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

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着更高水平的 与西雅图其他地区相比，环境污染和健康状况更差。多年来， 社区已经组织起来解决这些环境和健康差距，优先考虑空气污染 还有哮喘。我们的建议是(1)直接回应社区的要求，(2)加强以前的 DV中的社区-学术-政府伙伴关系，(3)促进环境健康利益 社区，(4)调查测量和控制空气污染的低成本工具，以及(5) 在研究和行动的所有阶段评估个人和社区的赋权。这 多层次社区参与研究(CENR)项目提出了一些元素，这些元素将参与并增强 DV社区的成员。家庭层面的干预-为参与者提供室内空气过滤器- 目标是改善室内空气质量，减少儿童哮喘症状。与…形成对比 在之前调查高效颗粒空气(HEPA)过滤的研究中，我们的干预措施将评估 低成本的箱式风扇配备了效率较低的过滤器，具有更大的气流。低成本的过滤器 将与已建立的基于家庭的多组分、多触发的室内空气质量评估相结合 家。我们将进行随机对照试验，严格评估干预和治疗之间的差异。 控制家庭的哮喘结果，如症状和用力呼气量以及 室内颗粒物(PM)和黑碳(BC)的浓度。宣传推广与健康家庭 从社区招募的顾问将在进行干预方面发挥重要作用。在社区 在这一层面上，我们将扩大社区主导的环境空气监测活动，优先考虑 与交通相关的空气污染、污染源识别和减排。使用一种低成本的 监测网络将提高DV中空气质量数据的空间分辨率，使我们能够识别PM， 卑诗省和二氧化氮的热点地区。来自久负盛名的杜瓦米什山谷青年团体计划的青年将 接受空气监测各方面的培训，以帮助开展这项运动。有了空气质量的数据， 社区成员(他们还将接受政策宣传方面的培训)可以倡导结构性改革，包括 政策，改善基础设施，如城市绿地，以及有针对性地监管工业和/或 交通尾气排放。在整个项目中，对个人和社区进行独立评估 将跟踪参与度和赋权情况。从定义科学目标，到项目实施和 评估，我们的cenr方法旨在让一个有弹性的社区参与并增强其能力，以实现其目标 推进健康公平。

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.