Linking Breast Cancer Advocacy and Environmental Justice

描述（由申请人提供） 该项目通过一个以社区为基础的乳腺癌研究组织“寂静的春天研究所”、一个环境正义组织“社区争取更好的环境”和布朗大学的合作伙伴采取的各种方法，将乳腺癌和环境正义宣传联系起来。该项目将进行家庭环境暴露评估，收集空气和灰尘样本，以评估室内污染物水平，特别是可能与乳腺癌、生殖和神经发育以及其他健康结果有关的内分泌干扰物。数据收集、分析、社区教育和组织联系将在两个地点进行--马萨诸塞州科德角，一个原因不明的乳腺癌高发地区，一直是寂静之春研究所先前工作的重点;以及加州里士满的一个新地点，主要由有色人种组成，受到工业设施的影响。研究结果将作为通过社区会议、新闻媒体和在线呈现的汇总信息以及作为研究参与者的个人反馈信息进行共享。使用这两种报告方法，本研究将寻求最大限度地了解暴露数据及其局限性，并解决确保社区和个人自主权，知情权，并最终通过减少暴露对科学信息采取行动的权利的伦理问题。该项目的具体目标包括：1）开展以社区为基础的接触评估研究，收集灰尘和空气样本，以评估科德角和里士满家庭的污染物水平和来源; 2）通过以社区为基础的外联活动，包括公开会议、网站和出版物，将乳腺癌与环境正义宣传联系起来; 3）制定向社区和个人研究参与者报告研究结果的道德方法，并编写一本手册，供社区接触研究结果报告使用; 4）对减少家庭污染物水平的干预措施进行试点测试。

DESCRIPTION (provided by applicant) This project links breast cancer and environmental justice advocacy through a variety of approaches conducted by Silent Spring Institute, a community-based breast cancer research organization; Communities for a Better Environment, an environmental justice organization and partners from Brown University. The project will conduct home environmental exposure assessments, collecting air and dust samples to assess indoor levels of pollutants, especially endocrine disruptors that are potentially linked to breast cancer, reproductive and neurological development, and other health outcomes. Data collection, analysis, community education, and organizational linkages will occur in two locations - Cape Cod, Massachusetts, a region of unexplained high breast cancer incidences that has been the focus of prior work of Silent Spring Institute, and a new site in Richmond, California, that is largely composed of people of color and impacted by industrial facilities. Study results will be shared both as aggregate information presented through community meetings, news media, and on-line, and as individual report-back information to study participants. Using both report-back approaches, this study will seek to maximize understanding of exposure data and its limitations, and address the ethical issues of ensuring community and individual autonomy, the right to know, and ultimately the right to act on scientific information by reducing exposures. Specific aims for this project include: 1) Conduct community-based exposure assessment research, collecting dust and air samples to assess levels and sources of pollutants in homes located in Cape Cod and Richmond; 2) Link breast cancer and environmental justice advocacy through community-based outreach, including public meetings, web sites, and publications; 3) Develop ethical methods for reporting back study results to communities and individual study participants, and produce a handbook for general use in reporting results of community exposure studies; 4) Pilot test an intervention to reduce household pollutant levels.