Action towards health equity and improved air quality in the Duwamish Valley: A multilevel asthma intervention

杜瓦米什山谷的健康公平和空气质量改善行动：多层次哮喘干预

• 批准号: 10562132
• 负责人: Anjum Hajat
• 金额: $ 54.82万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-06 至 2027-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10562132
• 关键词: Address; Advocacy; Advocate; Air; Air Movements; Air Pollution; Aircraft; Area; Asthma; Carbon Black; Carbon Dioxide; Child; Childhood Asthma; Cities; Color; Communities; Community Health; Community Health Aides; Coupled; Data; Decision Making; Elements; Environmental Health; Environmental Pollution; Evaluation; Face; Forced expiratory volume function; Goals; Government; Green space; Health; Heart Diseases; Home; Hospitalization; Household; Housing; Individual; Indoor Air Quality; Indoor environment; Industrialization; Infrastructure; Intervention; Leadership; Life Expectancy; Linguistics; Measurement; Measures; Modeling; Molds; Monitor; Multilingualism; Neighborhoods; Nitrogen Dioxide; Outcome; Participant; Particulate; Particulate Matter; Phase; Policies; Policy Maker; Policy Making; Pollution; Price; Process; Qualifying; Randomized, Controlled Trials; Regulation; Research; Research Project Grants; Resolution; Rest; Schools; Severities; Source; Symptoms; System; Testing; Training; Training and Education; Transportation; Universities; Washington; Youth; air filter; air filtration; air monitoring; air pollution control; ambient air pollution; community engaged research; community engagement; cost; design; effectiveness evaluation; elementary school; empowerment; environmental disparity; environmental health disparity; experience; health assessment; health disparity; health equity; high efficiency particulate air filter; improved; indoor air; indoor concentrations; indoor particulate matter; interest; intervention cost; lower income families; member; mortality; people of color; pollutant; poor health outcome; primary outcome; programs; recruit; remediation; resilience; response; secondary outcome; sensor; superfund site; tool; traffic-related air pollution; Address; Advocacy; Advocate; Air; Air Movements; Air Pollution; Aircraft; Area; Asthma; Carbon Black; Carbon Dioxide; Child; Childhood Asthma; Cities; Color; Communities; Community Health; Community Health Aides; Coupled; Data; Decision Making; Elements; Environmental Health; Environmental Pollution; Evaluation; Face; Forced expiratory volume function; Goals; Government; Green space; Health; Heart Diseases; Home; Hospitalization; Household; Housing; Individual; Indoor Air Quality; Indoor environment; Industrialization; Infrastructure; Intervention; Leadership; Life Expectancy; Linguistics; Measurement; Measures; Modeling; Molds; Monitor; Multilingualism; Neighborhoods; Nitrogen Dioxide; Outcome; Participant; Particulate; Particulate Matter; Phase; Policies; Policy Maker; Policy Making; Pollution; Price; Process; Qualifying; Randomized, Controlled Trials; Regulation; Research; Research Project Grants; Resolution; Rest; Schools; Severities; Source; Symptoms; System; Testing; Training; Training and Education; Transportation; Universities; Washington; Youth; air filter; air filtration; air monitoring; air pollution control; ambient air pollution; community engaged research; community engagement; cost; design; effectiveness evaluation; elementary school; empowerment; environmental disparity; environmental health disparity; experience; health assessment; health disparity; health equity; high efficiency particulate air filter; improved; indoor air; indoor concentrations; indoor particulate matter; interest; intervention cost; lower income families; member; mortality; people of color; pollutant; poor health outcome; primary outcome; programs; recruit; remediation; resilience; response; secondary outcome; sensor; superfund site; tool; traffic-related air pollution

Project Summary/Abstract The Georgetown and South Park communities of the Duwamish Valley (DV) face higher levels of environmental pollution and poorer health outcomes compared to the rest of Seattle. For many years the communities have organized to address these environmental and health disparities, prioritizing air pollution and asthma. Our proposal is (1) directly responsive to community requests, (2) strengthens previous community-academic-government partnerships in the DV, (3) advances the environmental health interests of the community, (4) investigates low-cost tools for the measurement and control of air pollution, and (5) evaluates individual and community empowerment throughout all phases of research and action. This multilevel community engaged research (CEnR) project proposes elements that will engage and empower members of the DV community. The household-level intervention - providing participants with indoor air filters - has the goal of improving indoor air quality and reducing asthma symptoms in children. In contrast with previous studies investigating high-efficiency particulate air (HEPA) filtration, our intervention will evaluate the effectiveness of low-cost box fans equipped with lower-efficiency filters with greater airflow. The low-cost filters will be coupled with established home-based multicomponent, multi-trigger indoor air quality assessment of homes. We will conduct a randomized control trial to rigorously evaluate differences between intervention and control households in asthma outcomes such as symptoms and forced expiratory volume and in concentrations of indoor particulate matter (PM) and black carbon (BC). Promotores and healthy home consultants recruited from the community will be instrumental in carrying out the intervention. At the community level, we will expand community-driven ambient air monitoring campaigns, prioritizing the characterization of traffic-related air pollution, identification of pollutant sources, and emissions reductions. The use of a low-cost monitoring network will improve the spatial resolution of air quality data in the DV, enabling us to identify PM, BC and nitrogen dioxide hotspots. Youth from the well-established Duwamish Valley Youth Corp program will be trained in various aspects of air monitoring to help carry out the campaign. Armed with data on air quality, community members (who will also be trained in policy advocacy) can advocate for structural change including policy, infrastructure improvements such as urban green space, and targeted regulation of industrial and/or transportation emissions. Throughout the project, independent evaluation of individual and community engagement and empowerment will be tracked. From defining scientific goals, to project implementation and evaluation, our CEnR approach is designed to engage and empower a resilient community in its goal to advance health equity.

项目摘要/摘要 杜瓦米什山谷（DV）的乔治敦和南方公园社区面临更高的水平 与西雅图其他地区相比，环境污染和健康状况较差。多年来 社区已经组织了解决这些环境和健康差异的问题，优先考虑空气污染 和哮喘。我们的建议是（1）直接响应社区要求，（2）增强以前的 DV中的社区学术政府合作伙伴关系，（3）促进环境健康的利益 社区（4）调查了用于测量和控制空气污染的低成本工具，（5） 在研究和行动的所有阶段中评估个人和社区赋权。这 多级社区参与研究（CENR）项目提出的要素将参与和授权 DV社区的成员。家庭水平的干预 - 为参与者提供室内过滤器 - 目的是改善室内空气质量并减轻儿童的哮喘症状。与 先前研究高效颗粒空气（HEPA）过滤的研究，我们的干预将评估 配备有较低气流的低成本盒风扇的有效性。低成本过滤器 将与已建立的家庭多组分，多触发室内空气质量评估相结合 房屋。我们将进行一项随机对照试验，以严格评估干预和 控制家庭中的哮喘结局，例如症状和强迫呼气量以及 室内颗粒物（PM）和黑碳（BC）的浓度。促销和健康的家 从社区招募的顾问将在进行干预方面发挥作用。在社区 级别，我们将扩大社区驱动的环境监测活动，优先考虑 与交通相关的空气污染，污染物来源的识别以及减少排放。低成本的使用 监视网络将改善DV中空气质量数据的空间分辨率，从而使我们能够识别PM， BC和二氧化氮热点。杜瓦米什山谷青年公司计划的青年计划将 在空气监控的各个方面接受培训，以帮助进行运动。配备有关空气质量的数据， 社区成员（也将接受政策倡导的培训）可以主张结构性变革，包括 政策，基础设施改进，例如城市绿色空间，以及针对工业和/或的针对性监管 运输排放。在整个项目中，对个人和社区的独立评估 将跟踪参与和授权。从定义科学目标到项目实施和 评估，我们的CENR方法旨在参与并赋予一个有弹性的社区，以实现其目标 提高健康公平。