ArticleEnvironmental justice (Print)2025
Influences of Chemical and Nonchemical Stressors on Health and Quality of Life in Fenceline Communities: A Community-Based Participatory Research Survey in Southeastern Pennsylvania.
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12 authors.
Andrea A ChigerDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Echo AlfordDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Kearni N WarrenDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Eve S MiariDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Lora SnyderDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Thom NixonDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Alexis LightnerDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Ryan D KennedyDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Mary A FoxDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Peter F DeCarloDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Keeve E NachmanDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Sara N LupoltDr. Andrea A. Chiger is at the Department of Environmental Health and Engineering; also at the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Mx. Echo Alford is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Kearni N. Warren is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Eve S. Miari is at the Clean Air Council, Philadelphia, Pennsylvania, USA; also at Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Lora Snyder is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Mr. Thom Nixon is at the Marcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA. Ms. Alexis Lightner is at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Ryan D. Kennedy is at the Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Mary A. Fox is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Peter F. DeCarlo is at the Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA. Dr. Keeve E. Nachman is at the Department of Environmental Health and Engineering; Risk Sciences and Public Policy Institute; also at the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. Dr. Sara N. Lupolt is at the Department of Environmental Health and Engineering; also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Funding
Traning Program in Environmental Health SciencesT32ES007141 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 1985 to 2026
$22.2MPilot Project ProgramP30ES032756 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 2022 to 2026
$6.0MNIEHS NIH HHS P30 ES032756NIEHS NIH HHS T32 ES007141
Abstract
Background: Community organizers in Southern Delaware County, PA, expressed a desire to collect comprehensive data on environmental, health, and social conditions in their neighborhoods to inform advocacy efforts to prompt public health action. Methods: Using a community-based participatory research (CBPR) approach, our team of academic and community coinvestigators developed an online community health survey to characterize residents' health concerns and the strengths, burdens, and needs of fenceline communities in Southern Delaware County. We included questions on chemical exposures, sources of pollution, financial stressors, health care, medical conditions, and priorities for policymakers. Results: Participants reported experiencing adverse effects of poor air quality, odors, and noise in their communities. Eighty-six percent of participants reported experiencing at least two nonchemical stressors, such as poor housing conditions, food insecurity, and experiences of racism and discrimination. We found high proportions of reported asthma diagnoses and symptoms in participants and the children living in their households. Symptoms of asthma, depression, and anxiety were more common than clinician diagnoses of these conditions. Participants also commonly reported decreased quality of life or functioning associated with physical and mental health issues. Discussion: Our findings highlight the importance of characterizing chemical and nonchemical stressors among residents in fenceline communities and expanding consideration of health to include acute symptoms, well-being, and quality of life. Our study was strengthened by our CBPR approach. Conclusion: Our work demonstrates the value of assessing cumulative impacts and employing CBPR approaches in fenceline communities.
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community-based participatory researchcumulative impactenvironmental justicefenceline community
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