A5050306242- Urban Transport and Accessibility
- Noise Effects and Management
- Air Quality and Health Impacts
- Environmental Justice and Health Disparities
- Obesity, Physical Activity, Diet
- Health disparities and outcomes
- Urban Green Space and Health
- Climate Change and Health Impacts
- Traffic and Road Safety
- Physical Activity and Health
- Injury Epidemiology and Prevention
- Public Health Policies and Education
- Urban Agriculture and Sustainability
University of Washington
2022-2025
Seattle University
2022-2023
Duke University
2021-2023
Duke Institute for Health Innovation
2023
Objective: We examined if racial residential segregation (RRS) – a fundamental cause of disease is independently associated with air pollution after accounting for other neighborhood and individual-level sociodemographic factors, to better understand its potential role as confounder pollution-health studies. Methods: compiled data from eight large cohorts, restricting non-Hispanic Black White urban-residing participants observed at least once between 1999 2005. used 2000 decennial census...
Neighborhood environments can support fitness-promoting behavior, yet little is known about their influence on youth physical fitness outcomes over time. We examined longitudinal associations between neighborhood opportunity and among New York City (NYC) public school youth. The Child Opportunity Index (COI), a composite index of 29 indicators measuring at the census-tract level, along with scores 4 selected COI were linked to NYC FITNESSGRAM data baseline. Fitness (measured annually,...
Background: Fewer than 1/4th of US children and adolescents meet physical activity (PA) guidelines, leading to health disparities that track into adulthood. Neighborhood opportunity may serve as a critical modifiable factor improve fitness attainment reduce these disparities. We drew data from the Child Opportunity Index examine associations between neighborhood indicators for PA multiple among New York City public school youth. Methods: Multilevel generalized linear mixed models were used...
This study conducted a needs assessment and feasibility testing of Going Places, novel park-based active transportation intervention that aims to improve physical activity access parks recreation. Participants (n=19) were recruited from park sites serving predominantly racial/ethnic minority low income communities in North Carolina, United States. Surveys administered participants (n=17), accelerometer-based step data was collected (n=6), one focus group (n=6). Feasibility assessed based on...
BACKGROUND AND AIM: Both air pollution exposure and racial residential segregation (RRS) increase cardiovascular disease (CVD) risk, with communities of color experiencing a disproportionate burden exposure. However, scant research exists on the potential interaction between RRS in shaping CVD risk. METHOD: We analyzed data Black White participants Multi-Ethnic Study Atherosclerosis (MESA), prospective cohort study, from 2000-2017 (N=4,464). predicted annual average to ambient PM2.5 NO2 at...
BACKGROUND AND AIM: Ambient air pollution has declined in the United States since passage of Clean Air Act, however disparities by race and ethnicity persist. Racial residential segregation may contribute to differential reductions pollution. METHOD: We harmonized data from eight longitudinal cohort studies: Nurses' Health Study I II, Professionals Follow-up Study, Women's Initiative Clinical Trial Observational Cardiovascular Multi-Ethnic Atherosclerosis, Reasons for Geographic Differences...
Introduction: Fewer than 1/4th of US youth meet physical activity guidelines, leading to fitness-related cardiovascular disease disparities tracking into adulthood. Neighborhood opportunity may serve as a critical modifiable factor reduce health-related disparities. The present analysis uses the Child Opportunity Index (COI), comprehensive measure children’s neighborhood opportunity, examine associations between context and multiple fitness outcomes. Methods: Data were drawn from NYC...
BACKGROUND AND AIM While levels of ambient air pollution have declined over time in the United States, studies found persistent exposure disparities by race and ethnicity. Racial residential segregation may contribute to differential reductions perpetuate related health inequities. METHODS We analyzed harmonized data from three longitudinal cohort studies, spanning years 1990-2017: Cardiovascular Health Study (CHS), Multi-Ethnic Atherosclerosis (MESA), Reasons for Geographic Differences...
BACKGROUND AND AIM: Studies have examined individual and neighborhood social factors air pollution independently; few investigated which is more strongly associated with exposure. We leverage harmonized data from large observational cohorts to cross-sectionally interrogate this question. METHODS: Data came three US at time of enrollment (1989-2007): Cardiovascular Health Study, Reasons for Geographic Racial Differences in Stroke, Multi-Ethnic Study Atherosclerosis (ntotal = 39,860)....
BACKGROUND AND AIM: Neighborhoods are critical to health, yet challenging model effectively and consistently across geographies. We used latent profile analysis (LPA) derive a typology of residential neighborhood found the US, then explored how self-reported health varies between types. METHODS: defined neighborhoods as census tracts compiled 2015-2019 ACS tract-level estimates for indicators commute mode, education, immigration, race, recent growth, urban form. LPA models ranging from 1 6...