- Disaster Management and Resilience
- Health disparities and outcomes
- Climate Change and Health Impacts
- COVID-19 epidemiological studies
- Disaster Response and Management
- Air Quality and Health Impacts
- Homelessness and Social Issues
- Land Use and Ecosystem Services
- COVID-19 Clinical Research Studies
- Data-Driven Disease Surveillance
- SARS-CoV-2 and COVID-19 Research
- Urban Transport and Accessibility
- Environmental Justice and Health Disparities
- Child Abuse and Trauma
- Vaccine Coverage and Hesitancy
- COVID-19 Impact on Reproduction
- Opioid Use Disorder Treatment
- Global Cancer Incidence and Screening
- COVID-19 and healthcare impacts
- HIV, Drug Use, Sexual Risk
- Geographic Information Systems Studies
- Agricultural risk and resilience
- Climate Change, Adaptation, Migration
- Urban, Neighborhood, and Segregation Studies
- Flood Risk Assessment and Management
Agency for Toxic Substances and Disease Registry
2016-2022
National Center for Environmental Health
2022
Centers for Disease Control and Prevention
2016-2022
Georgia Department of Public Health
2006
Georgia State University
2005
Social vulnerability refers to the socioeconomic and demographic factors that affect resilience of communities. Studies have shown in disaster events socially vulnerable are more likely be adversely affected, i.e. they less recover die. Effectively addressing social decreases both human suffering economic loss related providing services public assistance after a disaster. This paper describes development index (SVI), from 15 census variables at tract level, for use emergency management. It...
A recent HIV outbreak in a rural network of persons who inject drugs (PWID) underscored the intersection expanding epidemics opioid abuse, unsterile injection drug use (IDU), and associated increases hepatitis C virus (HCV) infections. We sought to identify US communities potentially vulnerable rapid spread HIV, if introduced, new or continuing high rates HCV infections among PWID.We conducted multistep analysis indicator variables highly with IDU. then used these values calculate...
This report describes how national COVID-19 vaccination coverage was lower in counties with some of the most socially vulnerable communities and higher least communities.
Heat-related illness, an environmental exposure-related outcome commonly treated in U.S. hospital emergency departments (ED), is likely to rise with increased incidence of heat events related climate change. Few studies demonstrate the spatial and statistical relationship social vulnerability heat-related health outcomes. We explore relationships Georgia county-level ED visits mortality rates (2002-2008), CDC's Social Vulnerability Index (CDC SVI). Bivariate Moran's I analysis revealed...
Most studies on health disparities during the coronavirus disease 2019 (COVID-19) pandemic focused reported cases and deaths, which are influenced by testing availability access to care. This study aimed examine severe acute respiratory syndrome 2 (SARS-CoV-2) antibody seroprevalence in United States its associations with race/ethnicity, rurality, social vulnerability over time.This repeated cross-sectional used data from blood donations 50 states Washington, DC, July 2020 through June 2021....
Transforming spatial data from one scale to another is a challenge in geographic analysis. As part of larger, primary study determine possible association between travel barriers pediatric cancer facilities and adolescent mortality across the United States, we examined methods estimate within zones at varying distances these facilities: (1) centroid assignment, (2) population-weighted (3) simple areal weighting, (4) combined population (5) geostatistical interpolation. For study, used county...
Abstract This article examines the concept of cartographic visualization. The value visualization as an essential component in study geographic phenomena is discussed. Ontological and epistemological perspectives are addressed, with examinations positivist, realist, postmodern, feminist, anarchist approaches to Critiques from social theorists quantitative positivists presented. author asserts that not restricted any one particular framework but may combine methods knowledge production. For...
Child maltreatment and its consequences are a persistent problem throughout the world. Public health workers, human services officials, others interested in new efficient ways to determine which geographic areas target for intervention programs resources. To improve assessment efforts, selected perinatal factors were examined, both individually various combinations, if they associated with increased risk of infant maltreatment. State Georgia birth records abuse neglect data analyzed using an...
Objectives Widespread SARS-CoV-2 testing is critical to identify infected people and implement public health action interrupt transmission. With supplies laboratory capacity now widely available in the United States, understanding spatial heterogeneity of associations between social determinants use essential improve availability populations disproportionately affected by SARS-CoV-2. Methods We assessed positive negative results molecular tests conducted from February 1 through June 17,...
Key Words: hazards and vulnerabilityHurricane Sandypsychometric validationsocial vulnerability indexsocial profile
Background: Ovarian cancer is the fifth most common cause of death among women in United States. Failure to receive optimal treatment and poorer survival rates have been reported for older women, African-American with low income, public health insurance coverage or no coverage. Additionally, regional differences geographic access influence type may seek. This paper explores accessibility sociodemographic vulnerability Georgia, which receipt ovarian treatment. Methods: An enhanced two-step...
Adolescents with cancer have had less improvement in survival than other populations the United States. This may be due, part, to adolescents not receiving treatment at Children's Oncology Group (COG) institutions, which been shown increase for some cancers. The objective of this ecologic study was examine geographic distance COG institutions and adolescent mortality.We calculated mortality among sociodemographic healthcare access factors four zones selected distances surrounding facilities:...
Background: Most studies on health disparities during COVID-19 pandemic focused reported cases and deaths were limited in capturing true infection rates or the impact of social determinants health. This nationwide study aimed to examine SARS-CoV-2 (the virus that causes COVID-19) antibody seroprevalence U.S. its associations with rurality vulnerability over time. Methods: repeated cross-sectional used data from blood donations made July 2020 - June 2021 50 states Washington, D.C. Donor...
Critical to identifying the risk of environmentally driven disease is an understanding cumulative impact environmental conditions on human health. Here we describe methodology used develop burden index (EBI). Two key features EBI are that its geography at U.S. census tract level, and tracts stratified by land cover type as per National Land Cover Database (NLCD). The first recognizes determinations a coarser geographic scale too variable be practical use. second enables control for...