The proposed Community Action to Promote Healthy Environments (CA-PHE) builds on, and substantially extends, over 15 years of community-based participatory research by the involved partners to understand and address issues of air pollution and health in Detroit. Specifically, CA-PHE will engage community, academic and public health practice partners in research that will culminate in the development and implementation of a public health action plan that reduces exposure to air pollutants, mitigates adverse health effects, and provides additional health and environmental benefits. CA-PHE will increase knowledge about factors influencing exposure to air pollution and health effects, translate findings into a public health action plan, and implement campaigns, interventions and policies to reduce pollutant exposure and mitigate adverse health impacts. It will improve health outcomes and quality of life in vulnerable communities disproportionately at risk for cardiovascular and respiratory disease. The proposed project has five specific aims:
Specific Aim 1 : Strengthen, support and enhance the capacity of the community, academic and practice partners engaged in CA-PHE to work effectively together, and to conduct, understand and communicate effectively about the science of air pollution and human health; and of the CA-PHE Steering Committee to provide oversight for, and be actively engaged in, all aspects of the proposed research to action project.
Specific Aim 2 : Identify pollutant sources associated with adverse health outcomes, and examine strategies to mitigate these outcomes. Strategies to be examined will include the use of vegetative buffers to reduce impacts from pollutant sources (e.g., industry, highways) to occupied areas (e.g., residences, schools), an innovative and broadly applicable approach with many co-benefits (e.g., noise reduction, thermal cooling, watershed protection, recreation).
Specific Aim 3. Develop a multilevel, integrated and scientifically informed public health action plan designed to reduce pollutant exposures and to mitigate their adverse health effects. The plan will be developed collaboratively, engaging individuals with a wide range of expertise (e.g., community organizing, planning, policy, public health, business) to evaluate existing evidence and to develop recommendations for short-, mid- and long- term strategies that reduce air pollution exposure and its negative effects on health.
Specific Aim 4 : Develop and implement campaigns, interventions and policies designed to promote the adoption and implementation of the public health action plan to reduce exposure and adverse effects on health. Efforts will be undertaken collaboratively by community, practice and academic partners, and designed to engage community residents, planners, community and business leaders, as well as public health and other local decision makers.
Specific Aim 5 : Conduct process and outcome evaluation of the development of the public health action plan, assess the effectiveness and impact of campaigns, interventions and policies carried out as part of the implementation of that plan, and assess the factors that influence the success of these action strategies.

Public Health Relevance

The proposed project addresses air pollution and its effects on health, an issue identified as a priority by Detroit community members. It will engage community, academic and public health practice partners in research that will culminate in the development and implementation of an effective public health action plan that will reduce exposure to air pollutants, mitigate the negative effects of exposure, and provide additional public health and environmental benefits. The project emphasizes vulnerable populations that are disproportionately at risk for cardiovascular and respiratory disease, and will serve to improve health outcomes.

Agency
National Institute of Health (NIH)
Institute
National Institute of Environmental Health Sciences (NIEHS)
Type
Research Project (R01)
Project #
5R01ES022616-02
Application #
8786552
Study Section
Community-Level Health Promotion Study Section (CLHP)
Program Officer
Finn, Symma
Project Start
2013-12-16
Project End
2018-10-31
Budget Start
2014-11-01
Budget End
2015-10-31
Support Year
2
Fiscal Year
2015
Total Cost
$536,682
Indirect Cost
$184,904
Name
University of Michigan Ann Arbor
Department
Miscellaneous
Type
Schools of Public Health
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Martenies, Sheena E; Milando, Chad W; Batterman, Stuart A (2018) Air pollutant strategies to reduce adverse health impacts and health inequalities: a quantitative assessment for Detroit, Michigan. Air Qual Atmos Health 11:409-422
Ward, Melanie; Schulz, Amy J; Israel, Barbara A et al. (2018) A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships. Eval Program Plann 70:25-34
Schulz, Amy J; Mentz, Graciela B; Sampson, Natalie et al. (2018) Independent and Joint Contributions of Fine Particulate Matter Exposure and Population Vulnerability to Mortality in the Detroit Metropolitan Area. Int J Environ Res Public Health 15:
Milando, Chad W; Batterman, Stuart A (2018) Sensitivity analysis of the near-road dispersion model RLINE - an evaluation at Detroit, Michigan. Atmos Environ (1994) 181:135-144
Koman, Patricia D; Hogan, Kelly A; Sampson, Natalie et al. (2018) Examining Joint Effects of Air Pollution Exposure and Social Determinants of Health in Defining ""At-Risk"" Populations Under the Clean Air Act: Susceptibility of Pregnant Women to Hypertensive Disorders of Pregnancy. World Med Health Policy 10:7-54
Mehdipanah, Roshanak; Schulz, Amy J; Israel, Barbara A et al. (2017) Neighborhood Context, Homeownership and Home Value: An Ecological Analysis of Implications for Health. Int J Environ Res Public Health 14:
Martenies, Sheena E; Milando, Chad W; Williams, Guy O et al. (2017) Disease and Health Inequalities Attributable to Air Pollutant Exposure in Detroit, Michigan. Int J Environ Res Public Health 14:
Zenk, Shannon N; Mentz, Graciela; Schulz, Amy J et al. (2017) Longitudinal Associations Between Observed and Perceived Neighborhood Food Availability and Body Mass Index in a Multiethnic Urban Sample. Health Educ Behav 44:41-51
Schulz, Amy J; Mentz, Graciela B; Sampson, Natalie et al. (2016) RACE AND THE DISTRIBUTION OF SOCIAL AND PHYSICAL ENVIRONMENTAL RISK: A Case Example from the Detroit Metropolitan Area. Du Bois Rev 13:285-304
Milando, Chad W; Martenies, Sheena E; Batterman, Stuart A (2016) Assessing concentrations and health impacts of air quality management strategies: Framework for Rapid Emissions Scenario and Health impact ESTimation (FRESH-EST). Environ Int 94:473-481

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