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Li M, Hilpert M, Goldsmith J, Brooks JL, Shearston JA, Chillrud SN, Ali T, Umans JG, Best LG, Yracheta J, van Donkelaar A, Martin RV, Navas-Acien A, Kioumourtzoglou MA. Air Pollution in American Indian Versus Non-American Indian Communities, 2000-2018. Am J Public Health 2022; 112:615-623. [PMID: 35319962 PMCID: PMC8961849 DOI: 10.2105/ajph.2021.306650] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2021] [Indexed: 11/04/2022]
Abstract
Objectives. To compare fine particulate matter (PM2.5) concentrations in American Indian (AI)-populated with those in non-AI-populated counties over time (2000-2018) in the contiguous United States. Methods. We used a multicriteria approach to classify counties as AI- or non--AI-populated. We ran linear mixed effects models to estimate the difference in countywide annual PM2.5 concentrations from well-validated prediction models and monitoring sites (modeled and measured PM2.5, respectively) in AI- versus non-AI-populated counties. Results. On average, adjusted modeled PM2.5 concentrations in AI-populated counties were 0.38 micrograms per cubic meter (95% confidence interval [CI] = 0.23, 0.54) lower than in non-AI-populated counties. However, this difference was not constant over time: in 2000, modeled concentrations in AI-populated counties were 1.46 micrograms per cubic meter (95% CI = 1.25, 1.68) lower, and by 2018, they were 0.66 micrograms per cubic meter (95% CI = 0.45, 0.87) higher. Over the study period, adjusted modeled PM2.5 mean concentrations decreased by 2.13 micrograms per cubic meter in AI-populated counties versus 4.26 micrograms per cubic meter in non-AI-populated counties. Results were similar for measured PM2.5. Conclusions. This study highlights disparities in PM2.5 trends between AI- and non-AI-populated counties over time, underscoring the need to strengthen air pollution regulations and prevention implementation in tribal territories and areas where AI populations live. (Am J Public Health. 2022;112(4): 615-623. https://doi.org/10.2105/AJPH.2021.306650).
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Affiliation(s)
- Maggie Li
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Markus Hilpert
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Jeff Goldsmith
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Jada L Brooks
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Jenni A Shearston
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Steven N Chillrud
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Tauqeer Ali
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Jason G Umans
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Lyle G Best
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Joseph Yracheta
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Aaron van Donkelaar
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Randall V Martin
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Ana Navas-Acien
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
| | - Marianthi-Anna Kioumourtzoglou
- Maggie Li, Markus Hilpert, Jenni A. Shearston, Ana Navas-Acien, and Marianthi-Anna Kioumourtzoglou are with the Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY. Jeff Goldsmith is with the Department of Biostatistics, Columbia University Mailman School of Public Health. Jada L. Brooks is with the University of North Carolina School of Nursing, Chapel Hill. Steven N. Chillrud is with the Lamont-Doherty Earth Observatory, Columbia University. Tauqeer Ali is with the Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Jason G. Umans is with the Georgetown-Howard Universities Center for Clinical and Translational Sciences, Washington, DC. Lyle G. Best and Joseph Yracheta are with Missouri Breaks Industries Research, Inc., Eagle Butte, SD. Aaron van Donkelaar and Randall V. Martin are with the Department of Energy, Environmental & Chemical Engineering, Washington University, St. Louis, MO
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Fleischhacker S, Roberts E, Camplain R, Evenson KR, Gittelsohn J. Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives. J Racial Ethn Health Disparities 2016; 3:608-624. [PMID: 27294756 PMCID: PMC4911341 DOI: 10.1007/s40615-015-0180-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Revised: 10/13/2015] [Accepted: 10/29/2015] [Indexed: 10/22/2022]
Abstract
Promoting physical activity using environmental, policy, and systems approaches could potentially address persistent health disparities faced by American Indian and Alaska Native children and adolescents. To address research gaps and help inform tribally led community changes that promote physical activity, this review examined the methodology and current evidence of physical activity interventions and community-wide initiatives among Native youth. A keyword-guided search was conducted in multiple databases to identify peer-reviewed research articles that reported on physical activity among Native youth. Ultimately, 20 unique interventions (described in 76 articles) and 13 unique community-wide initiatives (described in 16 articles) met the study criteria. Four interventions noted positive changes in knowledge and attitude relating to physical activity but none of the interventions examined reported statistically significant improvements on weight-related outcomes. Only six interventions reported implementing environmental, policy, and system approaches relating to promoting physical activity and generally only shared anecdotal information about the approaches tried. Using community-based participatory research or tribally driven research models strengthened the tribal-research partnerships and improved the cultural and contextual sensitivity of the intervention or community-wide initiative. Few interventions or community-wide initiatives examined multi-level, multi-sector interventions to promote physical activity among Native youth, families, and communities. More research is needed to measure and monitor physical activity within this understudied, high risk group. Future research could also focus on the unique authority and opportunity of tribal leaders and other key stakeholders to use environmental, policy, and systems approaches to raise a healthier generation of Native youth.
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Affiliation(s)
- Sheila Fleischhacker
- Senior Public Health & Science Policy Advisor, Office of Nutrition Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Department of Health and Human Services, Two Democracy Plaza, Room 635, 6707 Democracy Boulevard MSC 5461, Bethesda, Maryland 20892-5461, – office 301-594-7440, mobile – 301-640-1396, fax – 301-480-3768
| | - Erica Roberts
- Doctoral Candidate, University of Maryland School of Public Health, Department of Behavioral and Community Health, 7923 Eastern Ave, Apt 1001, Silver Spring, MD 20910, voice – 410-236-7016
| | - Ricky Camplain
- Doctoral Student, University of North Carolina, Gillings School of Global Public Health, Department of Epidemiology, 137 East Franklin Street, Suite 303A, Chapel Hill, NC 27514, voice – 505-658-5262
| | - Kelly R. Evenson
- Research Professor of Epidemiology, University of North Carolina, Gillings School of Global Public Health, Department of Epidemiology, 137 E Franklin Street, Suite 306, Chapel Hill, NC 27514, voice – 919-966-4187
| | - Joel Gittelsohn
- Johns Hopkins University, Bloomberg School of Public Health, Department of International Health, Center for Human Nutrition, 615 N. Wolfe Street, Rm W2041, Baltimore, MD 21205, voice – 410-955-3927
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