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Within- and Between-Person Associations of Neighborhood Poverty with Alcohol Use and Consequences: A Monthly Study of Young Adults

Rhew, Isaac C.; Duckworth, Jennifer C.; Hurvitz, Philip M.; Lee, Christine M. (2020). Within- and Between-Person Associations of Neighborhood Poverty with Alcohol Use and Consequences: A Monthly Study of Young Adults. Drug & Alcohol Dependence, 212.

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Abstract

Background: Studies have shown associations between neighborhood disadvantage and alcohol misuse among adults. Less is known about the role of neighborhood context in young adults (YAs), who engage in more disordered forms of alcohol use compared to other age groups. Using data collected monthly, this study examined whether YAs reported more alcohol use and consequences when they were living in neighborhoods with greater concentration of poverty. Method: This study used data from 746 participants aged 18-23 years living in the Seattle, WA, region. Surveys were administered each month for 24 consecutive months. Measures included typical number of drinks per week and past month count of alcohol-related consequences. Residential addresses at each month were geocoded and linked to census-tract level percentage of households living at or below poverty threshold. Multilevel over-dispersed Poisson models were used to estimate associations between standardized monthly deviations in tract-level poverty from one's average and alcohol outcomes. Results: Across 14,247 monthly observations, the mean number of typical drinks per week was 4.8 (SD = 7.4) and the mean number of alcohol consequences was 2.1 (SD = 3.5). On months when they were living in neighborhoods with higher levels of poverty than their average, participants reported significantly higher levels of alcohol consequences (Count Ratio = 1.05; p = .045). Conclusion: YAs may engage in more problematic forms of drinking when they reside in neighborhoods with higher levels of disadvantage. During a time of frequent residential changes, YAs moving to more disadvantaged neighborhoods may benefit from additional supports.

Keywords

Alcohol Drinking; Young Adults; Neighborhoods; Age Groups; Poverty; Western Australia; Seattle (wash.); Alcohol; Neighborhood Context; Young Adulthood; Emergency-department Visits; Heavy Episodic Drinking; College-students; United-states; Substance Use; Use Disorders; Models; Health; Disorganization; Availability

Associations between Neighborhood Greenspace and Brain Imaging Measures in Non-Demented Older Adults: The Cardiovascular Health Study

Besser, Lilah M.; Lovasi, Gina S.; Michael, Yvonne L.; Garg, Parveen; Hirsch, Jana A.; Siscovick, David; Hurvitz, Phil; Biggs, Mary L.; Galvin, James E.; Bartz, Traci M.; Longstreth, W. T. (2021). Associations between Neighborhood Greenspace and Brain Imaging Measures in Non-Demented Older Adults: The Cardiovascular Health Study. Social Psychiatry And Psychiatric Epidemiology, 56(9), 1575 – 1585.

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Abstract

Purpose Greater neighborhood greenspace has been associated with brain health, including better cognition and lower odds of Alzheimer's disease in older adults. We investigated associations between neighborhood greenspace and brain-based magnetic resonance imaging (MRI) measures and potential effect modification by sex or apolipoprotein E genotype (APOE), a risk factor for Alzheimer's disease. Methods We obtained a sample of non-demented participants 65 years or older (n = 1125) from the longitudinal, population-based Cardiovascular Health Study (CHS). Greenspace data were derived from the National Land Cover Dataset. Adjusted multivariable linear regression estimated associations between neighborhood greenspace five years prior to the MRI and left and right hippocampal volume and 10-point grades of ventricular size and burden of white matter hyperintensity. Interaction terms tested effect modification by APOE genotype and sex. CHS data (1989-1999) were obtained/analyzed in 2020. Results Participants were on average 79 years old [standard deviation (SD) = 4], 58% were female, and 11% were non-white race. Mean neighborhood greenspace was 38% (SD = 28%). Greater proportion of greenspace in the neighborhood five years before MRI was borderline associated with lower ventricle grade (estimate: - 0.30; 95% confidence interval: - 0.61, 0.00). We observed no associations between greenspace and the other MRI outcome measures and no evidence of effect modification by APOE genotype and sex. Conclusion This study suggests a possible association between greater greenspace and less ventricular enlargement, a measure reflecting global brain atrophy. If confirmed in other longitudinal cohort studies, interventions and policies to improve community greenspaces may help to maintain brain health in older age.

Keywords

Mild Cognitive Impairment; Ventricular Enlargement; Residential Greenness; Hippocampal Atrophy; Volume; Disease; Environment; Progression; Symptoms; Dementia; Neighborhood; Green Space; Mri; Brain Volume; Hippocampal; White Matter

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

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

Farmers’ Strategies to Climate Change and Urbanization: Potential of Ecosystem-based Adaptation in Rural Chengdu, Southwest China

Zhong, Bo; Wu, Shuang; Sun, Geng; Wu, Ning. (2022). Farmers’ Strategies to Climate Change and Urbanization: Potential of Ecosystem-based Adaptation in Rural Chengdu, Southwest China. International Journal Of Environmental Research And Public Health, 19(2).

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Abstract

Ecosystem-based adaptation (EbA) is emerging as a cost-effective approach for helping people adapt to climate and non-climate changes. Nowadays, climate change and urbanization have affected agricultural systems, but it is not clear how rural communities have responded or adapted to those changes. Here, we chose two typical villages in the Chengdu Plain, southwest China, through sociological surveys on 90 local farmers with a semi-structured questionnaire, participatory observation, geospatial analysis of land use and land cover, and a literature review, to explore the local people's perception of changes or disturbances and their adaptation strategies from the perspective of EbA. The results showed that climate change and urbanization had impacted agricultural systems dramatically in the last 40 years. In two case-study sites, climate change and urbanization were perceived by most local farmers as the main drivers impacting on agricultural production, but various resource-use models containing abundant traditional knowledge or practices as well as modern tools, such as information communication technology (ICT), were applied to adapt to these changes. Moreover, culture service through the adaptive decoration of rural landscapes is becoming a new perspective for implementing an EbA strategy. Finally, our findings highlighted the potential value of an EbA strategy for sustaining urban-rural integrated development and enhancing the resilience of agricultural systems.

Keywords

Ecosystem-based Adaptation (eba); Chengdu Plain; Climate Change; Urbanization; Agricultural System; Traditional Knowledge Or Practice; Functioning Ecosystem; Agro-biodiversity; Resilience; Services; Diversity; Polls & Surveys; Spatial Analysis; Topography; Rural Communities; Biodiversity; Questionnaires; Adaptation; International Organizations; Land Use; Climate Change Adaptation; Canals; Irrigation; Land Cover; Ecosystems; Case Studies; Literature Reviews; Agriculture; Farmers; Environmental Economics; Sustainable Development; Rural Areas; Gross Domestic Product--gdp; Agricultural Production; Urban Areas; Cultural Heritage; China

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Tera Williams

I am interested in researching equitable revitalization methods in marginalized communities so those communities can be revitalized without creating mass displacement and erasure of the existing culture. I have been using environmental psychology as a lens to analyze the neighborhood and explain the existing value there to people who do not inherently see it. I am interested in delving into how design can be used as a tool to empower communities to strive for spatial justice. I have additional interests in culture, place, identity, collectivism, belonging, community, equitable community development, human well-being, affordable housing, economic empowerment, and interdependence.