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El Trabajo no te Debe Danar: Reduction of Hazardous Exposures in Small Businesses through a Community Health Worker Intervention

Award Number: R01ES028250
ORGANIZATION: NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY This administrative supplement application is in response to NOT-ES-20-020, which calls for proposals assessing the impact of Coronavirus 2019 (COVID-19) on environmental exposures. Our parent project aims to reduce negative health outcomes in small businesses that primarily employ high-risk Latinx workers by characterizing their exposures to hazardous chemicals and assessing if a community health worker (CHW) intervention can decrease these exposures. Workers in small businesses may have increased risk of COVID- 19 exposure and severe economic impacts due to social distancing and shelter-in-place guidelines. In addition, small businesses may be unable to obtain needed personal protective equipment and may significantly increase their cleaning practices, and thus their chemical exposures. Small businesses are more likely to employ low-wage Latinx workers, and use hazardous solvents, including volatile organic chemicals (VOCs), that can cause asthma and cardiovascular disease which are risk factors for COVID-19 complications. Yet their workers lack access to culturally and linguistically appropriate occupational health information, including for COVID-19. Due to social distancing and shelter-in-place guidelines, we currently cannot measure chemical exposures or conduct face-to-face CHW interventions. The primary goal of our supplement application is to enhance our relationships with our small business partners by responding to their immediate needs during the COVID-19 pandemic and helping them through the crisis, while promoting worker safety through a novel tele- promotora program. CHWs are an innovative method to bridge the gap between small businesses and other stakeholders. The proposed project will capitalize on the strong, established partnership between the University of Arizona, the Sonora Environmental Research Institute, Inc., and the El Rio Community Health Center. A community-engaged research framework will be used to complete the following specific aims: 1) develop a novel “tele-promotora” program to deliver occupational health information to these vulnerable small business owners while face-to-face interactions are not possible; 2) determine how the COVID-19 pandemic has changed VOC exposures in two high-risk industries: auto repair shops and beauty salons; and 3) assess competing risk perceptions regarding COVID-19, economic impacts, and hazards of VOC exposures. These proposed aims directly relate to our previous aims, regarding: 1) assessing workplace exposures and risk perceptions in these two industries and 2) developing a CHW-intervention. It is essential that we gather information on COVID-19 impacts and update our CHW intervention in order to be sensitive to these concerns during the cluster-based trial (Aim 3, parent). Completing this supplement will preserve and/or increase the intervention’s impact by helping marginalized, Latinx workers and small business owners who may have limited education, literacy, and computer skills to understand the risks of COVID-19 and chemical hazards associated with their work, while empowering them to have greater control over their occupational exposures.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $620,421 )
2023	2023	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	000	5	12/9/2022	NON-COMPETING CONTINUATION	$620,421
2023	2023	UNIVERSITY OF ARIZONA	845 N PARK AVE RM 538	TUCSON	AZ	85721	PIMA	USA	Environmental Health	001	5	9/27/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $620,421

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	001	4	2/18/2022	NON-COMPETING CONTINUATION	$0
2022	2021	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	000	4	12/9/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $591,146 )
2021	2021	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	000	4	11/24/2020	NON-COMPETING CONTINUATION	$591,146
														Subtotal = $591,146

Issue Date FY: 2020 ( Subtotal = $961,645 )
2020	2020	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	000	3	11/21/2019	NON-COMPETING CONTINUATION	$584,737
2020	2020	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	001	3	9/16/2020	SUPPLEMENT FOR EXPANSION	$376,908
														Subtotal = $961,645

Issue Date FY: 2019 ( Subtotal = $585,863 )
2019	2019	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	000	2	12/1/2018	NON-COMPETING CONTINUATION	$585,863
														Subtotal = $585,863

Issue Date FY: 2018 ( Subtotal = $600,354 )
2018	2018	UNIVERSITY OF ARIZONA	888 N EUCLID AVE RM 510	TUCSON	AZ	85719	PIMA	USA	Environmental Health	000	1	11/28/2017	NEW	$600,354
														Subtotal = $600,354

Grand Total All Awards = $3,359,429

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El Trabajo no te Debe Danar: Reduction of Hazardous Exposures in Small Businesses through a Community Health Worker Intervention

Award Number: R01ES028250

ORGANIZATION: NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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