Injury Prevention under the Healthy Homes Program

Two multi-dimensional instruments have been developed for use in healthy homes program: (a) household hazard index (HHI) which gives an aggregate measure of environmental risk in a housing unit, and (b) neighborhood hazard index (NHI) which pertains to neighborhood risk factors. Both tools have excellent psychometric properties and are good predictors of asthma risk and household disease burden (Nriagu et al., 2011; 2012). While deploying these tools in our healthy homes program in Saginaw, Michigan, we have come to realize that injuries are a major contributor to disease burden in the participating households. There are currently few reliable instruments able to translate hazards into home environmental risks and hence can be used to provide the much needed insight on household hazard-injury relationships. This pilot project is aimed at filling this critical need.