Archer, Megan, Pedersen, Katherine, Kennedy, Mallory, & Errett, Nicole A. (2022). Integrating Health Considerations into Local Level Recovery Planning: An Exploration of Florida’s Recovery and Redevelopment Plans. Journal of Disaster Research, 17(7), 1150–1157.
View Publication
Abstract
Objective: Disasters result in impacts to the health and wellbeing of members of affected communities, as well as damage to healthcare infrastructure. These impacts are not experienced equally, and often disproportionately affect those facing higher health, social and economic risks even before a disaster strikes. Recovery planning provides an opportunity for pre-emptive consideration of how to address pre-existing health vulnerabilities and disparities, as well as insufficient and/or inequitable access to healthcare, with the resources and momentum that often come following a disaster. After the 2004 and 2005 hurricane seasons, Florida began requiring coastal jurisdictions to plan for recovery. This study sought to identify if and how Florida jurisdictions have integrated health-sector restoration and revitalization strategies into local disaster recovery planning. Design: Plans were collected and coded using content analysis methods. Setting: Florida, USA. Participants: 16 county-level disaster recovery and post-disaster redevelopment plans. Results: While nearly three-quarters of plans described actions to address both short-term healthcare and behavioral health needs, the majority of recovery plans lacked long-term health-sector recovery activities and approaches to collect and analyze data to guide health-related recovery efforts. Moreover, plans did not explicitly call for evaluating health-sector recovery strategies. Conclusions: Additional resources are necessary to ensure local jurisdictions integrate short- and long-term health-sector strategies into disaster recovery planning.
Keywords
Disaster; Recovery; Planning; Health promotion
Kim, Boeun, Barrington, Wendy E., Dobra, Adrian, Rosenberg, Dori, Hurvitz, Philip, & Belza, Basia. (2022). Mediating Role of Walking between Perceived and Objective Walkability and Cognitive Function in Older Adults. Health & Place, 79.
View Publication
Abstract
The aim of this study was to examine the role of walking in explaining associations between perceived and objective measures of walkability and cognitive function among older adults. The study employed a cross-sectional design analyzing existing data. Data were obtained from the Adult Changes in Thought Activity Monitor study. Cognitive function and perceived walkability were measured by a survey. Objective walkability was measured using geographic information systems (GIS). Walking was measured using an accelerometer. We tested the mediating relationship based on 1,000 bootstrapped samples. Perceived walkability was associated with a 0.04 point higher cognitive function score through walking (p = 0.006). The mediating relationship accounted for 34% of the total relationship between perceived walkability and cognitive function. Walking did not have a significant indirect relationship on the association between objective walkability and cognitive function. Perceived walkability may be more relevant to walking behavior than objective walkability among older adults. Greater levels of perceived walkability may encourage older adults to undertake more walking, and more walking may in turn improve cognitive function in older adults.
Keywords
Built environment; Cognitive function; Walking; Mediation analysis; Older adults
Saelens, Brian E., Hurvitz, Philip M., Zhou, C., Colburn, T., Marchese, A., & Moudon, Anne Vernez (2022). Impact of a Light Rail Transit Line on Physical Activity: Findings from the Longitudinal Travel Assessment and Community (TRAC) Study. Journal of Transport & Health, 27.
View Publication
Abstract
Increasing transit infrastructure could increase transit use and result in higher physical activity if users actively travel to access transit. Few studies have rigorously examined transit use and physical activity change from before to years after among residents living close versus farther away from new transit options.Methods: An initial sample (n = 722) of residents living either close (1 mile network distance; unexposed) from future new light rail transit (LRT) stops in the Seattle/King County area were recruited and assessed prior to LRT opening and again 1-2 and 3-4 years later. At each assessment timepoint, residents wore an accelerometer and GPS data logger for 7 days and completed a 7-day travel log and demographic and attitudinal survey. Difference-in-difference analyses examined longitudinal change between those exposed versus unexposed to LRT in physical activity, walking (both utilitarian and recreational), and transit-related walking, and transit use.Results: There was no differential change by LRT exposure in overall physical activity (including or not including light intensity physical activity), recreational walking, or utilitarian walking, with most decreasing significantly in both exposure conditions through follow-ups. There was a differential change in transit-related walking, with those exposed to LRT slightly increasing such physical activity to the most distal follow-up, but the difference from the unexposed condition was modest (<2 min/day). There was no substantial differential change over time in transit use by LRT exposure.Conclusions: Exposure to a new light rail line did not markedly change the frequency of transit use of nearby residents, but did result in a small increase in transit-related walking relative to those unexposed. This did not differentially change the amount of overall physical activity or time spent walking compared to residents living farther away from the new LRT.
Keywords
Public Transit; Accelerometer Data; Built Environment; Behavior; Walking; Transportation; Neighborhood; Time; GPS
Lee, Sungmin, Lee, Chanam, Won Nam, Ji, Vernez Moudon, Anne, & Mendoza, Jason A. (2023). Street Environments and Crime around Low-income and Minority Schools: Adopting an Environmental Audit Tool to Assess Crime Prevention Through Environmental Design (CPTED). Landscape and Urban Planning, 232.
View Publication
Abstract
• CPTED principles have been applied in school neighborhood safety. • Multiple crime types had significant associations with CPTED principles. • The cleanliness of streets and visual quality of buildings can reduce crime. • Being adjacent to multi-family housing and bus stops can increase crime. • The findings add to the evidence supporting the effectiveness of CPTED initiatives. Crime prevention through environmental design (CPTED) suggests an association between micro-scale environmental conditions and crime, but little empirical research exists on the detailed street-level environmental features associated with crime near low-income and minority schools. This study focuses on the neighborhoods around 14 elementary schools serving lower income populations in Seattle, WA to assess if the distribution of crime incidences (2013–2017) is linked with the street-level environmental features that reflect CPTED principles. We used a total of 40 audit variables that were included in the four domains derived from the broken windows theory and CPTED principles: natural surveillance (e.g., number of windows, balconies, and a sense of surveillance), territoriality (e.g., crime watch signs, trees), image/maintenance (e.g., graffiti and a sense of maintenance/cleanness), and geographical juxtaposition (e.g., bus stops, presence of arterial). We found that multiple crime types had significant associations with CPTED components at the street level. Among the CPTED domains, two image/maintenance features (i.e., maintenance of streets and visual quality of buildings) and two geographical juxtaposition features (i.e., being adjacent to multi-family housing and bus stops) were consistently associated with both violent and property crime. The findings suggest that local efforts to improve maintenance of streets and visual quality of buildings and broader planning efforts to control specific land uses near schools are important to improve safety in marginalized neighborhoods near schools that tend to be more vulnerable to crime. Our research on micro-scale environmental determinants of crime can also serve as promising targets for CPTED research and initiatives. [ABSTRACT FROM AUTHOR]
Keywords
CPTED; Crime; Environmental audit; Micro-scale environment of Crime; Street environments
Lindell, Michael K; Jung, Meen Chel; Prater, Carla S; House, Donald H (2023). Evaluation of Hazard Brochures Using Topic Viewing Durations: Application to Tsunami Evacuation Brochures. Risk Analysis.
View Publication
Abstract
This study describes a novel method of assessing risk communication effectiveness by reporting an evaluation of a tsunami information brochure by 90 residents of three Pacific coast communities that are vulnerable to a Cascadia Subduction Zone earthquake and tsunami—Commencement Bay, Washington; Lincoln City, Oregon; and Eureka, California. Study participants viewed information that was presented in DynaSearch, an internet‐based computer system that allowed them to view text boxes and tsunami inundation zone maps. DynaSearch recorded the number of times each text box or map was clicked and the length of time that it was viewed. This information viewing phase was followed by questionnaire pages assessing important aspects of tsunami hazard and sources of tsunami warnings. Participants gave the longest click durations to what to do in the emergency period during earthquake shaking and in its immediate aftermath before a tsunami arrives—topics that should be displayed prominently in tsunami brochures and emphasized in talks to community groups. The smallest adjusted click durations were associated with advance preparations for a tsunami—topics that can be posted on websites whose URLs are printed in the brochures.
Keywords
DynaSearch; hazard awareness brochure; Protective Action Decision Model
Arthur Acolin, Associate Professor and Bob Filley Endowed Chair in the Runstad Department of Real Estate, was recently awarded an NIH R21 grant for his project entitled ‘Gentrification, Mobility, and Exposure to Contextual Determinants of Health.’ The project will examine how gentrification affects mobility patterns at the neighborhood levels and changes exposure to contextual determinants of health that have been shown to contribute to social and race/ethnic inequalities in health. The proposed research leverages consumer trace data from Data Axle…
Shi, Xiao; Moudon, Anne Vernez; Lee, Brian H. Y.; Shen, Qing; Ban, Xuegang (Jeff). (2020). Factors Influencing Teleworking Productivity – a Natural Experiment during the COVID-19 Pandemic. Findings.
View Publication
Abstract
Of 2174 surveyed adults who were teleworking following the implementation of a Covid-19 work-from-home policy, 23.8% reported an increase in productivity, 37.6% no change, and 38.6% a decrease in productivity compared to working at their prior workplace. After controlling for feelings of depression and anxiety likely caused by pandemic-related circumstances, the socioeconomic characteristics associated with no change or an increase in productivity after shifting to teleworking included being older; not employed in higher education; having lower education attainment; and not living with children. Respondents with longer commute trips in single-occupancy vehicles prior to teleworking were more likely to be more productive but those with longer commute by walking were not. Lifestyle changes associated with increased productivity included better sleep quality, spending less time on social media, but more time on personal hobbies.
Dannenberg, A. L., Frumkin, H., & Jackson, R. (Eds.). (2022). Making Healthy Places: Designing and Building for Health, Well-being, and Sustainability (2nd ed.). Island Press.
View Publication.
Wang, Lan; Sun, Wenyao; Moudon, Anne Vernez; Zhu, Yong-guan; Wang, Jinfeng; Bao, Pingping; Zhao, Xiaojing; Yang, Xiaoming; Jia, Yinghui; Zhang, Surong; Wu, Shuang; Cai, Yuxi. (2022). Deciphering the Impact of Urban Built Environment Density on Respiratory Health Using a Quasi-cohort Analysis of 5495 Non-smoking Lung Cancer Cases. Science Of The Total Environment, 850.
View Publication
Abstract
Introduction: Lung cancer is a major health concern and is influenced by air pollution, which can be affected by the den-sity of urban built environment. The spatiotemporal impact of urban density on lung cancer incidence remains unclear, especially at the sub-city level. We aimed to determine cumulative effect of community-level density attributes of the built environment on lung cancer incidence in high-density urban areas. Methods: We selected 78 communities in the central city of Shanghai, China as the study site; communities included in the analysis had an averaged population density of 313 residents per hectare. Using data from the city cancer surveil-lance system, an age-period-cohort analysis of lung cancer incidence was performed over a five-year period (2009-2013), with a total of 5495 non-smoking/non-secondhand smoking exposure lung cancer cases. Community -level density measures included the density of road network, facilities, buildings, green spaces, and land use mixture. Results: In multivariate models, built environment density and the exposure time duration had an interactive effect on lung cancer incidence. Lung cancer incidence of birth cohorts was associated with road density and building coverage across communities, with a relative risk of 1middot142 (95 % CI: 1middot056-1middot234, P = 0middot001) and 1middot090 (95 % CI: 1middot053-1middot128, P < 0middot001) at the baseline year (2009), respectively. The relative risk increased exponentially with the exposure timeduration. As for the change in lung cancer incidence over the five-year period, lung cancer incidence of birth cohorts tended to increase faster in communities with a higher road density and building coverage. Conclusion: Urban planning policies that improve road network design and building layout could be important strate-gies to reduce lung cancer incidence in high-density urban areas.
Keywords
Air-quality; Pollutant Dispersion; Risk-factors; Land-use; Mortality; Exposure; Cities; Transport; Compact City; Longitudinal Analysis; Lung Cancer; Urban Planning
Cruz, Maricela; Drewnowski, Adam; Bobb, Jennifer F.; Hurvitz, Philip M.; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Buszkiewicz, James H.; Lozano, Paula; Rosenberg, Dori E.; Kapos, Flavia; Theis, Mary Kay; Anau, Jane; Arterburn, David. (2022). Differences in Weight Gain Following Residential Relocation in the Moving to Health (M2H) Study. Epidemiology, 33(5), 747-755.
View Publication
Abstract
Background: Neighborhoods may play an important role in shaping long-term weight trajectory and obesity risk. Studying the impact of moving to another neighborhood may be the most efficient way to determine the impact of the built environment on health. We explored whether residential moves were associated with changes in body weight. Methods: Kaiser Permanente Washington electronic health records were used to identify 21,502 members aged 18-64 who moved within King County, WA between 2005 and 2017. We linked body weight measures to environment measures, including population, residential, and street intersection densities (800 m and 1,600 m Euclidian buffers) and access to supermarkets and fast foods (1,600 m and 5,000 m network distances). We used linear mixed models to estimate associations between postmove changes in environment and changes in body weight. Results: In general, moving from high-density to moderate- or low-density neighborhoods was associated with greater weight gain postmove. For example, those moving from high to low residential density neighborhoods (within 1,600 m) gained an average of 4.5 (95% confidence interval [CI] = 3.0, 5.9) lbs 3 years after moving, whereas those moving from low to high-density neighborhoods gained an average of 1.3 (95% CI = -0.2, 2.9) lbs. Also, those moving from neighborhoods without fast-food access (within 1600m) to other neighborhoods without fast-food access gained less weight (average 1.6 lbs [95% CI = 0.9, 2.4]) than those moving from and to neighborhoods with fast-food access (average 2.8 lbs [95% CI = 2.5, 3.2]). Conclusions: Moving to higher-density neighborhoods may be associated with reductions in adult weight gain.
Keywords
Body-mass Index; Neighborhood Socioeconomic-status; New-york-city; Built Environment; Physical-activity; Food Environment; Urban Sprawl; Risk-factors; Obesity; Walking; Electronic Medical Records; Fast Foods; Population Density; Residential Density; Residential Moves; Supermarkets