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Residential Proximity, Duration, and Health-Related Quality of Life: Insights from the Fernald Cohort

Author

Listed:
  • Sara Burcham

    (Department of Environmental and Public Health Sciences, Division of Epidemiology, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA)

  • Wei-Wen Hsu

    (Department of Environmental and Public Health Sciences, Division of Biostatistics and Bioinformatics, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA)

  • Sharon L. Larson

    (Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, PA 19107, USA)

  • Jack Rubinstein

    (Department of Internal Medicine, Division of Cardiovascular Health and Disease, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA)

  • Susan M. Pinney

    (Department of Environmental and Public Health Sciences, Division of Epidemiology, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA)

Abstract

The impact of living near environmental contamination on the health-related quality of life (HRQoL) is not well understood. This study examined the impacts of the residential proximity (RP) and time spent near a former Department of Energy uranium processing facility (located in Fernald, Ohio) on the surrounding community’s HRQoL outcomes. A cross-sectional analysis was conducted using the data collected from participants using the Short Form-36 survey at the time of the enrollment in the Fernald Medical Monitoring Program ( n = 7957). Mental and physical component summary scores (MCS and PCS, respectively) were computed for each participant. The scores were compared among the cohort participants, stratified by the RP to the facility and to the U.S. general population. Multivariable linear regression analyses were performed to identify associations between the RP from the facility, duration at residence, participant characteristics, and HRQoL. The adults and minors at enrollment (MAEs) living within two miles of the facility reported slightly lower MCS scores compared to those of residents who lived >2 miles from the facility, after controlling for confounding variables (adults: marginal effect (ME): −0.553, p -value: 0.002, MAEs: ME: −1.594, p -value: 0.040). The RP had a significant association with PCS scores among adults but not with the MAEs (adults: ME: −0.456, p -value: 0.010). No significant relationship was observed between the duration at residence and HRQoL. Considering the association between the RP and HRQoL in the Fernald cohort, integrating a health perception screening tool into community healthcare practices would benefit residents near environmentally contaminated sites to capture the variable nature of perceived health over time.

Suggested Citation

  • Sara Burcham & Wei-Wen Hsu & Sharon L. Larson & Jack Rubinstein & Susan M. Pinney, 2025. "Residential Proximity, Duration, and Health-Related Quality of Life: Insights from the Fernald Cohort," IJERPH, MDPI, vol. 22(5), pages 1-24, May.
  • Handle: RePEc:gam:jijerp:v:22:y:2025:i:5:p:738-:d:1650773
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    References listed on IDEAS

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    1. Michael K. Lindell & Timothy C. Earle, 1983. "How Close Is Close Enough: Public Perceptions of the Risks of Industrial Facilities," Risk Analysis, John Wiley & Sons, vol. 3(4), pages 245-253, December.
    2. Brender, J.D. & Maantay, J.A. & Chakraborty, J., 2011. "Residential proximity to environmental hazards and adverse health outcomes," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 37-52.
    3. Sandra Cortés & Soledad Burgos & Héctor Adaros & Boris Lucero & Lesliam Quirós-Alcalá, 2021. "Environmental Health Risk Perception: Adaptation of a Population-Based Questionnaire from Latin America," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    4. Garett T. Sansom & Courtney Thompson & Lindsay Sansom & Leanne Fawkes & Elizabeth Boerlin, 2022. "Compounding impacts of hazard exposures on mental health in Houston, TX," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 111(3), pages 2809-2818, April.
    5. Mark Atlas, 2002. "Few and Far Between? An Environmental Equity Analysis of the Geographic Distribution of Hazardous Waste Generation," Social Science Quarterly, Southwestern Social Science Association, vol. 83(1), pages 365-378, March.
    6. Jill J. McCluskey & Gordon C. Rausser, 2001. "Estimation of Perceived Risk and Its Effect on Property Values," Land Economics, University of Wisconsin Press, vol. 77(1), pages 42-55.
    7. Chakraborty, J. & Maantay, J.A. & Brender, J.D., 2011. "Disproportionate proximity to environmental health hazards: Methods, models, and measurement," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 27-36.
    8. Phi-Yen Nguyen & Thomas Astell-Burt & Hania Rahimi-Ardabili & Xiaoqi Feng, 2021. "Green Space Quality and Health: A Systematic Review," IJERPH, MDPI, vol. 18(21), pages 1-38, October.
    9. Eberechukwu Onukwugha & Jason Bergtold & Rahul Jain, 2015. "A Primer on Marginal Effects—Part I: Theory and Formulae," PharmacoEconomics, Springer, vol. 33(1), pages 25-30, January.
    10. E. Onukwugha & J. Bergtold & R. Jain, 2015. "A Primer on Marginal Effects—Part II: Health Services Research Applications," PharmacoEconomics, Springer, vol. 33(2), pages 97-103, February.
    11. Michael K. Lindell & Ronald W. Perry, 2012. "The Protective Action Decision Model: Theoretical Modifications and Additional Evidence," Risk Analysis, John Wiley & Sons, vol. 32(4), pages 616-632, April.
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