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A community-based participatory research program to identify lead exposure risks and community priorities
Jocelyn Zavala-Garcia1, Nina Ali2, Obed Arango3
1M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, PA USA.
Community members identified lead in water, soil, and paint as key concerns. They desire accessible information and testing to address lead exposure risks and systemic neglect.
Area of Science:
- Environmental Health
- Community-Based Participatory Research
- Public Health
Background:
- Lead exposure is a significant environmental health hazard disproportionately affecting minority communities in the U.S.
- Aging infrastructure, historical land use, and remediation challenges contribute to widespread lead exposure incidents.
- Understanding community perspectives is crucial for effective lead exposure mitigation.
Purpose of the Study:
- To identify community-perceived concerns, needs, and priorities regarding lead exposure.
- To gather insights into current lead exposure prevention methods used by the community.
Main Methods:
- Four focus groups were conducted with 73 community members in Norristown, Pennsylvania.
- A community-based participatory research (CBPR) framework and semi-structured interviews were employed.
- Thematic analysis of transcribed data was performed using open coding.
Main Results:
- Key themes included community-identified sources of lead (water, soil, paint), information gaps (especially in Spanish), systemic neglect (workplaces, healthcare, landlords), and financial concerns (costs, displacement fears).
- Participants expressed a strong desire for lead testing in household environments (water, paint, soil) and personal blood lead level screening.
- A significant need for language-appropriate information and culturally sensitive outreach was highlighted.
Conclusions:
- Broad community support exists for comprehensive lead exposure risk assessments covering multiple environmental sources and blood lead levels in all age groups.
- Addressing information disparities, particularly for non-English speaking populations, is essential.
- Implementing diverse lead exposure assessment strategies is necessary for effective public health interventions.
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