A Personalized Intervention to Increase Environmental Health Literacy and Readiness to Change in a Northern Nevada Population: Effects of Environmental Chemical Exposure Report-Back
International Journal of Environmental Research and Public Health,
Год журнала:
2024,
Номер
21(7), С. 905 - 905
Опубликована: Июль 11, 2024
Background:
Interventions
are
needed
to
help
people
reduce
exposure
harmful
chemicals
from
everyday
products
and
lifestyle
habits.
Report-back
of
individual
exposures
is
a
potential
pathway
increasing
environmental
health
literacy
(EHL)
readiness
exposures.
Objectives:
Our
objective
was
determine
if
report-back
endocrine-disrupting
(EDCs)
can
EDC
exposure,
increase
EHL,
change
(i.e.,
implement
exposure-reduction
behaviors).
Methods:
Participants
in
the
Healthy
Nevada
Project
completed
EHL
readiness-to-change
surveys
before
(n
=
424)
after
174)
intervention.
used
mail-in
kits
measure
urinary
biomarkers
EDCs.
The
results
included
levels,
information
about
effects,
sources
personalized
recommendations
exposure.
Results:
generally
very
high
at
baseline,
especially
for
questions
related
general
pollution.
For
chemical
exposures,
responses
varied
across
several
demographics.
Statistically
reliable
improvements
were
seen
report-back.
change,
72%
already
or
planning
their
behaviors.
Post-intervention,
women
increased
(p
0.053),
while
men
decreased
0.007).
When
asked
what
challenges
they
faced
reducing
79%
cited
not
knowing
do.
This
dropped
35%
with
higher
propylparaben
younger
0.03)
participants
who
rated
themselves
better
had
levels
some
phthalates
0.02–0.003
p
0.001–0.003,
respectively).
After
report-back,
monobutyl
phthalate
among
48
valid
urine
tests
intervention
<
0.001).
Conclusions:
successful
as
evidenced
by
behaviors,
women,
decrease
phthalate.
An
questionnaire
more
sensitive
would
differentiate
low
literacy.
Future
research
will
focus
on
understanding
why
how
be
improved
all
participants.
Язык: Английский
A Clinical Preventive Strategy Based on a Digital Tool to Improve Access to Endocrine Disruptors Exposure Prevention: The MEDPREVED Study
International Journal of Environmental Research and Public Health,
Год журнала:
2022,
Номер
19(19), С. 11993 - 11993
Опубликована: Сен. 22, 2022
Introduction:
The
digitalized
PREVED
(PREgnancy,
PreVention,
Endocrine
Disruptor)
questionnaire
was
used
in
the
clinical
practices
of
health
professionals
(HP)
who
adhered
to
MEDPREVED
strategy.
objectives
were
assess
strategy
and
determine
if
it
could
improve
access
endocrine
disruptor
(ED)
exposure
prevention.
Methods:
After
having
filled
digital
HP
waiting
rooms,
patients
invited
talk
about
ED
during
consultation.
HPs
previously
trained
had
received
a
prevention
kit
for
their
patients.
seven-month
implementation
phase,
evaluation
phase
consisted
five
mixed
assessments:
interviews
with:
(i)
young
children’s
parents;
(ii)
general
population;
(iii)
paediatricians;
(iv)
midwives;
quantitative
study
on
GPs.
Assessment
concerned
feasibility,
accessibility,
usefulness
strategy;
we
then
Levesque
model
evaluate
how
Results:
included
69
participants.
appeared
feasible
filling-out
step
due
environment
access.
However,
depended
patient
profiles.
seemed
useful
insofar
as
facilitated
reflexive
investment,
an
intention
healthy
behaviour
and,
rather
rarely,
exposure.
beginning
this
discussion
time,
prioritizing
topic
profile.
has
confirmed
model’s
limiting
factors
levers
Conclusions:
is
feasible,
accessible,
practice.
Further
needed
measure
impact
knowledge,
risk
perception
behavior
beneficiaries
medium
long
term.
Язык: Английский