Evidence map›Paper›PMID 40964453›Full record

ArticleEnvironmental justice (Print)2025

Community Perspectives on the Cumulative Impacts of Chemical and Non-Chemical Stressors in Southeastern Pennsylvania.

Alexis Lightner, Andrea A Chiger, Lora Snyder, Kearni N Warren, Eve S Miari, Thom Nixon, Echo Alford, Peter F DeCarlo, Mary A Fox, Ryan D Kennedy and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Environmental justice (Print), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Alexis LightnerDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Andrea A ChigerDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA and also at Risk Sciences and Public Policy Institute, Baltimore, Maryland, USA.
Lora SnyderMarcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA.
Kearni N WarrenMarcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA and also at Clean Air Council, Philadelphia, Pennsylvania, USA.
Eve S MiariMarcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA and also at Clean Air Council, Philadelphia, Pennsylvania, USA.
Thom NixonMarcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA.
Echo AlfordMarcus Hook Area Neighbors for Public Health, Marcus Hook, Pennsylvania, USA and also at Clean Air Council, Philadelphia, Pennsylvania, USA.
Peter F DeCarloDepartment of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA.
Mary A FoxDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA and also at Risk Sciences and Public Policy Institute, Baltimore, Maryland, USA and also at Department of Health Policy and Management, Baltimore, Maryland, USA.
Ryan D KennedyDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Keeve E NachmanDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA and also at Risk Sciences and Public Policy Institute, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA and also at Department of Environmental Health and Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, Maryland, USA.
Sara N LupoltDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA and also at Risk Sciences and Public Policy Institute, Baltimore, Maryland, USA.

Funding

Traning Program in Environmental Health SciencesT32ES007141 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 1985 to 2026
$22.2M
Pilot Project ProgramP30ES032756 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI Marsha Wills-Karp · 2022 to 2026
$6.0M
NIEHS NIH HHS P30 ES032756NIEHS NIH HHS T32 ES007141
6 · The paper itself

Abstract

Background: The need to study and understand cumulative impacts, the combined influence of chemical and non-chemical stressors on health and quality of life, is becoming increasingly recognized. The goal of this study is to understand how residents in fenceline communities experience the cumulative impacts of pollution and other non-chemical stressors on their physical and mental health and to develop meaningful policy solutions to mitigate the harms caused by these cumulative burdens. Methods: We used a community-based participatory research (CBPR) approach, partnering with residents in southern Delaware County, PA, experiencing environmental injustice, to design and conduct focus groups. Our focus groups aimed to better understand how residents characterize stressors related to their environmental, physical, and mental health. We used a deductive/inductive hybrid data analysis method to distill the most significant findings from the focus groups. Results: We conducted focus groups with residents ( Discussion: This study is the first in the area to work alongside community investigators to understand how residents in fenceline communities experience cumulative impacts. Our findings were presented to key community stakeholders to inform future advocacy work to mitigate the cumulative burdens faced by these fenceline communities.

Indexed as

community-based participatory researchcumulative impactsenvironmental justicefocus groupsqualitative research

Identifiers

PMID40964453
PMCPMC12439864

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.