Invited Perspective: Making the Implicit Explicit—Connecting Environmental Health Literacy and Exposure Report-Back

Hoover, Anna Goodman

doi:10.1289/ehp13493

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…We initially began this study in 2018, with the goal of developing user-friendly reports. As we went through this process, we began to appreciate the role of RBRR in building EHL, 36 and expanded our study to incorporate an assessment of EHL. As a results, we relied on self-reported pre-post assessments of knowledge.…”

Section: Discussionmentioning

confidence: 99%

Development and Outcomes of Returning Polycyclic Aromatic Hydrocarbon Exposure Results in the Washington Heights, NYC Community

Riley,

Burke,

Dixon

et al. 2024

Environ�Health�Insights

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Report-back of research results (RBRR) is becoming standard practice for environmental health research studies. RBRR is thought to increase environmental health literacy (EHL), although standardized measurements are limited. For this study, we developed a report back document on exposure to air pollutants, Polycyclic Aromatic Hydrocarbons, during pregnancy through community engaged research and evaluated whether the report increased EHL. We used focus groups and surveys to gather feedback on the report document from an initial group of study participants (Group 1, n = 22) and then sent the revised report to a larger number of participants (Group 2, n = 168). We conducted focus groups among participants in Group 1 and discussed their suggested changes to the report and how those changes could be implemented. Participants in focus groups demonstrated multiple levels of EHL. While participant engagement critically informed report development, a survey comparing feedback from Group 1 (initial report) and Group 2 (revised report) did not show a significant difference in the ease of reading the report or knowledge gained about air pollutants. We acknowledge that our approach was limited by a lack of EHL tools that assess knowledge and behavior change, and a reliance on quantitative methodologies. Future approaches that merge qualitative and quantitative methodologies to evaluate RBRR and methodologies for assessing RBRR materials and subsequent changes in knowledge, attitudes, and behavior, may be necessary.

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Section: Discussionmentioning

confidence: 99%

Development and Outcomes of Returning Polycyclic Aromatic Hydrocarbon Exposure Results in the Washington Heights, NYC Community

Riley,

Burke,

Dixon

et al. 2024

Environ�Health�Insights

View full text Add to dashboard Cite

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Development and validation of the Environmental Health Literacy Index: a new tool to assess the environmental health literacy among university students

Fiore,

Lorini,

Bonaccorsi

et al. 2024

European Journal of Public Health

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Environmental health literacy (EHL) is a rather recent concept that applies health literacy skills to environmental issues. Research in this field is still at the beginning, and there is currently no existing tool in the literature designed to comprehensively assess individual general EHL among university students. The aim of our study is to fill this gap through the validation of the Environmental Health Literacy Index (EHLI) in such a target group. We adapted a previously administered survey, originally completed by 4778 university students from various Italian universities. Starting from the original questionnaire, our methodology involved a three-round item selection process, followed by a comprehensive evaluation of the instrument’s psychometric properties. The EHLI consists of 13 Likert-type items, covering three primary domains of health literacy: functional (six items), interactive (three items), and critical (four items). The Cronbach’s alpha coefficient is 0.808 for the global scale, while it stands at 0.888 for the functional, 0.795 for the critical, and 0.471 for the interactive components. The area under the receiver operating characteristic curve reached a value of 0.643. Spearman correlation analysis revealed a significant yet slight correlation between EHLI and both functional health literacy score and the extent of pro-environmental behaviors adoption. Our study serves as an important initial step in developing a tool able to evaluate the EHL of university-aged individuals. Further research efforts may improve the questionnaire’s validity and completeness, as well as to explore its applicability to different age groups.

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Invited Perspective: Making the Implicit Explicit—Connecting Environmental Health Literacy and Exposure Report-Back

Cited by 2 publications

References 24 publications

Development and Outcomes of Returning Polycyclic Aromatic Hydrocarbon Exposure Results in the Washington Heights, NYC Community

Development and Outcomes of Returning Polycyclic Aromatic Hydrocarbon Exposure Results in the Washington Heights, NYC Community

Development and validation of the Environmental Health Literacy Index: a new tool to assess the environmental health literacy among university students

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