Health survey instrument development through a community-based participatory research approach: Health Promoting Lifestyle Profile (HPLP-II) and Brazilian immigrants in Greater Boston.

Brazilians are among the fastest growing segment of immigrant populations in several states of the United States. Culturally appropriate and validated health survey instruments do not exist to adequately assess the health needs of this population. Through a community-based participatory research (CBPR) approach, a cross-cultural pilot project was conducted to develop and test a culturally-adapted Brazilian Portuguese-version of the health-promoting lifestyle profile II (HPLP-II) instrument with a convenience sample of 60 bilingual and bicultural Brazilian immigrants using a combined quasi experimental and focus group design. The project evaluated HPLP-II instrument's psychometric properties of equivalency, reliability, and score distribution in Portuguese and English. This pilot test supports equivalency, consistency, and reliability of the English and culturally-adapted Brazilian Portuguese versions of the instrument. CBPR is an effective approach in health instrument development. This instrument is an important first step in designing other appropriate instruments to explore health conditions of Brazilian immigrants in the U.S.

Air pollution and odor in communities near industrial swine operations.

BACKGROUND: Odors can affect health and quality of life. Industrialized animal agriculture creates odorant compounds that are components of a mixture of agents that could trigger symptoms reported by neighbors of livestock operations. OBJECTIVE: We quantified swine odor episodes reported by neighbors and the relationships of these episodes with environmental measurements. METHODS: Between September 2003 and September 2005, 101 nonsmoking volunteers living within 1.5 mi of industrial swine operations in 16 neighborhoods in eastern North Carolina completed twice-daily odor diaries for approximately 2 weeks. Meteorological conditions, hydrogen sulfide, and particulate matter 6.75 miles per hour. The odds of reporting a change in daily activities due to odor increased 62% for each unit increase in average odor during the prior 12 hr (t-value = 7.17). CONCLUSIONS: This study indicates that malodor from swine operations is commonly present in these communities and that the odors reported by neighbors are related to objective environmental measurements and interruption of activities of daily life.

Integrating epidemiology, education, and organizing for environmental justice: community health effects of industrial hog operations.

The environmental justice movement has stimulated community-driven research about the living and working conditions of people of color and low-income communities. We describe an epidemiological study designed to link research with community education and organizing for social justice. In eastern North Carolina, high-density industrial swine production occurs in communities of low-income people and people of color. We investigated relationships between the resulting pollution and the health and quality of life of the hog operations' neighbors. A repeat-measures longitudinal design, community involvement in data collection, and integration of qualitative and quantitative research methods helped promote data quality while providing opportunities for community education and organizing. Research could affect policy through its findings and its mobilization of communities.

Promoting environmental justice through community-based participatory research: the role of community and partnership capacity.

Community-based participatory research (CBPR) increasingly is being used to study and address environmental justice. This article presents the results of a cross-site case study of four CBPR partnerships in the United States that researched environmental health problems and worked to educate legislators and promote relevant public policy. The authors focus on community and partnership capacity within and across sites, using as a theoretical framework Goodman and his colleagues' dimensions of community capacity, as these were tailored to environmental health by Freudenberg, and as further modified to include partnership capacity within a systems perspective. The four CBPR partnerships examined were situated in NewYork, California, Oklahoma, and North Carolina and were part of a larger national study. Case study contexts and characteristics, policy-related outcomes, and findings related to community and partnership capacity are presented, with implications drawn for other CBPR partnerships with a policy focus.

Patterns of agricultural pesticide use in relation to socioeconomic characteristics of the population in the rural U.S. South.

Residents of rural, agricultural areas where pesticides are used experience increased potential for pesticide exposure. In the rural U.S. South, where communities are predominantly of color, increased agricultural chemical use can constitute environmental injustice. Lacking data on the amounts of pesticide applied, the authors used county-level expenditure on agricultural chemicals as a proxy for pesticide use to explore spatial patterns of pesticide expenditure in relation to racial and economic composition in 953 rural counties in 12 southern states. Approximately eight times more money was spent on pesticides in counties with populations having more than 40 percent persons of color than in counties with less than 6 percent. Approximately four times more money was spent in counties with more than 22 percent of their population living in poverty than in counties with less than 12 percent. After adjusting for agricultural land area and land use, the authors found counties with more than 40 percent persons of color and more than 22 percent poverty spent about $1.3 million more on pesticides in 2002 than did counties with less than 6 percent persons of color and 12 percent poverty. This pattern of pesticide expenditures may produce racial and economic inequities in environmental exposures to pesticides, having implications for environmental justice and public health.

Environmental policies, politics, and community risk perception: case study of community contamination in Casper, Wyoming.

OBJECTIVES: We identify and explain factors that affected a community's perception of risk due to extensive industrial contamination and people's distrust of government agencies regarding the environmental investigations. METHODS: Intrinsic bounded case study methodology was used to conduct research about extensive environmental contaminations due to activities of an oil refinery in North Casper, Wyoming, and the citizens' response. Data were collected from multiple sources that included public testimonies, observations, public hearings and meetings minutes, newspaper articles, archived records obtained from federal and state environmental and health agencies, as well as industry records obtained through Freedom of Information Act (FOIA) requests. FINDINGS: The overarching theme that emerged was lack of trust due to several critical events and factors such as no response or delay in response time to community concerns, lack of transparency, perceived cover up, vague and fragmented communication by government and state officials, perception of pro-industry stance, and perceived unfair treatment. DISCUSSION AND CONCLUSION: People's perception of environmental risks and their willingness to accept official explanations and outcomes of environmental investigations are strongly affected by their direct experiences with government agencies and the evidence of influence the powerful industries exert over relevant investigations. The government cannot successfully address public and community concerns about environmental health impacts of contaminations and in turn the public perception of risk unless it adopts and implements policies, procedures, and protocols that are clear, timely, transparent, and free from industry influence.

Environmental justice research and action: a case study in political economy and community-academic collaboration.

Community-university partnerships increasingly are being created to study and address environmental injustices. This article describes a case study of one such effort and its contributions to a decade-long community struggle to curb the growth of industrial hog operations and their adverse health effects in the United States' rural south. Worldwide transformation of livestock production from family farms to large-scale industrial agricultural complexes has resulted in the degradation of local environments, with negative impacts on public health. In the rural south, the concentration of industrial livestock operations has been most pronounced in low income African-American communities. Using political economy and community-based participatory research (CBPR) as a conceptual framework, this article explores the partnership between a strong community-based organization, Concerned Citizens of Tillery, and researchers at the University of North Carolina, Chapel Hill, School of Public Health to study and address this problem. The political, economic, and historical context of the partnership is examined, as are the challenges faced, and the partnership's contributions to maintaining grassroots community organizing and activism and affecting local policy change. Implications for other CBPR partnerships are discussed.