Appalachian Kentuckians in Martin and Letcher Counties are grappling with a health-threatening drinking water crisis arising from exposures to disinfection by-products (DBPs). DBPs include trihalomethanes (THMs), haloacetic acids (HAAs), chlorate, and other compounds that have been associated with a variety of adverse health effects, including increased risk of bladder cancer and cardiovascular birth defects. This study implements a multi-stakeholder, multi-method approach to improve understanding of, characterize spatial and temporal variations in, and reduce exposure to DBPs in these Appalachian Kentucky counties.
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Change in Environmental Health Literacy (EHL) - Knowledge
Timeframe: Baseline, 5-years
Change in Environmental Health Literacy (EHL) - Attitudes/Behaviors
Timeframe: Baseline, 5-years
Change in participant network density
Timeframe: Baseline, 5-years
Change in participant centrality
Timeframe: Baseline, 5-years
Change in participant reciprocity
Timeframe: Baseline, 5-years