Community Action to Promote Healthy Environments

项目摘要 促进健康环境社区行动伙伴关系的总体目标， 2014年成立的，是：（1）开发关于当地社区优先空气污染物的新知识;（2） 实施我们以科学为基础的社区知情公共卫生行动计划（PHAP）的组成部分， 减少暴露和改善健康;（3）扩大社区参与环境健康研究 和行动;（4）评估这些合作努力的过程和影响。建立在长期的 以社区为基础的参与性研究（CBPR）伙伴关系，使社区组织参与其中 （社区组织），地方和州政府，以及学术合作伙伴，CAPHE进行了合作研究， 关于空气污染的培训、教育和宣传，这是底特律社区的一个环境优先事项， 影响。我们记录了空气污染物水平、来源和分布，量化了健康影响， 不公平现象，确定的缓解战略，以及选定战略的预期健康效益。我们的PHAP 详细介绍了25项以科学为基础的社区优先建议和行动战略， 污染物暴露和对健康的不利影响。CAPHE合作伙伴，空气质量和健康的领先倡导者， 底特律正在努力实施优先建议。此更新应用程序，CAPHE：前进 空气质量和健康，将大大扩大我们成功的研究到行动的范围和影响 通过四个目标建立伙伴关系：（1）增加对环境接触和相关健康的了解 通过建立以社区为基础的环境监测网络和主要空气污染物数据门户， （PM2.5、PM10、有机碳、黑碳）;（2）改善学校室内环境质量， 位于主要道路和工业区附近的其他儿童服务组织， 风险，使用先进的空气过滤做法和其他战略;（3）让青年，教育工作者，家长，社区组织 和商业领袖在空气质量研究和翻译，提高环境健康素养，获得 与决策者合作的资源和技能;以及（4）提高 利用正在进行的形成过程和影响/成果评价，在具体目标1-3中采取行动。拟议 该项目将由一个团队实施，其中包括五个底特律社区组织，具有广泛的环境记录 领导，五名具有互补专业知识的学术研究人员，以及经验丰富的州和地方 政府合作伙伴。CAPHE拥有强大的CBPR历史，空气质量监测经验，数据 口译和影响分析（目标1）; IEQ改进（目标2）;社区参与和翻译 将研究转化为行动（目标3）;以及进行过程和影响评价，以最大限度地提高参与度和效力 (Aim 4）。这份从研究到行动的提案针对的是空气质量和儿童健康方面的社区优先事项 利用相互关联的协作活动，减少接触和对健康的不利影响， 订婚研究结果将对全球经历高累积风险的社区有用。

PROJECT SUMMARY The overarching goals of the Community Action to Promote Healthy Environments (CAPHE) partnership, established in 2014, are to: (1) develop new knowledge on local community-prioritized air pollutants; (2) implement components of our scientifically-grounded community-informed Public Health Action Plan (PHAP) to reduce exposure and improve health; (3) expand community engagement in environmental health research and action; and (4) evaluate the process and impact of these collaborative efforts. Building on long-standing community-based participatory research (CBPR) partnerships engaging community-based organizations (CBOs), local and state governments, and academic partners, CAPHE conducted collaborative research, training, education and outreach on air pollution, an environmental priority of the Detroit community, and health impacts. We documented air pollutant levels, sources and distribution, quantified health impacts and inequities, identified mitigation strategies, and projected health benefits of selected strategies. Our PHAP detailed 25 scientifically based community-prioritized recommendations and action strategies to reduce pollutant exposure and adverse health effects. CAPHE partners, leading advocates for air quality and health in Detroit, are working to implement prioritized recommendations. This renewal application, CAPHE: Advancing Air Quality and Health, will substantially expand the scope and impact of our successful research-to-action partnership through four aims: (1) increase knowledge of environmental exposures and associated health impacts by establishing a community-based ambient monitoring network and data portal for key air pollutants (PM2.5, PM10, organic carbon, black carbon); (2) improve indoor environmental quality (IEQ) in schools and other child-serving organizations located near major roads and industrial sites with high levels of cumulative risk, using advanced air filtration practices and other strategies; (3) engage youth, educators, parents, CBOs and business leaders in air quality research and translation, increasing environmental health literacy, access to resources, and skills working with decision makers; and (4) increase effectiveness, engagement and impact of actions in Specific Aims 1-3 using ongoing formative process and impact/outcome evaluation. The proposed project will be implemented by a team that includes five Detroit CBOs with extensive records of environmental leadership, five academic researchers with complementary expertise, and experienced state and local government partners. CAPHE has a strong history of CBPR, experience in air quality monitoring, data interpretation, and impact analysis (Aim 1); IEQ improvements (Aim 2); community engagement and translation of research to action (Aim 3); and process and impact evaluation to maximize engagement and effectiveness (Aim 4). This research-to-action proposal addresses community priorities of air quality and children's health using linked, collaborative activities that will reduce exposure and adverse health effects and support sustained engagement. Results have will be useful for communities globally that experience high cumulative risk.