1
|
McBride DE, Bhattacharya A, Sucharew H, Brunst KJ, Barnas M, Cox C, Altman L, Hilbert TJ, Burkle J, Westneat S, Martin KV, Parsons PJ, Praamsma ML, Palmer CD, Kannan K, Smith DR, Wright R, Amarasiriwardena C, Dietrich KN, Cecil KM, Haynes EN. Child and Adolescent Manganese Biomarkers and Adolescent Postural Balance in Marietta CARES Cohort Participants. ENVIRONMENTAL HEALTH PERSPECTIVES 2024; 132:57010. [PMID: 38780454 PMCID: PMC11114102 DOI: 10.1289/ehp13381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 03/04/2024] [Accepted: 04/26/2024] [Indexed: 05/25/2024]
Abstract
BACKGROUND Manganese (Mn) plays a significant role in both human health and global industries. Epidemiological studies of exposed populations demonstrate a dose-dependent association between Mn and neuromotor effects ranging from subclinical effects to a clinically defined syndrome. However, little is known about the relationship between early life Mn biomarkers and adolescent postural balance. OBJECTIVES This study investigated the associations between childhood and adolescent Mn biomarkers and adolescent postural balance in participants from the longitudinal Marietta Communities Actively Researching Exposures Study (CARES) cohort. METHODS Participants were recruited into CARES when they were 7-9 y old, and reenrolled at 13-18 years of age. At both time points, participants provided samples of blood, hair, and toenails that were analyzed for blood Mn and lead (Pb), serum cotinine, hair Mn, and toenail Mn. In adolescence, participants completed a postural balance assessment. Greater sway indicates postural instability (harmful effect), whereas lesser sway indicates postural stability (beneficial effect). Multivariable linear regression models were conducted to investigate the associations between childhood and adolescent Mn biomarkers and adolescent postural balance adjusted for age, sex, height-weight ratio, parent/caregiver intelligence quotient, socioeconomic status, blood Pb, and serum cotinine. RESULTS CARES participants who completed the adolescent postural balance assessment (n = 123 ) were 98% White and 54% female and had a mean age of 16 y (range: 13-18 y). In both childhood and adolescence, higher Mn biomarker concentrations were significantly associated with greater adolescent sway measures. Supplemental analyses revealed sex-specific associations; higher childhood Mn biomarker concentrations were significantly associated with greater sway in females compared with males. DISCUSSION This study found childhood and adolescent Mn biomarkers were associated with subclinical neuromotor effects in adolescence. This study demonstrates postural balance as a sensitive measure to assess the association between Mn biomarkers and neuromotor function. https://doi.org/10.1289/EHP13381.
Collapse
Affiliation(s)
- Danielle E. McBride
- Department of Epidemiology and Environmental Health, College of Public Health, University of Kentucky, Lexington, Kentucky, USA
| | - Amit Bhattacharya
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Heidi Sucharew
- Department of Emergency Medicine, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Kelly J. Brunst
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Mary Barnas
- Department of Psychology, Marietta College, Marietta, Ohio, USA
| | - Cyndy Cox
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Lorenna Altman
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Timothy J. Hilbert
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Jeff Burkle
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
- Division of Asthma Research, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA
| | - Susan Westneat
- Department of Epidemiology and Environmental Health, College of Public Health, University of Kentucky, Lexington, Kentucky, USA
| | - Kaitlin Vollet Martin
- Department of Epidemiology and Environmental Health, College of Public Health, University of Kentucky, Lexington, Kentucky, USA
| | - Patrick J. Parsons
- Division of Environmental Health Sciences, Wadsworth Center, New York State Department of Health, Albany, New York, USA
- Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, New York, USA
| | - Meredith L. Praamsma
- Division of Environmental Health Sciences, Wadsworth Center, New York State Department of Health, Albany, New York, USA
- Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, New York, USA
| | - Christopher D. Palmer
- Division of Environmental Health Sciences, Wadsworth Center, New York State Department of Health, Albany, New York, USA
- Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, New York, USA
| | - Kurunthachalam Kannan
- Division of Environmental Health Sciences, Wadsworth Center, New York State Department of Health, Albany, New York, USA
- Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, New York, USA
| | - Donald R. Smith
- Department of Microbiology and Environmental Toxicology, University of California, Santa Cruz, California, USA
| | - Robert Wright
- Environmental Medicine and Public Health, Mount Sinai School of Medicine, New York, New York, USA
| | - Chitra Amarasiriwardena
- Environmental Medicine and Public Health, Mount Sinai School of Medicine, New York, New York, USA
| | - Kim N. Dietrich
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Kim M. Cecil
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
- Department of Radiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
| | - Erin N. Haynes
- Department of Epidemiology and Environmental Health, College of Public Health, University of Kentucky, Lexington, Kentucky, USA
| |
Collapse
|
2
|
Bosak J, Drainoni ML, Christopher M, Medley B, Rodriguez S, Bell S, Kim E, Stotz C, Hamilton G, Bigsby C, Gillen F, Kimball J, McClay C, Powers K, Walt G, Battaglia T, Chassler D, Sprague Martinez L, Lunze K. Community advisory board members' perspectives on their contributions to a large multistate cluster RCT: a mixed methods study. J Clin Transl Sci 2023; 8:e1. [PMID: 38384918 PMCID: PMC10879854 DOI: 10.1017/cts.2023.673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 09/27/2023] [Accepted: 10/29/2023] [Indexed: 02/23/2024] Open
Abstract
Background Community advisory boards (CABs) are an established approach to ensuring research reflects community priorities. This paper examines two CABs that are part of the HEALing Communities Study which aims to reduce overdose mortality. This analysis aimed to understand CAB members' expectations, experiences, and perspectives on CAB structure, communication, facilitation, and effectiveness during the first year of an almost fully remote CAB implementation. Current literature exploring these perspectives is limited. Methods We collected qualitative and survey data simultaneously from members (n = 53) of two sites' CABs in the first 9 months of CAB development. The survey assessed trust, communication, and relations; we also conducted 32 semi-structured interviews. We analyzed the survey results descriptively. The qualitative data were analyzed using a deductive codebook based on the RE-AIM PRISM framework. Themes were drawn from the combined qualitative data and triangulated with survey results to further enrich the findings. Results CAB members expressed strong commitment to overall study goals and valued the representation of occupational sectors. The qualitative data described a dissonance between CAB members' commitment to the mission and unmet expectations for influencing the study within an advisory role. Survey results indicated lower satisfaction with the research teams' ability to create a mutually beneficial process, clear communication, and sharing of power. Conclusion Building a CAB on a remote platform, within a study utilizing a community engagement strategy, still presents challenges to fully realizing the potential of a CAB. These findings can inform more effective operationalizing of community-engaged research through enhanced CAB engagement.
Collapse
Affiliation(s)
- Julie Bosak
- Boston Medical Center, Boston, MA, USA
- Boston University School of Public Health, Boston, MA, USA
| | - Mari-Lynn Drainoni
- Boston Medical Center, Boston, MA, USA
- Boston University School of Public Health, Boston, MA, USA
- Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
| | | | - Bethany Medley
- Columbia University, New York, NY, USA
- Community Advisory Board Member, Boston, MA, USA
| | | | | | - Erin Kim
- Columbia University, New York, NY, USA
| | | | - Greer Hamilton
- Boston University School of Social Work, Boston, MA, USA
| | | | | | - Jennifer Kimball
- Boston Medical Center, Boston, MA, USA
- Community Advisory Board Member, Boston, MA, USA
| | | | - Kim Powers
- Boston Medical Center, Boston, MA, USA
- Community Advisory Board Member, Boston, MA, USA
| | | | - Tracy Battaglia
- Boston Medical Center, Boston, MA, USA
- Boston University School of Public Health, Boston, MA, USA
- Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
| | | | | | - Karsten Lunze
- Boston Medical Center, Boston, MA, USA
- Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
| |
Collapse
|
3
|
Symanski E, An Han H, McCurdy S, Hopkins L, Flores J, Han I, Smith MA, Caldwell J, Fontenot C, Wyatt B, Markham C. Data to Action: Community-Based Participatory Research to Address Concerns about Metal Air Pollution in Overburdened Neighborhoods near Metal Recycling Facilities in Houston. ENVIRONMENTAL HEALTH PERSPECTIVES 2023; 131:67006. [PMID: 37285285 PMCID: PMC10246764 DOI: 10.1289/ehp11405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 04/14/2023] [Accepted: 04/17/2023] [Indexed: 06/09/2023]
Abstract
BACKGROUND Exposures to environmental contaminants can be influenced by social determinants of health. As a result, persons living in socially disadvantaged communities may experience disproportionate health risks from environmental exposures. Mixed methods research can be used to understand community-level and individual-level exposures to chemical and nonchemical stressors contributing to environmental health disparities. Furthermore, community-based participatory research (CBPR) approaches can lead to more effective interventions. OBJECTIVES We applied mixed methods to identify environmental health perceptions and needs among metal recyclers and residents living in disadvantaged neighborhoods near metal recycling facilities in Houston, Texas, in a CBPR study, Metal Air Pollution Partnership Solutions (MAPPS). Informed by what we learned and our previous findings from cancer and noncancer risk assessments of metal air pollution in these neighborhoods, we developed an action plan to lower metal aerosol emissions from metal recycling facilities and enhance community capacity to address environmental health risks. METHODS Key informant interviews, focus groups, and community surveys were used to identify environmental health concerns of residents. A diverse group from academia, an environmental justice advocacy group, the community, the metal recycling industry, and the local health department collaborated and translated these findings, along with results from our prior risk assessments, to inform a multifaceted public health action plan. RESULTS An evidence-based approach was used to develop and implement neighborhood-specific action plans. Plans included a voluntary framework of technical and administrative controls to reduce metal emissions in the metal recycling facilities, direct lines of communication among residents, metal recyclers, and local health department officials, and environmental health leadership training. DISCUSSION Using a CBPR approach, health risk assessment findings based on outdoor air monitoring campaigns and community survey results informed a multipronged environmental health action plan to mitigate health risks associated with metal air pollution. https://doi.org/10.1289/EHP11405.
Collapse
Affiliation(s)
- Elaine Symanski
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, Texas, USA
| | - Heyreoun An Han
- Center for Precision Environmental Health, Baylor College of Medicine, Houston, Texas, USA
| | - Sheryl McCurdy
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, Texas, USA
| | - Loren Hopkins
- Department of Statistics, Rice University, Houston, Texas, USA
- Houston Health Department, Houston, Texas, USA
| | | | - Inkyu Han
- Department of Epidemiology and Biostatistics, Temple University College of Public Health, Philadelphia, Pennsylvania, USA
| | - Mary Ann Smith
- Department of Epidemiology, Human Genetics and Environmental Sciences, UTHealth School of Public Health, Houston, Texas, USA
| | - James Caldwell
- Coalition of Community Organizations (CoCo), Houston, Texas, USA
| | | | | | - Christine Markham
- Department of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, Texas, USA
| |
Collapse
|
4
|
Martinez M, Harry GJ, Haynes EN, Lin PID, Oken E, Horton MK, Wright RO, Arora M, Austin C. Quantitative fluoride imaging of teeth using CaF emission by laser induced breakdown spectroscopy. JOURNAL OF ANALYTICAL ATOMIC SPECTROMETRY 2023; 38:303-314. [PMID: 36776552 PMCID: PMC9906802 DOI: 10.1039/d2ja00134a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 09/15/2022] [Indexed: 05/18/2023]
Abstract
In this work, we propose the use of molecular emission of calcium fluoride (CaF) by laser induced breakdown spectroscopy (LIBS) to obtain quantitative fluoride distribution images of teeth. LIBS has proved to be an efficient technique to detect low amounts of fluoride in solids, and human teeth have the advantage being a matrix rich in calcium. We used new calibration material from sintered hydroxyapatite pellets doped with fluoride to determine the optimized LIBS conditions of argon flow at 1 L min-1 and using the green emission bands of CaF in 530 nm, and obtained a calibration curve between 0 and 400 μg g-1, and LOD of 18 μg g-1. This methodology was applied within a rat model of fluoride exposure and showed increasing tooth-fluoride with increased exposure dose. To demonstrate applicability of this method in human teeth, we quantified fluoride distribution in teeth from three children from non-fluorinated and fluorinated water regions. Samples from children living in fluoridated water regions showed higher fluoride concentrations in dentine formed after birth, compared to a child from a non-fluoridated region. Teeth have been used as biomarkers for environmental exposure and this new method opens the opportunity in epidemiology research to study critical windows of early life exposure to fluoride as well.
Collapse
Affiliation(s)
- Mauro Martinez
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai New York NY USA
| | - G Jean Harry
- Mechanistic Toxicology Branch, Division of National Toxicology Program, National Institute of Environmental Health Sciences Research Triangle Park NC USA
| | - Erin N Haynes
- Department of Epidemiology, College of Public Health, University of Kentucky Lexington KY USA
| | - Pi-I D Lin
- Division of Chronic Disease Research Across the Life Course, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MA USA
| | - Emily Oken
- Division of Chronic Disease Research Across the Life Course, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MA USA
| | - Megan K Horton
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai New York NY USA
| | - Robert O Wright
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai New York NY USA
| | - Manish Arora
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai New York NY USA
| | - Christine Austin
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai New York NY USA
| |
Collapse
|
5
|
Using the Community Engagement Framework to Understand and Assess EJ-Related Research Efforts. SUSTAINABILITY 2022. [DOI: 10.3390/su14052809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Within an environmental justice frame, capacity-building has been an important component of efforts to address health disparities at the policy, system, and environment levels. While the literature is replete with studies that discuss the necessity of collective action as a means to generate power to overcome inequities, limited attention has been given to the structure of these efforts to build capacity and challenge environmental injustices. This study applies the community engagement continuum as a framework for understanding the scope of capacity-building strategies and the manner in which research investigators engage with their intended target community. Paired teams of independent analysts screened articles for relevance (n = 8452), identified records for content abstraction (n = 163), and characterized relevant studies (n = 58). Many articles discussed community engagement as being either collaborative or shared leadership (n = 32, 55.2%). While the most commonly used capacity-building strategies were organizing/social action (58.6%) and CBPR (50%), few studies were able to make an environmental impact (n = 23; 39.7%), and fewer had a direct legislative policy-related outcome (n = 13; 22.4%). This review identifies levels of collaborative involvement and strategic approaches used for strengthening community capacity in efforts of making transformative policy, systems, and environmental change.
Collapse
|
6
|
Martin KV, Sucharew H, Dietrich KN, Parsons PJ, Palmer CD, Wright R, Amarasiriwardena C, Smith DR, Haynes EN. Co-exposure to manganese and lead and pediatric neurocognition in East Liverpool, Ohio. ENVIRONMENTAL RESEARCH 2021; 202:111644. [PMID: 34246641 PMCID: PMC8578304 DOI: 10.1016/j.envres.2021.111644] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 06/30/2021] [Accepted: 07/01/2021] [Indexed: 05/09/2023]
Abstract
Exposure to metal mixtures may lead to health impacts greater than the effects associated with singular exposures. Two common childhood environmental exposures, manganese (Mn) and lead (Pb), are associated with similar adverse neurodevelopmental effects; however, the effects surrounding concurrent exposure to both metals remain unclear. We study the impact of joint exposure to Mn and Pb on cognitive performance in school-aged children participating in the Communities Actively Researching Exposure Study (CARES) based in East Liverpool, Ohio. Blood Pb levels were measured for each child (geometric mean (GM) = 1.13 μg/dL, range 0.30 μg/dL - 6.64 μg/dL). Mn was measured in participant blood, hair, and toenails with GMs of 10.1 μg/L, 360 ng/g, 0.974 μg/g, respectively. Trained team members administered the Wechsler Intelligence Scale for Children-IV (WISC-IV) to assess intelligence quotient (IQ). The WISC-IV provides scores for Full Scale IQ, Perceptual Reasoning, Processing Speed, Working Memory, and Verbal Comprehension. Interactions between blood Pb and all Mn biomarkers were tested in linear models adjusted for child sex, household income, and serum cotinine. Separate regression models were run for each of the Mn biomarkers. The cohort was comprised of 106 children with a mean age of 8.4 years. Interactions between blood Pb and hair Mn were significant (p < 0.05) for four out of the five IQ domains. The effect of blood Pb on IQ was more pronounced at higher levels of hair and toenail Mn. No significant associations were observed when characterizing the main effect of Mn using blood. Uncovering the health impacts associated with exposure mixtures is critical to understanding the impact of real-life conditions. Our findings suggest that joint exposure to Mn and Pb may produce heightened neurocognitive impacts even at blood Pb levels below the CDC reference concentration of 5 μg/dL.
Collapse
Affiliation(s)
- Kaitlin Vollet Martin
- Department of Epidemiology, College of Public Health, University of Kentucky, Lexington, KY, USA.
| | - Heidi Sucharew
- Division of Biostatistics and Epidemiology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Kim N Dietrich
- Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, OH, USA
| | - Patrick J Parsons
- Wadsworth Center, New York State Department of Health, Albany, NY, USA; Department of Environmental Health Sciences, School of Public Health, University of Albany, Rensselaer, NY, USA
| | - Christopher D Palmer
- Wadsworth Center, New York State Department of Health, Albany, NY, USA; Department of Environmental Health Sciences, School of Public Health, University of Albany, Rensselaer, NY, USA
| | - Robert Wright
- Icahn School of Medicine at Mount Sinai, New York, USA
| | | | - Donald R Smith
- Microbiology and Environmental Toxicology, University of California, Santa Cruz, CA, USA
| | - Erin N Haynes
- Department of Epidemiology, College of Public Health, University of Kentucky, Lexington, KY, USA
| |
Collapse
|
7
|
Froeling F, Gignac F, Hoek G, Vermeulen R, Nieuwenhuijsen M, Ficorilli A, De Marchi B, Biggeri A, Kocman D, Robinson JA, Grazuleviciene R, Andrusaityte S, Righi V, Basagaña X. Narrative review of citizen science in environmental epidemiology: Setting the stage for co-created research projects in environmental epidemiology. ENVIRONMENT INTERNATIONAL 2021; 152:106470. [PMID: 33677244 DOI: 10.1016/j.envint.2021.106470] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Accepted: 02/16/2021] [Indexed: 06/12/2023]
Abstract
Several citizen science (CS) initiatives have been adopted in environmental science to monitor air and noise pollution, and water quality related to civic concerns. Nevertheless, CS projects in environmental epidemiology remain scarce. This is because little attention has been paid to evaluate associations of environmental exposures with health effects directly. This narrative review aims to promote the understanding and application of CS in environmental epidemiology. There are many commonalities between CS and other participatory approaches in environmental epidemiology. Yet, CS can foster the democratization of scientific governance and enhance the sustainability of research projects more effectively than other existing participatory approaches. This is especially the case in projects where citizens are invited to participate, engage and become involved throughout all the phases of a research project (co-created projects). This paper identifies various challenges and opportunities specific to the implementation of co-created CS projects in environmental epidemiology. The development of more locally relevant research designs, using local knowledge, obtaining medical ethical clearance, and co-analysing the association between exposure and health, are examples of opportunities and challenges that require epidemiologists to go beyond the traditional research framework and include more outreach activities. Continued efforts, particularly the sharing of information about projects' collaborative processes, are needed to make CS a more concrete and cohesive approach in environmental epidemiology.
Collapse
Affiliation(s)
| | - Florence Gignac
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain.
| | - Gerard Hoek
- Universiteit Utrecht (UU), Utrecht, the Netherlands
| | - Roel Vermeulen
- Universiteit Utrecht (UU), Utrecht, the Netherlands; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands
| | - Mark Nieuwenhuijsen
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Antonella Ficorilli
- Epidemiologia e Prevenzione "Giulio A. Maccacaro" Social Enterprise, Milan, Italy
| | - Bruna De Marchi
- Epidemiologia e Prevenzione "Giulio A. Maccacaro" Social Enterprise, Milan, Italy; SVT, University of Bergen, Bergen, Norway
| | - Annibale Biggeri
- Epidemiologia e Prevenzione "Giulio A. Maccacaro" Social Enterprise, Milan, Italy; Department of Statistics, Computer Science, Applications "G. Parenti" University of Florence, Florence, Italy
| | - David Kocman
- Jožef Stefan Institute, Department of Environmental Sciences, Ljubljana, Slovenia
| | - Johanna Amalia Robinson
- Jožef Stefan Institute, Department of Environmental Sciences, Ljubljana, Slovenia; Jožef Stefan International Postgraduate School, Ljubljana, Slovenia
| | | | - Sandra Andrusaityte
- Department of Environmental Science, Vytautas Magnus University, Kaunas, Lithuania
| | | | - Xavier Basagaña
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain; Universitat Pompeu Fabra (UPF), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| |
Collapse
|
8
|
Stolfi A, Fulk F, Reponen T, Hilbert TJ, Brown D, Haynes EN. AERMOD modeling of ambient manganese for residents living near a ferromanganese refinery in Marietta, OH, USA. ENVIRONMENTAL MONITORING AND ASSESSMENT 2021; 193:419. [PMID: 34120251 PMCID: PMC8569639 DOI: 10.1007/s10661-021-09206-8] [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] [Received: 10/22/2020] [Accepted: 06/07/2021] [Indexed: 06/12/2023]
Abstract
Elevated exposure to ambient manganese (Mn) is associated with adverse health outcomes. In Marietta, Ohio, the primary source of ambient Mn exposure is from the longest operating ferromanganese refinery in North America. In this study, the US EPA air dispersion model, AERMOD, was used to estimate ambient air Mn levels near the refinery for the years 2008-2013. Modeled air Mn concentrations for 2009-2010 were compared to concentrations obtained from a stationary air sampler. Census block population data were used to estimate population sizes exposed to an annual average air Mn > 50 ng/m3, the US EPA guideline for chronic exposure, for each year. Associations between modeled air Mn, measured soil Mn, and measured indoor dust Mn in the modeled area were also examined. Median modeled air Mn concentrations ranged from 6.3 to 43 ng/m3 across the years. From 12,000-56,000 individuals, including over 2000 children aged 0-14 years, were exposed to respirable annual average ambient air Mn levels exceeding 50 ng/m3 in five of the six years. For 2009-2010, the median modeled air Mn concentration at the stationary site was 20 ng/m3, compared to 18 ng/m3 measured with the stationary air sampler. All model performance measures for monthly modeled concentrations compared to measured concentrations were within acceptable limits. The study shows that AERMOD modeling of ambient air Mn is a viable method for estimating exposure from refinery emissions and that the Marietta area population was at times exposed to Mn levels that exceeded US EPA guidelines.
Collapse
Affiliation(s)
- Adrienne Stolfi
- Department of Pediatrics, Wright State University, Dayton, OH, USA.
| | - Florence Fulk
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, OH, USA
| | - Tiina Reponen
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, OH, USA
| | - Timothy J Hilbert
- Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, OH, USA
| | - David Brown
- Department of Biology & Environmental Science, Marietta College, Marietta, OH, USA
| | - Erin N Haynes
- Department of Epidemiology, College of Public Health, University of Kentucky, Lexington, KY, USA
| |
Collapse
|
9
|
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.
Collapse
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
| |
Collapse
|
10
|
Taylor LC, Watkins CS, Chesterton H, Kimbro KS, Gerald R. Rural Community Engagement for Health Disparities Research: The Unique Role of Historically Black Colleges and Universities (HBCUs). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 18:ijerph18010064. [PMID: 33374874 PMCID: PMC7796123 DOI: 10.3390/ijerph18010064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 12/16/2020] [Accepted: 12/17/2020] [Indexed: 11/16/2022]
Abstract
Reducing health disparities in rural communities of color remains a national concern. Efforts to reduce health disparities often center on community engagement, which is historically the strategy used to provide rural minority populations with support to access and utilize health information and services. Historically Black Colleges and Universities (HBCUs), with their origins derived from social injustices and discrimination, are uniquely positioned to conduct this type of engagement. We present the "Research with Care" project, a long-standing positive working relationship between North Carolina Central University (NCCU) and rural Halifax County, North Carolina, demonstrating an effective campus-community partnership. The importance of readiness to implement Community-based Participatory Research (CBPR) principles is underscored. As demonstrated by the NCCU-Halifax partnership, we recommend leveraging the positive associations of the HBCU brand identity as a method of building and sustaining meaningful relationships with rural Black communities. This underscores the role and value of HBCUs in the health disparities research arena and should be communicated and embraced.
Collapse
Affiliation(s)
- Lorraine C. Taylor
- Juvenile Justice Institute, North Carolina Central University, Durham, NC 27707, USA
- Correspondence:
| | - Charity S. Watkins
- Department of Social Work, North Carolina Central University, Durham, NC 27707, USA;
| | - Hannah Chesterton
- Justice, Law, and Criminology Program, American University, Washington, DC 20016, USA;
| | - K. Sean Kimbro
- Biological and Biomedical Sciences, North Carolina Central University, Durham, NC 27707, USA;
| | - Ruby Gerald
- Community Liaison, North Carolina Central University, Durham, NC 27707, USA;
| |
Collapse
|
11
|
Williamson DHZ, Yu EX, Hunter CM, Kaufman JA, Komro K, Jelks NO, Johnson DA, Gribble MO, Kegler MC. A Scoping Review of Capacity-Building Efforts to Address Environmental Justice Concerns. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E3765. [PMID: 32466474 PMCID: PMC7312702 DOI: 10.3390/ijerph17113765] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 05/13/2020] [Accepted: 05/20/2020] [Indexed: 11/17/2022]
Abstract
Environmental justice (EJ) efforts aimed at capacity building are essential to addressing environmental health disparities; however, limited attention has been given to describing these efforts. This study reports findings from a scoping review of community-academic partnerships and community-led efforts to address environmental inequities related to air, water, and land pollution in the United States. Literature published in peer-reviewed journals from January 1986 through March 2018 were included, and community capacity theory was applied as a framework for understanding the scope of capacity-building and community change strategies to address EJ concerns. Paired teams of independent analysts conducted a search for relevant articles (n = 8452 citations identified), filtered records for content abstraction and possible inclusion (n = 163) and characterized selected studies (n = 58). Most articles implemented activities that were aligned with community capacity dimensions of citizen participation (96.4%, n = 53), community power (78%, n = 45), leadership (78%, n = 45), and networks (81%, n = 47); few articles identified a direct policy change (22%, n = 13), and many articles discussed the policy implications of findings for future work (62%, n = 36). This review synthesizes three decades of efforts to reduce environmental inequities and identifies strategic approaches used for strengthening community capacity.
Collapse
Affiliation(s)
- Dana H. Z. Williamson
- Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (K.K.); (M.C.K.)
| | - Emma X. Yu
- Gangarosa Department of Environmental Health, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (E.X.Y.); (C.M.H.); (M.O.G.)
| | - Candis M. Hunter
- Gangarosa Department of Environmental Health, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (E.X.Y.); (C.M.H.); (M.O.G.)
| | - John A. Kaufman
- Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (J.A.K.); (D.A.J.)
| | - Kelli Komro
- Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (K.K.); (M.C.K.)
- Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (J.A.K.); (D.A.J.)
| | | | - Dayna A. Johnson
- Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (J.A.K.); (D.A.J.)
| | - Matthew O. Gribble
- Gangarosa Department of Environmental Health, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (E.X.Y.); (C.M.H.); (M.O.G.)
- Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (J.A.K.); (D.A.J.)
| | - Michelle C. Kegler
- Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA; (K.K.); (M.C.K.)
| |
Collapse
|
12
|
Altman K, Yelton B, Hart Z, Carson M, Schandera L, Kelsey RH, Porter DE, Friedman DB. "You Gotta Choose Your Words Carefully": Findings from Interviews with Environmental Health Scientists about Their Research Translation Perceptions and Training Needs. JOURNAL OF HEALTH COMMUNICATION 2020; 25:454-462. [PMID: 32631135 PMCID: PMC7416540 DOI: 10.1080/10810730.2020.1785060] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Scientists are trained to communicate research in a technical manner but often lack the skills to communicate scientific findings to the general public. Effective communication and research translation are increasingly important competencies for researchers and have broader benefits to scientists and society. The aim of the study was to assess the perceptions, experiences, and training needs relative to science communication and research translation of project investigators associated with the Center for Oceans and Human Health and Climate Change Interactions at the University of South Carolina. In-depth, semi-structured interviews were conducted with the Center's investigators. Interview transcripts were coded and analyzed for emergent themes related to science communication and research translation. Investigator descriptions of their research varied in length, and researchers mentioned multiple target audiences. Most investigators preferred in-person and written communication channels and felt "comfortable" communicating uncertain findings to the public despite no formal science communication training. Investigators suggested training focused on plain language development for target communities, assessment of audience needs, and formatting research findings for various groups. Working with multiple target audiences that have preferred communication channels necessitates a comprehensive approach to science communication training to enhance two-way communication between scientists and stakeholders.
Collapse
Affiliation(s)
- Katya Altman
- Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Brooks Yelton
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health University of South Carolina, Columbia, SC, USA
| | - Zac Hart
- Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Margaret Carson
- Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Louisa Schandera
- Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - R. Heath Kelsey
- University of Maryland Center for Environmental Science, Cambridge, MD, USA
- NIEHS Center for Oceans and Human Health and Climate Change Interactions, University of South Carolina, Columbia, SC, USA
| | - Dwayne E. Porter
- Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
- NIEHS Center for Oceans and Human Health and Climate Change Interactions, University of South Carolina, Columbia, SC, USA
| | - Daniela B. Friedman
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health University of South Carolina, Columbia, SC, USA
- NIEHS Center for Oceans and Human Health and Climate Change Interactions, University of South Carolina, Columbia, SC, USA
| |
Collapse
|
13
|
Haynes EN, Hilbert TJ, Roberts R, Quirolgico J, Shepler R, Beckner G, Veevers J, Burkle J, Jandarov R. Public Participation in Air Sampling and Water Quality Test Kit Development to Enable Citizen Science. Prog Community Health Partnersh 2019; 13:141-151. [PMID: 31178449 DOI: 10.1353/cpr.2019.0028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Public participation in environmental data collection is a rapidly growing approach providing opportunity for hands-on public engagement in environmental field studies. This methodology is important when addressing community-identified exposure concerns. OBJECTIVES Our goal was to establish an academic-community partnership between University of Cincinnati (UC) researchers and local officials and residents of Guernsey County, Ohio, to address their interest in assessing environmental quality near proposed and operating natural gas extraction (NGE) waste sites. METHODS A pilot research study was developed using community-based participatory research principles. A community resident was trained to collect air samples. Air was sampled at 10 locations for 63 volatile organic compounds (VOCs). Water quality test kits were developed in partnership with local middle and high school teachers. RESULTS Community partners were involved throughout the project. VOCs were detected at all locations. Nineteen unique VOCs were detected; one was above the recommended exposure level. Findings were reported back to local officials and community members. Water quality test kits were developed and then piloted in middle school and high school classrooms. CONCLUSIONS Academic-community partnerships were instrumental in the identification of sampling locations, obtaining the participation of landowners, and conducting sampling. Measuring the impact of NGE activities on air quality is challenging owing to competing exposures, limited resources, and access to sites. Water quality test kits were found by Guernsey County teachers to be useful tools in the classroom.
Collapse
|
14
|
A Case Study Describing a Community-Engaged Approach for Evaluating Polycyclic Aromatic Hydrocarbon Exposure in a Native American Community. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16030327. [PMID: 30682857 PMCID: PMC6388274 DOI: 10.3390/ijerph16030327] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 01/19/2019] [Accepted: 01/19/2019] [Indexed: 01/04/2023]
Abstract
In 2015, the Swinomish Indian Tribal Community (SITC) was impacted by an air toxic release from one of two nearby oil refineries. This experience motivated SITC members to learn more about their exposure to air toxics. On the invitation of SITC, this community-based study measured personal exposure to polycyclic aromatic hydrocarbons (PAHs) and conducted interviews with the volunteers to evaluate perceptions of the data and experience of participating. Non-smoking SITC members were recruited in March 2016 (N = 10) and January 2017 (N = 22) with seven volunteers participating both times. Volunteers wore a wristband passive sampler for 7 days and completed daily activity diaries. Wristbands were analyzed for 62 PAHs using gas chromatography mass spectrometry. Wilcoxon exact tests determined if the sum total PAHs (ΣPAH) differed by activity, proximity to the refineries, and time. Aggregated results were shared during community meetings, and volunteers received individual reports. Volunteers (N = 9) participated in individual interviews. All volunteers were exposed to different amounts and types of PAHs. Burning candles or using a wood stove and/or propane heating were associated with higher ΣPAH exposures. While ΣPAH was similar in both sampling periods, the composition of PAHs differed. More priority listed PAHs were detected in January (N = 17) versus March (N = 10). Among volunteers who participated in both sampling events, exposure to four PAHs significantly differed between seasons. Overall, volunteers reported that the study made them more aware of air pollution sources in their community. They also commented that the chemical nomenclature was difficult to understand, but appreciated the individual reports that allowed them to visually compare their data to the distribution of data collected in their community. For volunteers with lower exposures, these comparisons gave them relief. However, volunteers with higher exposures reported concern and several changed their behaviors to reduce their exposure to known PAH sources. This study provided an opportunity for SITC members to learn about their personal exposure to a class of air toxics within the context of their community. While the limitations of the study hindered the ability to identify sources of air toxics in the community, this activity appeared to raise awareness about ambient and indoor air pollution among the volunteers.
Collapse
|
15
|
Newman NC, Elam S, Igoe C, Jones C, Menrath W, Porter D, Haynes EN. A Community-Academic Partnership to Reduce Lead Exposure From an Elevated Roadway Demolition, Cincinnati, Ohio, 2012. Public Health Rep 2017; 132:622-626. [PMID: 28977765 DOI: 10.1177/0033354917732756] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Disseminating public health recommendations to community members is an important step in protecting the public's health. We describe a community-academic partnership comprising health-based organizations, community groups, academia, and government organizations. This partnership undertook an iterative process to develop an outreach plan, educational materials, and activities to bring lead-poisoning prevention recommendations from a health impact assessment of a roadway demolition/construction project to the residents of an affected neighborhood in Cincinnati, Ohio, in 2012. Community partners played a key role in developing outreach and prevention activities. As a result of this project, activities among members of the partnership continue.
Collapse
Affiliation(s)
- Nicholas C Newman
- 1 Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.,2 Department of Environmental Health, University of Cincinnati, Cincinnati, OH, USA
| | - Sarah Elam
- 3 Center for Clinical and Translational Science and Training, University of Cincinnati, Cincinnati, OH, USA
| | | | | | - William Menrath
- 2 Department of Environmental Health, University of Cincinnati, Cincinnati, OH, USA
| | | | - Erin N Haynes
- 2 Department of Environmental Health, University of Cincinnati, Cincinnati, OH, USA
| |
Collapse
|
16
|
Haynes EN, Sucharew H, Hilbert TJ, Kuhnell P, Spencer A, Newman NC, Burns R, Wright R, Parsons PJ, Dietrich KN. Impact of air manganese on child neurodevelopment in East Liverpool, Ohio. Neurotoxicology 2017; 64:94-102. [PMID: 28888663 DOI: 10.1016/j.neuro.2017.09.001] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 08/01/2017] [Accepted: 09/01/2017] [Indexed: 01/18/2023]
Abstract
BACKGROUND East Liverpool, Ohio, the site of a hazardous waste incinerator and a manganese (Mn) processor, has had air Mn concentrations exceeding United States Environmental Protection Agency reference levels for over a decade. Save Our County, Inc., a community organization, was formed to address community environmental health concerns related to local industry. Researchers from the University of Cincinnati partnered with Save Our County to determine if air Mn had an impact on the neurocognitive function of children in the community. METHODS Children 7-9 years of age from East Liverpool and its surrounding communities, were enrolled (N=106) in the Communities Actively Researching Exposure Study from between March 2013-June 2014. Blood and hair were analyzed for Mn and lead, and serum was analyzed for cotinine. We used linear regression to assess associations between biological measures and IQ subscale scores. RESULTS Geometric mean blood lead (n=67), blood Mn (n=66), hair Mn (n=98), and serum cotinine (n=69) concentrations were 1.13±1.96μg/dL, 10.06±1.30μg/L, and 360.22±2.17ng/g, 0.76±6.12μg/L respectively. After adjusting for potential confounders, hair Mn was negatively associated with Full Scale IQ. CONCLUSIONS Hair Mn was negatively associated with child IQ scores. Community partners were instrumental in the conception and implementation of this study.
Collapse
Affiliation(s)
- Erin N Haynes
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA.
| | - Heidi Sucharew
- Cincinnati Children's Hospital Medical Center, Division of Biostatistics and Epidemiology, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
| | - Timothy J Hilbert
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA.
| | - Pierce Kuhnell
- Cincinnati Children's Hospital Medical Center, Division of Biostatistics and Epidemiology, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
| | | | - Nicholas C Newman
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA; Cincinnati Children's Hospital Medical Center, Division of General and Community Pediatrics, 3333 Burnet Ave, Cincinnati, OH, 45229, USA.
| | - Roxanne Burns
- Kent State University East Liverpool Campus, 400 E 4th St, East Liverpool, OH, 43920, USA
| | - Robert Wright
- Icahn School of Medicine at Mount Sinai, 1468 Madison Ave, New York, NY, 10029, USA.
| | - Patrick J Parsons
- Wadsworth Center, New York State Department of Health, Albany, NY, 12201-0509, USA; University of Albany, School of Public Health, Department of Environmental Health Sciences, 1400 Washington Ave, Albany, NY, 12222, USA.
| | - Kim N Dietrich
- University of Cincinnati, College of Medicine, Department of Environmental Health, 160 Panzeca Way, Cincinnati, OH, 45267, USA.
| |
Collapse
|
17
|
Finn S, O’Fallon L. The Emergence of Environmental Health Literacy-From Its Roots to Its Future Potential. ENVIRONMENTAL HEALTH PERSPECTIVES 2017; 125:495-501. [PMID: 26126293 PMCID: PMC5382009 DOI: 10.1289/ehp.1409337] [Citation(s) in RCA: 115] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 06/25/2015] [Indexed: 05/20/2023]
Abstract
BACKGROUND Environmental health literacy (EHL) is coalescing into a new subdiscipline that combines key principles and procedural elements from the fields of risk communication, health literacy, environmental health sciences (EHS), communications research, and safety culture. These disciplines have contributed unique expertise and perspectives to the development of EHL. Since 1992, the National Institute of Environmental Health Sciences (NIEHS) has contributed to the evolution of EHL and now seeks to stimulate its scientific advancement and rigor. OBJECTIVES The principal objective of this article is to stimulate a conversation on, and advance research in, EHL. DISCUSSION In this article, we propose a definition of and conceptual framework for EHL, describe EHL in its social and historical context, identify the complementary fields and domains where EHL is being defined and implemented, and outline a research agenda. Extensive reviews of web and literature searches indicate that the concept of EHL is evolving rapidly, as are the definitions of its scope and inquiry. Although several authors have outlined different frameworks, we believe that a more nuanced model based on Bloom's taxonomy is better suited to EHL and to future research in this area. CONCLUSIONS We posit that EHL can potentially benefit the conduct and outcomes of community-engaged and health disparities EHS research and can ensure that the translation of research findings will lead to greater understanding of specific risks, reduction of exposures, and improvement of health outcomes for individuals and communities. We provide four recommendations to advance work in EHL.
Collapse
Affiliation(s)
| | - Liam O’Fallon
- Address correspondence to L. O’Fallon, Program Analyst, Division of Extramural Research and Training, National Institute of Environmental Health Sciences, National Institutes of Health, U.S. Department of Health and Human Services, P.O. Box 12233 (MD K3-13), Research Triangle Park, NC 27709. Telephone: (919) 541-7733. E-mail:
| |
Collapse
|
18
|
Fulk F, Succop P, Hilbert TJ, Beidler C, Brown D, Reponen T, Haynes EN. Pathways of inhalation exposure to manganese in children living near a ferromanganese refinery: A structural equation modeling approach. THE SCIENCE OF THE TOTAL ENVIRONMENT 2017; 579:768-775. [PMID: 27865527 PMCID: PMC7315255 DOI: 10.1016/j.scitotenv.2016.11.030] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Revised: 11/04/2016] [Accepted: 11/05/2016] [Indexed: 05/21/2023]
Abstract
Manganese (Mn) is both essential element and neurotoxicant. Exposure to Mn can occur from various sources and routes. Structural equation modeling was used to examine routes of exposure to Mn among children residing near a ferromanganese refinery in Marietta, Ohio. An inhalation pathway model to ambient air Mn was hypothesized. Data for model evaluation were obtained from participants in the Communities Actively Researching Exposure Study (CARES). These data were collected in 2009 and included levels of Mn in residential soil and dust, levels of Mn in children's hair, information on the amount of time the child spent outside, heat and air conditioning in the home and level of parent education. Hair Mn concentration was the primary endogenous variable used to assess the theoretical inhalation exposure pathways. The model indicated that household dust Mn was a significant contributor to child hair Mn (0.37). Annual ambient air Mn concentration (0.26), time children spent outside (0.24) and soil Mn (0.24) significantly contributed to the amount of Mn in household dust. These results provide a potential framework for understanding the inhalation exposure pathway for children exposed to ambient air Mn who live in proximity to an industrial emission source.
Collapse
Affiliation(s)
- Florence Fulk
- National Exposure Research Laboratory, US Environmental Protection Agency, United States
| | - Paul Succop
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States
| | - Timothy J Hilbert
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States
| | | | - David Brown
- Marietta College, Department of Biology and Environmental Science, United States
| | - Tiina Reponen
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States
| | - Erin N Haynes
- College of Medicine, Department of Environmental Health, University of Cincinnati, United States.
| |
Collapse
|
19
|
Finn S, Collman G. The Pivotal Role of the Social Sciences in Environmental Health Sciences Research. New Solut 2016; 26:389-411. [PMID: 27605565 DOI: 10.1177/1048291116666485] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Environmental health sciences research seeks to elucidate environmental factors that put human health at risk. A primary aim is to develop strategies to prevent or reduce exposures and disease occurrence. Given this primary focus on prevention, environmental health sciences research focuses on the populations most at risk such as communities of color and/or low socioeconomic status. The National Institute of Environmental Health Sciences research programs incorporate the principles of Community-Based Participatory Research to study health disparities. These programs promote community engagement, culturally appropriate communications with a variety of stakeholders, and consideration of the social determinants of health that interact with environmental factors to increase risk. Multidisciplinary research teams that include social and behavioral scientists are essential to conduct this type of research. This article outlines the history of social and behavioral research funding at National Institute of Environmental Health Sciences and offers examples of National Institute of Environmental Health Sciences-funded projects that exemplify the value of social science to the environmental health sciences.
Collapse
Affiliation(s)
- Symma Finn
- 1 National Institute of Environmental Health Sciences, Durham, NC, USA
| | - Gwen Collman
- 1 National Institute of Environmental Health Sciences, Durham, NC, USA
| |
Collapse
|
20
|
Fulk F, Haynes EN, Hilbert TJ, Brown D, Petersen D, Reponen T. Comparison of stationary and personal air sampling with an air dispersion model for children's ambient exposure to manganese. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2016; 26:494-502. [PMID: 27168393 PMCID: PMC7382781 DOI: 10.1038/jes.2016.30] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Accepted: 03/07/2016] [Indexed: 05/22/2023]
Abstract
Manganese (Mn) is ubiquitous in the environment and essential for normal growth and development, yet excessive exposure can lead to impairments in neurological function. This study modeled ambient Mn concentrations as an alternative to stationary and personal air sampling to assess exposure for children enrolled in the Communities Actively Researching Exposure Study in Marietta, OH. Ambient air Mn concentration values were modeled using US Environmental Protection Agency's Air Dispersion Model AERMOD based on emissions from the ferromanganese refinery located in Marietta. Modeled Mn concentrations were compared with Mn concentrations from a nearby stationary air monitor. The Index of Agreement for modeled versus monitored data was 0.34 (48 h levels) and 0.79 (monthly levels). Fractional bias was 0.026 for 48 h levels and -0.019 for monthly levels. The ratio of modeled ambient air Mn to measured ambient air Mn at the annual time scale was 0.94. Modeled values were also time matched to personal air samples for 19 children. The modeled values explained a greater degree of variability in personal exposures compared with time-weighted distance from the emission source. Based on these results modeled Mn concentrations provided a suitable approach for assessing airborne Mn exposure in this cohort.
Collapse
Affiliation(s)
- Florence Fulk
- National Exposure Research Laboratory, US Environmental Protection Agency, Cincinnati, Ohio, USA
| | - Erin N. Haynes
- College of Medicine, Department of Environmental Health, University of Cincinnati, Cincinnati, Ohio, USA
| | - Timothy J. Hilbert
- College of Medicine, Department of Environmental Health, University of Cincinnati, Cincinnati, Ohio, USA
| | | | - Dan Petersen
- National Center for Environmental Assessment, US Environmental Protection Age, Cincinnati, Ohio, USA
| | - Tiina Reponen
- College of Medicine, Department of Environmental Health, University of Cincinnati, Cincinnati, Ohio, USA
| |
Collapse
|
21
|
Sampson NR, Tetteh MM, Schulz AJ, Ramirez E, Wilkins D, de Majo R, Mentz G, Johnson-Lawrence V. Multidirectional Translation of Environmental Health Science in Community Settings: The Case of Oxidative Stress Pathways. Prog Community Health Partnersh 2016; 10:275-84. [PMID: 27346774 DOI: 10.1353/cpr.2016.0030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND Translation of environmental health science in vulnerable communities is particularly important to promote public health and reduce health inequities. METHODS We describe a structured, multidirectional process used to develop a suite of health promotion tools (e.g., fact sheets, video, maps) documenting patterning of local air pollution sources and availability of antioxidant-rich foods in Detroit, Michigan as factors that jointly affect oxidative stress (OS). OS underlies many pathological processes associated with air pollution, including asthma, metabolic syndrome, cancer, diabetes, and obesity. This translational effort involved a 2-year dialogue among representatives from community-based and environmental organizations, health service providers, and academic researchers. RESULTS This dialogue led to development of tools, as well as new opportunities to inform related policies and research. CONCLUSIONS Through this example, we highlight how collaborative partnerships can enhance multidirectional dialogue to inform translation of environmental health science by promoting consideration of multilevel risk factors, local priorities and context, and diverse audiences.
Collapse
|
22
|
Haynes EN, Elam S, Burns R, Spencer A, Yancey E, Kuhnell P, Alden J, Walton M, Reynolds V, Newman N, Wright RO, Parsons PJ, Praamsma ML, Palmer CD, Dietrich KN. Community Engagement and Data Disclosure in Environmental Health Research. ENVIRONMENTAL HEALTH PERSPECTIVES 2016; 124:A24-7. [PMID: 26829152 PMCID: PMC4749085 DOI: 10.1289/ehp.1510411] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Federal funding agencies increasingly support stakeholder participation in environmental health studies, and yet there is very little published research on engagement of community members in the development of data disclosure (DD) strategies. The Ohio Environmental Protection Agency reported airborne manganese (Mn) concentrations in East Liverpool, Ohio, 30 times higher than the reference concentration, which led to an academic–community research partnership to address community concern about Mn exposure, particularly among children. Children and their families were recruited to participate in a pilot study. Samples of blood and hair were collected from the children and analyzed for metals. DD mechanisms were developed using an iterative approach between community and academic partners. Individual DD letters were mailed to each participating family, and a community meeting was held. A post-meeting survey was administered to gauge community perception of the DD strategies. The purpose of this article is to demonstrate the effectiveness of engaging community partners in the conduct of environmental health research and in the development of DD strategies for individuals and the community at large. Scientists should include community partners in the development of DD strategies to enhance translation of the research findings and support the right of study participants to know their individual results.
Collapse
Affiliation(s)
- Erin N. Haynes
- Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
- Address correspondence to E.N. Haynes, University of Cincinnati Medical Center, P.O. Box 670056, Cincinnati, OH 45267-0056 USA. Telephone: (513) 558-5427.
| | - Sarah Elam
- Center for Clinical and Translational Science and Training, University of Cincinnati, Cincinnati, Ohio, USA
| | - Roxanne Burns
- Kent State University at East Liverpool, East Liverpool, Ohio, USA
- Deceased
| | | | - Elissa Yancey
- Department of Journalism, College of Arts and Sciences, University of Cincinnati, Cincinnati, Ohio, USA
| | - Pierce Kuhnell
- Division of Epidemiology and Biostatistics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA
| | - Jody Alden
- Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Mike Walton
- Save Our County, Inc., East Liverpool, Ohio, USA
| | | | - Nicholas Newman
- Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
- Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA
| | - Robert O. Wright
- Department of Preventive Medicine, Division of Environmental Health, Mount Sinai Hospital, School of Medicine, New York, New York, USA
| | - Patrick J. Parsons
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, Albany, New York, USA
- Department of Environmental Health Sciences, School of Public Health, University at Albany, Albany, New York, USA
| | - Meredith L. Praamsma
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, Albany, New York, USA
- Department of Environmental Health Sciences, School of Public Health, University at Albany, Albany, New York, USA
| | - Christopher D. Palmer
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, Albany, New York, USA
- Department of Environmental Health Sciences, School of Public Health, University at Albany, Albany, New York, USA
| | - Kim N. Dietrich
- Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| |
Collapse
|
23
|
Chambers MK, Ireland A, D'Aniello R, Lipnicki S, Glick M, Tumiel-Berhalter L. Lessons Learned from the Evolution of an Academic Community Partnership: Creating "Patient Voices". Prog Community Health Partnersh 2015; 9:243-51. [PMID: 26412765 DOI: 10.1353/cpr.2015.0032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
THE PROBLEM Long-term partners received federal funding to develop the Patient Voices Network, a partnership of safety-net family practices and their patients to develop health improvement strategies. The scope and structure of the newly funded grant presented unexpected challenges that threatened the future of the partnership.Purpose of Article: To present a case study of the evolution of an existing partnership and offer lessons learned along with recommendations for future partnerships. KEY POINTS Federal funding formalized the partnership in a way that required looking at it through a new lens. Leadership, programmatic, personnel, and financial challenges emerged. Short-term and long-term strategies were applied to address evolving needs. CONCLUSIONS This case study demonstrates how federal funding raises the bar for academic-community partnerships and how challenges can be worked through, particularly if the partnership embraces the key principles of community-based participatory research (CBPR). Recommendations have been applied successfully to future initiatives.
Collapse
|
24
|
Hoover E, Renauld M, Edelstein MR, Brown P. Social Science Collaboration with Environmental Health. ENVIRONMENTAL HEALTH PERSPECTIVES 2015; 123:1100-6. [PMID: 25966491 PMCID: PMC4629748 DOI: 10.1289/ehp.1409283] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Accepted: 05/08/2015] [Indexed: 05/13/2023]
Abstract
BACKGROUND Social science research has been central in documenting and analyzing community discovery of environmental exposure and consequential processes. Collaboration with environmental health science through team projects has advanced and improved our understanding of environmental health and justice. OBJECTIVE We sought to identify diverse methods and topics in which social scientists have expanded environmental health understandings at multiple levels, to examine how transdisciplinary environmental health research fosters better science, and to learn how these partnerships have been able to flourish because of the support from National Institute of Environmental Health Sciences (NIEHS). METHODS We analyzed various types of social science research to investigate how social science contributes to environmental health. We also examined NIEHS programs that foster social science. In addition, we developed a case study of a community-based participation research project in Akwesasne in order to demonstrate how social science has enhanced environmental health science. RESULTS Social science has informed environmental health science through ethnographic studies of contaminated communities, analysis of spatial distribution of environmental injustice, psychological experience of contamination, social construction of risk and risk perception, and social impacts of disasters. Social science-environmental health team science has altered the way scientists traditionally explore exposure by pressing for cumulative exposure approaches and providing research data for policy applications. CONCLUSIONS A transdisciplinary approach for environmental health practice has emerged that engages the social sciences to paint a full picture of the consequences of contamination so that policy makers, regulators, public health officials, and other stakeholders can better ameliorate impacts and prevent future exposure. CITATION Hoover E, Renauld M, Edelstein MR, Brown P. 2015. Social science collaboration with environmental health. Environ Health Perspect 123:1100-1106; http://dx.doi.org/10.1289/ehp.1409283.
Collapse
Affiliation(s)
- Elizabeth Hoover
- American Studies and Ethnic Studies, Brown University, Providence, Rhode Island, USA
| | | | | | | |
Collapse
|
25
|
Haynes EN, Sucharew H, Kuhnell P, Alden J, Barnas M, Wright RO, Parsons PJ, Aldous KM, Praamsma ML, Beidler C, Dietrich KN. Manganese Exposure and Neurocognitive Outcomes in Rural School-Age Children: The Communities Actively Researching Exposure Study (Ohio, USA). ENVIRONMENTAL HEALTH PERSPECTIVES 2015; 123:1066-71. [PMID: 25902278 PMCID: PMC4590758 DOI: 10.1289/ehp.1408993] [Citation(s) in RCA: 97] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 04/20/2015] [Indexed: 05/18/2023]
Abstract
BACKGROUND Manganese (Mn) plays a vital role in brain growth and development, yet excessive exposure can result in neurotoxicity. Marietta, Ohio, is home to the nation's longest-operating ferromanganese refinery, and community concern about exposure led to the development of the research study. OBJECTIVES Our overall goal was to address the community's primary research question: "Does Mn affect cognitive development of children?" We evaluated the relationships between Mn exposure as measured by blood and hair Mn, along with other neurotoxicants including blood lead (Pb) and serum cotinine, and child cognition. METHODS Children 7-9 years of age were enrolled (n = 404) in the Communities Actively Researching Exposure Study (CARES) from Marietta and Cambridge, Ohio, and their surrounding communities from October 2008 through March 2013. Blood and hair were analyzed for Mn and Pb, and serum was analyzed for cotinine. We used penalized splines to assess potential nonlinear associations between biological measures and IQ subscale scores, followed by multivariable regression models with categorical variables based on quartiles of the distribution for biological measures with nonlinear associations and continuous variables for biological measures with linear associations. RESULTS Geometric mean blood (n = 327) and hair Mn (n = 370) concentrations were 9.67 ± 1.27 μg/L and 416.51 ± 2.44 ng/g, respectively. After adjusting for potential confounders, both low and high blood and hair Mn concentrations were associated with lower Full Scale IQ and subscale scores, with significant negative associations between the highest quartile and middle two quartiles of blood Mn (β -3.51; 95% CI: -6.64, -0.38) and hair Mn (β -3.66; 95% CI: -6.9, -0.43%) and Full Scale IQ. CONCLUSIONS Both low and high Mn concentrations in blood and hair were negatively associated with child IQ scores. Serum cotinine was negatively associated with child cognitive function.
Collapse
Affiliation(s)
- Erin N Haynes
- Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
26
|
Rohlman D, Syron L, Hobbie K, Anderson KA, Scaffidi C, Sudakin D, Peterson ES, Waters KM, Haynes E, Arkin L, Feezel P, Kincl L. A Community-Based Approach to Developing a Mobile Device for Measuring Ambient Air Exposure, Location, and Respiratory Health. ENVIRONMENTAL JUSTICE (PRINT) 2015; 8:126-134. [PMID: 34093954 PMCID: PMC8162300 DOI: 10.1089/env.2015.0001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
In west Eugene (Oregon), community research indicates residents are disproportionately exposed to industrial air pollution and exhibit increased asthma incidence. In Carroll County (Ohio), recent increases in unconventional natural gas drilling sparked air quality concerns. These community concerns led to the development of a prototype mobile device to measure personal chemical exposure, location, and respiratory function. Working directly with the environmental justice (EJ) communities, the prototype was developed to 1) meet the needs of the community and 2) evaluate the use in EJ communities. The prototype was evaluated in three community focus groups (n = 25) to obtain feedback on the prototype and feasibility study design to evaluate the efficacy of the device to address community concerns. Focus groups were recorded and qualitatively analyzed with discrete feedback tabulated for further refinement. The prototype was improved by community feedback resulting in eight alterations/additions to software and instructional materials. Overall, focus group participants were supportive of the device and believed it would be a useful environmental health tool. The use of focus groups ensured that community members were engaged in the research design and development of a novel environmental health tool. We found that community-based research strategies resulted in a refined device as well as relevant research questions, specific to the EJ community needs and concerns.
Collapse
|
27
|
Yeramaneni S, Dietrich KN, Yolton K, Parsons PJ, Aldous KM, Haynes EN. Secondhand Tobacco Smoke Exposure and Neuromotor Function in Rural Children. J Pediatr 2015; 167:253-9.e1. [PMID: 25882879 PMCID: PMC4516634 DOI: 10.1016/j.jpeds.2015.03.014] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2014] [Revised: 01/26/2015] [Accepted: 03/06/2015] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To investigate the relationship between secondhand tobacco smoke (SHS) exposure and neuromotor function in children. STUDY DESIGN We studied 404 children aged 7-9 years who were exposed to SHS and other environmental neurotoxicants. Parents reported smoking habits, and serum cotinine levels were measured in children to determine SHS exposure. The Halstead-Reitan Finger Oscillation Test, Purdue Grooved Pegboard Test-Kiddie version, and Bruininks-Oseretsky Test of Motor Proficiency 2-Short Form were used to assess neuromotor function. Multivariable regression models that accounted for potential confounders were used to evaluate the associations. RESULTS Approximately 50% of the children were exposed to SHS based on serum cotinine measures. Exposure to SHS was significantly associated with motor impairment in children, including diminished visuomotor coordination (P = .01), fine motor integration (P = .01), balance (P = .02), and strength (P = .04) after adjusting for exposures to lead and manganese, age, sex, body mass index, measures of parental cognitive abilities, parental education, and quality of home environment. CONCLUSION SHS is a neurotoxicant that may be associated with impaired childhood neuromotor function.
Collapse
Affiliation(s)
- Samrat Yeramaneni
- Department of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio,Division of Biostatistics and Epidemiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
| | - Kim N. Dietrich
- Department of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Kimberly Yolton
- General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
| | - Patrick J. Parsons
- Division of Environmental Health Sciences, Wadsworth Center, New York State Department of Health, Albany, New York,Department of Environmental Health Sciences, School of Public Health, University at Albany, Albany, New York
| | - Kenneth M. Aldous
- Division of Environmental Health Sciences, Wadsworth Center, New York State Department of Health, Albany, New York,Department of Environmental Health Sciences, School of Public Health, University at Albany, Albany, New York
| | - Erin N. Haynes
- Department of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio
| |
Collapse
|
28
|
Parin ML, Yancey E, Beidler C, Haynes EN. Efficacy of Environmental Health E-Training for Journalists. ACTA ACUST UNITED AC 2014; 2:71-80. [PMID: 26998499 DOI: 10.11114/smc.v2i1.387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Communities report a low level of trust in environmental health media coverage. In order to support risk communication objectives, the goals of the research study were to identify whether or not there is a gap in environmental reporting training for journalists, to outline journalists' methods for gathering environmental health news, to observe journalists' attitudes toward environmental health training and communication, and to determine if electronic training (online/e-training) can effectively train journalists in environmental health topics. The results indicated that environmental journalists have very little to no formal environmental journalism training. In addition, a significant percentage of journalists do not have any formal journalism education. Respondents most preferred to receive continuing environmental journalism training online. Online instruction was also perceived as effective in increasing knowledge and providing necessary reporting tools, even among participants adverse to online instructional methods. Our findings highlight the changing media climate's need for an increase in electronic journalism education opportunities to support environmental health journalism competencies among working professional journalists.
Collapse
Affiliation(s)
- Megan L Parin
- College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| | - Elissa Yancey
- McMicken College of Arts & Sciences, University of Cincinnati, Cincinnati, Ohio, USA
| | | | - Erin N Haynes
- College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
| |
Collapse
|
29
|
Ahmed S, DeFino MC, Connors ER, Kissack A, Franco Z. Science cafés: engaging scientists and community through health and science dialogue. Clin Transl Sci 2014; 7:196-200. [PMID: 24716626 DOI: 10.1111/cts.12153] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Engagement of the community through informal dialogue with researchers and physicians around health and science topics is an important avenue to build understanding and affect health and science literacy. Science Cafés are one model for this casual interchange; however the impact of this approach remains under researched. The Community Engagement Key Function of the Clinical and Translational Science Institute of Southeast Wisconsin hosted a series of Science Cafés in which topics were collaboratively decided upon by input from the community. Topics ranged from Personalized Medicine to Alzheimer's and Dementia to BioMedical Innovation. A systematic evaluation of the impact of Science Cafés on attendees' self-confidence related to five health and scientific literacy concepts showed statistically significant increases across all items (Mean differences between mean retrospective pre-scores and post-scores, one tailed, paired samples t-test, n=141, p<.0001 for all items). The internal consistency of the five health and scientific literacy items was excellent (n=126, α=0.87). Thematic analysis of attendees' comments provides more nuance about positive experience and suggestions for possible improvements. The evaluation provides important evidence supporting the effectiveness of brief, casual dialogue as a way to increase the public's self-rated confidence in health and science topics.
Collapse
Affiliation(s)
- Syed Ahmed
- Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Clinical and Translational Science Institute of Southeast Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | | | | | | | | |
Collapse
|
30
|
Rugless F, Bhattacharya A, Succop P, Dietrich KN, Cox C, Alden J, Kuhnell P, Barnas M, Wright R, Parsons PJ, Praamsma ML, Palmer CD, Beidler C, Wittberg R, Haynes EN. Childhood exposure to manganese and postural instability in children living near a ferromanganese refinery in Southeastern Ohio. Neurotoxicol Teratol 2014; 41:71-9. [PMID: 24370548 PMCID: PMC3943914 DOI: 10.1016/j.ntt.2013.12.005] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2013] [Revised: 12/05/2013] [Accepted: 12/16/2013] [Indexed: 12/19/2022]
Abstract
Airborne manganese (Mn) exposure can result in neurotoxicity and postural instability in occupationally exposed workers, yet few studies have explored the association ambient exposure to Mn in children and postural stability. The goal of this study was to determine the association between Mn and lead (Pb) exposure, as measured by blood Pb, blood and hair Mn and time weighted distance (TWD) from a ferromanganese refinery, and postural stability in children. A subset of children ages 7-9 years enrolled in the Marietta Community Actively Researching Exposure Study (CARES) were invited to participate. Postural balance was conducted on 55 children residing in Marietta, Ohio and the surrounding area. Samples of blood were collected and analyzed for Mn and Pb, and samples of hair were analyzed for Mn. Neuromotor performance was assessed using postural balance testing with a computer force platform system. Pearson correlations were calculated to identify key covariates. Associations between postural balance testing conditions and Mn and Pb exposure were estimated with linear regression analyses adjusting for gender, age, parent IQ, and parent age. Mean blood Mn was 10 μg/L (SEM=0.36), mean blood Pb was 0.85 μg/dL (SEM=0.05), and mean hair Mn was 0.76 μg/g (SEM=0.16). Mean residential distance from the refinery was 11.5 km (SEM=0.46). All three measures of Mn exposure were significantly associated with poor postural balance. In addition, low-level blood Pb was also negatively associated with balance outcomes. We conclude that Mn exposure and low-level blood Pb are significantly associated with poor postural balance.
Collapse
Affiliation(s)
- Fedoria Rugless
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| | - Amit Bhattacharya
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| | - Paul Succop
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| | - Kim N Dietrich
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| | - Cyndy Cox
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| | - Jody Alden
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| | - Pierce Kuhnell
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| | - Mary Barnas
- Marietta College, 215 5th Street, Marietta, OH 45740, United States.
| | - Robert Wright
- Harvard University, Channing Laboratory, 181 Longwood Ave., Boston, MA 02115, United States.
| | - Patrick J Parsons
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, PO Box 509, Albany, NY 12201-0509, United States; University at Albany, Department of Environmental Health Sciences, School of Public Health, Albany, NY, United States.
| | - Meredith L Praamsma
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, PO Box 509, Albany, NY 12201-0509, United States; University at Albany, Department of Environmental Health Sciences, School of Public Health, Albany, NY, United States.
| | - Christopher D Palmer
- Laboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, PO Box 509, Albany, NY 12201-0509, United States; University at Albany, Department of Environmental Health Sciences, School of Public Health, Albany, NY, United States.
| | | | - Richard Wittberg
- Mid-Ohio Valley Health Department, 211 6th St., Parkersburg, WV 26101, United States.
| | - Erin N Haynes
- University of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States.
| |
Collapse
|
31
|
Bonow CA, Cezar-Vaz MR, de Almeida MCV, Rocha LP, Borges AM, Piexak DR, Vaz JC. Risk perception and risk communication for training women apprentice welders: a challenge for public health nursing. Nurs Res Pract 2013; 2013:386260. [PMID: 24288604 PMCID: PMC3833020 DOI: 10.1155/2013/386260] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2013] [Revised: 08/29/2013] [Accepted: 09/04/2013] [Indexed: 01/19/2023] Open
Abstract
This research has aimed to identify the perceptions of women apprentice welders about physical, chemical, biological, and physiological risk factors to which they are exposed and evaluate the identification of health disorders self-reported for women apprentice welders before and after implementation of a nursing socioenvironmental intervention. A quantitative study was performed with 27 women apprentice welders (first phase) and before and after an intervention with 18 women (second phase) in Southern Brazil in 2011. The data were analysed using SPSS 19.0. The participants identified the following risk types: physical (96.2%), chemical (96.2%), physiological (88.8%), and biological (62.9%). The results show a significant difference of the pre- and posttest averages for the musculoskeletal system and a posttest average increase for the integumentary, respiratory, and auditory system. A correlation of the women apprentices' ages and the identification of health disorders were made. It was understood that the perception of women apprentices regarding a particular set of occupational risks is essential for public health nursing to develop an effective risk communication as a positive tool for teaching and learning.
Collapse
Affiliation(s)
| | | | | | | | - Anelise Miritz Borges
- School of Nursing, Federal University of Rio Grande, 96201-900 Rio Grande, RS, Brazil
| | | | - Joana Cezar Vaz
- School of Chemistry and Food, Federal University of Rio Grande, 96201-900 Rio Grande, RS, Brazil
| |
Collapse
|
32
|
Pennell KG, Thompson M, Rice JW, Senier L, Brown P, Suuberg E. Bridging research and environmental regulatory processes: the role of knowledge brokers. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2013; 47:11985-92. [PMID: 24083557 PMCID: PMC3875357 DOI: 10.1021/es4025244] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Federal funding agencies increasingly require research investigators to ensure that federally sponsored research demonstrates broader societal impact. Specifically, the National Institutes of Environmental Health Sciences (NIEHS) Superfund Research Program (SRP) requires research centers to include research translation and community engagement cores to achieve broader impacts, with special emphasis on improving environmental health policies through better scientific understanding. This paper draws on theoretical insights from the social sciences to show how incorporating knowledge brokers in research centers can facilitate translation of scientific expertise to influence regulatory processes and thus promote public health. Knowledge brokers connect academic researchers with decision-makers, to facilitate the translation of research findings into policies and programs. In this article, we describe the stages of the regulatory process and highlight the role of the knowledge broker and scientific expert at each stage. We illustrate the cooperation of knowledge brokers, scientific experts and policymakers using a case from the Brown University (Brown) SRP. We show how the Brown SRP incorporated knowledge brokers to engage scientific experts with regulatory officials around the emerging public health problem of vapor intrusion (VI). In the Brown SRP, the knowledge broker brought regulatory officials into the research process, to help scientific experts understand the critical nature of this emerging public health threat, and helped scientific experts develop a research agenda that would inform the development of timely measures to protect public health. Our experience shows that knowledge brokers can enhance the impact of environmental research on public health by connecting policy decision-makers with scientific experts at critical points throughout the regulatory process.
Collapse
Affiliation(s)
- Kelly G. Pennell
- University of Kentucky, Department of Civil Engineering, Lexington, KY 40506
| | - Marcella Thompson
- Brown University, Department of Pathology and Laboratory Medicine, Providence, RI 02912
| | - James W. Rice
- Brown University, School of Engineering, Providence, RI 02912
| | - Laura Senier
- Northeastern University, Department of Sociology and Anthropology and Department of Health Sciences, Boston, MA 02115
| | - Phil Brown
- Northeastern University, Department of Sociology and Anthropology and Department of Health Sciences, Boston, MA 02115
| | - Eric Suuberg
- Brown University, School of Engineering, Providence, RI 02912
| |
Collapse
|
33
|
Fullenkamp AN, Haynes EN, Meloncon L, Succop P, Nebert DW. Perceptions of genetic research in three rural Appalachian Ohio communities. J Community Genet 2012; 4:9-17. [PMID: 22865241 DOI: 10.1007/s12687-012-0112-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2012] [Accepted: 07/25/2012] [Indexed: 01/25/2023] Open
Abstract
Appalachian Americans are an underserved population with increased risk for diseases having strong genetic and environmental precursors. The purpose of this study is to understand the thoughts and perceptions of genetic research of Appalachian Americans residing in eastern Ohio prior to conducting a genetic research study with this population. A genetic survey was developed and completed by 180 participants from Marietta, Cambridge and East Liverpool, Ohio. The majority of respondents were Caucasian women with a median age of 37.5 years. We found that participants had a high interest in participating in 80 %, allowing their children to participate in 78 %, and learning more about genetic research studies (90 %); moreover, they thought that genetic research studies are useful to society (93 %). When asked what information would be useful when deciding to participate in a genetic research study, the following were most important: how environmental pollutants affect their genes and their child's genes (84 %), types of biological specimens needed for genetic research studies (75 %) and who will have access to their samples (75 %). Of the 20 % who responded that they were "unsure" about participating in a genetic research study, the leading reason was "I don't have enough information about genetic research to make a decision" (56 %). We also asked respondents to choose their preferred method for receiving genetic information, and the principal response was to read a brochure (40 %). Findings from this study will improve community education materials and dissemination methods that are tailored for underserved populations engaged in genetic research.
Collapse
Affiliation(s)
- Amy N Fullenkamp
- Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, USA
| | | | | | | | | |
Collapse
|
34
|
|
35
|
Haynes EN, Ryan P, Chen A, Brown D, Roda S, Kuhnell P, Wittberg D, Terrell M, Reponen T. Assessment of personal exposure to manganese in children living near a ferromanganese refinery. THE SCIENCE OF THE TOTAL ENVIRONMENT 2012; 427-428:19-25. [PMID: 22551936 PMCID: PMC3670675 DOI: 10.1016/j.scitotenv.2012.03.037] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2011] [Revised: 02/20/2012] [Accepted: 03/14/2012] [Indexed: 05/21/2023]
Abstract
Airborne exposure to manganese (Mn) can result in neurologic effects. Stationary air sampling is the traditional technique to assess Mn exposure for communities, yet may not accurately reflect children's personal exposure. The goal of the study was to characterize personal exposure to Mn and PM(2.5) in a cohort of children ages 7-9 years residing near a ferromanganese refinery. A subset of children living in non-smoking households ages 7-9 enrolled in the Marietta Community Actively Researching Exposure Study during March-June 2009 and 2010 were invited to participate. Blood and hair were collected and analyzed for Mn. Participants wore a PM(2.5) sampler (Personal Modular Impactor) for 48 h. TWD was based on time spent at home and school and the distance of each from the refinery. Stationary outdoor air sampling was conducted 8 km from the refinery using a Harvard-type PM(2.5) impactor. The relationship between personal Mn exposure and TWD was examined by multiple regression adjusting for stationary air Mn concentration, wind speed and direction, and precipitation. Complete personal air sampling data were collected on 38 children. TWD ranged from 4.7 km to 28.5 km with a mean distance of 11.1 (4.7 sd) km. Mn concentration in personal air samples ranged from 1.5 ng/m3 to 54.5 ng/m3 (geometric mean, 8.1 ng/m3). TWD was a significant predictor of natural log personal air Mn concentration (lnMn) with an associated decrease of 0.075 lnMn for each km TWD (p<0.05, 95% CI -0.13 to -0.01). Personal Mn exposures were positively associated with stationary air Mn levels and inversely associated with wind speed. A child's location (home and school) relative to the refinery is a significant predictor of personal Mn exposure. Wind speed is also an important contributor to personal Mn exposure.
Collapse
Affiliation(s)
- Erin N Haynes
- College of Medicine, Department of Environmental Health, University of Cincinnati, Cincinnati, OH 45267, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|