Community Mapping of Environmental Hazards and Barriers in an Immigrant Populatio

摘要拟建项目涉及广泛的挑战领域（09）、健康差异和具体的挑战主题09- es -101，“通过环境公共卫生能力建设在研究人员和社区之间建立信任”。它的目的是通过将研究人员和服务不足的种族/族裔社区的成员聚集在一起，共同编制一份社区环境危害和获得卫生保健障碍概况，解决少数民族社区在卫生预防方面的重大差距。特别是，这项工作将建立在一个以社区为基础的发展性参与性研究项目的基础上，该项目侧重于最近备受关注的新兴美甲业中化学品暴露对健康的危害，该行业在加州由越南移民工人主导。以此为起点，我们将开展一个平等伙伴关系社区测绘项目，利用研究伙伴在使用地理信息系统工具方面的专门知识，以及社区伙伴的知识和看法，描绘影响越南移民健康风险的社区工作和居住环境。预计这一伙伴关系将更深入地了解与美国越南移民日益严重的不良健康经历相关的因素，并提供一个机会，使社区成员能够更好地向卫生保健机构和地方政府说明和表达他们的担忧。这一社区测绘项目的目的是：1)通过对越南社区成员按一般年龄组分层的一系列焦点小组，确定社区认为的经济、环境、社会和建成的环境压力因素和获得健康的障碍。2)利用现有数据源创建初始社区地图，以表征各个社区在经济、环境、社会和建筑环境压力因素方面的差异。3)开发和实施社区测绘调查工具，用于收集社区层面的信息，以增强基线社区地图（目标2）。a.开发社区测绘调查工具，收集社区感知的压力源和障碍的信息（从目标1中确定）。b.让越南美甲沙龙工人参与收集社区数据，以描述社区感知的压力源和障碍。c.收集柴油废气的空气监测数据，这是一种已知的社区高度关注的空气污染物，以评估不同社区的水平差异，并评估有关该污染物的现有数据。4)利用现有和新收集的数据（目标3）开发增强的社区地图，以描述社区经济、环境、社会和建筑环境压力因素的变化。拟议的社区测绘项目旨在通过将研究人员和服务不足的种族/族裔社区的成员聚集在一起，共同编制社区环境危害和获得医疗保健障碍的概况，从而解决少数民族社区在卫生预防方面的主要差距。以越南移民人口为重点，我们将开展一个平等的伙伴关系测绘项目，利用研究伙伴在使用地理信息系统（GIS）工具方面的专业知识，以及社区伙伴的知识和看法，描绘影响越南移民健康风险的邻里工作和居住环境。这项工作将建立在一个以社区为基础的发展性参与性研究项目的基础上，该项目侧重于最近备受关注的新兴美甲业中化学品暴露对健康的危害，该行业在加州由越南移民工人主导。

DESCRIPTION (provided by applicant): Community Mapping of Environmental Hazards and Barriers in an Immigrant Population Abstract The proposed project addresses broad Challenge Area (09), Health Disparities, and specific Challenge Topic 09-ES-101, "Building trust between researchers and communities through capacity building in Environmental Public Health". It is designed to address a major gap in health prevention for minority communities by bringing together researchers and members of an underserved racial/ethnic community to produce a collaboratively developed profile of neighborhood environmental hazards and barriers to health care access. In particular, this work will build on a developmental community-based participatory research project focused on the recently high profile concerns of health risks from chemical exposures in the burgeoning nail salon industry, an industry dominated in California by Vietnamese immigrant workers. With that as a starting point, we will conduct an equal partnership community mapping project, bringing expertise in the use of geographic information systems (GIS) tools from the research partner together with the knowledge and perceptions of the community partner to characterize neighborhood work and residential environments influencing the health risks of Vietnamese immigrants. It is anticipated that this partnership will provide greater insights into factors associated with the increasing adverse health experience of Vietnamese immigrants in the US, as well as provide an opportunity to empower community members to better illustrate and articulate their concerns to the health care establishment and local government. The aims of this community mapping project are to: 1) Identify community-perceived economic, environmental, social and built environmental stressors and health access barriers through a series of focus groups with Vietnamese community members, stratified by general age groups. 2) Create initial community maps using existing data sources to characterize differences in economic, environmental, social and built environmental stressors across neighborhoods. 3) Develop and implement a community mapping survey tool for collecting neighborhood-level information to enhance baseline community maps (Aim 2). a. Develop a community mapping survey instrument to collect information on community-perceived stressors and barriers (identified from Aim 1). b. Engage Vietnamese nail salon workers in the collection of neighborhood data to describe community- perceived stressors and barriers. c. Collect air monitoring data on diesel exhaust, an air contaminant of known high community concern, to assess differences in levels across neighborhoods and evaluate existing data on this contaminant. 4) Develop enhanced community maps using existing and newly-collected data (Aim 3) to describe variations in neighborhood economic, environmental, social and built environmental stressors. Community Mapping of Environmental Hazards and Barriers in an Immigrant Population Project Narrative The proposed community mapping project is designed to address a major gap in health prevention for minority communities by bringing together researchers and members of an underserved racial/ethnic community to produce a collaboratively developed profile of neighborhood environmental hazards and barriers to health care access. Focusing on the Vietnamese immigrant population, we will conduct an equal partnership mapping project, bringing expertise in the use of geographic information systems (GIS) tools from the research partner together with the knowledge and perceptions of the community partner to characterize neighborhood work and residential environments influencing the health risks of Vietnamese immigrants. This work will build on a developmental community-based participatory research project focused on the recently high profile concerns of health risks from chemical exposures in the burgeoning nail salon industry, an industry dominated in California by Vietnamese immigrant workers.