The proposed project aims to characterize WIC participants in the Greater New Orleans area, including the Parishes of Orleans, Jefferson, St. Bernard, Plaquemines, Lafourche, and Terrebonne, all of which experienced adverse environmental consequences following the Gulf of Mexico Oil Spill. These areas include a broad spectrum of economically disadvantaged and minority populations with historic health disparities. The overarching goal of the proposed project is to strengthen community resilience of vulnerable pregnant women and non-pregnant women of reproductive age by integrating community health workers as disaster interventionists and simple cellular and telephone technology as a viable and sustainable component of the health system, especially WIC Clinics. This CBPR project is explicitly designed to address community resiliency and assess the effectiveness of integrating the use of cell-phones into a WIC Community Health Education Program to improve pregnancy and post-partum outcomes among an under-served population through the following specific aims, 1) Develop a community-driven disaster mobile health platform to improve community resilience targeting selected Women Infants and Children (WIC) programs serving pregnant women and those of reproductive age 2) Train WIC-affiliated community health workers to serve as disaster interventionists with special curricular emphasis on maternal and child health, environmental health, risk communication, disaster preparedness, response, and recovery, cultural competence , and mobile health technology 3) Determine the impact of a community asset-driven health system integrating community health workers as disaster interventionists and tailored Information Technology (IT) to achieve sustained community resiliency 4) Examine the effect of the interactive capabilities of the disaster mobile health platform on just-in-case and just-in-time risk communication and community risk perception

Public Health Relevance

Pregnant WIC participants in Louisiana living in parishes affected by the Gulf of Mexico Oil spill and previously by Hurricanes Katrina, Rita and Gustav have increased stressors, are at continuous risk of natural and manmade disasters and have elevated concerns regarding adverse environmental and reproductive health outcomes. The goal of this project is to utilize cellular technology and CHWs as the focal frontline healthcare providers to improve prenatal and postpartum healthcare.

National Institute of Health (NIH)
National Institute of Environmental Health Sciences (NIEHS)
Research Program--Cooperative Agreements (U19)
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Special Emphasis Panel (ZES1-LWJ-J)
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Tulane University
New Orleans
United States
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Simon-Friedt, Bridget R; Howard, Jessi L; Wilson, Mark J et al. (2016) Louisiana residents' self-reported lack of information following the Deepwater Horizon oil spill: Effects on seafood consumption and risk perception. J Environ Manage 180:526-37
Wickliffe, Jeffrey K; Dertinger, Stephen D; Torous, Dorothea K et al. (2016) Diet-induced obesity increases the frequency of Pig-a mutant erythrocytes in male C57BL/6J mice. Environ Mol Mutagen 57:668-677
Sun, Yue; Ban, Bhupal; Bradbury, Andrew et al. (2016) Combining Yeast Display and Competitive FACS to Select Rare Hapten-Specific Clones from Recombinant Antibody Libraries. Anal Chem 88:9181-9
Lichtveld, Maureen; Sherchan, Samendra; Gam, Kaitlyn B et al. (2016) The Deepwater Horizon Oil Spill Through the Lens of Human Health and the Ecosystem. Curr Environ Health Rep 3:370-378
Lichtveld, Maureen Y; Shankar, Arti; Mundorf, Chris et al. (2016) Measuring the Developing Therapeutic Relationship Between Pregnant Women and Community Health Workers Over the Course of the Pregnancy in a Study Intervention. J Community Health 41:1167-1176
Wilson, Mark J; Frickel, Scott; Nguyen, Daniel et al. (2015) A targeted health risk assessment following the Deepwater Horizon oil spill: polycyclic aromatic hydrocarbon exposure in Vietnamese-American shrimp consumers. Environ Health Perspect 123:152-9
Jacobs, Marni B; Boynton-Jarrett, Renee D; Harville, Emily W (2015) Adverse childhood event experiences, fertility difficulties and menstrual cycle characteristics. J Psychosom Obstet Gynaecol 36:46-57
Simon-Friedt, Bridget R; Wilson, Mark J; Blake, Diane A et al. (2015) The RPTEC/TERT1 Cell Line as an Improved Tool for In Vitro Nephrotoxicity Assessments. Biol Trace Elem Res 166:66-71
Abramson, David M; Grattan, Lynn M; Mayer, Brian et al. (2015) The resilience activation framework: a conceptual model of how access to social resources promotes adaptation and rapid recovery in post-disaster settings. J Behav Health Serv Res 42:42-57
Jacobs, Marni B; Harville, Emily W (2015) Long-Term Mental Health Among Low-Income, Minority Women Following Exposure to Multiple Natural Disasters in Early and Late Adolescence Compared to Adulthood. Child Youth Care Forum 44:511-525

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