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What are the optimal strategies to communicate the risk of poor air quality exposure to vulnerable groups?

Lookup NU author(s): Dr Clare TolleyORCiD, Dr Sarah WilsonORCiD, Dr Nehal HassanORCiD, Bob SlightORCiD, Professor Sarah Slight

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Copyright © 2026 Tolley, de Nazelle, Wilson, Hassan, Slight and Slight.Background – Ambient air pollution is a critical global health concern. Individuals living with preexisting health conditions in urban and/or deprived areas and ethnic minorities groups are at particular risk. The WHO Global Air Quality Guidelines have highlighted the importance of effectively communicating the risk of poor air quality exposure to vulnerable groups so they can take actions to protect themselves. This study explored the optimal strategies to communicate this risk to vulnerable groups. Methods – In-depth, semi-structured interviews and focus groups with participants (n = 50) across a diverse range of vulnerable demographic groups living in North East England, to explore their perspectives around poor air quality and how to communicate this information. Findings – We developed a theory- and evidence-based framework for communicating the health impacts of poor air quality. We identified key components of a communication strategy focussing on the need for: tailored information on risks and harms, a range of inclusive and actionable recommendations, and considerations around the source (healthcare-provider, peers) and channel of communication (SMS, community-based). Interpretation – This study provides novel insights from vulnerable demographic groups supporting the need for air quality information to be accessible, understandable and tailored. Communicating via trusted sources, e.g., healthcare professionals and/or community-based peer networks is important. Further research should explore the impact of interventions on behaviour change, particularly across vulnerable groups.


Publication metadata

Author(s): Tolley CL, de Nazelle A, Wilson S, Hassan N, Slight RD, Slight SP

Publication type: Article

Publication status: Published

Journal: Frontiers in Public Health

Year: 2026

Volume: 14

Online publication date: 18/05/2026

Acceptance date: 29/05/2026

Date deposited: 27/07/2026

ISSN (electronic): 2296-2565

Publisher: Frontiers Media SA

URL: https://doi.org/10.3389/fpubh.2026.1763393

DOI: 10.3389/fpubh.2026.1763393

Data Access Statement: The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding author/s


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Funding

Funder referenceFunder name
NIHR (NIHR205190)

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