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Jeanjean M, Dron J, Allen BL, Gramaglia C, Austruy A, Lees J, Ferrier Y, Periot M, Dotson MP, Chamaret P, Cohen AK. Participatory environmental health research: A tool to explore the socio-exposome in a major european industrial zone. ENVIRONMENTAL RESEARCH 2023; 218:114865. [PMID: 36435495 DOI: 10.1016/j.envres.2022.114865] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 11/17/2022] [Accepted: 11/18/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVES We show that participatory research approaches can be a useful tool across disciplines and data collection methods to explore the socio-exposome near one of the largest industrial harbors in Europe. We analyzed resident involvement in each project and their capacity to affect structural changes. METHODS Longitudinal participatory environmental monitoring studies on lichens, petunias, aquatic systems and groundwater were conducted under the program VOCE (Volunteers for the Citizens' Observation of the Environment), which mobilized nearly 100 volunteers to collect and report data. A community-based participatory health survey, Fos EPSEAL was also carried out during the same period. We describe citizens' involvement in each study following Davis and Ramirez-Andreotta's (2021) 'best practice' grid. We also use residents' insights to refine understanding of the socio-exposome. RESULTS The region is significantly impacted by industrial pollution and fenceline communities are disproportionately exposed. The community-based participatory health survey documented negative health outcomes among the residents, including a higher prevalence of chronic symptoms and diabetes (e.g., 11.9%) in the Fos-Berre Lagoon region than in other communities. This methodology shows the benefits of the co-production of knowledge in environmental health: not only does it enable epistemological transformations favorable to the vulnerable population, but it also triggered public action (i.e., media and public authorities' attention leading to official expertise reports, filing of collective complaints before the courts). CONCLUSION This body of multiple participatory research studies over time is a useful approach to better understand the socio-exposome and health issues in an industrial zone.
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Affiliation(s)
- Maxime Jeanjean
- Institut Ecocitoyen pour La Connaissance des Pollutions - Centre de Vie La Fossette, RD 268, Fos-sur-Mer, 13270, France.
| | - Julien Dron
- Institut Ecocitoyen pour La Connaissance des Pollutions - Centre de Vie La Fossette, RD 268, Fos-sur-Mer, 13270, France
| | - Barbara L Allen
- Department of Science, Technology and Society, Virginia Polytechnic & State University-National Capital Region, Falls Church, VA, USA
| | - Christelle Gramaglia
- UMR-GEAU INRAE, 361 Rue J.-F. Breton BP 5095 34196 Montpellier, Languedoc-Roussillon, France
| | - Annabelle Austruy
- Institut Ecocitoyen pour La Connaissance des Pollutions - Centre de Vie La Fossette, RD 268, Fos-sur-Mer, 13270, France
| | - Johanna Lees
- Centre Norbert Elias (UMR 85 62), La Vieille Charité, 2 Rue de La Charité, 13002, Marseille, France; Laboratoire de Sciences Sociales Appliquées, 17 Cr Franklin Roosevelt, 13001, Marseille, France
| | - Yolaine Ferrier
- Laboratoire de Sciences Sociales Appliquées, 17 Cr Franklin Roosevelt, 13001, Marseille, France
| | - Marine Periot
- Institut Ecocitoyen pour La Connaissance des Pollutions - Centre de Vie La Fossette, RD 268, Fos-sur-Mer, 13270, France
| | - Miranda P Dotson
- Northeastern University, Department of Sociology and Anthropology, 360 Huntington Avenue, Boston, MA, USA, 02115
| | - Philippe Chamaret
- Institut Ecocitoyen pour La Connaissance des Pollutions - Centre de Vie La Fossette, RD 268, Fos-sur-Mer, 13270, France
| | - Alison K Cohen
- University of California San Francisco, Department of Epidemiology & Biostatistics, 550 16th Street, 2nd Floor, San Francisco, CA, USA, 94158
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Cunningham-Sabo L, Tagtow A, Mi S, Engelken J, Johnston K, Herman DR. Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review. Prev Chronic Dis 2022; 19:E54. [PMID: 36007254 PMCID: PMC9480846 DOI: 10.5888/pcd19.210466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION Policy, systems, and environmental (PSE) change approaches frequently address healthy eating and active living (HEAL) priorities. However, the health effects of PSE HEAL initiatives are not well known because of their design complexity and short duration. Planning and evaluation frameworks can guide PSE activities to generate collective impact. We applied a systematic mapping review to the Individual plus PSE Conceptual Framework for Action (I+PSE) to describe characteristics, achievements, challenges, and evaluation strategies of PSE HEAL initiatives. METHODS We identified peer-reviewed articles published from January 2009 through January 2021 by using CINAHL, Web of Science, MEDLINE, PsycINFO, and CAB Abstracts databases. Articles describing implementation and results of PSE HEAL initiatives were included. Activities were mapped against I+PSE components to identify gaps in evaluation efforts. RESULTS Independent reviewers examined 437 titles and abstracts; 52 peer-reviewed articles met all inclusion criteria. Twenty-four focused on healthy eating, 5 on active living, and 23 on HEAL. Descriptive analyses identified federal funding of initiatives (typically 1-3 years), multisector settings, and mixed-methods evaluation strategies as dominant characteristics. Only 11 articles reported on initiatives that used a formal planning and evaluation framework. Achievements focused on partnership development, individual behavior, environmental or policy changes, and provision of technical assistance. Challenges included lack of local coalition and community engagement in initiatives and evaluation activities and insufficient time and resources to accomplish objectives. The review team noted vague or absent descriptions of evaluation activities, resulting in questionable characterizations of processes and outcomes. Although formation of partnerships was the most commonly reported accomplishment, I+PSE mapping revealed a lack of engagement assessment and its contributions toward initiative impact. CONCLUSION PSE HEAL initiatives reported successes in multiple areas but also challenges related to partnership engagement and community buy-in. These 2 areas are essential for the success of PSE HEAL initiatives and need to be adequately evaluated so improvements can be made.
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Affiliation(s)
- Leslie Cunningham-Sabo
- Colorado State University, Food Science and Human Nutrition, 1571 Campus Delivery, 234 Gifford Building, Fort Collins, CO 80523. .,Colorado School of Public Health, Community and Behavioral Health, Aurora, Colorado
| | | | - Sirui Mi
- Colorado State University, Food Science and Human Nutrition, Fort Collins, Colorado
| | - Jessa Engelken
- University of Washington, School of Public Health, Nutritional Sciences Program, Seattle, Washington
| | - Kiaya Johnston
- Colorado State University, Food Science and Human Nutrition, Fort Collins, Colorado
| | - Dena R Herman
- University of California Los Angeles, Fielding School of Public Health, Los Angeles, California.,California State University Northridge, Nutrition, Dietetics, and Food Science, Northridge, California
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Welter CR, Herrera Y, Uskali AL, Seweryn S, Call L, Lasky S, Agbodo N, Ezike NO. Assessing Local Public Health Agency Alignment With Public Health 3.0: A Content Analysis of Illinois Community Health Improvement Plans. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2022; 28:E645-E652. [PMID: 34750326 PMCID: PMC8957484 DOI: 10.1097/phh.0000000000001442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
CONTEXT Public Health 3.0 described the need for public health agencies and the public health workforce to transform and obtain new skills and approaches to address the social determinants of health (SDOH) through cross-sectoral partnerships and collective action. OBJECTIVE To assess the current state of local health departments' Public Health 3.0 alignment through interventions and initiatives documented in community health improvement plans (CHIPs). METHOD We conducted a content analysis of Illinois CHIPs from July to November 2020. A coding framework aligned with Public Health 3.0 concepts was developed on the basis of constructs from the literature, faculty expertise, and preliminary reviews of the CHIPs. Two researchers deductively coded for health priorities and interventions in Microsoft Excel 2016 and calculated the number of CHIPs in which each code appeared. RESULTS Ninety CHIPs representing 98 counties across the state were analyzed; 2 CHIPs were excluded because of a lack of strategies. Our content analysis found that 13% (n = 12) of CHIPs had explicit priorities related to SDOH and 12% (n = 11) included interventions that addressed socioeconomic factors. Ten percent (n = 9) of CHIPs proposed multilevel multicomponent interventions. Eighty-nine percent (n = 80) of CHIPs included community-level interventions, and 53% (n = 48) of CHIPs included policy, systems, and environmental strategies focused on specific health content. The majority of CHIPs (96%; n = 86) had at least 1 partnership strategy. Thirty-two percent (n = 29) of CHIPs mentioned the use of an evidence-based strategy. CONCLUSIONS Our content analysis found opportunities to improve Illinois public health agencies' Public Health 3.0 capacities and capability. Findings are limited to this data source and definitions of the Public Health 3.0 attributes, leaving room for practice and research opportunities to develop operational definitions of Public Health 3.0; capacity building to improve the public health workforce readiness; and research and evaluation to measure improvements.
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Affiliation(s)
- Christina R Welter
- Division of Health Policy and Administration (Dr Welter and Mss Herrera and Uskali), Policy, Practice and Prevention Research Center (Dr Welter and Mss Herrera and Uskali), and Epidemiology and Biostatistics Division (Dr Seweryn), School of Public Health, University of Illinois Chicago, Chicago, Illinois; Center for Community Capacity Development, Illinois Public Health Institute, Chicago, Illinois (Mss Call and Lasky); and Division of Health Data and Policy (Dr Agbodo), Illinois Department of Public Health (IDPH), Chicago, Illinois (Dr Ezike)
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Davis LF, Ramírez-Andreotta MD. Participatory Research for Environmental Justice: A Critical Interpretive Synthesis. ENVIRONMENTAL HEALTH PERSPECTIVES 2021; 129:26001. [PMID: 33591210 PMCID: PMC7885999 DOI: 10.1289/ehp6274] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
BACKGROUND Environmental health risks are disproportionately colocated with communities in poverty and communities of color. In some cases, participatory research projects have effectively addressed structural causes of health risk in environmental justice (EJ) communities. However, many such projects fail to catalyze change at a structural level. OBJECTIVES This review employs Critical Interpretive Synthesis (CIS) to theorize specific elements of participatory research for environmental health that effectively prompt structural change in EJ communities. METHODS Academic database search was used to identify peer-reviewed literature describing participatory research with EJ communities to address environmental health. Synthetic constructs were developed iteratively related to study characteristics, design elements, and outcomes; and data were extracted for included records. Statistical analyses were performed to assess correlations between study design elements and structural change outcomes. Through critical, comparative, and contextual analyses of the "structural change" case study group and "non- structural change" group, informed by relevant theoretical literature, a synthesizing argument was generated. RESULTS From 505 total records identified, eligibility screening produced 232 case study articles, representing 154 case studies, and 55 theoretical articles for synthesis. Twenty-six case studies resulted in a structural change outcome. The synthesizing argument states that participatory research with EJ communities may be more likely to result in structural change when a) community members hold formal leadership roles; b) project design includes decision-makers and policy goals; and c) long term partnerships are sustained through multiple funding mechanisms. The assumption of EJ community benefit through research participation is critically examined. DISCUSSION Recommended future directions include establishing structural change as a goal of participatory research, employing participatory assessment of community benefit, and increased hiring of faculty of color at research institutions. The power, privilege, and political influence that academic institutions are able to leverage in partnership with EJ communities may be as valuable as the research itself. https://doi.org/10.1289/EHP6274.
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Affiliation(s)
- Leona F Davis
- Department of Environmental Science, University of Arizona, Tucson, Arizona, USA
| | - Mónica D Ramírez-Andreotta
- Department of Environmental Science, University of Arizona, Tucson, Arizona, USA
- Division of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
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Asada Y, Gilmet K, Welter C, Massuda-Barnett G, Kapadia DA, Fagen M. Applying Theory of Change to a Structural Change Initiative: Evaluation of Model Communities in a Diverse County. HEALTH EDUCATION & BEHAVIOR 2018; 46:377-387. [PMID: 30592224 DOI: 10.1177/1090198118818233] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Structural change approaches, also called policy, systems, and environmental change approaches, have been increasingly promoted and adopted by public ealth agencies in the past decade. These interventions require attention to multilevel, complex and contextual influences on individual and community health outcomes, requiring a sound theoretical framework that links the many processes and outcomes over time. The Model Communities program of Cook County, Illinois Communities Putting Prevention to Work program employed a theory of change (ToC) framework to inform the evaluations' design and execution. The main objective of this study was to apply findings from the longitudinal multiple case study evaluation to develop an adapted ToC. We conducted 97 key informant interviews across three waves, with a focus on Model Communities program participants', Communities Putting Prevention to Work staff, and technical assistance providers' experiences over time. Four analysts organized and coded the data using qualitative software; exploratory functions and data matrices were employed throughout three waves of analysis. Adaptations to the ToC included the addition of a construct, "change readiness," as well as refinements to constructs: organizational capacity (human capital, technical assistance, informal and formal leadership), local partnerships, and the importance of sustainability. The findings offer a data-informed theoretical framework that may be considered for use in evaluations of structural change interventions in complex and diverse counties.
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Affiliation(s)
- Yuka Asada
- 1 University of Illinois at Chicago School of Public Health, Chicago IL, USA
| | - Kelsey Gilmet
- 1 University of Illinois at Chicago School of Public Health, Chicago IL, USA
| | - Christina Welter
- 1 University of Illinois at Chicago School of Public Health, Chicago IL, USA
| | | | - Devangna A Kapadia
- 1 University of Illinois at Chicago School of Public Health, Chicago IL, USA
| | - Michael Fagen
- 3 Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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O’Neal LJ, Bateman LB, Smith T, Li Y, Dai C, Wallace T, Fouad MN. An Exploration of Multilevel Physical Activity Correlates Among Low-Income African Americans in Alabama and Mississippi. FAMILY & COMMUNITY HEALTH 2018; 41:197-204. [PMID: 30134334 PMCID: PMC6890475 DOI: 10.1097/fch.0000000000000203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Understanding obesity-related health disparities among low-income African Americans in the south requires further research investigating the range of factors influencing health behaviors. This study sought to examine the relationship between meeting the minimum recommendation for moderate physical activity and multilevel, including policy, systems, and environmental, strategies thought to influence health behaviors. We utilize preintervention community survey data from a sample of 256 low-income, predominantly, African Americans in 3 southeastern cities. Results indicate that individual, social, and environmental factors are related to whether participants met the recommended guidelines for physical activity and that sex predicts whether guidelines are met.
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Affiliation(s)
- LaToya J. O’Neal
- Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL
| | - Lori Brand Bateman
- Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
| | - Theolisha Smith
- Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
| | - Yufeng Li
- Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
| | - Chen Dai
- Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
| | - Theresa Wallace
- Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
| | - Mona N. Fouad
- Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
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