{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:36:18Z","timestamp":1783020978719,"version":"3.54.6"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>1,4\u2010Dioxane (DX), a synthetic organic chemical solvent prevalent in water systems, has been monitored by the U.S. Environmental Protection Agency (EPA) as a possible carcinogen since 2013. Delegation of risk tolerance levels to states has resulted in varying exposure standards across the U.S., concerning DX\u2010impacted communities. This study employed a community\u2010based participatory research (CBPR) to design a survey that identifies DX\u2010impacted communities' concerns and preferred risk management strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      CBPR survey design drew on descriptions of two DX\u2010impacted communities in Michigan and North Carolina to target key issues and outcomes. An addendum to the survey was designed to gather expert reviewer feedback and face\u2010validate the draft survey using mixed methods. Snowball sampling increased the expert\u2010reviewer sample size (\n                      <jats:italic>N<\/jats:italic>\n                      = 29). Targeted reliability statistics were applied to eight Likert\u2010scale evaluation questions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thematic scoring of responses highlighted requests for tools that may prompt timelier and more effective control of related health risks. Cronbach's alpha coefficient (0.93) showed high internal consistency regarding the respondents\u2019 expression of the validity of the survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Experts supported advancing the survey's criterion testing in one DX\u2010impacted community. This design approach may be used by public health nursing teams to amplify community voices, integrate contextual evidence with epidemiology, strengthen advocacy, and guide multisector collaboration regarding DX\u2010related health risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70106","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:21:28Z","timestamp":1773206488000},"page":"998-1007","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nor Any Drop to Drink: Creating a Community\u2010Based Assessment Tool to Address 1,4\u2010Dioxane Water Contamination"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8950-096X","authenticated-orcid":false,"given":"Heather J.","family":"Lauver","sequence":"first","affiliation":[{"name":"School of Nursing Nebraska Methodist College  Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Kindschuh","sequence":"additional","affiliation":[{"name":"School of Nursing Nebraska Methodist College  Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasilis","family":"Vasiliou","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Sciences, Yale School of Public Health Yale University  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Masi","sequence":"additional","affiliation":[{"name":"Department of Medical Education Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Yale Superfund Research Center Community Engagement Deputy Co\u2010Leader Yale School of Public Health Yale University  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kira","family":"Titova","sequence":"additional","affiliation":[{"name":"Cornell University  Ithaca New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/07370010802605762"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301664"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000318004.85657.fe"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pan3.10293"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780429043239-5"},{"key":"e_1_2_12_7_1","unstructured":"CARD and EGLE.2023. \u201cCoalition for Action on Remediation of Dioxane the Environment Great Lakes and Energy (CARD\/EGLE).\u201d Quarterly meetinghttps:\/\/www.youtube.com\/watch?v=keR8mFp8\u2010Rg."},{"key":"e_1_2_12_8_1","unstructured":"Center for media & social impact at American University.Fair Use Free Speech & Intellectual Property2019. fromhttp:\/\/cmsimpact.org\/program\/fair\u2010use\/."},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2016.10.019"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/env.2016.0008"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1021\/acs.est.1c06996"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16173034"},{"key":"e_1_2_12_13_1","unstructured":"Duvall M. andR.Carra.2023.Beveridge & Diamond PC TSCA in 2023: There's a lot coming.https:\/\/www.bdlaw.com\/publications\/tsca\u2010in\u20102023\u2010theres\u2010a\u2010lot\u2010coming\/."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1289\/EHP11115"},{"key":"e_1_2_12_15_1","unstructured":"Environmental Protection Agency.2009 October 8.Third Unregulated Contaminant Monitoring Rule. Monitoring Unregulated Drinking Water Contaminants.https:\/\/www.govinfo.gov\/content\/pkg\/FR-2009-10-08\/html\/E9-24287.htm."},{"key":"e_1_2_12_16_1","unstructured":"Environmental Protection Agency.2010.Integrated Risk Information System: 1 4\u2010Dioxane.https:\/\/iris.epa.gov\/ChemicalLanding\/&substance_nmbr%3D326."},{"key":"e_1_2_12_17_1","unstructured":"Environmental Protection Agency.2021.Cleaning up Superfund sites.https:\/\/www.epa.gov\/superfund\/cleaning\u2010superfund\u2010sites."},{"key":"e_1_2_12_18_1","unstructured":"Environmental Working Group.2017.Hidden Carcinogen Taints Tap Water Consumer Products Nationwide.https:\/\/www.ewg.org\/research\/hidden\u2010carcinogen\u2010taints\u2010tap\u2010water\u2010consumer\u2010products\u2010nationwide."},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.109-1240615"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2019.06.443"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1409283"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coesh.2022.100405"},{"key":"e_1_2_12_23_1","volume-title":"Environmental Investigation and Remediation: DX and Other Solvent Stabilizers","author":"Mohr T.","year":"2020"},{"key":"e_1_2_12_24_1","volume-title":"A Geospatial Analysis of Demographic Characteristics and Environmental Burdens in Communities near Superfund Sites","author":"Mooney F.","year":"2023"},{"key":"e_1_2_12_25_1","unstructured":"National Association of County and City Health Officials (NACCHO).2023.Environmental health assessments and tools.https:\/\/www.cdc.gov\/nceh\/ehs\/docs\/pace\u2010eh\u2010guidebook.pdf."},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101446.1994.tb00395.x"},{"key":"e_1_2_12_27_1","unstructured":"North Carolina Department of Environmental Quality.2016.Cape Fear River basin DX study.https:\/\/www.deq.nc.gov\/about\/divisions\/water\u2010resources\/water\u2010sciences\/cape\u2010fear\u2010river\u2010basin\u201014\u2010dioxane\u2010study."},{"issue":"5","key":"e_1_2_12_28_1","first-page":"261","article-title":"Environmental Contamination and Health Studies: Conflicts of Interest and Reasons for Community\u2010based Participatory Studies","volume":"58","author":"Nussbaum R. 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