Engaging residents to sustain healthier homes

让居民参与维持更健康的家园

• 批准号: 10352861
• 负责人: Robin E. Dodson
• 金额: $ 25.79万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-02 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10352861
• 关键词: Address; Asthma; Attention; Back; Biological; Biological Markers; Characteristics; Chemical Exposure; Chemicals; Child; Collaborations; Collection; Communities; Community Outreach; Control Groups; Data; Dictyoptera; Disease; Dissemination and Implementation; Dust; Education; Enrollment; Environmental Exposure; Environmental Hazards; Environmental Health; Etiology; Exposure to; Feedback; Flame Retardants; Foundations; Funding; Future; Goals; Hazard Controls; Health; Health Benefit; Health Surveys; Home; House Dust; Household; Housing; Individual; Intervention; Intervention Studies; Interview; Knowledge; Lead; Low income; Maternal and Child Health; Measurement; Measures; Molds; Monitor; Neighborhoods; New York; Organophosphates; Outcome; Participant; Patient Recruitments; Pesticides; Population; Pregnant Women; Primary Prevention; Program Sustainability; Randomized; Rehabilitation therapy; Reporting; Reproductive Health; Research; Resources; Sampling; Shapes; Surveys; Testing; Time; Toxic Environmental Substances; Urine; Visit; Woman; Work; aged; arm; base; community based research; community engaged research; community partnership; cost; design; digital; epidemiology study; group intervention; hazard; health disparity; high risk; household environmental exposure; improved; intervention cost; intervention program; lower income families; neurodevelopment; obesity-associated asthma; patient engagement; phthalates; post intervention; prevent; programs; recruit; reproductive; treatment group; urinary

The proposed project, “Engaging Residents to Sustain Healthier Homes,” builds on 20 years of community- academic partnership to address health disparities in Rochester, NY through reducing low income families’ exposures to environmental hazards. Our research evaluates a low-cost intervention to reduce home-based environmental exposures through home health surveys and urine samples. The home is a major contributor to environmental exposures, particularly for pregnant women and young children. These exposures have significant implications for lifelong health disparities. New York State has been conducting a Healthy Neighborhoods Program (HNP) with community outreach workers for the past 30 years that involves education, low cost supplies, and referral to resources. This sustainable, low-cost intervention program has been shown to reduce certain home hazards and improve asthma outcomes; however, the impact on residents’ exposures has yet to be quantified through environmental (house dust) or biological (urine) monitoring, which may elucidate connections to other health outcomes including adverse neurodevelopmental and reproductive health effects. We aim to determine the impact of the HNP on resident exposure and use these results to inform future studies on the potential of a low-cost community-based intervention to improve maternal and child health outcomes. The proposed project leverages an existing HUD-funded intervention study (ROC HOME) involving analysis of dust in the homes of low-income homeowners in Rochester, NY. Half of the ROC HOME participants are receiving the HNP intervention; the other half are controls. We propose to add urine measurements to participants recruited from both arms of the ongoing ROC HOME study to explore urinary biomarkers of home environmental exposures among an understudied population for whom the HNP holds great potential for promoting environmental health. We will recruit 60 reproductive-aged women from the 100 ROC HOME study participants, collecting urine samples at two time points. Aim 1 will compare urine concentrations of pesticides, phthalates, and flame retardants post HNP intervention between treatment and control groups and estimate the association between exposure concentrations measured in household dust and urinary metabolite concentrations. Aim 2 will assess participant engagement in the home interventions before and after receiving their personal exposure results through a community partnership. The data collected will provide critical information to shape the design of future, scalable intervention studies that can measure the exposure reductions and health benefits of home- based hazard reduction interventions. Our long-term goal is to inform implementation and dissemination of low- cost, sustainable, community-based healthy home programs to reduce maternal and children’s exposure to environmental toxicants and promote lifelong health.

拟议的项目“吸引居民维持更健康的房屋”，建立在社区20年的基础上 - 通过减少低收入家庭的学术合作伙伴关系，以解决纽约州罗切斯特的健康分配 暴露于环境危害。我们的研究评估了低成本的干预措施，以减少基于家庭的干预措施 通过家庭健康调查和尿液样本进行环境暴露。房屋是主要的贡献者 环境暴露，特别是针对孕妇和幼儿。这些暴露有重大的 对终身健康差异的影响。纽约州一直在进行健康的社区 在过去30年中，计划（HNP）与社区外展工人有关，涉及教育，低成本 供应，并转介到资源。这项可持续的低成本干预计划已被证明可以减少 某些家庭危害并改善哮喘结果；但是，对居民暴露的影响尚未 通过环境（房屋灰尘）或生物（尿液）监测来量化，这可能会阐明 与其他健康结果的联系，包括不良神经发育和生殖健康影响。 我们旨在确定HNP对居民接触的影响，并使用这些结果为未来的研究提供信息 基于低成本的社区干预措施，以改善产妇和儿童健康状况。 拟议的项目利用现有的HUD资助干预研究（ROC Home），涉及分析灰尘 在纽约州罗切斯特的低收入房主的家中。一半的ROC家庭参与者正在接受 HNP干预；另一半是控件。我们建议将尿液测量添加到招募的参与者 从正在进行的ROC家庭学习的两个臂上探索家庭环境的尿生物标志物 HNP为促进的知识人群中的暴露 环境健康。我们将招募来自100名ROC家庭学习参与者的60名生殖年龄妇女， 在两个时间点收集尿液样本。 AIM 1将比较尿液浓度的农药，邻苯二甲酸盐， 在治疗组和对照组之间的HNP干预后，火焰阻燃剂并估计关联 在家庭粉尘和尿泌尿代谢物浓度中测得的暴露浓度之间。 AIM 2意志 评估参与者在接受个人暴露之前和之后参与家庭干预措施 通过社区伙伴关系结果。收集的数据将提供关键信息以塑造设计 未来的可扩展干预研究，可以衡量房屋的接触减少和健康益处 - 基于危害的干预措施。我们的长期目标是为低 - 的实施和传播提供信息 成本，可持续，基于社区的健康家庭计划，以减少母亲和儿童的接触 环境有毒物质并促进终身健康。