Healthy Homes and CommunitiesPutting the Pieces Together

Miller, Wilhelmine; Pollack, Craig Evan; Williams, Daniel

doi:10.1016/j.amepre.2010.09.024

Cited by 59 publications

(29 citation statements)

References 62 publications

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“…13 In addition to indoor environmental exposures, lowincome racial/ethnic minority neighborhoods tend to be situated adjacent to highways and bus depots; proximity to areas of large vehicle traffic results in ambient particulate matter and diesel fumes pervading from the outside and high lead contamination of the plants and dirt. 5 Findings from a cross-sectional study among children Ͻ6 years of age revealed that roughly 39% of doctor-diagnosed cases of asthma among children in the United States could be avoided by eliminating indoor environmental exposures. 14 Asthma is typical among U.S. racial/ethnic minority children living in urban areas.…”

mentioning

confidence: 99%

“…8 Close to one-half of these lowincome families spent more than one-half of their income on their inadequate housing, 8 making it near impossible to afford improvements to address the inadequacies. 5 Substandard housing and indoor environmental exposures have been linked to increased indoor allergen exposure and sensitization 9,10 and greater asthma morbidity and mortality for low-income racial/ethnic minority children living in urban areas. 11 Poor quality housing can harbor indoor allergens and triggers.…”

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confidence: 99%

“…16 Although the causes of asthma are still unclear, strong evidence suggests that indoor environmental exposures play a major role. 2,5,[11][12][13][14][15]17,18 The American Academy of Allergy, Asthma, and Immunology stresses the control of exposures to indoor allergens and environmental tobacco smoke as an important part of an asthma management plan. 19 However, it is unclear how the structural condition of homes among asthmatic subjects varies by race.…”

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confidence: 99%

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Homes of low-income minority families with asthmatic children have increased condition issues

Pacheco

Ciaccio²,

Nazir³

et al. 2014

allergy asthma proc

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confidence: 99%

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Homes of low-income minority families with asthmatic children have increased condition issues

Pacheco

Ciaccio²,

Nazir³

et al. 2014

allergy asthma proc

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“…Although we reviewed the literature on how one component of community development -namely local economic development to support small businesses -shapes health, other studies and HIAs (Pew Charitable Trusts 2015) have previously examined the health implications of different aspects of community and economic development (Arcaya and Briggs 2011;Goldman 2014;Komro et al 2013;Miller, Pollack, and Williams 2011;Williams and Marks 2011). Other studies on health impacts of community and economic development, and our review, offer strategies aimed at reducing economic inequities, which may in turn also improve population health.…”

Section: Resultsmentioning

confidence: 99%

A public health perspective on small business development: a review of the literature

Schnake-Mahl

Williams

Keppard

et al. 2018

Journal of Urbanism: International Research on Placemaking and

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“…Many communities will require substantial multisectoral work to improve their food and activity environments, but federal initiatives, such as Communities Putting Prevention to Work and Community Transformation Grants, are providing critical support for local efforts to create the conditions for healthy living. 62 There is growing consensus that the public health and clinical endeavors promoting health behavior change would benefit from greater coordination. 63 The study is subject to several limitations.…”

Section: Discussionmentioning

confidence: 99%

Measuring Capability for Healthy Diet and Physical Activity

Ferrer

Cruz

Burge

et al. 2014

The Annals of Family Medicine

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PURPOSE Patterns of diet and physical activity, major drivers of morbidity and mortality, are contingent on people's feasible opportunities to pursue healthy behaviors. Our objective for this mixed methods study was to develop measures of feasible opportunities for diet and activity. METHODSThe Capability Approach framework for evaluating people's real freedoms to pursue their values guided the research. A community-based participatory model was applied to conduct focus groups of adults with obesity or diabetes mellitus from an economically disadvantaged Latino community. Focus group themes were developed into survey items that assess how individual circumstances and neighborhood contexts influence opportunities for diet and activity. The prevalence of different influences was explored in a sample of 300 patients from a primary care safety net clinic. Scales measuring different aspects of opportunity were created through principal components analysis.RESULTS Availability, convenience, safety, cost of food, and activity resources interact with individual circumstances, such as illness, depression, family and nonfamily supports, and scope of personal agency, to shape practical opportunities. Multiple vulnerabilities in availability of resources and moderators of resource use commonly occur together, intensifying challenges and creating difficult trade-offs. Only one-half of participants reported that physicians understood their difficulties pursuing activity, and just one-third for diet. CONCLUSIONSOur results suggest that practical opportunities for healthy behavior can be measured as a primary target for clinical and public health assessment and intervention. The Capability Approach holds promise as a framework for developing interventions responsive to both personal and environmental determinants. INTRODUCTIONU nhealthy diet and sedentary living cause substantial morbidity and mortality in developed societies, 1,2 taking their greatest toll on disadvantaged populations. [3][4][5][6][7][8][9] These behaviors have proved difficult to manage in both clinical 10 and public health 11 contexts because they have complex roots at the interface between individual choices and social and physical environments. [12][13][14] Given primary care's high contact rate with disadvantaged populations 15 and the importance of health behaviors in managing chronic diseases, 16 addressing behaviors is an essential function. 17,18 But its performance in this role has been mixed: a large, complex literature reports only modest success in improving diet and physical activity. 10,[19][20][21][22] Primarily, interventions have focused on increasing individuals' knowledge, motivation, and self-efficacy. 23 Much evidence shows, however, that success will be limited if social and environmental contexts are not accounted for. [24][25][26][27][28][29][30][31] Even so, the clinician's task involves more than acknowledging context; the challenge is to understand how to help a specific patient succeed in a specific environment. 47task a...

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Healthy Homes and CommunitiesPutting the Pieces Together

Cited by 59 publications

References 62 publications

Homes of low-income minority families with asthmatic children have increased condition issues

Homes of low-income minority families with asthmatic children have increased condition issues

A public health perspective on small business development: a review of the literature

Measuring Capability for Healthy Diet and Physical Activity

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