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Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program

Author

Listed:
  • Deepa Mankikar

    (Public Health Management Corporation, Centre Square East 1500 Market St., Philadelphia, PA 19102, USA)

  • Carla Campbell

    (Department of Public Health Sciences, University of Texas at El Paso, 500 W. University Ave., El Paso, TX 79968, USA)

  • Rachael Greenberg

    (National Nurse-Led Care Consortium, Centre Square East 1500 Market St., Philadelphia, PA 19102, USA)

Abstract

This evaluation examined whether participation in a home-based environmental educational intervention would reduce exposure to health and safety hazards and asthma-related medical visits. The home intervention program focused on vulnerable, low-income households, where children had asthma, were at risk for lead poisoning, or faced multiple unsafe housing conditions. Home visitors conducted two home visits, two months apart, consisting of an environmental home assessment, Healthy Homes education, and distribution of Healthy Homes supplies. Measured outcomes included changes in participant knowledge and awareness of environmental home-based hazards, rate of children’s asthma-related medical use, and the presence of asthma triggers and safety hazards. Analysis of 2013–2014 baseline and post-intervention program data for a cohort of 150 families revealed a significantly lower three-month rate ( p < 0.05) of children’s asthma-related doctor visits and hospital admissions at program completion. In addition, there were significantly reduced reports of the presence of home-based hazards, including basement or roof leaks ( p = 0.011), plumbing leaks ( p = 0.019), and use of an oven to heat the home ( p < 0.001). Participants’ pre- and post- test scores showed significant improvement ( p < 0.05) in knowledge and awareness of home hazards. Comprehensive home interventions may effectively reduce environmental home hazards and improve the health of asthmatic children in the short term.

Suggested Citation

  • Deepa Mankikar & Carla Campbell & Rachael Greenberg, 2016. "Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program," IJERPH, MDPI, vol. 13(9), pages 1-15, September.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:9:p:900-:d:77911
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    References listed on IDEAS

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    1. Krieger, J.W. & Takaro, T.K. & Song, L. & Weaver, M., 2005. "The Seattle-King County Healthy Homes Project: A randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 652-659.
    2. Adamkiewicz, G. & Zota, A.R. & Patricia Fabian, M. & Chahine, T. & Julien, R. & Spengler, J.D. & Levy, J.I., 2011. "Moving environmental justice indoors: Understanding structural influences on residential exposure patterns in low-income communities," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 238-245.
    3. Jacobs, D.E., 2011. "Environmental health disparities in housing," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 115-122.
    4. Bryant-Stephens, T. & Kurian, C. & Guo, R. & Zhao, H., 2009. "Impact of a household environmental intervention delivered by lay health workers on asthma symptom control in urban, disadvantaged children with asthma," American Journal of Public Health, American Public Health Association, vol. 99, pages 657-665.
    5. Breysse, J. & Dixon, S. & Gregory, J. & Jacobs, D.E. & Krieger, J., 2014. "Effect of weatherization combined with community health worker in-home education on asthma control," American Journal of Public Health, American Public Health Association, vol. 104(1), pages 57-64.
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    Cited by:

    1. Kathleen M. Gray, 2018. "From Content Knowledge to Community Change: A Review of Representations of Environmental Health Literacy," IJERPH, MDPI, vol. 15(3), pages 1-17, March.
    2. Houria El Ouazzani & Simon Fortin & Nicolas Venisse & Antoine Dupuis & Steeve Rouillon & Guillaume Cambien & Anne-Sophie Gourgues & Pascale Pierre-Eugène & Sylvie Rabouan & Virginie Migeot & Marion Al, 2021. "Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project," IJERPH, MDPI, vol. 19(1), pages 1-28, December.
    3. Anastasia Zelenina & Svetlana Shalnova & Sergey Maksimov & Oksana Drapkina, 2022. "Classification of Deprivation Indices That Applied to Detect Health Inequality: A Scoping Review," IJERPH, MDPI, vol. 19(16), pages 1-19, August.
    4. Jayajit Chakraborty & Timothy W. Collins & Sara E. Grineski, 2016. "Environmental Justice Research: Contemporary Issues and Emerging Topics," IJERPH, MDPI, vol. 13(11), pages 1-5, November.

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