This dissertation explored the multifaceted issue of radon exposure and its connection to lung cancer, focusing on knowledge gaps and proposing mitigation strategies. Despite extensive research, inconsistencies persist in understanding the health impacts, public awareness, and effective mitigation of radon, particularly in regions like Tennessee that are disproportionately burdened by high radon levels. This work addresses this gap by integrating findings from three distinct studies: a scoping review, a cross-sectional survey, and a policy analysis. The review examined national literature about residential radon exposure, revealing variations in exposure levels and conflicting evidence regarding the risk of lung cancer. The cross-sectional study investigated radon Environmental Health Literacy (EHL) and testing behavior among Health Council participants in Northeast Tennessee, which uncovered disparities and associated risk factors. Finally, the policy analysis examined existing radon regulations across federal, state, and local levels, focusing on Tennessee, and proposed strategies for improvement, including standardized licensing for radon professionals. The combined findings of this study highlight the need for interdisciplinary collaboration to address radon challenges effectively in Tennessee. The review underlines the variability in exposure-risk associations, while the survey emphasizes the importance of tailored educational interventions to improve awareness and ameliorate testing rates. The policy analysis advocates for standardized certification to ensure reliable radon services in Tennessee. Overall, this dissertation offers valuable insights into radon's impact on public health and proposes strategies for mitigation through improved regulations, increased awareness initiatives, and targeted interventions, which all depends on collaborative efforts between stakeholders.

Understanding the short-and long-term impacts of a biomonitoring and exposure project and reporting personal results back to study participants is critical for guiding future efforts, especially in the context of environmental justice. The purpose of this study was to evaluate learning outcomes from environmental communication efforts and whether environmental health literacy goals were met in an environmental justice community. We conducted 14 interviews with parents who had participated in the University of Arizona's Metals Exposure Study in Homes and analyzed their responses using NVivo, a qualitative data management and analysis program. Key findings were that participants used the data to cope with their challenging circumstances, the majority of participants described changing their families' household behaviors, and participants reported specific interventions to reduce family exposures. The strength of this study is that it provides insight into what people learn and gain from such results communication efforts, what participants want to know, and what type of additional information participants need to advance their environmental health literacy. This information can help improve future report back efforts and advance environmental health and justice.