Study Types Flashcards

1
Q

IH Mantra

A

anticipate
recognize
evaluate
control/mitigate

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2
Q

environmental justice: how to do it

A

-listen to community and investigate their concerns. but also make them understand you still have to do science

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3
Q

working with communities

A
  • MUST negotiate

- Educate the community

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4
Q

impediments to achieving environmental equity in community

A

language

desires/comfort of field team (to fix: send in pairs, make sure 1 speaks the language)

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5
Q

CBPR

A

Community Based Participatory Research

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6
Q

considerations for Community Aid

A

environmental justice!
Community concerns
differences in power?
Impediments?

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7
Q

What is CBPR

A

research done WITH (not TO) the community

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8
Q

Principles of CBPR

A
  • the community (unit of identity)
  • build on strengths and resources within the community
  • facillitate collab, equitable involvement of AL parterns in phases of reasearch (pay community memebers to help)
  • Integrae knowledge and mutual benefits for all partners
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9
Q

More principles of CBPR

A
  • co-learning and empowering=change social inequalities
  • make it a cyclical, iteraative process
  • address health from positive and negative (ecological) perspective
  • report findings to ALL partners
  • long term commitment by all partners
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10
Q

another study type (other than CBPR)

A

PPS: Population Proportional to Size

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11
Q

PPS

A
Proportional to Size
NOT exclusively community based
more scientific
apply state wide (or further)
NHEXAS, NHANES
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12
Q

what does NHANES do

A

changes clothing sizes based on sizes of americans
National Health and Nutrtrition E Survey

nation wide done by the CDC

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13
Q

NHEXAS

A

sampled every county in AZ for metals, pesticides, VOCS, etc…. multimedia, multipathway

used random Census tracs…can throw out and replace if you have rules before hand

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14
Q

Nogales Water Study

A

find notes on this

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15
Q

Children’s Exposure to Pesticide

A

find notes on this

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16
Q

Yavapai Water

A

find notes on this

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17
Q

NHEXAS

A

find notes on this

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18
Q

NHEXAS/ABS Food

A

find notes on this

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19
Q

tools for community studies

A
Epi
HBHP (community input)
Data Collection (micro, chm)
Biostat analysis
Health/community Ed. Program
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20
Q

Enivronmental Health exs

A

Energy/climage: nrg, carbon footprint
Water/climate
Green Areas (Native plants)
Pollution Reduction Waste Management

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21
Q

Built Environment

A

Historic Preservation (sense of place)
Insfrastructure/cost
Redevelopment (housing)
Land use/Transportation

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22
Q

Study Types (epi)

A
case series
cross sectional 
ecological 
case control 
Population proportional to size
cohort
case cross-over
23
Q

Vision of NEXHAS?

A

select representative pop. and get measurements needed to get total exposure assessment. enhance quality of policy formation

24
Q

Goal of NEXHAS

A

define high end (upper 10th percentile) of multimedia, multipathway exposure distribution for the pop

25
Q

ID and understand these components of CBPR

A
  • community ID’d problem
  • Community expertise in design/recruitment
  • Implementation
  • Interpretation of data
  • development of resolution strategy
  • implementation strategy
26
Q

where did the money go for the study she talked about conducted by UA?

A
  • UA
  • community
  • personelle doing things
  • the lab
27
Q

NEXHAS…what did the upper 10th percentile show?

A

thats the people who have a really high exposure to metals, VOCs, and pesticides
in AZ

28
Q

NEXHAS planning

A
  • study multimedia/exposures in every county in AZ
  • Had to randomize all of the census tracts (selected 50 of like 12 grand)…ended up being representative
  • needed 75% response rate…have to respect people’s right to say no
29
Q

can you throw out census tracts?

A

NEXHAS did if there was 1 person or less on a certain amount of land

had to throw out tribal lands too because the tribes didnt want them there

if someone says no… you have to find a similar family in the same geographic area

30
Q

is the census always right?

A

its only done every 10 years… people may live in places that were not developed when the last census happened

31
Q

primary sampling NEXHAS

A

total random samples of units in Arizona

started with every county in Arizona, randomized the 12,000 census tracts and selected 50

32
Q

secondary sampling NEXHAS

A

census block GROUPS
blocks of houses in community
chose blocks

33
Q

tertiary sampling NEXHAS

A

randomize houses in census BLOCK, select 5, then just 3 of those

34
Q

county missed by NEXHAS

A

La Paz… it wasn’t a county when they started…Yuma County split into it too

Parker…its on a reservation

35
Q

65% of land in AZ

A

either not developed or reservation land

36
Q

county missed by AZ border survey?

A

Pima… you could only sample super close to the border, but there were either national parks here or reservation land, so they couldnt get anyone from pima county

37
Q

NHEXAS demographics

A

41% hispanics in AZ…census said only 20% (now they say 36%)

38
Q

Representativeness of NEXHAS: Age

A

20% pop between 6-17…good with census

PEOPLE UNDER 6 NOT REPRESENTED IN THIS SURVEY!

39
Q

Representativeness of NEXHAS: household vs. indiv level

A

totally representative at household level

NOT at indiv level

40
Q

Representativeness of NEXHAS: ex of Hispanic men

A

The men were not cool with their blood being taken… worried they’d be caught with an STD
75% female in border study, only 25% male bc they wouldnt do blood

41
Q

participation in studies

A

Everyone has opportunity to participate
Everyone has right NOT to participate

have to do sampled people analysis since you dont get what you want

42
Q

How NEXHAS study worked

A

scientists were in the homes for a week

collected stuff from people acting normally

43
Q

samples collected in NEXHAS study

A
8hrs of questionairs
diet diary
food/beverage samples 
duplicate diets 
biomarkers from blood and feces 
air samples 
particulate matter
soil
floor dust
44
Q

NEXHAS Stage 1

A

baseline questionairre

45
Q

NEXHAS Stage 2

A

questionairre, food/activity diaries, screening data and samples

46
Q

NEXHAS Stage 3

A
intesnive environmental sampling
biomarkers 
duplicate diets 
water
questionairres
47
Q

what is most urbanized state in the country?

A

ARIZONA

most people live in PHX, TUC, FLAG, Prescott, Yuma

48
Q

NEXHAS results

A

% of HOUSES that have DETECTABLE level (anything bellow detection value is a “0”)

49
Q

high end of CONC of arsenic… what was the biggest issue?

A

FOOD

50
Q

body’s uptake of arsenic…wort media?

A

AIR…food problem is metabolized by liver, so it doesnt do as much damage as air does

51
Q

mining vs. non-mining towns: Arsenic NEXHAS

A

people in non mining towns had 33 micrograms per day

in mining towns: 70 micrograms

52
Q

community as a limit

A

community must be willing in order to get a representaive sample

53
Q

single media studies pros and cons

A

P: address specific issue
C: fail to reflect accurate exposure and link to health outcomes

54
Q

accuracy, complexity, and expenditure of study are…

A

LINKED