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Use of Health Impact Assessments in the Housing Sector to Promote Health in the United States, 2002-2016

Bever, Emily; Arnold, Kimberly T.; Lindberg, Ruth; Dannenberg, Andrew L.; Morley, Rebecca; Breysse, Jill; Pollack Porter, Keshia M. (2021). Use of Health Impact Assessments in the Housing Sector to Promote Health in the United States, 2002-2016. Journal Of Housing And The Built Environment, 36(3), 1277 – 1297.

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Abstract

Housing affects health, yet health is seldom considered in housing decisions. Health impact assessment (HIA) is a tool that can improve housing-related policies, plans, programs, and projects by bringing together scientific data, health expertise, and stakeholder engagement to identify the potential health effects of proposed decisions. We systematically identified and reviewed HIAs of housing decisions in the United States, yielding 54 HIAs between 2002 and 2016. Two examined federal proposals; the others explored decisions in 20 states. A variety of organizations led the HIAs, including non-profits, public health departments, and academic institutions. The primary decision-makers each HIA sought to inform were housing, planning, and/or elected officials. Eighteen HIAs focused on housing policies, codes, design elements, and utilities in residential structures. The remaining 36 HIAs included housing as one element of broader community development and transportation planning decisions. HIA recommendations changed decisions in some cases, and the assessment process helped strengthen connections between public health and housing decision-makers. To illustrate key characteristics of housing HIAs, we purposefully selected three HIAs and described the decisions they informed in detail: off-campus student housing in Flagstaff, Arizona; a rental housing inspections program in Portland, Oregon; and revitalization plans for a major thoroughfare in a suburb of St. Louis, Missouri. With a few exceptions, federal, state, and local agencies in the U.S. are not required to consider the health impacts of housing decisions, such as where housing is sited, how it is designed and constructed, and policies for ensuring that it is affordable and safe. HIA has emerged as a tool for advocates, health and housing practitioners, and policymakers to fill this gap. However, few studies have examined whether HIAs do in fact change housing decisions, shift the way that decision-makers think, or ultimately shift determinants of health (e.g., housing affordability and quality). This review demonstrates that HIAs can facilitate the consideration of health during housing decision-making. Housing HIAs can also help decision-makers address commonly overlooked effects, such as changes to social cohesion, and improve civic participation by engaging communities in the decisionmaking process.

Keywords

0; Community Development; Decision-making; Healthy Housing; Health Impact Assessment; Housing Policy; Stakeholder Engagement; Health Promotion; Public Health; Exceptions; Impact Analysis; Nonprofit Organizations; Affordability; Suburban Areas; Profits; Housing; Policy Making; Transportation Planning; Decision Making; Rental Housing; Public Officials; Policies; Regeneration; Utilities; Social Cohesion; Inspections; Community Involvement; Decision Makers; Community Participation; United States--us

Searching for Housing in the Digital Age: Neighborhood Representation on Internet Rental Housing Platforms across Space, Platform, and Metropolitan Segregation

Hess, Chris; Acolin, Arthur; Walter, Rebecca; Kennedy, Ian; Chasins, Sarah; Crowder, Kyle. (2021). Searching for Housing in the Digital Age: Neighborhood Representation on Internet Rental Housing Platforms across Space, Platform, and Metropolitan Segregation. Environment And Planning A-economy And Space, 53(8), 2012 – 2032.

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Abstract

Understanding residential mobility, housing affordability, and the geography of neighborhood advantage and disadvantage relies on robust information about housing search processes and housing markets. Existing data about housing markets, especially rental markets, suffer from accuracy issues and a lack of temporal and geographic flexibility. Data collected from online rental platforms that are commonly used can help address these issues and hold considerable promise for better understanding the full distribution of available rental homes. However, realizing this promise requires a careful assessment of potential sources of bias as online rental listing platforms may perpetuate inequalities similar to those found in physical spaces. This paper approaches the production of rental advertisements as a social process driven by both contextual and property level factors. We compare data from two online platforms for the 100 most populated metropolitan areas in the United States to explore inequality in digital rental listing spaces and understand what characteristics are associated with over and underrepresentation of advertisements in certain areas. We find similar associations for socioeconomic measures between platforms and across urban and suburban parts of these metropolitan areas. In contrast, the importance of racial and ethnic composition, as well as broader patterns of segregation, for online representation differs substantially across space and platform. This analysis informs our understanding of how online platforms affect housing search dynamics through their biases and segmentation, and highlights the potential and limits in using the data available on these platforms to produce small area rental estimates.

Keywords

Fair Market Rents; Cities; Opportunity; Residential Mobility; Online Rental Listings; Rental Housing Markets; Housing Search; Inequality

The Economic Effects of Volcanic Alerts-A Case Study of High-Threat US Volcanoes

Peers, Justin B.; Gregg, Christopher E.; Lindell, Michael K.; Pelletier, Denis; Romerio, Franco; Joyner, Andrew T. (2021). The Economic Effects of Volcanic Alerts-A Case Study of High-Threat US Volcanoes. Risk Analysis, 41(10).

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Abstract

A common concern about volcanic unrest is that the communication of information about increasing volcanic alert levels (VALs) to the public could cause serious social and economic impacts even if an eruption does not occur. To test this statement, this study examined housing prices and business patterns from 1974-2016 in volcanic regions with very-high threat designations from the U.S. Geological Survey (USGS)-Long Valley Caldera (LVC), CA (caldera); Mount St. Helens (MSH), Washington (stratovolcano); and Kilauea, HawaiModified Letter Turned Commai (shield volcano). To compare economic trends in nonvolcanic regions that are economically dependent on tourism, Steamboat Springs, CO, served as a control as it is a ski-tourism community much like Mammoth Lakes in LVC. Autoregressive distributed lag (ARDL) models predicted that housing prices were negatively affected by VALs at LVC from 1982-1983 and 1991-1997. While VALs associated with unrest and eruptions included in this study both had short-term indirect effects on housing prices and business indicators (e.g., number of establishments, employment, and salary), these notifications were not strong predictors of long-term economic trends. Our findings suggest that these indirect effects result from both eruptions with higher level VALs and from unrest involving lower-level VAL notifications that communicate a change in volcanic activity but do not indicate that an eruption is imminent or underway. This provides evidence concerning a systemic issue in disaster resilience. While disaster relief is provided by the U.S. federal government for direct impacts associated with disaster events that result in presidential major disaster declarations, there is limited or no assistance for indirect effects to businesses and homeowners that may follow volcanic unrest with no resulting direct physical losses. The fact that periods of volcanic unrest preceding eruption are often protracted in comparison to precursory periods for other hazardous events (e.g., earthquakes, hurricanes, flooding) makes the issue of indirect effects particularly important in regions susceptible to volcanic activity.

Keywords

Direct Impacts; Econometric Analysis; Indirect Impacts; Risk Assessment; Volcano Alert Levels; Earthquakes; Hurricanes; Threats; Housing Costs; Business Indicators; Disasters; Disaster Relief; Declarations; Volcanoes; Resilience; Tourism; Economics; Flooding; Trends; Calderas; Geological Surveys; Housing Prices; Eruptions; Precursors; Indirect Effects; Business; Disaster Management; Economic Trends; Autoregressive Models; Floods; Employment Status; Prices; Federal Government; Housing; Eruption; Economic Impact; Seismic Activity; Volcanic Activity; Earthquake Prediction; Lakes; Communication; United States--us

Protecting Neighbourhood Character While Allowing Growth? Pike/Pine Conservation Overlay District, Seattle, Washington. Planning Perspectives

Kuriyama, Naoko; Ochsner, Jeffrey Karl. (2021). Protecting Neighbourhood Character While Allowing Growth? Pike/Pine Conservation Overlay District, Seattle, Washington. Planning Perspectives, 36(6), 1195 – 1223.

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Abstract

The City of Seattle created the Pike/Pine Conservation Overlay District in 2009 to preserve the character of the Pike/Pine Corridor (neighbourhood) while simultaneously accommodating substantial growth in the number of residents and the size of buildings. Pike/Pine is known for its adaptively reused collection of early twentieth century 'Auto Row' buildings and for the diversity of its population. Since the year 2000, proximity to downtown has made this area attractive for development, and the city has designated Pike/Pine as a growth centre in its comprehensive plan. The city's implementation of the Pike/Pine Conservation Overlay District (one of the first uses of a conservation district in a commercial/mixed-use neighbourhood in the United States) seeks to address the conflict inherent in accommodating growth while simultaneously trying to protect older architecture, small-scale local businesses, and a diverse mix of housing. This article analyses the elements and impacts of this unusual district, considering its application of facade retention for townscape conservation as well as analysing its broad approach within the framework of integrated conservation. This article argues that the Pike/Pine Conservation Overlay District offers a useful case study for other cities looking to support growth while also retaining elements of the past. [ABSTRACT FROM AUTHOR]; Copyright of Planning Perspectives is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Keywords

Pine; Neighborhoods; Urban Growth; Twentieth Century; Transportation Corridors; Seattle (wash.); Conservation District; Design Review; Facadism; Historic Preservation; Integrated Conservation; Overlay District; Pike/pine Corridor; Seattle; Washington

Pushing Back on Displacement: Community-Based Redevelopment through Historically Black Churches

Born, Branden; Berney, Rachel; Baker, Olivia; Jones, Mark R.; King, Donald; Marcus, Dylan. (2021). Pushing Back on Displacement: Community-Based Redevelopment through Historically Black Churches. Societies, 11(1).

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Abstract

Gentrification and subsequent displacement are common problems in cities, and result in the removal of poor communities and communities of color from urban areas as they move to cheaper locations in the metropolitan region. Here we describe a community-based approach to redevelopment by historic Black churches that seeks to counter such displacement and cultural removal. We explain the history of a historically Black neighborhood in Seattle and the founding and rationale for a church-led project called the Nehemiah Initiative. Our perspective is that of participants in the work of the Nehemiah Initiative and as faculty and students from a local university partner supporting it. We conclude with policy strategies that can be used to support such redevelopment in Seattle, with understanding that some may be broadly applicable to other cities.

Keywords

Black Churches; Community Based; Displacement; Equitable Development; Faith Based; Gentrification; Housing Affordability; Redevelopment; University-community Partnership

Three Pathways to Highly Energy Efficient Buildings: Assessing Combinations of Teaming and Technology

Homayouni, Hoda; Dossick, Carrie Sturts; Neff, Gina. (2021). Three Pathways to Highly Energy Efficient Buildings: Assessing Combinations of Teaming and Technology. Journal Of Management In Engineering, 37(2).

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Abstract

Highly energy efficient (HEE) buildings require a whole-system approach to building design. Scholars have suggested many tools, techniques, and processes to address the cross-disciplinary complexities of such an approach, but how these elements might be best combined to lead to better project outcomes is yet unknown. To address this, we surveyed architects associated with 33 AIA-COTE award-winning projects on the social, organizational, and technological elements of whole-system design (WSD) practices. We then used fuzzy sets-qualitative comparative analysis (fsQCA) to analyze the interdependencies among those elements. We found three distinct pathways for the design and construction of HEE buildings: information-driven, process-driven, or organization-driven. We also found that HEE buildings share some conditions for success, including having shared goals, owners engagement in the design process, and frequent and participatory interorganizational meetings. Our findings can help practitioners strategize and make decisions on incorporating WSD elements associated with their project types. Moreover, these results provide a launchpad for scholars to investigate complementarities among elements facilitating the design and construction process of HEE projects.

Keywords

Buildings (structures); Construction; Design Engineering; Energy Conservation; Fuzzy Set Theory; Innovation Management; Organisational Aspects; Project Management; Team Working; Whole-system Approach; Building Design; Cross-disciplinary Complexities; Social Elements; Organizational Elements; Technological Elements; Whole-system Design Practices; Fuzzy Set; Distinct Pathways; Hee Buildings; Project Types; Construction Process; Hee Projects; Highly Energy Efficient Buildings; Whole-system Design; Energy Efficient Buildings; Building Information Modeling; Integrated Project Teams; Fuzzy Sets-qualitative Comparative Analysis

Multi-Hazard Perceptions at Long Valley Caldera, California, USA

Peers, Justin B.; Lindell, Michael K.; Gregg, Christopher E.; Reeves, Ashleigh K.; Joyner, Andrew T.; Johnston, David M. (2021). Multi-Hazard Perceptions at Long Valley Caldera, California, USA. International Journal Of Disaster Risk Reduction, 52.

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Abstract

Caldera systems such as Long Valley Caldera, California; Taupo, New Zealand; and Campi Flegrei, Italy, experience centuries to millennia without eruption, but have the potential for large eruptions. This raises questions about how local residents' behavioral responses to these low-probability high-consequence events differ from their responses to events, such as wildfires and earthquakes, that have higher probabilities. To examine this issue, a multi-hazard mail survey of 229 households explored perceptions of-and responses to-volcano, earthquake and wildfire hazards in the Long Valley Volcanic Region. Response efficacy was the only significant predictor of emergency preparedness, which suggests that hazard managers can increase household emergency preparedness by emphasizing this attribute of protective actions. In addition to response efficacy, expected personal consequences, hazard intrusiveness, and affective responses were all significantly related to information seeking. This indicates that hazard managers can also increase households' information seeking about local hazards and appropriate protective actions by communicating the certainty and severity of hazard impacts (thus increasing expected personal consequences) and that they communicate this information repeatedly (thus increasing hazard intrusiveness) to produce significant emotional involvement (thus increasing affective response).

Keywords

Households Expected Responses; Risk Information-seeking; Volcanic Risk; Earthquake; Model; Adjustment; Mitigation; Communication; Preparedness; Predictors; Volcano Hazard Perception; Earthquake Hazard Perception; Wildfire Hazard Perception; Emergency Preparedness; Information Seeking

Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain

Buszkiewicz, James H.; Bobb, Jennifer F.; Hurvitz, Philip M.; Arterburn, David; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Cruz, Maricela; Gupta, Shilpi; Lozano, Paula; Rosenberg, Dori E.; Theis, Mary Kay; Anau, Jane; Drewnowski, Adam. (2021). Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain. International Journal Of Obesity, 45(9), 1914 – 1924.

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Abstract

Objective To determine whether selected features of the built environment can predict weight gain in a large longitudinal cohort of adults. Methods Weight trajectories over a 5-year period were obtained from electronic health records for 115,260 insured patients aged 18-64 years in the Kaiser Permanente Washington health care system. Home addresses were geocoded using ArcGIS. Built environment variables were population, residential unit, and road intersection densities captured using Euclidean-based SmartMaps at 800-m buffers. Counts of area supermarkets and fast food restaurants were obtained using network-based SmartMaps at 1600, and 5000-m buffers. Property values were a measure of socioeconomic status. Linear mixed effects models tested whether built environment variables at baseline were associated with long-term weight gain, adjusting for sex, age, race/ethnicity, Medicaid insurance, body weight, and residential property values. Results Built environment variables at baseline were associated with differences in baseline obesity prevalence and body mass index but had limited impact on weight trajectories. Mean weight gain for the full cohort was 0.06 kg at 1 year (95% CI: 0.03, 0.10); 0.64 kg at 3 years (95% CI: 0.59, 0.68), and 0.95 kg at 5 years (95% CI: 0.90, 1.00). In adjusted regression models, the top tertile of density metrics and frequency counts were associated with lower weight gain at 5-years follow-up compared to the bottom tertiles, though the mean differences in weight change for each follow-up year (1, 3, and 5) did not exceed 0.5 kg. Conclusions Built environment variables that were associated with higher obesity prevalence at baseline had limited independent obesogenic power with respect to weight gain over time. Residential unit density had the strongest negative association with weight gain. Future work on the influence of built environment variables on health should also examine social context, including residential segregation and residential mobility.

Keywords

Body-mass Index; Physical-activity; Food Environment; Structural Racism; Obesity; Neighborhoods; Associations; Health; Walkability; Exposure; Environment Models; Minority & Ethnic Groups; Urban Environments; Regression Analysis; Regression Models; Residential Density; Body Mass Index; Property Values; Body Weight Gain; Government Programs; Body Weight; Electronic Medical Records; Electronic Health Records; Fast Food; Buffers; Real Estate; Body Mass; Body Size; Socioeconomics; Health Care

Urban Landscape Heterogeneity Influences the Relationship Between Tree Canopy and Land Surface Temperature

Jung, Meen Chel; Dyson, Karen; Alberti, Marina. (2021). Urban Landscape Heterogeneity Influences the Relationship Between Tree Canopy and Land Surface Temperature. Urban Forestry & Urban Greening, 57.

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Abstract

Urban trees play a key role in alleviating elevated summertime land surface temperatures in cities. However, urban landscape influences the capacity of urban trees to mitigate higher temperatures. We propose that both developed land characteristics and tree cover should be considered to accurately estimate the mitigation effects of canopy cover. We subclassified original land cover based on the canopy cover ratio to capture the within-land cover heterogeneity. We selected two coastal cities with different summertime climatic conditions: Seattle, Washington, USA, and Baltimore, Maryland, USA. We used Landsat-based grid cells (30 m x 30 m) as our spatial analytical unit, with corresponding land surface temperature, canopy area, canopy compactness, population size, and National Land Cover Database (NLCD)-based land cover group. We first used grouped boxplots, Kruskal-Wallis H tests, and post-hoc multiple comparison tests to detect the distribution of land surface temperatures by the land cover group. We then introduced statistical models to test the group effects on the relationship between land surface temperatures and canopy cover variables. We found: (1) land surface temperature increases with level of development, (2) land surface temperature decreases with canopy cover level, (3) the magnitude of the mitigation effects from canopy area differs based on development level and current canopy cover, (4) the differing efficacies of canopy area in decreasing land surface temperature follows a nonlinear threshold relationship, and (5) compactness of canopy cover was not significant in reducing the land surface temperature. These findings suggest the importance of considering heterogeneous canopy cover within developed land cover classes in urban heat island research. Tree planting strategies need to consider the nonlinear relationships between tree canopy cover and land surface temperature alongside environmental equity concerns.

Keywords

Extreme Heat Events; Climate-change; Cover Data; Island; Pattern; Cities; Vegetation; Mortality; Phoenix; Impact; Canopy Cover; Environmental Equity; Land Cover; Land Surface Temperature; Mitigation Effect; Area; Canopy; Cells; Climatic Factors; Databases; Heat Island; Landscapes; Multiple Comparison Test; Planting; Population Size; Research; Statistical Models; Summer; Surface Temperature; Testing; Trees; Urban Forestry; Maryland

Associations of Household Income with Health-Related Quality of Life Following a Colorectal Cancer Diagnosis Varies with Neighborhood Socioeconomic Status

Robinson, Jamaica R. M.; Phipps, Amanda, I; Barrington, Wendy E.; Hurvitz, Philip M.; Sheppard, Lianne; Malen, Rachel C.; Newcomb, Polly A. (2021). Associations of Household Income with Health-Related Quality of Life Following a Colorectal Cancer Diagnosis Varies with Neighborhood Socioeconomic Status. Cancer Epidemiology Biomarkers & Prevention, 30(7), 1366 – 1374.

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Abstract

Background: Existing evidence indicates household income as a predictor of health-related quality of life (HRQoL) following a colorectal cancer diagnosis. This association likely varies with neighborhood socioeconomic status (nSES), but evidence is limited. Methods: We included data from 1,355 colorectal cancer survivors participating in the population-based Puget Sound Colorectal Cancer Cohort (PSCCC). Survivors reported current annual household income; we measured HRQoL via the Functional Assessment of Cancer Therapy - Colorectal (FACT-C) tool. Using neighborhood data summarized within a 1-km radial buffer of Census block group centroids, we constructed a multidimensional nSES index measure. We employed survivors' geocoded residential addresses to append nSES score for Census block group of residence. With linear generalized estimating equations clustered on survivor location, we evaluated associations of household income with differences in FACT-C mean score, overall and stratified by nSES. We used separate models to explore relationships for wellbeing subscales. Results: We found lower household income to be associated with clinically meaningful differences in overall FACT-C scores [<$30K: -13.6; 95% confidence interval (CI): -16.8 to -10.4] and subscale wellbeing after a recent colorectal cancer diagnosis. Relationships were slightly greater in magnitude for survivors living in lower SES neighborhoods. Conclusions: Our findings suggest that recently diagnosed lower income colorectal cancer survivors are likely to report lower HRQoL, and modestly more so in lower SES neighborhoods. Impact: The findings from this work will aid future investigators' ability to further consider the contexts in which the income of survivors can be leveraged as a means of improving HRQoL

Keywords

Built Environment Factors; Functional Assessment; Fact-c; Population-density; Physical-activity; Survivors; Care; Disparities; Impact; Mortality