Digital Commons Network^™

Breathing Inequity: A Mixed Method Analysis Of Rubbertown's Air Quality Problem, Mikayla Pitmon

Undergraduate Theses

Louisville Metro Government has a multitude of quantitative data on demographics, health, and air quality in Rubbertown fenceline communities. This study explores how community-level research allows us to have a more robust understanding of the impact of environmental injustice. Spatial data was utilized to map various health variables, zoning, and community spaces relative to Rubbertown chemical facilities. A semi-structured interview was then conducted with a local environmental justice activist to gain a better understanding of their experience and the barriers to environmental justice for the residents of West Louisville. This study improves our understanding of community needs and adds a …

Public Health Impacts And Intra-Urban Forced Displacement Due To Climate Gentrification In The Greater Miami Area—Community Lawyering For Environmental Justice And Equitable Development, Theresa Pinto, Abigail Fleming, Sabrina Payoute, Elissa Klein

University of Miami Law Review

Because Miami-Dade County is “ground zero” for such climate effects as sea-level rise and increasingly hazardous, climate-driven Atlantic hurricanes, the coral rock ridge that runs along the Eastern coast of South Florida is a prime target for redevelopment and “climate” gentrification. Through a community and movement lawyering for environmental justice approach, we partnered with local community organizations to contribute to the ongoing work of community-driven equitable development. In partnership, we developed an environmental public health study to understand and document the public health effects on disadvantaged communities in Miami-Dade County from forced intra-urban displacement due to redevelopment that is being …

Cost Prohibitive Bonds As Denial Of Justice: Grassroots And Community Organizations’ Due Process Rights, Elizabeth Royal, Aletta Brady

Mitchell Hamline Law Journal of Public Policy and Practice

No abstract provided.

Machine Learning As A Tool For Early Detection: A Focus On Late-Stage Colorectal Cancer Across Socioeconomic Spectrums, Hadiza Galadima, Rexford Anson-Dwamena, Ashley Johnson, Ghalib Bello, Georges Adunlin, James Blando

Community & Environmental Health Faculty Publications

Purpose: To assess the efficacy of various machine learning (ML) algorithms in predicting late-stage colorectal cancer (CRC) diagnoses against the backdrop of socio-economic and regional healthcare disparities. Methods: An innovative theoretical framework was developed to integrate individual- and census tract-level social determinants of health (SDOH) with sociodemographic factors. A comparative analysis of the ML models was conducted using key performance metrics such as AUC-ROC to evaluate their predictive accuracy. Spatio-temporal analysis was used to identify disparities in late-stage CRC diagnosis probabilities. Results: Gradient boosting emerged as the superior model, with the top predictors for late-stage CRC diagnosis being anatomic site, …

The Intersection Of Herbicide Policy, Exposure, And Health At The University Of Connecticut, Katherine Hayward

Honors Scholar Theses

Pesticides play an extremely complicated role in our everyday lives. From the water you use to make your coffee, to the breastmilk your neighbor provides for their child, to the lake your dog swims in, chemical pesticides or their byproducts have been found in nearly every corner of our lives. The chemicals used in synthetic herbicides, a subcategory of pesticides, have far reaching negative impacts on human health, biodiversity, and water quality. Despite there being numerous published studies on the relationships between pesticide exposures and health, there is still ongoing discord and controversy surrounding their role in our lives. After …

The Compound Risk Of Heat And Covid-19 In New York City: Riskscapes, Physical And Social Factors, And Interventions, Janelle Knox-Hayes, Juan Camilo Osorio, Natasha Stamler, Maria Dombrov, Rose Winer, Mary Hannah Smith, Reginald Blake, Cynthia Rosenzweig

Publications and Research

Climate change is disrupting the fundamental conditions of human life and exacerbating existing inequity by placing further burdens on communities that are already vulnerable. Risk exposure varies by where people live and work. In this article, we examine the spatial overlap of the compound risks of COVID-19 and extreme heat in New York City. We assess the relationship between socio-demographic and natural, built and social environmental characteristics, and the spatial correspondence of COVID-19 daily case rates across three pandemic waves. We use these data to create a compound risk index combining heat, COVID-19, density and social vulnerability. Our findings demonstrate …

Concepts In Climate Change & Public Health Preparedness Ipep 305/Ipep 505, Heidi H. Rogers, Alexis Ellsworth-Kopkowski, Mary Pat Couig, Megan Tucker

InterProfessional Education Faculty Resources

No abstract provided.

Wildfire Smoke Exposure In California: Public Health Impacts And Mitigation Strategies, Jiaxi Hou

Master's Projects and Capstones

Climate change projections show that wildfires are becoming more severe and frequent over the next few decades. In California, as a leader in environmental protection and resilience planning, there are still concerns about the impacts of wildfire. Several places such as Napa Valley, Los Angeles forests, and Yosemite National Park have been exposed to long-lasting wildfire damage. Wildfire smoke contains toxic pollutants such as particulate matter 2.5 (PM_2.5) that can cause negative health impacts on the public. It has been proved that these public health impacts are cumulative, and wildfire PM_2.5 can exacerbate pre-existing conditions. Therefore, there …

Evaluating Equitable Access To Nutrition In Utah, Emma Stucki

Theses and Dissertations

One of the more recent topics in transportation policy making and project prioritization in DOT's across the United States is how to improve quality of life. This quality of life focus is an intersection of public health and transportation and has many different branches including traffic safety, pollution, active transportation, equity, and accessibility to resources. The topic among these that seems to receive the least attention is equitable access to resources. However, with the proven impact that equitable access to resources has on physical and emotional well-being, as well as economic opportunity it is important to ensure that all populations, …

Law In The Service Of Misinformation: How Anti-Vaccine Groups Use The Law To Help Spin A False Narrative, Dorit R. Reiss, Viridiana Ordonez

Northwestern Journal of Law & Social Policy

Social movements use legal tools to create narratives. Those narratives support social agendas which certain movements leverage to mislead their followers and potential followers. In this Article, we examine one influential anti-vaccine organization, the Informed Consent Action Network (ICAN), that uses its far-reaching platform to create false narratives around legal action. Again and again, this anti-vaccine group misrepresented both the legal and the factual meanings of court decisions, settlements, and other legal actions to create a narrative to galvanize its followers and influence newcomers. ICAN filed lawsuits that make anti-vaccine arguments—even when the legal framework did not fit doing so—and …

Engaging Public Health Critical Race Praxis In Local Social Determinants Of Health Research: The Youth Health Equity And Action Research Training Program In Portland, Or—Yheartpdx, Ryan J. Petteway, Lourdes Gonzalez

OHSU-PSU School of Public Health Faculty Publications and Presentations

The social determinants of health (SDH) have long been considered a core mechanism through which racial health inequities are (re)produced and incubated in the U.S. Moreover, scholars have expressly—and appropriately—named structural racism as a precursor to inequities associated with SDH. However, while research on racial health inequities—SDH-related or otherwise—continues to grow, communities of color remain grossly underrepresented as public health researchers and practitioners. Additionally, although SDH are experienced in a very local sense, much research and practice fails to more deeply and thoroughly engage and center local community knowledges. Thus, much work around SDH and racial health inequities presents, ironically, …

Food Justice: An Empirical Analysis Of Food Landscapes And Population Health In A Large U.S. City, Ernest Baskin, Stephen J. Porth

Journal of Management for Global Sustainability

This study examines the challenge of “food justice” by investigating the relationships between food landscapes and the health and wellbeing of local communities in a large urban setting. We identify and discuss the implications of these relationships for advancing the U.N. Sustainable Development Goals of ending hunger, improving health and wellness for all, and promoting sustainable agriculture. Empirical results show that controlling for several health-related variables, rates of obesity in a community coincide with the incidence of food outlets with no or low produce available. That is, urban neighborhoods with higher numbers of stores selling mostly unhealthy food options and …

A Public Health Ethics Approach To Substance Use Disorder, Adele Flaherty

Electronic Theses and Dissertations

The goal of the dissertation is to undertake an analysis of substance use disorders that focuses on a public health ethics perspective. The ethical argument focuses upon justifying the use of harm reduction and is primarily concerned with the current opioid crisis. While substance abuse/misuse over the course of history has been identified as a public health concern, this dissertation presents substance use disorders over the course of the lifespan, examining various contexts in which it can affect daily living and health outcomes. It achieves this by analyzing substance use disorders through the lens of the socioecological model of public …

The Nexus Of Climate Change, Covid-19, And Environmental Justice On Children's Health, Emma Pennea, Laura Anderko, Caroline Moore, Ruth Mcdermott-Levy

Journal of Applied Research on Children: Informing Policy for Children at Risk

Climate change poses a threat to children, who are increasingly vulnerable, depending on adults to protect them from the impacts of these changes including extreme weather events, poor air and water quality and risk to mental health. Children living in poverty carry additional burdens and risks, living in environments that consistently experience poor air and water quality from polluting industries, compounded by the effects of climate change. COVID-19 has placed additional challenges to children’s health and increases the complexity of addressing climate change and environmental justice. The intersection between climate change and COVID-19 exacerbates these existing disparities by impacting children's …

At What Cost: Modern Capitalism And The Future Of Health (Preface), Nicholas Freudenberg

Publications and Research

Freedom of choice lies at the heart of American society. Every day, individuals decide what to eat, which doctors to see, who to connect with online, and where to educate their children. Yet, many Americans don't realize that these choices are illusory at best. By the start of the 21st century, every major industrial sector in the global economy was controlled by no more than five transnational corporations, and in about a third of these sectors, a single company accounted for more than 40 percent of global sales. The available options in food, healthcare, education, transportation, and even online presence …

An Interdisciplinary Approach To Community-Engaged Research Surrounding Lead In Drinking Water In The Mississippi Delta, Kristine L. Willett, Stephanie E. Showalter, Catherine M. Janasie, Josephine P. Rhymes, Kennedy Dickson, John J. Green

Journal of Rural Social Sciences

Childhood lead poisoning is a problem requiring interdisciplinary attention from toxicology, public health, social sciences, environmental law, and policy. In the U.S., Mississippi was ranked as one of the worst states for lead poisoning with limited childhood screening measures. We conducted community-engaged research by working with leaders in the largely rural Mississippi Delta region from 2016-2019 to collect household water samples and questionnaires and involve their communities in lead poisoning risk awareness and outreach. Drinking water from 213 homes was collected and analyzed for pH and lead concentrations. Highest lead concentrations were from households served by private wells, and detectable …

Applying Social Science To Bring Resident Stakeholders Into Pollution Governance: A Rural Environmental Justice Public Health Case Study, Sherrie M. Steiner, Jordan M. Marshall, Atefeh Mohammadpour, Aaron W. Thompson

Department of Horticulture & Landscape Architecture Faculty Publications

The purpose of this engaged public sociology study was to use social science to bring resident stakeholders into the process of governing pollution production in a rural community. The community has cancer clusters. Residents have concerns about direct exposure to pollution production in their neighborhood by a steel recycling plant that has been cited numerous times for environmental violations. The facility has been under voluntary remediation since 2009, but neighborhood residents were marginalized from the governance process. This case study details how social science was used to bring neighborhood residents’ concerns about direct exposure to toxic air pollution into remediation …

Food Justice As Crime Prevention, Avi Brisman

Journal of Food Law & Policy

In December 2008, Governor David Paterson (D-NY) proposed an 18 percent tax on nondiet sodas and fruit drinks containing less than 70 percent natural fruit juice. While the tax was part of a broader budget proposal designed to address New York State's fiscal crisis - a plan that that included new taxes and tax hikes on 137 items and services' - state officials promoted the "obesity tax," as the soft drink levy came to be called, as a public health measure.

Just Southern Food: Food Justice For The Mississippi Delta, Christian Tabor Owen

Electronic Theses and Dissertations

The primary objective of this research is to promote food justice for the Mississippi Delta by investigating facts about the intersections of extreme poverty, food insecurity, and chronic illness in the Mississippi Delta. By exploring relevant literature and highlighting current initiatives, this work looks at the semantics of food justice and related terms, discusses challenges unique to the Mississippi Delta, and broadly characterizes public health models with the greatest potential for food justice advancement in this region. Pivotal to interpreting food justice not only for the Mississippi Delta or the Global South, but for any community, is a clear understanding …

What Regulators Can Learn From Global Health Governance, Cary Coglianese

All Faculty Scholarship

The Great Pandemic of 2020 shows how much public health around the world depends on effective global and domestic governance. Yet for too long, global health governance and domestic regulatory governance have remained largely separate fields of scholarship and practice. In her book, Global Health Justice and Governance, Jennifer Prah Ruger offers scholars and practitioners of regulatory governance an excellent opportunity to see how domestic regulation shares many of the same problems, strategies, and challenges as global health governance. These commonalities reinforce how much national and subnational regulators can learn from global health governance. Drawing on insights from Prah …

The “Green Patent Paradox” And Fair Use: The Intellectual Property Solution To Fight Climate Change, Samuel Cayton

Seattle Journal of Technology, Environmental & Innovation Law

As the climate crisis consistently worsens, the United States’ response to the crisis has proven inconsistent. Even with the United States likely to recommit to the Paris Climate Agreement, political tensions will likely further delay a climate response. The polarized characterization of the Green New Deal, the inaction of scientifically misguided conservatives, and the incessant proposal for middle ground approaches lacking the urgency needed to change course all contribute to this delay. While swift action from the federal government is needed, looking to the private sector to transition to sustainability is equally important. Specifically, patent protection is a strong intellectual …

Making The Case For A Right To A Healthy Environment For The Protection Of Vulnerable Communities: A Case Of Coal-Ash Disaster In Puerto Rico, Sarah Dávila-Ruhaak

Michigan Journal of Environmental & Administrative Law

The connection between the environment and human rights is not a surprising one. The enjoyment of human rights depends on a person’s ability to live free from interference and to have his or her rights protected. The interdependence of human rights and the protection of the environment is manifested in the full and effective enjoyment of the right to a healthy environment. This article argues that in order to protect vulnerable persons and communities facing environmental harm, a human rights framework—specifically the right to a healthy environment—must be applied. A human rights approach complements environmental justice work, recognizing that individuals …

Producing The Qualified: Resource Allocation For Lead Abatement In San Antonio, Benjamin C. Gonzalez

Sociology and Anthropology Honors Theses

Although the use of lead-based paint in residential buildings was banned in 1978, many aging buildings still contain hazardous lead content. Government systems have begun treating this environmental hazard as an issue of public health, organizing intervention according to measurable health indicators such as the blood lead level (BLL). As a result, public health norms organize and dictate who receives state assistance in removing lead from their home, constructing a specific demographic of “qualified” recipients of aid. Using qualitative interviews with residents and city officials, this thesis will analyze a local lead abatement program in San Antonio, Texas in order …

Governmentality, Biopower, And Sexual Citizenship: A Feminist Examination Of Sexual And Reproductive Healthcare Experiences Of 18-24 Year-Olds In The U.S. Southeast, Melina K. Taylor

USF Tampa Graduate Theses and Dissertations

Sexual and reproductive healthcare in the U.S. is a contentious and often stigmatized topic. Conservative politics and Christian religious ideology guide laws and policies that inform narratives of sexual citizenship that promote white, heterosexual, procreative, cis-gendered relationships as the ideal. For young people, exposure to sexuality education greatly influences their self-identity as sexual citizens and guides how they form intimate relationships. While sexual and reproductive healthcare has been included marginally in the discipline of anthropology, almost no research has focused on young people’s sexual and reproductive healthcare within the U.S.

This dissertation examines the viewpoints and experiences of 18-24 year-old …

Against The ‘Safety Net’, Matthew Lawrence

Matthew B. Lawrence

Disparity In Risk Factor Severity For Early Childhood Blood Lead Among Predominantly African-American Black Children: The 1999 To 2010 Us Nhanes, Deniz Yeter, Ellen Banks, Michael Aschner

Articles & Book Chapters

There is no safe detectable level of lead (Pb) in the blood of young children. In the United States, predominantly African-American Black children are exposed to more Pb and present with the highest mean blood lead levels (BLLs). However, racial disparity has not been fully examined within risk factors for early childhood Pb exposure. Therefore, we conducted secondary analysis of blood Pb determinations for 2841 US children at ages 1–5 years with citizenship examined by the cross-sectional 1999 to 2010 National Health and Nutrition Examination Survey (NHANES). The primary measures were racial disparities for continuous BLLs or an elevated BLL …

Traffic And Our Health, Atteh Akoto

Scholarship in Medicine - All Papers

Objective: The intent of this study is to find a correlation between long commute times, physical health, and mental health. Methods: Data was collected from a publicly available dataset on countyhealthrecords.org. Results: Increased percentage of lone drivers with long commutes and obese adults, positive correlation between long commuters and access to exercise opportunities, and negative correlation between long commuters and poor mental health days.

Linking Energy Efficiency And Public Health: A Case Study Of Illinois, Azat Turegeldin

Dissertations, Master's Theses and Master's Reports

A growing body of research has established the connection between emissions from fossil fuels and severe impacts on human health, such as asthma attacks in children and adults and chronic cardiovascular problems. This work evaluates in monetary terms the implementation of two energy-saving scenarios. Illinois, as a state with high coal electricity generating content, has been chosen as a case study to quantify the impacts brought up by air pollution on public health. The potential benefits of improved air quality and health are the considered results of implemented energy efficiency technologies. This report is a culmination of a summer internship …

After The Storm: How Environmental Racism Impacted The United States' Response To Hurricane Maria, Hadley Ankrum

Student Theses 2015-Present

In September of 2017, disaster struck the territory of Puerto Rico when Hurricane Maria made landfall on the island. Although the storm itself caused tremendous damage to both the residents and the environment of Puerto Rico, the inadequate responses of both the United States federal government and local Puerto Rican politicians greatly exacerbated this devastation. This paper examines the efforts of the American government to ameliorate the issues created by the storm through the lens of environmental racism. The introduction will explore the events of the hurricane in order to give the reader context. Chapter 1 draws from the Millennium …

How Urban Land Use Contributes To Inequitable Health Outcomes: An Interdisciplinary Review & Analysis, Bliss Storm Croton

University Honors Theses

Using existing literature as a basis for initial review, this paper seeks to explore the relationship between urban land use and socioeconomic status as both pertain to the prevalence of psychological health diagnoses among neighborhood residents. The purpose of this analysis is to investigate the combined literature from multiple areas of research in order to gain a more holistic, up-to-date scope of knowledge regarding how discriminatory neighborhood land use may result in poorer psychological health outcomes for urban populations. By utilizing an interdisciplinary approach, some of the locally relevant, long-term impacts of uneven development and environmental injustice are examined based …