Digital Commons Network^™

Neighborhood-Level Variation In The Effectiveness Of And Participation In An Intensive Health Behavior And Lifestyle Treatment Program For Pediatric Obesity, Grace Wang

Yale Medicine Thesis Digital Library

Bright Bodies (BB) is a family-based intensive health behavior and lifestyle treatment (IHBLT) for pediatric obesity, with demonstrated efficacy and real-world effectiveness. Our study involved two aims: 1) to assess the extent to which real-world effectiveness varied by participants’ neighborhood characteristics, and 2) to evaluate the impact of the COVID-19-associated transition of BB to virtual delivery on participant engagement, particularly for those disadvantaged by inequities in social determinants of health. To achieve Aim 1, we included first-time BB participants 2008-2018 who had an initial BMI ≥85th percentile and available addresses. Addresses were geocoded using ArcGIS Pro and assigned a Child …

Residential Proximity To Manufacturing Facilities And Risk Of Thyroid Cancer, Nathan Kloczko

Public Health Theses

In the past two decades, thyroid cancer incidence has increased at a rate faster than any other malignancy. Environmental contamination has been a suspected risk factor in this trend. One potential source of environmental exposures is pollution from industrial manufacturing facilities. We investigated whether proximity to industrial facilities was associated with an increased risk of thyroid cancer in an exploratory analysis within an existing population-based case-control study in Connecticut using a novel data resource.

Complete residential histories of 408 thyroid cancer cases and 470 controls were collected and geocoded. Manufacturing facility addresses were gathered from a novel source of publicly …