Journal article
Understanding environmental health issues to inform community engagement in the central Midwest
Discover public health, Vol.23(1), 21
01/08/2026
DOI: 10.1186/s12982-025-01323-w
Abstract
Context
This report shares the results of a novel environmental health needs assessment designed by the Environmental Health Sciences Research Center in collaboration with our community partners for the four-state region of Iowa (IA), Nebraska (NE), Missouri (MO), and Kansas (KS).
Objective
The goal of the needs assessment was to understand considerations about health and the environment among people living in the central Midwest states of Iowa, Nebraska, Kansas and Missouri, including their concerns, what they see as solutions, and what and how populations are vulnerable. These findings will inform future community engagement by the Environmental Health Sciences Research Center at the University of Iowa to improve environmental health.
Design
The assessment used a mixed-methods approach which included an online survey that collected quantitative and qualitative data and three focus groups with young adults, older rural adults, and immigrant and communities of color in eastern Iowa.
Setting
University of Iowa Environmental Health Sciences Research Center in collaboration with our community partners for the four-state region of Iowa, Nebraska, Kansas, and Missouri and focus groups in eastern Iowa.
Participants
Over 400 participants from four states.
Main outcome measure(s)
Describing residents’ perceptions of the connections between environment and health in the 4-state area and identifying notable differences between rural, urban, and suburban populations.
Result
Top issues of concern were water quality, outdoor air quality, climate change, chemical contaminants, and natural disasters. Respondents identified better policies, access to medical services, and financial resources as key components of reducing personal risk to environmental health issues. The focus group sessions highlighted concerns about housing, social capital, and the need for trusted sources of information.
Conclusions
These data suggest a holistic approach to environmental health topics, interest in policy interventions in rural communities, and potential for engagement with clinicians.
Details
- Title: Subtitle
- Understanding environmental health issues to inform community engagement in the central Midwest
- Creators
- Madeline A. McCabe - University of IowaJacqueline Curnick - University of IowaTabitha Kuehn - University of IowaAlithea Zorn - University of IowaBrandi Janssen - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Discover public health, Vol.23(1), 21
- DOI
- 10.1186/s12982-025-01323-w
- ISSN
- 3005-0774
- eISSN
- 3005-0774
- Publisher
- BioMed Central
- Grant note
- P30 ES005605 / National Institutes of Health (https://doi.org/10.13039/100000002)
- Language
- English
- Date published
- 01/08/2026
- Academic Unit
- Public Health Administration; Occupational and Environmental Health; Epidemiology; Injury Prevention Research Center
- Record Identifier
- 9985116064302771
Metrics
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