This qualitative research project examines how air pollution impacts respiratory health in Chelsea, MA, a city with some of the highest rates of pediatric asthma and respiratory-related hospitalizations. It explores how factors like poor housing conditions, proximity to highways, and occupational exposures contribute to respiratory illness, particularly among low-income and immigrant communities.

The project was carried out in collaboration with La Colaborativa, a trusted community organization leading the Healthy Homes Initiative, which works to improve housing conditions and monitor indoor air quality. Engaging the Chelsea community, the research involved conducting seven semi-structured interviews in either Spanish or English with residents experiencing asthma, COPD, or other respiratory diseases to explore their lived experiences, barriers to healthcare, and awareness of environmental risks. Braun and Clarke’s reflexive thematic analysis was used to analyze data through the software NVIVO. 

Key findings highlight the persistent challenges participants face, including unsafe housing conditions, exposure to environmental hazards, limited access to timely primary care, and systemic barriers exacerbated by socioeconomic and immigration-related factors. Participants emphasized the importance of physician trust and advocacy and community resources in managing their health and advocating for safer living conditions. 

This study provides insights that will support health policy advocacy and empower the Chelsea residents with the necessary knowledge and tools to advocate for healthier homes and communities. It also highlights the value of centering the voices of immigrant and low-income communities to inform public health strategies and policies, helping clinicians, policymakers, and organizations like La Colaborativa in developing responsive, equitable approaches to improve respiratory health outcomes.

Keywords: Respiratory Health, Environmental Justice, Immigration, Air Pollution, Housing.