifts, and with \u2a7e5 years of textile experience. We found the intervention acceptable and feasible in these textile mills henceforth, trials are required to determine its effectiveness.<\/jats:p>","DOI":"10.1177\/10105395231226273","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:13:56Z","timestamp":1705882436000},"page":"202-209","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Assessing the Feasibility of a Multifaceted Intervention Package for Improving Respiratory Health of Textile Workers: Findings From the MultiTex Pilot Study in Karachi, Pakistan"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8174-1625","authenticated-orcid":false,"given":"Asaad Ahmed","family":"Nafees","sequence":"first","affiliation":[{"name":"Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"},{"name":"Genomic and Environmental Medicine, National Heart and Lung Institute, Imperial College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1482-9923","authenticated-orcid":false,"given":"Yousaf","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Public Health, Khyber Medical College, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4690-5510","authenticated-orcid":false,"given":"Afreen","family":"Sadia","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7002-0814","authenticated-orcid":false,"given":"Natasha","family":"Shaukat","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Irfan","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7212-6858","authenticated-orcid":false,"given":"Zafar","family":"Fatmi","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal","family":"Azam","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara De","family":"Matteis","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Burney","sequence":"additional","affiliation":[{"name":"Genomic and Environmental Medicine, National Heart and Lung Institute, Imperial College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Cullinan","sequence":"additional","affiliation":[{"name":"Genomic and Environmental Medicine, National Heart and Lung Institute, Imperial College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,21]]},"reference":[{"key":"bibr1-10105395231226273","unstructured":"The World Bank. Labour force. Published April 2021. Accessed January 24, 2023. https:\/\/data.worldbank.org\/indicator\/SL.TLF.TOTL.IN?end=2021&start=1990&view=chart"},{"key":"bibr2-10105395231226273","unstructured":"International Labour Organization. Asia still \u201cgarment factory of the world\u201d yet faces numerous challenges as the industry evolves. Published June 2022. Accessed January 24, 2023. https:\/\/www.ilo.org\/global\/about-the-ilo\/newsroom\/news\/WCMS_848238\/lang\u2013en\/index.htm"},{"key":"bibr3-10105395231226273","unstructured":"Pakistan Knitwear & Sweater Exporters Association. Accessed on January 24, 2023. https:\/\/www.paksea.com\/pakistan-industry"},{"key":"bibr4-10105395231226273","doi-asserted-by":"publisher","DOI":"10.1177\/00469580221088626"},{"key":"bibr5-10105395231226273","doi-asserted-by":"publisher","DOI":"10.1177\/10105395211073051"},{"key":"bibr6-10105395231226273","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.12.935"},{"key":"bibr7-10105395231226273","unstructured":"World Health Organization. Workplace health promotion. Protecting workers\u2019 health. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/protecting-workers\u2019-health"},{"key":"bibr8-10105395231226273","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.11.1916"},{"key":"bibr9-10105395231226273","unstructured":"National Institute for Occupational Safety and Health. Hierarchy of controls. Published 2023. 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