Community-managed disaster risk reduction (CMDRR) puts communities at the center of disaster readiness by assessing hazards, vulnerabilities and capacities, conducting risk analyses, and implementing comprehensive disaster risk reduction (DRR) plans. The EJ Strong pilot program was established to increase the resilience of participating environmental justice (EJ) communities in South Carolina (SC). This was accomplished through a CMDRR training program focused on EJ communities in SC. The curriculum was based on training manuals developed for use in low- and middle-income countries. We modified the curriculum to make it culturally relevant, cope with the ongoing COVID-19 pandemic, and emphasize the application of training during field exercises within communities. In total, ∼110 community participants representing EJ communities across SC attended one or more of the workshops, virtual mini-workshops, and/or field practicums. Invited speakers and program team members raised the overall total to ∼150, and 46 received certificates in CMDRR training after the final workshop. To the best of our knowledge, this is the first application of CMDRR training in the U.S. as well as the first focused on EJ communities. Other outcomes from EJ Strong included a state-wide emergency food access map, a mobile-enabled disaster risk assessment app, an internet-based course that includes the CMDRR curriculum, incorporation of DRR materials for use in public school classrooms, air quality and flood monitoring systems for communities, and acquisition of follow-on funding for communities and the program. Participant evaluations revealed high levels of satisfaction with and appreciation of the program's content.

Background: Children with Down syndrome often have co-occurring physical conditions affecting well-being, and respiratory issues remain a leading cause of hospitalization and death among people with Down syndrome. Parents of children with Down syndrome experience stressors associated with respiratory illness and challenges navigating healthcare access. No prior qualitative study has examined parental perspectives on respiratory health specifically among children with Down syndrome. Identifying parental concerns can help in the development of strategies to mitigate respiratory ailments in children with Down syndrome. Methods: One-hour, semi-structured interviews were conducted among 24 families of children with Down syndrome to understand respiratory concerns. Findings were identified through codebook thematic analysis. Results: The themes identified included persistent concerns about respiratory health, repeated impact from acute and chronic respiratory issues, a rapid and unexpected decline in health during respiratory illness, insurance coverage concerns, and a lack of confidence in assessing air quality which could impact respiratory health. Conclusions: Insights gained from interviews of parents of children with Down syndrome can help policy makers identify opportunities to prevent and mitigate respiratory health problems. Findings underscore the importance of clinician responsiveness to parental concern about rapid deterioration and suggest that insurance coverage policies for this high-risk population warrant further research and policy consideration.

IntroductionGuided by a communications-focused framework developed by an interdisciplinary team of authors, this paper presents data from a survey of health science faculty members to better understand how research collaborations are established and maintained.MethodsAn electronic survey was distributed to faculty in six colleges at a Research 1 institution. Quantitative data were downloaded into Excel and then RStudio for descriptive analysis. Open-ended, qualitative responses were coded and analyzed for themes.ResultsMost respondents were in public health (44.0%) or medicine (25.3%); 40.0% were tenured. A grant deadline was the main impetus reported for initiating research collaborations (86.1%). Most respondents (76.5%) sought federal research funding. Establishing roles at the start of collaborations was considered either extremely (74.4%) or somewhat (25.6%) valuable; most (78.0%) decided on roles in a collaborative manner. Women were significantly more likely than men to publish with community members (p < 0.001) and disseminate findings beyond journal publications or presentations (e.g., reports; p < 0.001). Individuals in public health were more likely than those in other disciplines to publish with community members (p = 0.026).DiscussionFindings suggest reaching out to collaborators to prepare a grant application no later than three months and ideally six months in advance. Expertise played a role in collaborator invitation, but personal qualities such as work ethic and enthusiasm for the research were also valued. Including and mentoring students on research teams was considered an important ingredient in research collaborations. Results should help guide efforts to establish and maintain research teams and may provide guidance to both novice and experienced researchers.

While mentorship is traditionally perceived as top-down where seasoned academics guide earlier career individuals, we assert that mentorship is inherently bi-directional, with multi-perspective exchanges shaping our daily work. Community-engaged research challenges the traditional model by fostering reciprocal mentorship between researchers, students and community members, and this all hinges on trust. Community champions bring invaluable lived experiences, contextual knowledge, and cultural insights to research approaches, assessments, and interventions, making them essential mentors in health behavior research. This paper shares perspectives from a survey of researchers on partnership development and community-engagement. Findings showed the value of community partners as mentors and the role of trust for long-lasting relationships. Over half of faculty engaged communities in research resulting in actionable results addressing quality of life issues. Community-engaged collaborations were beneficial for improving partnership- and grant-related outcomes. We provide recommendations for building trust, setting expectations, and defining roles in community-academic mentorship relationships.

INTRODUCTION:Studies have evaluated the receipt of preventive care among children with Down syndrome, but barriers surrounding access to screenings and health care in general have not been well described among this population across the United States. This study describes parental perspectives on barriers to screenings and health care. METHOD:Twenty-four semistructured interviews with parents of children with Down syndrome were administered to families across South Carolina in 2022. Thematic analysis was used to identify salient themes related to barriers to care. RESULTS:Barriers to preventive care identified by families included ineffective care coordination, insurance-related concerns, health care provider access shortages, and language barriers. DISCUSSION:Findings can be used to address problems with major aspects of medical care and to make care more family-centered and accessible for children with Down syndrome. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Fine particulate matter 2.5 (PM2.5) is a widely studied pollutant with substantial health impacts, yet little is known about the urban-rural differences across the United States. Trends of PM2.5 in urban and rural census tracts between 2010 and 2019 were assessed alongside sociodemographic characteristics including race/ethnicity, poverty, and age. For 2010, we identified 13,474 rural tracts and 59,065 urban tracts. In 2019, 13,462 were rural and 59,055 urban. Urban tracts had significantly higher PM2.5 concentrations than rural tracts during this period. Levels of PM2.5 were lower in rural tracts compared to urban and fell more rapidly in rural than urban. Rural tract annual means for 2010 and 2019 were 8.51 [2.24] μg/m3 and 6.41 [1.29] μg/m3, respectively. Urban tract annual means for 2010 and 2019 were 9.56 [2.04] μg/m3 and 7.51 [1.40] μg/m3, respectively. Rural and urban majority Black communities had significantly higher PM2.5 pollution levels (10.19 [1.64] μg/m3 and 9.79 [1.10] μg/m3 respectively), in 2010. In 2019, they were: 7.75 [1.1] μg/m3 and 7.09 [0.78] μg/m3, respectively. Majority Hispanic communities had higher PM2.5 levels and were the highest urban concentration among all races/ethnicities (8.01 [1.73] μg/m3), however they were not the highest rural concentration among all races/ethnicities (6.22 [1.60] μg/m3) in 2019. Associations with higher levels of PM2.5 were found with communities in the poorest quartile and with higher proportions of residents age<15 years old. These findings suggest greater protections for those disproportionately exposed to PM2.5 are needed, such as, increasing the availability of low-cost air quality monitors.

Disadvantaged populations have higher rates of chronic disease, including heart disease, cancer, and diabetes. Race, ethnicity, lower socioeconomic status, and poverty all contribute to these disproportionate rates. Other factors, including systemic racism, climate change, poor diet, lack of food access, and epigenetic influences, that are distributed and experienced differently across vulnerable populations also play a significant role in the development of chronic diseases. This comprehensive review of contributors to chronic diseases emphasizes a unique focus on these identified emerging factors. An ad hoc literature review using OVID Medline and Web of Science was conducted. Findings from prior studies indicate that multiple stressors, both in isolation and in combination, and their negative impacts on both physical and mental health of minorities are exacerbated by climate change. Various stressors dramatically increase chronic disease risk in minority groups. Recommendations for future research to elucidate the impacts of climatic, racial, and dietary adversity with minority populations are presented. Further study in this area is critical for achieving the UN Sustainable Development Goals and improving public health outcomes.

We are an interdisciplinary group of colleagues dedicated to partner engagement and team science. This influences our academic work, informs our research mentorship and capacity-building initiatives with junior scholars, conditions how we communicate with individuals outside of our disciplines, and makes lifelong learning a priority for ourselves and our trainees. Using the analogy of a seven-layer cake, this paper describes our capacity-building approach to develop, engage, and sustain research teams in a manner that aligns with health and risk communication principles. While preparing for a pandemic and engaging in team-based academic research may seem like apples and oranges, they both require the same key component throughout the process that we must encourage in our mentorship practices - effective communication. We provide concrete examples from our experiences on research teams that span decades and institutions.

Advancing environmental health literacy in support of environmental management requires inclusive science communication, especially with environmental justice communities. In order to understand experiences of environmental practitioners in the realm of science communication, the Center for Oceans and Human Health and Climate Change Interactions at the University of South Carolina conducted two studies on science communication and research translation with the center’s researchers and partners. This qualitative case study follows up with a select group of environmental practitioners on emergent themes from the initial work. It explores the specific topics of understanding, trust, and access and how those can become barriers or facilitators of public engagement with environmental activities and decision making. The authors conducted seven in-depth qualitative interviews with center partners whose work focuses on environmental water quality and impacts on human and environmental health. Key results indicate that the public may have limited understanding of scientific processes, establishing trust takes time, and access should be incorporated into the design of programs and activities to ensure broader reach. Findings from this research are relevant to other partner-engaged work and environmental management initiatives and provide insights on experiences, practices, and actions for equitable and effective stakeholder engagement and collaborative partnerships.

Abstract Effective research translation and science communication are necessary for successful implementation of environmental health initiatives to improve public health. The Community Engagement Core (CEC) of the Center for Oceans and Human Health and Climate Change Interactions in the southeastern United States conducted a trio of qualitative studies to assess perceptions, experiences, and training needs relative to science communication and research translation of investigators and stakeholders. Interview transcripts were coded using open and axial coding and analyzed for emergent themes. (1) Interviews were conducted with 13 Center investigators. Most preferred in-person and written communication channels and felt comfortable communicating uncertain findings to the public despite no formal training. They asked for training on plain language messaging for communities, assessment of audience needs, and formatting research findings for various groups. (2) Interviews were conducted with 13 CEC stakeholders to learn more about their research translation needs, communication and dissemination tactics, and experiences interacting with scientists. Findings indicated the need for collaborative scientist-stakeholder training to include plain language development, communication evaluation, and audience engagement. (3) Follow-up interviews with 7 stakeholders examined specific topics of understanding, trust, and access and how those can become barriers or facilitators of public engagement with environmental activities. Findings showed the public may have limited understanding of scientific processes, establishing trust takes time, and ensuring access should be incorporated into all programs. Together, these analyses demonstrate the importance of engaging investigators and partners on all aspects of research. This presentation is relevant to other partner-engaged research and provides insights on practices for equitable and effective stakeholder engagement and collaboration. Key messages • Effective research translation and science communication are necessary for successful implementation of water resources management initiatives. • Qualitative research is important for assessing perceptions, experiences, and training needs relative to science communication and research translation for researchers and community partners.

In this chapter, we explore some of the technologies and other means by which humans observe and monitor a variety of ocean characteristics and processes and how they relate to human health and well-being. Specifically, we discuss observing and monitoring: (a) the physical environment, (b) the growing problem of plastic waste in the ocean, (c) marine biodiversity, (d) marine fisheries, (e) harmful algal blooms, (f) naturally occurring infectious microbes, and (g) monitoring of marine mammals as indicators of ocean environmental effects on humans. We conclude with a discussion about how data from a broad range of ocean, coastal, community, and health surveillance efforts might be integrated into a comprehensive coastal human health observing system in the not-so-distant future.

Mapping landscape change at fine scales (e.g. <1.0 m resolution) using airborne LiDAR data from manned aircraft is a significant challenge. This challenge is magnified in disaster response contexts. A combination of collection and processing factors contributes to horizontal and vertical errors (and resulting uncertainty) in each pre- and post-LiDAR derived digital elevation model (DEM). Subsequently, the errors in the change surface from the two (or more) DEMs are an accumulation of the errors in the individual DEMs. Thus, reliable mapping erosion/deposition changes at sub-meter precision in change detection studies using LiDAR data is largely the domain of terrestrial LiDAR or sUAS with LiDAR scanners rather than manned aircraft. Unfortunately, terrestrial and sUAS LiDAR scanners are not well suited for mapping large areas and sUAS collections are subject to additional airspace constraints compared to manned aircraft. In this study, we probed one of the significant issues in airborne LiDAR change projects - vertical height errors from sequential flight lines. A simplified solution for determining flight line vertical biases in areas of low topographic relief with natural cover types was developed and tested for normalizing point clouds. The approach was tested in a fine-scale erosion/deposition study from an extreme rainfall event that eroded and deposited sand at depths of about 1.0 m. Airborne LiDAR had been collected prior to the rainfall event, and another airborne LiDAR collection was made 1 month after the event. Eleven field campaigns to collect reference data and visit anomalies in the change surface were conducted in a 15-month period after the event, beginning 25 February 2016 and ending 8 May 2017. The validation results indicate accuracies for the pre-event and post-event LiDAR derived DEMs were 7.8 cm and 13.0 cm RMSE, respectively. After modeling vertical errors and corrections applied to the post-event point clouds, the RMSE for the post-event DEM was 8.3 cm. In the depositional use case, 27 locations were sampled with auger boreholes/sand pits and compared with LiDAR-based change. The LiDAR-based change detection analysis resulted in predicted sand depth accuracies of 94% with a mean error of 4.7 cm.

Background Cadmium (Cd), lead (Pb), and mercury (Hg) have been shown to exhibit endocrine disrupting properties. Their effects on women’s reproductive health, however, remain elusive. Here, we investigated associations between blood concentrations of Pb, Cd, Hg, and their mixture and infertility and long-term amenorrhea in women aged 20–49 years using the US National Health and Nutrition Examination Survey (NHANES) 2013–2018 cross-sectional survey. Methods A total of 1,990 women were included for the analysis of infertility and 1,919 women for long-term amenorrhea. The methods of log-transformation and use of quartiles were used to analyze blood heavy metal concentrations. Statistical differences in the covariates between the outcome groups were evaluated using a chi-squared test for categorical variables and a t-test for continuous variables. Multiple logistic regression models were used to examine the associations. Results The blood concentrations of Pb and heavy metal mixtures were significantly higher in ever-infertile women than pregnant women, but the concentrations of Cd and Hg were comparable. After full adjustment, multiple logistic regression analyses revealed a significant and dose-dependent positive association between blood Pb concentrations and women’s historical infertility, a negative association between Cd and women’s long-term amenorrhea, and no associations between Hg and heavy metal mixture and women’s infertility or long-term amenorrhea. Conclusions Our study suggests that exposure to heavy metals exhibit differential associations with history of infertility and amenorrhea, and Pb may adversely impact women’s reproduction and heighten the risks of infertility and long-term amenorrhea.

In response to increasing threats from sea-level rise and storm surge, the City of Charleston, South Carolina, and the US Army Corps of Engineers (USACE) propose constructing a seawall around the Charleston peninsula. The proposed seawall will terminate close to lower wealth, predominantly minority communities. These communities are identified as environmental justice (EJ) communities due to their history of inequitable burdens of industrial and urban pollution and proximity to highways and US Environmental Protection Agency (EPA) designated Superfund sites. The present study documents community concerns and opinions related to the proposed seawall, existing flooding problems, and other issues. The project was guided by knowledge co-production and participant-observation approaches and included interviews with community members, collection of locality-specific data, GIS mapping to visualize key issues, development of an ArcGIS Story Map, and participation in public meetings. Community concerns are reported in the voices of community members and fell into eight major themes: community connections, drainage, impacts of road infrastructure, displacement, increasing vulnerability, sense of exclusion and isolation, mistrust of government, and civic engagement. Community members were significantly engaged in the study and are the owners of the results. As one of the first US East Coast cities pursuing major structural adaptation for flooding, Charleston is likely to become a model for other cities considering waterfront protection measures. We demonstrate the importance of meaningful engagement to ensure that climate adaptation will benefit all, including marginalized communities, and have as few unintended negative consequences as possible. Bringing more people to the table and creating vibrant, long-term partnerships between academic institutions and community-based organizations that include robust links to governmental organizations should be among the first steps in building inclusive, equitable, and climate resilient cities.

Over the past two decades, scientific research on the connections between the health and resilience of marine ecosystems, and human health, well-being, and community prosperity has expanded and evolved into a distinct "metadiscipline" known as Oceans and Human Health (OHH), recognized by the scientific community as well as policy makers. OHH goals are diverse, and seek to improve public health outcomes, promote sustainable use of aquatic systems and resources, and strengthen community resilience. OHH research has historically included some level of community outreach and partner involvement; however, the increasing disruption of aquatic environments and urgency of public health impacts calls for a more systematic approach to effectively identify and engage with community partners to achieve project goals and outcomes. Herein, we present a strategic framework developed collaboratively by community engagement personnel from the four recently established U.S. Centers for Oceans and Human Health (COHH). This framework supports researchers in defining levels of community engagement and in aligning partners, purpose, activities, and approaches intentionally in their community engagement efforts. Specifically, we describe: (1) a framework for a range of outreach and engagement approaches; (2) the need for identifying partners, purpose, activities, and approaches; and (3) the importance of making intentional alignment among them. Misalignment across these dimensions may lead to wasting time or resources, eroding public trust, or failing to achieve intended outcomes. We illustrate the framework with examples from current COHH case studies, and conclude with future directions for strategic community engagement in OHH and other environmental health contexts.

A strong association between exposure to the common harmful algal bloom toxin microcystin and the altered host gut microbiome has been shown. We tested the hypothesis that prior exposure to the cyanotoxin microcystin-LR may alter the host resistome. We show that the mice exposed to microcystin-LR had an altered microbiome signature that harbored antibiotic resistance genes. Host resistome genotypes such as mefA, msrD, mel, ant6, and tet40 increased in diversity and relative abundance following microcystin-LR exposure. Interestingly, the increased abundance of these genes was traced to resistance to common antibiotics such as tetracycline, macrolides, glycopeptide, and aminoglycosides, crucial for modern-day treatment of several diseases. Increased abundance of these genes was positively associated with increased expression of PD1, a T-cell homeostasis marker, and pleiotropic inflammatory cytokine IL-6 with a concomitant negative association with immunosurveillance markers IL-7 and TLR2. Microcystin-LR exposure also caused decreased TLR2, TLR4, and REG3G expressions, increased immunosenescence, and higher systemic levels of IL-6 in both wild-type and humanized mice. In conclusion, the results show a first-ever characterization of the host resistome following microcystin-LR exposure and its connection to host immune status and antimicrobial resistance that can be crucial to understand treatment options with antibiotics in microcystin-exposed subjects in clinical settings.

In the United States (U.S.), state agencies in charge of mariculture regulation are mandated under the U.S. Food and Drug Administration’s (FDA) National Shellfish Sanitation Program (NSSP) to monitor fecal indicator bacteria (FIB) concentrations, commonly of fecal coliforms, to determine the safety of coastal waters for supporting harvestable shellfish for human consumption. Many states have monitored bacteriological water quality for decades, creating impressive long-term records with the potential to advance foundational understanding of coastal systems and contribute to other complementary monitoring efforts. However, state shellfish sanitation programs differ in how they collect, manage, and share bacteriological monitoring data, resulting in their data typically being available in disparate state-level repositories with non-standardized database structures. Here, we outline three key recommendations as to how shellfish sanitation programs could implement practices to make their data more Findable, Accessible, Interoperable, and Reusable (FAIR), in turn creating new opportunities for the full potential of the data to be realized. We also offer sample materials of a standardized database, ShellBase, to provide an example of how diverse shellfish sanitation data may be integrated with a common data structure.

Schools are well-positioned to provide physical activity opportunities to help youth achieve the recommended 60 or more daily minutes of moderate-to-vigorous physical activity. The Children’s Physical Activity Research Group (CPARG) at the University of South Carolina has focused on understanding physical activity in school-aged youth for 30+ years. The purpose of this article was to critically review (CPARG) contributions to the field in school settings and school-age youth. We reviewed 127 published CPARG articles from six research projects conducted between 1993–2019. The review was guided by questions in five categories: measurement of physical activity and its determinants, characteristics of physical activity behavior, correlates/determinants of physical activity, physical activity interventions, and race/ethnicity and physical activity. Results were summarized by question and synthesized across categories. CPARG contributions included assessing physical activity levels, patterns, forms, and contexts; identifying and measuring physical activity correlates/determinants; and conducting school-based physical activity interventions. Identifying multiple domains of physical activity determinants enables researchers and practitioners to select/design age-appropriate, valid, and reliable instruments to assess determinants. Focusing on determinants enables them to create effective physical activity interventions, environments, programs, and policies in schools. These efforts must address race/ethnicity differences, ensuring that measurement instruments and intervention strategies are culturally appropriate.

Effective research translation and science communication are necessary for successful implementation of water resources management initiatives. This entails active involvement of stakeholders through collaborative partnerships and knowledge-sharing practices. To follow up a recent study with the National Institute of Environmental Health Sciences (NIEHS)–funded Center for Oceans and Human Health and Climate Change Interactions (OHHC2I) project investigators, the center’s Community Engagement Core (CEC) documented center partners’ science communication practices and needs to inform a collaborative training and improve investigator-partner bidirectional communication. Thirteen (13) individuals participated in 10 semi-structured qualitative interviews focused on their research translation needs, science communication and dissemination tactics, and interactions and experiences with scientists. Based on our findings, we recommend a collaborative, scientist-stakeholder training to include plain language development, dissemination tactics, communication evaluation, stakeholder and intended audience engagement, and strategies for effective transdisciplinary partnerships. This work contributes to the knowledge and understanding of stakeholder engagement practices specifically focused on science communication that can enhance relationship-building between academia and partners involved in environmental health–focused initiatives in the context of South Carolina but applicable elsewhere.