Wildfire Smoke Exposure During Pregnancy: Consensus-Building to Co-Create a Community-Engaged Study.

3区 综合性期刊
Kelsie Young, Kim Alisa Brown, Lynda Crocker Daniel, Katherine Duarte, Diana Rohlman
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引用次数: 0

Abstract

Relative to other Oregon counties, Klamath County experiences worse air quality due to wildfire smoke, as well as elevated rates of infant mortality and low birthweight. Klamath County Public Health (KCPH) raised concerns that wildfire smoke is a contributor to poor infant health. Thus, we built a multidisciplinary team and designed a community-engaged research (CEnR) project to capture community and individual-level exposure to wildfire smoke contaminants, alongside perinatal health outcomes. Through partnerships, we identified 24 individuals across academic, public health, and community organizations that met five times over three months to develop a study design. We initially used a modified Delphi method, but adjusted our approach to find multidisciplinary areas of agreement across a highly diverse team. Our team used structured meetings, surveys, and iterative feedback to build consensus on a study design. KCPH and our community partners reviewed and approved all proposed activities to ensure community input was integrated. The resultant study, trialed in Klamath County, included the use of environmental, residential, and personal samplers and health surveys with a cohort of pregnant individuals during the wildfire season. We discuss the advantages and challenges of building a multidisciplinary CEnR study in a rural county disproportionately impacted by wildfire smoke and infant mortality.

孕期野火烟雾暴露:建立共识,共同创建社区参与研究。
与俄勒冈州其他县相比,克拉玛斯县的空气质量因野火烟雾而恶化,婴儿死亡率和出生体重不足率也有所上升。克拉玛斯县公共卫生局 (KCPH) 担心野火烟雾是导致婴儿健康不良的一个因素。因此,我们建立了一个多学科团队,并设计了一个社区参与研究 (CEnR) 项目,以了解社区和个人层面的野火烟雾污染物暴露情况以及围产期健康结果。通过合作,我们确定了 24 名来自学术、公共卫生和社区组织的人员,他们在三个月内召开了五次会议,以制定研究设计方案。我们最初使用的是经过修改的德尔菲法,但后来对方法进行了调整,以便在高度多元化的团队中找到达成一致的多学科领域。我们的团队利用结构化会议、调查和反复反馈就研究设计达成了共识。KCPH 和我们的社区合作伙伴审查并批准了所有建议的活动,以确保社区的意见得到采纳。在克拉玛斯县试行的研究结果包括使用环境、住宅和个人采样器,以及在野火季节对一组孕妇进行健康调查。我们讨论了在一个受到野火烟雾和婴儿死亡率严重影响的农村地区开展多学科 CEnR 研究的优势和挑战。
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来源期刊
自引率
0.00%
发文量
14422
期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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