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Community Health and Preventive Medicine

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2024

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Full-Text Articles in Medicine and Health Sciences

Mixed-Methods Assessment Of Farmworkers’ Perceptions Of Workplace Compliance With Worker Protection Standards And Implications For Risk Perceptions And Protective Behaviors, Carly Hyland, Lisa Meierotto, Rebecca L. Som Castellano, Cynthia L. Curl Jul 2024

Mixed-Methods Assessment Of Farmworkers’ Perceptions Of Workplace Compliance With Worker Protection Standards And Implications For Risk Perceptions And Protective Behaviors, Carly Hyland, Lisa Meierotto, Rebecca L. Som Castellano, Cynthia L. Curl

Public Health and Population Science Faculty Publications and Presentations

Introduction: The Environmental Protection Agency (EPA)’s Worker Protection Standards is the primary set of legislation aimed at protecting farmworkers from occupational pesticide exposure in the United States. Previous studies suggest that worker adoption of Pesticide Protective Behaviors (PPBs) promoted by WPS is associated with lower urinary pesticide concentrations. However, adoption of PPBs is often outside of the control of individual farmworkers and dependent on workplace factors such as employer provisioning of Personal Protective Equipment (PPE) and access to trainings/resources.

Methods: We conducted a mixed-method study including urinary pesticide biomonitoring, surveys, and interviews with 62 Latinx farmworkers in southwestern Idaho from …


Identifying Overdose Risk Factors For People Hospitalized With Injection Drug Use-Associated Infections In Maine, Melanie Mait, Kim Murray, Tania D. Strout, Kinna Thakarar Jun 2024

Identifying Overdose Risk Factors For People Hospitalized With Injection Drug Use-Associated Infections In Maine, Melanie Mait, Kim Murray, Tania D. Strout, Kinna Thakarar

Journal of Maine Medical Center

Introduction: The overdose crisis continues to be a significant problem, particularly in rural states such as Maine. The objectives of this study were to: 1) describe demographic and health characteristics and 2) identify overdose risk factors among people in Maine hospitalized with injection drug use (IDU)-associated infections.

Methods: We performed descriptive analysis of demographics, health characteristics, and injection practices, stratified by lifetime history of overdose. We conducted an exploratory logistic regression analysis, controlling for gender, homelessness, having experienced an emergency department (ED) visit in the past 3-months, and endorsement of injecting alone in the past 30 days to examine …


Strategies To Recruit, Retain, And Disseminate Findings To Older Adults In Health Research: A Literature Review, Sydney Giancola, Russell Estreicher, Merna Mina Jun 2024

Strategies To Recruit, Retain, And Disseminate Findings To Older Adults In Health Research: A Literature Review, Sydney Giancola, Russell Estreicher, Merna Mina

Bridges: An Undergraduate Journal of Contemporary Connections

This paper outlines various strategies to recruit, retain and disseminate information to older adults in health research. There is a limited scope on the best ways to engage with older adults, maintain their interest over time, and share their results post-data collection. This literature review aims to fill this gap and discuss various methods to increase the engagement of the older adult population in health research.


Covid-19 Vaccine Confidence, Concerns, And Uptake In Children Aged 5 And Older In Calgary, Alberta: A Longitudinal Cohort Study, Emily J Doucette, Leah Ricketson, Tarannum Tarannum, Isabella Alatorre, Joslyn Gray, Cora Constantinescu, Susan Kuhn, Jessica K E Dunn, James D Kellner Jun 2024

Covid-19 Vaccine Confidence, Concerns, And Uptake In Children Aged 5 And Older In Calgary, Alberta: A Longitudinal Cohort Study, Emily J Doucette, Leah Ricketson, Tarannum Tarannum, Isabella Alatorre, Joslyn Gray, Cora Constantinescu, Susan Kuhn, Jessica K E Dunn, James D Kellner

Journal Articles

OBJECTIVES: Beginning early in the pandemic, there was a worldwide effort to develop effective vaccines against the SARS-CoV-2 virus. Before and after the approval and implementation of vaccines, there were concerns about their need as well as their safety and rapid development. We explored child demographic characteristics and parental concerns to identify factors associated with the decision to vaccinate.

METHODS: A cohort of 1035 children from Calgary was assembled in 2020 to participate in 5 visits every 6 months for survey completion and blood sampling for SARS-CoV-2 antibodies. Visits 1 to 2 occurred before approval of vaccines for children; Visits …


Strengthening U.S. Jail Systems’ Response To Infectious Diseases: An Evaluation Of The Covid-19 Pandemic, Erinn Bacchus Jun 2024

Strengthening U.S. Jail Systems’ Response To Infectious Diseases: An Evaluation Of The Covid-19 Pandemic, Erinn Bacchus

Dissertations and Theses

Jails across the United States were struck with increased infections and deaths during the COVID-19 pandemic. Studies have shown the structural make up of jails, lack of preparedness plans, and overcrowding contributed to health risks and poor health outcomes both inside jails and local communities. Yet little research has been dedicated to strengthening jail responses to infectious disease outbreaks spanning prevention measures, data collection, and reentry planning. Gaps include information on the (1) myriad infectious disease mitigation strategies used in jails and adherence to CDC prevention guidelines, (2) development of a standardized epidemiologic surveillance system, and (3) experiences working at …


Colistin And Antimicrobial Resistance Among Gram-Negative Bacteria Isolated From Poultry In West Bank, Palestine, Mohammad Qadi, Rasha Khayyat, Safaa Alhato, Abdelraouf A. Elmanama, Ashraf R. Zayed, Muna M. Abbas, Maysa Daqqa, Faizeh Hussein, Ahmed Mousa Jun 2024

Colistin And Antimicrobial Resistance Among Gram-Negative Bacteria Isolated From Poultry In West Bank, Palestine, Mohammad Qadi, Rasha Khayyat, Safaa Alhato, Abdelraouf A. Elmanama, Ashraf R. Zayed, Muna M. Abbas, Maysa Daqqa, Faizeh Hussein, Ahmed Mousa

Palestinian Medical and Pharmaceutical Journal

Background: The escalating incidence of antimicrobial resistance in Gram-negative bacteria has elicited worldwide apprehension owing to its profound ramifications, such as the emergence of infections that cannot be effectively treated and may result in mortality. The poultry industry is of significant concern due to its substantial utilization of antimicrobials, including those regarded as last-resort therapies for complex multi-drug resistant Gram-negative infections. Methods: A comprehensive collection of ninety cloacal swabs was undertaken from a diverse range of thirty poultry farms located within the Nablus governorate during the period spanning from March to June in the year 2019. The swabs, specifically collected …


Impact Of An Adaptive Worksite Diabetes Prevention Trial On Health Action Process Approach Outcomes Regarding Dietary Intake And Physical Activity, Danielle E. King, Carla K. Miller, Haikady N. Nagaraja, Kentaro Fujita, Jennifer S. Cheavens May 2024

Impact Of An Adaptive Worksite Diabetes Prevention Trial On Health Action Process Approach Outcomes Regarding Dietary Intake And Physical Activity, Danielle E. King, Carla K. Miller, Haikady N. Nagaraja, Kentaro Fujita, Jennifer S. Cheavens

Health Behavior Research

Weight loss, through a reduction in energy intake and increase in energy expenditure, can reduce diabetes risk in people with prediabetes. However, lifestyle change can be challenging even with positive intentions. The Health Action Process Approach (HAPA) theoretical framework bridges the intention-behavior gap by targeting planning behaviors and strengthening efficacious beliefs for behavioral change. In the current trial, an adaptive design was employed to examine differences in HAPA measures (i.e., planning and self-efficacy) regarding the target behaviors of dietary intake and physical activity (PA). Adults ≥ 21 years old with overweight or obesity and prediabetes (n = 185) received the …


Latinas In The United States Facing Healthcare Access Challenges In A Mid-Size Urban Community, Nathan M. Lee, Deborah Kessler May 2024

Latinas In The United States Facing Healthcare Access Challenges In A Mid-Size Urban Community, Nathan M. Lee, Deborah Kessler

Journal of Global Awareness

This study examines the discrepancies and underlying factors in access to healthcare resources regarding breast and cervical cancer for Latinas in a mid-sized urban midwestern community. A survey was conducted at clinics hosted by a local non-profit organization, and forty participants completed surveys for this study (n=40). Bivariate correlation analysis in SPSS determined that significant positive correlations were found between the subjects’ knowledge of the signs and symptoms of cervical cancer and their knowledge of the recommended frequency of receiving pap smears (p


Addressing Farm Safety: Farm Safety Dinner Theaters In The Shenandoah Valley, Tammy Kiser, Michelle Seekford, Jeremy Daubert May 2024

Addressing Farm Safety: Farm Safety Dinner Theaters In The Shenandoah Valley, Tammy Kiser, Michelle Seekford, Jeremy Daubert

Virginia Journal of Public Health

Statistics demonstrate that farm safety and wellness issues affect all ages in the agricultural community. However, an increased proportion of youth and older farm workers comprise the highest rates of farm-related morbidity and mortality. Engaging farmers in increasing safe practices in the agricultural community is an important, ongoing challenge.

Methodology

Farm Safety Dinner Theaters, an initiative created through community-based participatory research (CBPR) at the University of Kentucky, provide a relaxed environment where farmers and their families can identify safety and wellness issues, watch as the actors process these issues, and enjoy a meal. Seeing the situations played out in theater …


Using College Students As Peer Leaders In A Tobacco Prevention Program And The Effect On Student Participant Smoking Beliefs And Social Influence Leadership, Elizabeth A. Kleitz, Namuna Sunar, Greenlee Rigby May 2024

Using College Students As Peer Leaders In A Tobacco Prevention Program And The Effect On Student Participant Smoking Beliefs And Social Influence Leadership, Elizabeth A. Kleitz, Namuna Sunar, Greenlee Rigby

Undergraduate Research Journal for the Human Sciences

This study evaluates the effectiveness of using college students as peer leaders in an after-school tobacco prevention program for upper elementary students. Thirty-three students and three counselors participated in a six-week intervention, focusing on social influence and active-learning strategies. The program aimed to improve students' smoking outcome expectancies and their ability to influence peers against tobacco use. Despite following best practices, the study found no significant changes in students' smoking beliefs or observed leadership abilities. These results suggest that while initial anti-tobacco beliefs remained strong, the short duration and structured setting may have limited opportunities for significant behavioral changes. This …


Adolescent Mothers In South Africa: Examining Their Stigmatization And Violence, Tahiyya Khan, Allison Groves Dr, Ana Martinez-Donate Dr May 2024

Adolescent Mothers In South Africa: Examining Their Stigmatization And Violence, Tahiyya Khan, Allison Groves Dr, Ana Martinez-Donate Dr

St. Chris Research Day

No abstract provided.


Provider Use And Comfortability With Standardized Mental Health Screeners At The Center For The Urban Child, Elisa Vengalil, Yehudit Yuhjtman, Riley Weidle Babich, Shelby Shajimon, Jordan S. Wilson, Prayag Shah, Renee Moore, Noah Buboltz May 2024

Provider Use And Comfortability With Standardized Mental Health Screeners At The Center For The Urban Child, Elisa Vengalil, Yehudit Yuhjtman, Riley Weidle Babich, Shelby Shajimon, Jordan S. Wilson, Prayag Shah, Renee Moore, Noah Buboltz

St. Chris Research Day

No abstract provided.


Multilevel Factors Affecting Food Choices Among Families With Low Incomes During The Covid-19 Crisis, Tyler Munn, Maggie Beverly, Taylor Young, Matt Janetti, Kelly A. Courts, Eliza W. Kinsey, Amy Carroll-Scott, Félice Lê-Scherban May 2024

Multilevel Factors Affecting Food Choices Among Families With Low Incomes During The Covid-19 Crisis, Tyler Munn, Maggie Beverly, Taylor Young, Matt Janetti, Kelly A. Courts, Eliza W. Kinsey, Amy Carroll-Scott, Félice Lê-Scherban

St. Chris Research Day

No abstract provided.


Frequencies And Types Of Unmet Needs Of Families With Children And Youth With Special Health Care Needs Undergoing A Preparedness Intervention, Braden Bubarth, Jennifer Griffin, Zekarias Berhane, Renee Turchi May 2024

Frequencies And Types Of Unmet Needs Of Families With Children And Youth With Special Health Care Needs Undergoing A Preparedness Intervention, Braden Bubarth, Jennifer Griffin, Zekarias Berhane, Renee Turchi

St. Chris Research Day

No abstract provided.


“Heat Mapping” Of Pediatric And Adolescent Gun Violence In An Urban Center: Is Targeted Intervention One Possible Solution?, Emerson Rowe, Abbey Glover, Martin J. Herman May 2024

“Heat Mapping” Of Pediatric And Adolescent Gun Violence In An Urban Center: Is Targeted Intervention One Possible Solution?, Emerson Rowe, Abbey Glover, Martin J. Herman

St. Chris Research Day

No abstract provided.


Addressing Fire Safety As Part Of A Home Preparedness Intervention For Families With Children And Youth With Special Health Care Needs, Manya Mittal, Jennifer Griffin, Zekarias Berhane, Renee Turchi May 2024

Addressing Fire Safety As Part Of A Home Preparedness Intervention For Families With Children And Youth With Special Health Care Needs, Manya Mittal, Jennifer Griffin, Zekarias Berhane, Renee Turchi

St. Chris Research Day

No abstract provided.


Understanding Vaccine Hesitancy: An Analysis Of Caregiver Influences On Pediatric Covid-19 Vaccination Decisions, Neiki Rokni, Shu Zhao Md, Matthew Nguyen, David Liu, Harrison Jordan Do, Jory Parson, Sidharth Sahni Do, Tanner Walsh Md, Ashley Henderson Md, Jennifer Higgins Md May 2024

Understanding Vaccine Hesitancy: An Analysis Of Caregiver Influences On Pediatric Covid-19 Vaccination Decisions, Neiki Rokni, Shu Zhao Md, Matthew Nguyen, David Liu, Harrison Jordan Do, Jory Parson, Sidharth Sahni Do, Tanner Walsh Md, Ashley Henderson Md, Jennifer Higgins Md

St. Chris Research Day

No abstract provided.


Associations Of Adverse Child Experiences And Positive Childhood Experiences With Self-Reported Sleep Disturbances In The West Philadelphia Promise Neighborhood, Fahamida Khanam Mph, Matthew Jannetti Ms, Erikka Gilliam Ms Mph, Amy Carroll-Scott Phd,Mph, Félice Lê-Scherban Phd, Mph May 2024

Associations Of Adverse Child Experiences And Positive Childhood Experiences With Self-Reported Sleep Disturbances In The West Philadelphia Promise Neighborhood, Fahamida Khanam Mph, Matthew Jannetti Ms, Erikka Gilliam Ms Mph, Amy Carroll-Scott Phd,Mph, Félice Lê-Scherban Phd, Mph

St. Chris Research Day

No abstract provided.


Let's Talk About Sex & Prep: District 2 Does!, Chrissa M. Shaffer May 2024

Let's Talk About Sex & Prep: District 2 Does!, Chrissa M. Shaffer

Georgia Public Health Association Annual Meeting and Conference

Defining what a PrEP Service Program entails and how it could benefit your district or county health center. Discussing methods that have been used to set up PrEP Services within a district – including training, resources, and promotion. Identifying the challenges and working through them. Reviewing the results of the PrEP Services over the past year, and the ongoing goals to encourage and increase our PrEP Services.


Automate Isolation Infection-Prevention Precautions (Aid-Ip): Improving The Efficiency Of Hospital Isolation With Viral Respiratory Infections, Timothy Burchard, Michael Platt, La'sonya Buford May 2024

Automate Isolation Infection-Prevention Precautions (Aid-Ip): Improving The Efficiency Of Hospital Isolation With Viral Respiratory Infections, Timothy Burchard, Michael Platt, La'sonya Buford

Research Days

The AID-IP project is a QI study working to improve the process of isolation and de-isolation regarding respiratory viruses at Children's Mercy Hospital. Specifically, we aim to improve adherence to proper isolation precautions, minimize cognitive workload regarding the maintenance of isolation for staff, and improve family satisfaction with isolation practice.


Spatial Associations Of Lung Cancer Rates And Socioeconomic, Health, And Environmental Factors In Georgia, Nguyet Le, Jun Tu May 2024

Spatial Associations Of Lung Cancer Rates And Socioeconomic, Health, And Environmental Factors In Georgia, Nguyet Le, Jun Tu

Symposium of Student Scholars

According to CDC, Lung and Bronchus Cancer ranks the highest by the rate of cancer deaths among different types of cancers in the United States with the rate of 31.8 per 100 thousand people, and also for Georgia with the rate of 33.4 per 100 thousand people. Thus, to reduce the death rate of lung cancer, it is quite important and urgent to understand its risk factors. Smoking and inhaling radon are among the top risk factors of lung cancer for individuals. The socioeconomic, health, and environmental characteristics of communities might be also related to the likelihood of getting …


An Observational, Retrospective, Study To Assess Sehetna Wellness Program Impact On Employees’ Well-Being And Health, Wafaa Saeed, Lina Shaker, Laila Ghanem, Mohamed El Aziz, Omer Mostafa, Rabab Youssef May 2024

An Observational, Retrospective, Study To Assess Sehetna Wellness Program Impact On Employees’ Well-Being And Health, Wafaa Saeed, Lina Shaker, Laila Ghanem, Mohamed El Aziz, Omer Mostafa, Rabab Youssef

BAU Journal - Health and Wellbeing

Wellness is an ongoing process that leads to realizing one's full potential, with studies showing reduced inpatient admissions, healthcare costs, and improved health-related quality of life through participation in large-scale wellness programs. SEHETNA program is a wellness initiative conducted with the Egyptian Group for Import and Export (EGMED) to enhance employees’ well-being. This study aimed to assess the SEHETNA wellness program impact on the general health of employees. This is a retrospective descriptive observational study including employees enrolled in wellness program for up to 12-months in 2021. Data were entered and analyzed using SPSS. Descriptive analysis was done, categorical variables …


Knowledge And Attitude Of Lebanese Adults Towards Asthma In Beirut, Lebanon, Farah Hatem Haidar, Doaa Issa, Maha Aboul Ela, Karim Raafat May 2024

Knowledge And Attitude Of Lebanese Adults Towards Asthma In Beirut, Lebanon, Farah Hatem Haidar, Doaa Issa, Maha Aboul Ela, Karim Raafat

BAU Journal - Health and Wellbeing

Asthma, a serious global health problem, has been an area of interest due to its increasing prevalence, expanding treatment costs, and rising burden on patients and the community. Since asthma cannot be cured, clinical episodes can be prevented and controlled by adequate management and sufficient knowledge of the disease. Appropriate treatment may relieve asthma symptoms and improve quality of life. However, poor knowledge of asthma disease and medication use, misdiagnoses, misuse of inhalers and inadequate self-management of disease symptoms may have a greater impact on the disease process. Therefore, assessment of the population’s knowledge and attitude toward asthma is essential. …


Pour Une Diffusion Éthique Des Connaissances De La Médecine Traditionnelle: L’Intersection De La Culture Yoruba Et Des Besoins Médicaux, Isabel Sala May 2024

Pour Une Diffusion Éthique Des Connaissances De La Médecine Traditionnelle: L’Intersection De La Culture Yoruba Et Des Besoins Médicaux, Isabel Sala

CISLA Senior Integrative Projects

No abstract provided.


Extension-Clinical Approach To Covid-19 Testing And Vaccination, Camden Bryan, Rhonda Matthews, Kapri Kreps, David Thornal, Danielle Mcfall, David Sudduth, Michelle Parisi May 2024

Extension-Clinical Approach To Covid-19 Testing And Vaccination, Camden Bryan, Rhonda Matthews, Kapri Kreps, David Thornal, Danielle Mcfall, David Sudduth, Michelle Parisi

The Journal of Extension

Vaccination rates against COVID-19 are lower in rural areas across the country, including SC. This paper highlights the work conducted by Clemson Cooperative Extension Service in SC to increase rural access to COVID-19 testing and vaccine services. Extension Agents engaged in clinical and community partnerships to coordinate COVID-19 vaccine and testing clinics in rural and underserved communities. Agents established 204 test clinics and 220 vaccination clinics. The total number of people tested and vaccinated was 9,331 and 2,037, respectively. The success of this project shows Extension agents can be instrumental in bridging the gap between clinical resources and rural communities.


Beyond The Surface: Understanding The “Blurred Lines” Of Sexual Dynamics And Consent In Trinity College's Hookup Scene, Zoe Kon May 2024

Beyond The Surface: Understanding The “Blurred Lines” Of Sexual Dynamics And Consent In Trinity College's Hookup Scene, Zoe Kon

Senior Theses and Projects

This thesis explores the complex interplay of sexual behaviors, consent, and campus culture at Trinity College through qualitative ethnographic research. Delving into the nuances of hookup culture, a prevalent social phenomenon, the research examines how it often blurs the boundaries between consensual and non-consensual sexual interactions. Thirty in-depth interviews with Trinity College students reveal the intricate dynamics of consent communication and understanding within this context. The findings highlight significant gaps in students' communication about boundaries and consent, driven by the pressures of social capital and the normalization of alcohol-fueled encounters. The theme of blurred lines emerges as a central issue, …


Physical Activity In Underserved Preadolescents: Characterization Of Accumulation And Patterns, Alma I. Behar, Matthew T. Mahar, Gregory Norman, John P. Elder, Michael Pratt, Patricia Dionicio, Noe C. Crespo May 2024

Physical Activity In Underserved Preadolescents: Characterization Of Accumulation And Patterns, Alma I. Behar, Matthew T. Mahar, Gregory Norman, John P. Elder, Michael Pratt, Patricia Dionicio, Noe C. Crespo

International Journal of Physical Activity and Health

Objectives: The increasing rates of physical inactivity and sedentary behaviors among youth are a significant public health concern. The greatest disparities in physical activity (PA) are experienced by underserved (racial/ethnic minority, low-income) youth. This study aimed to characterize accelerometer-measured PA behaviors in a sample of low-income, predominantly Latino, preadolescents. Methods: Participants wore wrist worn GENEActiv accelerometers for 7 days. PA levels were classified as sedentary (< 50 mg), light (50-150 mg), moderate (> 150-500 mg), vigorous (> 500 mg), and MVPA (≥ 150 mg). Time spent in PA levels and sedentary time (ST), prevalence of meeting MVPA guidelines, and PA volume were estimated from accelerometer data. Three-way …


A Multi-Modal Intervention To Decrease Hpv Vaccine Hesitancy And Increase Uptake In Young Adult Women, Rylee Cartales May 2024

A Multi-Modal Intervention To Decrease Hpv Vaccine Hesitancy And Increase Uptake In Young Adult Women, Rylee Cartales

Evidence-Based Practice Project Reports

Human Papillomavirus (HPV) is the leading cause of cervical cancer worldwide and the most common sexually transmitted disease, yet hesitancy towards the HPV vaccine remains high and uptake of the HPV vaccine remains remarkably low (CDC, 2021b). The purpose of this evidence-based practice (EBP) project was to determine if the implementation of a multimodal intervention including a motivational interview, strong provider recommendation, and educational materials will decrease HPV vaccine hesitancy and consequentially increase uptake of the vaccine. Eleven young adult women ages 18-26 from a rural outpatient Obstetrics and Gynecology (OBGYN) clinic in Indiana participated in this project. After agreeing …


The Impact Of Stress During Adolescence And The Prevalence Of Pediatric Obesity, Olatunbosun Olakunri, Venkat Venkataraman May 2024

The Impact Of Stress During Adolescence And The Prevalence Of Pediatric Obesity, Olatunbosun Olakunri, Venkat Venkataraman

Rowan-Virtua Research Day

Obesity is a chronic condition that can be attributed to myriad factors including socioeconomic status, biological risk factors, and various environmental factors. These factors can be considered stress factors, and exposure to various levels of stress can impact the development of stress within the pediatric patients. The purpose of this study is to assess the association between the environmental, mental, social, physical, and psychological stress adolescents are exposed to and how they contribute to the prevalence of pediatric obesity throughout the United States. Understanding these risk factors can help us as a community and most importantly as clinicians develop better …


Unveiling The Impact: Structural Racism And Childhood Lead Exposure's Health Consequences In Philadelphia, Mahhum Naqvi, Mahrukh Naqvi, Justin Stout, Colton Spencer May 2024

Unveiling The Impact: Structural Racism And Childhood Lead Exposure's Health Consequences In Philadelphia, Mahhum Naqvi, Mahrukh Naqvi, Justin Stout, Colton Spencer

Rowan-Virtua Research Day

Childhood lead exposure poses a significant risk to health and well-being, adversely affecting brain function, nervous system development, and behavioral patterns. This study examines the health disparities and inequities associated with childhood lead exposure in Philadelphia, focusing on structural racism and residential segregation as crucial lenses for analysis. By delving into the sociocultural context of lead exposure, this study underscores the imperative of collaborative efforts among stakeholders to safeguard Philadelphia's most vulnerable populations. Healthcare professionals and policymakers play pivotal roles in enhancing funding and prevention strategies. Addressing this issue through the prism of structural racism allows for the identification and …