Environmental Exposures of the Northern Arapaho Tribe: An Exploratory Study

项目摘要 怀俄明州风河保留地的北方阿拉帕霍部落越来越担心 室内和周围环境中可能的环境暴露。对此的初步研究 社区表示，需要进行额外研究的特定暴露和健康问题，包括室内 氡暴露和土壤中的铀。成立了一个社区咨询委员会（CAB）来指导这一工作。 以文化敏感和协作的方式开展工作，通过 项目CAB由N.阿拉帕霍社区在这方面的知识和经验， 环境、卫生和教育，他们都渴望看到这项工作取得成功。这个社区参与 该项目是一项综合评估，纳入了传统生态知识（TEK）。它是一个真正 合作，与部落和研究团队之间持续的，互惠的沟通。第一个目标是 评估整个风河的室内和室外环境暴露 保留，重点是公民科学的方法，使社区成员参与。具体来说，我们将 测量室内/室外颗粒物（PM）、室内氡以及土壤、植物和水中的重金属。一半 （n=36）的参与家庭将直接参与设备安装，包括创新的低- 测量PM的成本设备。第二个目的是更好地了解目前的呼吸系统 健康状况的N.阿拉帕霍，通过调查，医疗记录，和人口水平的数据分析。 具体来说，我们将研究可能存在环境风险因素的呼吸系统结果，如哮喘和 某些癌症。这一目标的一个目标是建立部落和部落之间的合作和研究能力。 落基山部落流行病学中心。最终目的是检验实时曝光的效果 对环境风险认知和相关行为变化的反馈。重复的调查将允许 调查任何观察到的变化的可持续性。成功完成这个社区- 参与的项目是朝着可持续地改善全球环境健康迈出的重要一步。 风河保留地。最终，这一努力将用于赋予部落权力，让社区参与其中， 研究，并告知未来的环境卫生工作与美洲原住民部落。

PROJECT SUMMARY The Northern Arapaho tribe on the Wind River Reservation in Wyoming has become increasingly concerned about possible environmental exposures, in both indoor and ambient environments. A pilot study of this community indicated specific exposures and health concerns that warrant additional study, including indoor radon exposure and uranium in soil. A Community Advisory Board (CAB) has been established to guide this work in a culturally-sensitive and collaborative manner, with their input sought through all aspects of the project. The CAB consists of members of the N. Arapaho community with knowledge and experience in the environment, health and education, all of whom are eager to see this work succeed. This community-engaged project represents a holistic assessment incorporating traditional ecological knowledge (TEK). It is a true collaboration, with ongoing, reciprocal communication between the tribe and the research team. The first aim is to assess environmental exposures in both indoor and outdoor locations throughout the Wind River Reservation, with focus on a citizen science approach to engage community members. Specifically, we will measure indoor/outdoor particulate matter (PM), indoor radon, and heavy metals in soil, plants, and water. Half (n=36) of participating households will be directly involved in equipment installation, including innovative low- cost equipment for measuring PM. The second aim is to gain a better understanding of the current respiratory health status of the N. Arapaho, through surveys, medical records, and population-level data analysis. Specifically, we will look at respiratory outcomes with a possible environmental risk factor, such as asthma and certain cancers. One goal of this aim is to build collaboration and research capacity between the tribe and the Rocky Mountain Tribal Epidemiology Center. The final aim is to examine the effect of real-time exposure feedback on changes in environmental risk perception and related behaviors. Repeated surveys will allow investigation into the sustainability of any observed changes. Successful completion of this community- engaged project represents a significant step towards sustainably improving environmental health across the Wind River Reservation. Ultimately, this effort will be used to empower the tribe, engage the community in research, and inform future environmental health work with Native American tribes.