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Abstract The growing frequency, intensity, and duration of extreme heat events necessitates interventions to reduce heat exposures. Local opportunities for heat adaptation may be optimally identified through collection of both quantitative exposure metrics and qualitative data on perceptions of heat. In this study, we used mixed methods to characterize heat exposure among urban residents in the area of Boston, Massachusetts, US, in summer 2020. Repeated interviews ofN = 24 study participants ascertained heat vulnerability and adaptation strategies. Participants also used low-cost sensors to collect temperature, location, sleep, and physical activity data. We saw significant differences across temperature metrics: median personal temperature exposures were 3.9 °C higher than median ambient weather station temperatures. Existing air conditioning (AC) units did not adequately control indoor temperatures to desired thermostat levels: even with AC use, indoor maximum temperatures increased by 0.24 °C per °C of maximum outdoor temperature. Sleep duration was not associated with indoor or outdoor temperature. On warmer days, we observed a range of changes in time-at-home, expected given our small study size. Interview results further indicated opportunities for heat adaptation interventions including AC upgrades, hydration education campaigns, and amelioration of energy costs during high heat periods. Our mixed methods design informs heat adaptation interventions tailored to the challenges faced by residents in the study area. The strength of our community-academic partnership was a large part of the success of the mixed methods approach.
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Improving adaptation to wildfire smoke and extreme heat in frontline communities: evidence from a community-engaged pilot study in the San Francisco Bay Area
Abstract Exposure to climate hazards is increasing, and the experiences of frontline communities warrant meaningful and urgent attention towards how to mitigate, manage, and adapt to hazards. We report results from a community-engaged pilot (November 2021–June 2022) ofN= 30 participants in four frontline communities of the San Francisco Bay Area, California, USA. The study region is an area where low-income, non-English-speaking residents are inequitably exposed and vulnerable to wildfire smoke, extreme heat, and other climate hazards. Building from a yearslong partnership of researchers, community organizations, and community members, we report the feasibility of a project piloting (1) instruments to monitor indoor air quality, temperature, and participant sleep health, and (2) interventions to improve indoor air quality and support protective behaviors. Data collection included experience-based survey data (via in-person administered surveys and a smartphone application) and interviews about heat and air quality, as well as data from an air monitoring protocol. Results cover the prevalence of hazard exposure and protective actions among participants. We discuss throughout methods for conducting and evaluating a community-engaged pilot, particularly by using a community ambassador program. Implications include the feasibility of community-engaged research projects, including discussion of resources required to accomplish this work.
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- Award ID(s):
- 2045129
- PAR ID:
- 10498086
- Publisher / Repository:
- Environmental Research Letters
- Date Published:
- Journal Name:
- Environmental Research Letters
- Volume:
- 18
- Issue:
- 7
- ISSN:
- 1748-9326
- Page Range / eLocation ID:
- 074026
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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Community science has increased in popularity in communities where residents hope to investigate the relationship between environmental issues and personal health. This study partnered with neighborhoods in the most polluted residential zip code in the US to conduct community science air quality monitoring. We conducted 60 semi-structured interviews after two monitoring deployments to understand participants’ subjective experiences of pollution exposure, their engagement with low-cost air quality monitors, and their data interpretation. We utilize the environmental health concept ‘exposure experience’ to analyze how participants use personal monitors, understand their data, and reinterpret their pollution exposure as a result. We further explore how participants’ understandings are circumscribed by the technological features of low-cost monitors. We find that participants adopt both protective and mitigating behavioral changes based on information gained from personal experiments and hypothesis testing while using the monitors. Of their own accord, 40% of participants in this study adopted mitigation behaviors after identifying sources that impacted their personal air quality. Our analysis reveals that real-time data accessibility through low-cost monitors builds exposure awareness and enables residents of environmental justice communities to test, validate, or invalidate sensory experiences and challenge existing assumptions. These findings point to specific pathways for using low-cost monitors to support individual decision-making and contribute to behavioral change. Findings also identify some limitations of low-cost monitors; designers of low-cost monitors should consider how composite Air Quality Scores may encourage community scientists to equally value scientifically-established pollutants (e.g., PM) with less scientifically-established pollutants (e.g., TVOCs), without additional scientific training and health-related information.more » « less
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null (Ed.)Frontline communities of California experience disproportionate social, economic, and environmental injustices, and climate change is exacerbating the root causes of inequity in those areas. Yet, climate adaptation and mitigation strategies often fail to meaningfully address the experience of frontline community stakeholders. Here, we present three challenges, three errors, and three solutions to better integrate frontline communities' needs in climate change research and to create more impactful policies. We base our perspective on our collective firsthand experiences and on scholarship to bridge local knowledge with hydroclimatic research and policymaking. Unawareness of local priorities (Challenge 1) is a consequence of Ignoring local knowledge (Error 1) that can be, in part, resolved with Information exchange and expansion of community-based participatory research (Solution 1). Unequal access to natural resources (Challenge 2) is often due to Top-down decision making (Error 2), but Buffer zones for environmental protection, green areas, air quality, and water security can help achieve environmental justice (Solution 2). Unequal access to public services (Challenge 3) is a historical issue that persists because of System abuse and tokenism (Error 3), and it may be partially resolved with Multi-benefit projects to create socioeconomic and environmental opportunities within frontline communities that include positive externalities for other stakeholders and public service improvements (Solution 3). The path forward in climate change policy decision-making must be grounded in collaboration with frontline community members and practitioners trained in working with vulnerable stakeholders. Addressing co-occurring inequities exacerbated by climate change requires transdisciplinary efforts to identify technical, policy, and engineering solutions.more » « less
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Abstract ObjectiveTo understand community perspectives on the effects of high ambient temperature on the health and wellbeing of neonates, and impacts on post-partum women and infant care in Kilifi. DesignQualitative study using key informant interviews, in-depth interviews and focus group discussions with pregnant and postpartum women (n = 22), mothers-in-law (n = 19), male spouses (n = 20), community health volunteers (CHVs) (n = 22) and stakeholders from health and government ministries (n = 16). SettingsWe conducted our research in Kilifi County in Kenya’s Coast Province. The area is largely rural and during summer, air temperatures can reach 37˚C and rarely go below 23˚C. Data analysisData were analyzed in NVivo 12, using both inductive and deductive approaches. ResultsHigh ambient temperature is perceived by community members to have direct and indirect health pathways in pregnancy and postpartum periods, including on the neonates. The direct impacts include injuries on the neonate’s skin and in the mouth, leading to discomfort and affecting breastfeeding and sleeping. Participants described babies as “having no peace”. Heat effects were perceived to be amplified by indoor air pollution and heat from indoor cooking fires. Community members believed that exclusive breastfeeding was not practical in conditions of extreme heat because it lowered breast milk production, which was, in turn, linked to a low scarcity of food and time spend by mothers away from their neonates performing household chores. Kangaroo Mother Care (KMC) was also negatively affected. Participants reported that postpartum women took longer to heal in the heat, were exhausted most of the time and tended not to attend postnatal care. ConclusionsHigh ambient temperatures affect postpartum women and their neonates through direct and indirect pathways. Discomfort makes it difficult for the mother to care for the baby. Multi-sectoral policies and programs are required to mitigate the negative impacts of high ambient temperatures on maternal and neonatal health in rural Kilifi and similar settings.more » « less
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Abstract Environmental inequalities are often large and consequential, exacerbating vertical inequalities of income and class and horizontal inequalities along lines of race and ethnicity. Climate policies can widen these inequalities as well as mitigate them, depending on their design. Decarbonization of the US electricity sector illustrates these possibilities. A strategy narrowly focused on carbon reduction alone is likely in some regions to increase disparities in exposure to localized co-pollutants emitted by fossil fuel combustion and, in some cases, to increase exposure in absolute terms. Strategies that in addition explicitly mandate improvements in air quality, both overall and specifically for frontline communities, can couple decarbonization with remediation of environmental inequalities and broad-based gains in public health.more » « less
- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1088/1748-9326/acddf9
