Social and Behavioral Sciences Commons^™

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 …

The Development Of Health System Resiliency: How Kenya's Experience With Malaria Impacted Its Reaction To The Covid-19 Pandemic, Zoe A. Ward

Baker Scholar Projects

Public health scholars have recently focused on health system resiliency to explain how previous experiences dealing with public health crises impact the healthcare sector, public behavior, and policy response to novel crises. However, it is unclear how resiliency develops. This study contributes by testing whether a health system’s experience with a health emergency and significant interventions impacts the response to a novel crisis. This research asks, “How has Kenya’s experience with malaria impacted its response to COVID-19?” Using the United States Agency for International Development (USAID) Malaria Indicator Survey (MIS), I develop a malaria adherence score to measure county-level compliance …

Wastewater-Informed Public Health Intervention Playbook

Sustain Magazine

As the SARS-CoV-2 pandemic quickly spread from country to country and continent to continent in 2020, governments and scientists needed a way to track COVID-19 through populations in order to position public health interventions in the most impactful locations. Having a decision-based risk framework may help to guide policy creation that could minimize or prevent possible outbreaks and surges of infection within communities. The University of Louisville in partnership with Louisville’s Department of Public Health and Wellness tested this strategy in 2021 and 2022. This Wastewater-Informed Public Health Intervention Playbook describes the decisions and actions of that academic and public …

Examining The Impacts Of Flooding On Public Health, Lauren Gibson

Honors Theses

Over the past 10 years, South Carolina has experienced over five major weather events that have led to extreme flooding along the coast. These types of repeated major events have the potential to significantly impact people’s lives and livelihoods. When looking at the issue from a public health perspective, it is known that natural disasters such as flooding can negatively affect community health. However, little research has been done to analyze the impacts on individual health from flooding. This issue inspired a more in-depth research analysis to examine those health impacts from local Horry County residents. This research aims to …

Cultivated Wild: Enhancing Human Health In Cities Through Green Projects Especially During A Pandemic, Glenn Rose

Environmental Studies Senior Seminar Projects

The University of Richmond Eco-corridor, a new renovation project, transformed a wildly overgrown area into one of beauty with several recreational uses. The opening of this project comes at an important time for local outdoor recreation in cities, the COVID-19 pandemic. Previous work has suggested that landscapes are more beautiful when there is minimal human impact, therefore wilderness scenes are more likely to be used for nature walks and observing nature. While other studies suggest that beauty is dependent on how the land may be used, suggesting that “cultivated wild” is preferrable. This paper used an observational study and a …

Who Bears The Burden? Racial Disparities In Confirmed Cases Of Covid-19 In The Greater Boston Area, Leija Helling

Massachusetts GIS Day

Documenting racial disparities in the spread of COVID-19 is crucial to bettering public health. In the Boston area, non-white and Black communities are significantly overrepresented in areas of high confirmed COVID-19 prevalence. Areas where high prevalence is clustered (“hot spots”) have disproportionate shares of non-white and Black residents, and the disparities are statistically significant. These results confirm marked COVID-19 racial disparities in Boston.

Mapping Covid-19: How Web-Based Maps Contribute To The Infodemic, Peter Mooney, Levente Juhasz

GIS Center

A proliferation of web-based maps have appeared depicting many different aspects of the spread of the novel coronavirus (SARS-CoV-2). In this commentary, we consider the usage of web-based mapping during the COVID-19 pandemic and argue that web maps have been widely misused for delivering public information on this fast moving, epidemiologically complex, and geographically unbounded process.

Hospital Bed Capacity In Nevada Counties, Yanneli Llamas, Caitlin Saladino, William E. Brown

Health

This Fact Sheet shows data on hospital bed capacity within Nevada’s 17 counties, as originally published by High Country News on March 19, 2020. The original data source includes maps and charts compiled by Megan Lawson of Headwater Economics. The data include information from the Department of Homeland Security and the Department of Commerce.

There Must Be Something In The Water: Understanding Pfas Contamination Of Groundwater As A National Security Issue, Kylie N. Ford

Student Theses 2015-Present

This report addresses the widespread pollution of domestic groundwater resources with Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS) caused by firefighting activities performed at military installations across the United States. Two former military bases in Southeastern Pennsylvania are used as a single case study: the Naval Air Development Center (NADC) in Warminster and the Naval Air Station Joint Reserve Base (NASJRB) in Horsham. Chapter 1 gives a history of domestic military bases from the perspective of the infrastructure buildup and downsizing that occurred over the 20th Century, along with the environmental degradation revealed during brownfield redevelopment. The chapter then gives specifics about …

An Analysis Of The Economic Barriers To Oral Healthcare Access In Omaha, Nebraska, Elias Witte

Theses/Capstones/Creative Projects

Existing research regarding the analysis of the distribution of oral healthcare practitioners has been conducted across large metropolitan areas within the United States in order to determine the magnitude of healthcare resource deficits. Such research has demonstrated significant deficits in access to oral healthcare predominantly in lower-income urban areas. Consequently, patients in these socioeconomically disadvantaged areas have less access to routine oral care, which impacts their overall health and well-being. While there is an abundance of studies examining this issue in other localities across the country, there is a lack of information regarding the distribution of oral healthcare practitioners in …

Kentucky's Environmental Future, Fall/Winter 2004, Issue 9

Sustain Magazine

No abstract provided.

A Moral Panic Over Cats, William S. Lynn, Francisco J. Santiago-Ávila, Joann Lindenmayer, John Hadidian, Arian D. Wallach, Barbara J. King

John Hadidian, PhD

Some conservationists believe that free-ranging cats pose an enormous risk to biodiversity and public health and therefore should be eliminated from the landscape by any means necessary. They further claim that those who question the science or ethics behind their arguments are science deniers (merchants of doubt) seeking to mislead the public. As much as we share a commitment to conservation of biodiversity and wild nature, we believe these ideas are wrong and fuel an unwarranted moral panic over cats. Those who question the ecological or epidemiological status of cats are not science deniers, and it is a false analogy …

A Moral Panic Over Cats, William S. Lynn, Francisco J. Santiago-Ávila, Joann Lindenmayer, John Hadidian, Arian D. Wallach, Barbara J. King

William S. Lynn, PhD

Some conservationists believe that free-ranging cats pose an enormous risk to biodiversity and public health and therefore should be eliminated from the landscape by any means necessary. They further claim that those who question the science or ethics behind their arguments are science deniers (merchants of doubt) seeking to mislead the public. As much as we share a commitment to conservation of biodiversity and wild nature, we believe these ideas are wrong and fuel an unwarranted moral panic over cats. Those who question the ecological or epidemiological status of cats are not science deniers, and it is a false analogy …

A Moral Panic Over Cats, William S. Lynn, Francisco J. Santiago-Ávila, Joann Lindenmayer, John Hadidian, Arian D. Wallach, Barbara J. King

Stray and Feral Animal Populations Collection

Some conservationists believe that free-ranging cats pose an enormous risk to biodiversity and public health and therefore should be eliminated from the landscape by any means necessary. They further claim that those who question the science or ethics behind their arguments are science deniers (merchants of doubt) seeking to mislead the public. As much as we share a commitment to conservation of biodiversity and wild nature, we believe these ideas are wrong and fuel an unwarranted moral panic over cats. Those who question the ecological or epidemiological status of cats are not science deniers, and it is a false analogy …

Using Digital Scholarship And Citizen Science To Reduce Lead Poisoning Risk In Indiana, Matthew L. Sisk 6317313

Bucknell University Digital Scholarship Conference

Lead exposure remains a prevalent public health issue in many communities. In some cases, the exposure risk comes from contaminated water, but in others it is from the legacy of lead-based paint or contaminated soils. Here, we report on recent work using digital scholarship techniques along side a citizen science model to increase awareness and reduce environmental hazards in the affected city of South Bend, Indiana. Over the past two years, we have worked closely with local community organizations, civic entities and concerned individuals to develop a home test kit that puts the tools to determine risk in the hands …

Spatial Distribution Of Partner-Seeking Men Who Have Sex With Men Using Geosocial Networking Apps: Epidemiologic Study, Angel B. Algarin, Patrick J. Ward, W. Jay Christian, Abby E. Rudolph, Ian W. Holloway, April M. Young

Epidemiology and Environmental Health Faculty Publications

Background: Geosocial networking apps have made sexual partner-seeking easier for men who have sex with men, raising both challenges and opportunities for human immunodeficiency virus and sexually transmitted infection prevention and research. Most studies on men who have sex with men geosocial networking app use have been conducted in large urban areas, despite research indicating similar patterns of online- and app-based sex-seeking among men who have sex with men in rural and midsize cities.

Objective: The goal of our research was to examine the spatial distribution of geosocial networking app usage and characterize areas with increasing numbers of partner-seeking men …

Spatial Epidemiology Of Summer Trauma In Scott County, Ia: Use Of Gis To Identify Trauma Incidence In Urban And Rural Areas, Matthew Koch

Celebration of Learning

Traumatic injury is a blanket term referring to acute physical injuries which pose an immediate threat to life and limb, requiring urgent medical care. Unintentional injuries are the fifth-leading cause of death, and fatal injuries cost the American economy over $84 billion annually in lost work and medical costs. Scott County, IA, is a unique environment for trauma research because it served by a single trauma center and features within its 458 square miles distinct urban and rural populations. Patient data from the trauma registry, including age, race, and mechanism of injury (MOI) was combined with the corresponding spatial data …

Tonga: Chronic Diseases, Muhammad Taimoor

Global Public Health

Tonga is an Archipelago in the south Pacific Ocean, south of Samoa. The public health brief project is on chronic diseases in Tonga. The total population of Tonga was 107,122 in 2010. The Free Wesleyan Church of Tonga is the established religion in Tonga. Tongan’s make up the majority of the population but there are other ethnicities such as Euromericans and Europeans too. The major challenges faced by Tonga are decaying infrastructure, low economy, and political corruption. The widespread of non-communicable diseases such as cancer is a major health issue in Tonga. 74% of all adults in Tonga are the …

Palau: Obesity, Tavia Weis

Global Public Health

Located in the heart of the Western Pacific Ocean is a large group of small islands that make up the country of Palau. Known for its growing tourism, beautiful landscapes, and cultural beliefs. Although the country is developing, the current health issue of obesity is a growing concern. With almost half of the population obese and the other half in jeopardy, the rising concerns of the obesity epidemic have taken global news and brought the attention of major countries to try and fix these rising issues. This public health brief will discuss the problems of obesity in Palau and the …

How Useful Is Gsv As An Environmental Observation Tool? An Analysis Of The Evidence So Far., Katherine Nesse, Leah Airt

SPU Works

Researchers in many disciplines have turned to Google Street View to replace pedestrian- or carbased in-person observation of streetscapes. It is most prevalent within the research literature on the relationship between neighborhood environments and public health but has been used as diverse as disaster recovery, ecology and wildlife habitat, and urban design. Evaluations of the tool have found that the results of GSV-based observation are similar to the results from in-person observation although the similarity depends on the type of characteristic being observed. Larger, permanent and discrete features showed more consistency between the two methods and smaller, transient and judgmental …

Public Health Applications Of Gis: A Spatial Analysis Of Tobacco Sales And Violations For The Worcester Division Of Public Health, Thomas M. Caywood

International Development, Community and Environment (IDCE)

Performed as part of an internship with the Worcester Division of Public Health in the summer of 2016, this spatial analysis examines the proximity of tobacco retailers to the city’s public schools and finds that those in low-income neighborhoods tend to have greater numbers of tobacco sales outlets in the immediate area than do schools in more-affluent neighborhoods. The analysis also finds that the racial composition of student bodies at individual schools is moderately correlated with the number of tobacco points of purchase located near those schools. Because proximity to tobacco sales outlets is known to be a factor in …

Colorectal Cancer Fit Screening In The Hope Vi Population Of Jefferson County, Kentucky., Jeffrey D. Stone

Electronic Theses and Dissertations

Using pre-post survey data collected from 209 randomly selected African American people from the population of former residents of Clarksdale and Sheppard Square public housing areas, this study explores the relationship between individual characteristics and colorectal cancer screening behavior, measured by the uptake of the Fecal Immunochemical Test (FIT) and by prior colorectal screening, while controlling for neighborhood factors and geographic proximity to healthcare facilities. This particular public housing population is of interest because of their relocation from the downtown area, where healthcare facilities are within walking distances, to other public housing units either in large apartment complexes or scattered …

Making The Blue Zones: Neoliberalism And Nudges In Public Health Promotion, Eric Carter

Eric D. Carter

This paper evaluates the ideological and political origins of a place-based and commercial health promotion effort, the Blue Zones Project (BZP), launched in Iowa in 2011. Through critical discourse analysis, I argue that the BZP does reflect a neoliberalization of public health, but as an "actually existing neoliberalism" it emerges from a specific policy context, including dramatic health sector policy changes due to the national Affordable Care Act, also known as Obamacare; a media discourse of health crisis for an aging Midwestern population; and an effort to refashion Iowa cities as sites of healthy and active living, to retain and …

Community-Engaged Public Health Research To Inform Hospital Campus Planning In A Low Socioeconomic Status Urban Neighborhood, Jeri Brittin, Sheila Elijah-Barnwell, Yunwoo Nam, Ozgur Araz, Bethany Friedow, Andrew Jameton, Wayne Drummond, Terry T.-K. Huang

Architecture Program: Faculty Scholarly and Creative Activity

Objective: To compare sociodemographic and motivational factors for healthcare use and identify desirable health-promoting resources among groups in a low socioeconomic status (SES) community in Chicago, IL. Background: Disparities in health services and outcomes are well established in low SES urban neighborhoods in the United States and many factors beyond service availability and quality impact community health. Yet there is no clear process for engaging communities in building resources to improve population-level health in such locales. Methods: A hospital building project led to a partnership of public health researchers, architects, and planners who conducted community-engaged research. We collected resident data …

You Are What You Tweet: Connecting The Geographic Variation In America's Obesity Rate To Twitter Content, Ross J. Gore, Saikou Diallo, Jose Padilla

VMASC Publications

We conduct a detailed investigation of the relationship among the obesity rate of urban areas and expressions of happiness, diet and physical activity on social media. We do so by analyzing a massive, geo-tagged data set comprising over 200 million words generated over the course of 2012 and 2013 on the social network service Twitter. Among many results, we show that areas with lower obesity rates: (1) have happier tweets and frequently discuss (2) food, particularly fruits and vegetables, and (3) physical activities of any intensity. Additionally, we provide evidence that each of these results offer different and unique insight …

Malaria Control In The Tennessee Valley Authority: Health, Ecology, And Metanarratives Of Development, Eric Carter

Eric D. Carter

Starting in the 1930s, the Tennessee Valley Authority (TVA) created a globally influential model of regional development through centralized planning of massive public works to re-engineer social and natural systems in impoverished areas. TVA invested heavily in malaria control, since its own reservoirs created perfect breeding grounds for malaria-carrying anopheles mosquitoes. Eventually, both the TVA and malaria control would become key elements in an influential metanarrative in which an American ideology of 'technological modernism' dominated international development in the post-World War II era, until modern environmentalism and other social movements undermined the assumptions and goals of this ideology. This paper …

A Novel Tool For Assessing And Summarizing The Built Environment, Gretchen L. Kroeger, Lynne C. Messer, Sharon E. Edwards, Marie Lynn Miranda

Community Health Faculty Publications and Presentations

Background: A growing corpus of research focuses on assessing the quality of the local built environment and also examining the relationship between the built environment and health outcomes and indicators in communities. However, there is a lack of research presenting a highly resolved, systematic, and comprehensive spatial approach to assessing the built environment over a large geographic extent. In this paper, we contribute to the built environment literature by describing a tool used to assess the residential built environment at the tax parcel-level, as well as a methodology for summarizing the data into meaningful indices for linkages with health data. …

Controlling Influenza A (H1n1) In China: Bayesian Or Frequentist Approach, Dejian Lai, Chiehwen Ed Hsu

Chiehwen Ed Hsu

In this article we discuss two approaches to controlling the newly identified influenza A (H1N1) via Bayesian and frequentist statistical reasoning. We reviewed the measures implemented in China as an example to illustrate these two approaches. Since May 2009, China has deployed strict controlling mechanisms based on the strong prior Bayesian assumption that the origin of influenza A (H1N1) was from outside China and as such strict border control would keep the virus from entering China. After more than two months of hard work by Chinese health professionals and officials, the number of confirmed influenza A (H1N1) has increased steadily …

Across The Bridge: Using Photovoice To Study Environment And Health In A Romani Community., Krista Harper, The Sajó River Association For Environment And Community Development, Hungary

Anthropology Department Faculty Publication Series

This photo essay is the product of a partnership between Prof. Krista Harper, the Sajó River Association for Environment and Community Development, and community organizer Judit Bari. The project took place in a small city in northeastern Hungary hit hard by factory closings since the collapse of state socialism in 1989. The Roma community, about 20% of the town’s population, has been especially vulnerable. A team of six young people participated as photographers and discussion participants, working closely with Harper and Bari. Other community members joined discussions of the images. The team held a photo exhibition in the neighborhood where …

Across The Bridge: Using Photovoice To Study Environment And Health In A Romani Community., Krista Harper

Krista M. Harper

This photo essay is the product of a partnership between Prof. Krista Harper, the Sajó River Association for Environment and Community Development, and community organizer Judit Bari. The project took place in a small city in northeastern Hungary hit hard by factory closings since the collapse of state socialism in 1989. The Roma community, about 20% of the town’s population, has been especially vulnerable. A team of six young people participated as photographers and discussion participants, working closely with Harper and Bari. Other community members joined discussions of the images. The team held a photo exhibition in the neighborhood where …