The Role of the Built Environment on Health Across the Life Course: A Call for CollaborACTION

Nathan, Andrea; Villanueva, Karen; Rozek, Julianna; Davern, Melanie; Gunn, Lucy; Trapp, Gina; Boulangé, Claire; Christian, Hayley

doi:10.1177/0890117118779463a

Cited by 25 publications

(15 citation statements)

References 110 publications

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“…Socioeconomic characteristics of residential neighborhoods influence health-related behaviors, conditions, and health outcomes [32,33]. Deprived neighborhoods are correlated with health risk behaviors, overcrowding, less social cohesion, and higher levels of environmental pollutants, and has been identified as a critical social determinant of health [34][35][36][37]. Low socioeconomic status (SES), often regarded as a fundamental cause of disease, has been shown to increase the risk of COVID-19 because it impacts access to fundamental resources that an individual or a neighborhood may require to avoid COVID-19 [24,38].…”

Section: Preliminary Reports Show a Relationship Between The Neighbormentioning

confidence: 99%

The Effect of Area Deprivation on COVID-19 Risk in Louisiana

Oral

Straif-Bourgeois

et al. 2020

Preprint

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Purpose: Louisiana currently has the highest per capita case count for COVID-19 in the United States and disproportionately affects the Black or African American population. Neighborhood deprivation has been observed to be associated with poorer health outcomes. The purpose of this study was to examine the relationship between neighborhood deprivation and COVID-19 in Louisiana. Methods: The Area Deprivation Index (ADI) was calculated and used to classify neighborhood deprivation at the census tract level. A total of 17 US census variables were used to calculate the ADI for each of the 1148 census tracts in Louisiana. The data were extracted from the American Community Survey (ACS) 2018. The neighborhoods were categorized into quintiles as well as low and high deprivation. The publicly available COVID-19 cumulative case counts by census tract was obtained from the Louisiana Department of Health website on July 31, 2020. Descriptive and Poisson regression analyses were performed. Results: Neighborhoods in Louisiana were substantially different with respect to deprivation. The ADI ranged from 136.00 for the most deprived neighborhood and -33.87 in the least deprived neighborhood. We observed that individuals residing in the most deprived neighborhoods had a 45% higher risk of COVID-19 disease compared to those residing in the least deprived neighborhoods. Conclusion: While the majority of previous studies were focused on very limited socio-environmental factors such as crowding and income, this study used a composite area-based deprivation index to examine the role of neighborhood environment on COVID-19. We observed a positive relationship between neighborhood deprivation and COVID-19 risk in Louisiana. The study findings can be utilized to promote public health preventions measures besides social distancing, wearing a mask while in public and frequent handwashing in vulnerable neighborhoods with greater deprivation.

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Section: Preliminary Reports Show a Relationship Between The Neighbormentioning

confidence: 99%

The Effect of Area Deprivation on COVID-19 Risk in Louisiana

Oral

Straif-Bourgeois

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Socioeconomic characteristics of residential neighborhoods influence health-related behaviors, conditions, and health outcomes [32,33]. Deprived neighborhoods are correlated with health risk behaviors, overcrowding, less social cohesion, and higher levels of environmental pollutants and have been identified as critical social determinants of health [34][35][36][37]. Low socioeconomic status (SES), often regarded as a fundamental cause of disease, has been shown to increase the risk of COVID-19 because it impacts access to fundamental resources that an individual or a neighborhood may require to avoid COVID-19 [24,38].…”

Section: Introductionmentioning

confidence: 99%

The effect of area deprivation on COVID-19 risk in Louisiana

Oral

Straif-Bourgeois

et al. 2020

PLoS ONE

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Background Louisiana in the summer of 2020 had the highest per capita case count for COVID-19 in the United States and COVID-19 deaths disproportionately affects the African American population. Neighborhood deprivation has been observed to be associated with poorer health outcomes. The purpose of this study was to examine the relationship between neighborhood deprivation and COVID-19 in Louisiana. Methods The Area Deprivation Index (ADI) was calculated and used to classify neighborhood deprivation at the census tract level. A total of 17 US census variables were used to calculate the ADI for each of the 1148 census tracts in Louisiana. The data were extracted from the American Community Survey (ACS) 2018. The neighborhoods were categorized into quintiles as well as low and high deprivation. The publicly available COVID-19 cumulative case counts by census tract were obtained from the Louisiana Department of Health website on July 31, 2020. Descriptive and Poisson regression analyses were performed. Results Neighborhoods in Louisiana were substantially different with respect to deprivation. The ADI ranged from 136.00 for the most deprived neighborhood and –33.87 in the least deprived neighborhood. We observed that individuals residing in the most deprived neighborhoods had almost a 40% higher risk of COVID-19 compared to those residing in the least deprived neighborhoods. Conclusion While the majority of previous studies were focused on very limited socio-environmental factors such as crowding and income, this study used a composite area-based deprivation index to examine the role of neighborhood environment on COVID-19. We observed a positive relationship between neighborhood deprivation and COVID-19 risk in Louisiana. The study findings can be utilized to promote public health preventions measures besides social distancing, wearing a mask while in public and frequent handwashing in vulnerable neighborhoods with greater deprivation.

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“…Although proximal factors generally have the strongest influence on early child development, there are also opportunities to positively influence developmental pathways by maximising distal factors. The neighbourhood environment provides one such opportunity, whereby multiple features of the physical environment could be shaped to support healthy development 7. However, this requires an understanding of which features of the neighbourhood environment should be prioritised for policymakers and practitioners 8.…”

Section: Introductionmentioning

confidence: 99%

Children’s neighbourhood physical environment and early development: an individual child level linked data study

Bell

Turrell

Beesley

et al. 2020

J Epidemiol Community Health

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BackgroundIdentification of features of the neighbourhood physical environment that have a causal association with positive child development is important for promoting long-term developmental health. Previous research on these associations have been conducted at the neighbourhood level, and do not account for individual variation in exposure to these features.MethodsThis cross-sectional study utilised de-identified linked administrative data. Neighbourhood features were measured with Geographic Information Systems and identified within a 1600 m service area around the child’s home address. The study population included a random selection of 5024 Western Australian children who participated in the 2012 Australian Early Development Census (AEDC; median age 5 years, 5 months). Multi-level logistic regressions modelled the odds of children scoring in the bottom 10% on the physical, social or emotional AEDC domains as an outcome of neighbourhood features.ResultsAfter adjustment for individual and neighbourhood sociodemographic factors, lower odds of physical vulnerability were associated with increased neighbourhood residential density, presence of railway station, and higher counts of playgroups and kindergartens. Larger areas of neighbourhood home-yard space were associated with increased odds of physical and social vulnerability. Presence of high-quality green spaces was associated with lower odds of social vulnerability. Increased road traffic exposure was associated with higher odds of social and emotional vulnerability.ConclusionsThe neighbourhood physical environment has a weak but significant association with early childhood development. Future research should consider the interplay between the neighbourhood environment and proximal influences, including parenting attributes and socioeconomic status, and how they influence early child development.

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The Role of the Built Environment on Health Across the Life Course: A Call for CollaborACTION

Cited by 25 publications

References 110 publications

The Effect of Area Deprivation on COVID-19 Risk in Louisiana

The Effect of Area Deprivation on COVID-19 Risk in Louisiana

The effect of area deprivation on COVID-19 risk in Louisiana

Children’s neighbourhood physical environment and early development: an individual child level linked data study

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