Outdoor air pollution is associated with an increased risk of morbidity and mortality from lower respiratory infections, chronic respiratory diseases, cardiovascular and circulatory diseases, and cancer. 1 Lim SS Vos T Flaxman AD et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013; 380: 2224-2260 Abstract Full Text Full Text PDF Scopus (8401) Google Scholar Roughly 130 million Americans live where air pollution does not meet healthy air quality standards, with air pollution disproportionately affecting those who have low incomes and are ethnic minorities, women, and children. 2 US Department of Health and Human Services Environmental Health. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=12 Google Scholar Outdoor air pollution is one of the top 20 leading risk factors associated with loss of healthy life-years in North America. 1 Lim SS Vos T Flaxman AD et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013; 380: 2224-2260 Abstract Full Text Full Text PDF Scopus (8401) Google Scholar Globally, outdoor air pollution ranks ninth in risk factors associated with loss of healthy life-years. 1 Lim SS Vos T Flaxman AD et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2013; 380: 2224-2260 Abstract Full Text Full Text PDF Scopus (8401) Google Scholar Jessica Castner Member, Western New York Chapter, is Assistant Professor, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY. Sarah Gittere is Graduate Nurse, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY. Jin Young Seo is PhD Candidate, School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY.