scholarly journals Travel distance to flu and COVID-19 vaccination sites for people with disabilities and age 65 and older, Chicago metropolitan area

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Aida Rosalia Guhlincozzi ◽  
Aynaz Lotfata

PurposeHaving easy access to the flu and COVID-19 vaccination sites may be important for controlling the spread of the infection. Chicago implemented a broad strategy of opening COVID-19 vaccination locations across the city in a variety of locations.Design/methodology/approachWe defined access as having vaccinations within one mile. Data came from the American Community Survey (ACS), Centers for Disease Control and Prevention (CDC), Social Vulnerability Index (SVI), Illinois Department of Public Health (IDPH) and the Chicago Data Portal. We calculated the street-network distance from the population-weighted centroid of census tracts to the nearest vaccination sites before, during and post COVID-19 pandemic. We compared the demographics of census tracts within one mile to those greater than one mile during each period.FindingsPeople age 65 and above and with disabilities saw significant decreases in flu vaccination site access to locations within one mile of their census tract in 2020–2021 compared to 2018–2019. The COVID-19 vaccination sites mimic these flu vaccination site patterns, suggesting a severe lack of geographic access for a group likely to experience limited mobility. Results combining instances of both flu and COVID-19 vaccination sites suggest that making COVID-19 vaccination sites available at flu shot site locations would significantly reduce the number of people with limited mobility lacking geographic access.Originality/valuePolicymakers should explore how this expanded network of vaccination locations could facilitate permanent improvements to access to vaccination sites for people with disabilities.

2021 ◽  
Vol 8 ◽  
Author(s):  
Erin N. Biggs ◽  
Patrick M. Maloney ◽  
Ariane L. Rung ◽  
Edward S. Peters ◽  
William T. Robinson

Objective: To examine the association between the Centers for Disease Control and Prevention (CDC)'s Social Vulnerability Index (SVI) and COVID-19 incidence among Louisiana census tracts.Methods: An ecological study comparing the CDC SVI and census tract-level COVID-19 case counts was conducted. Choropleth maps were used to identify census tracts with high levels of both social vulnerability and COVID-19 incidence. Negative binomial regression with random intercepts was used to compare the relationship between overall CDC SVI percentile and its four sub-themes and COVID-19 incidence, adjusting for population density.Results: In a crude stratified analysis, all four CDC SVI sub-themes were significantly associated with COVID-19 incidence. Census tracts with higher levels of social vulnerability were associated with higher COVID-19 incidence after adjusting for population density (adjusted RR: 1.52, 95% CI: 1.41-1.65).Conclusions: The results of this study indicate that increased social vulnerability is linked with COVID-19 incidence. Additional resources should be allocated to areas of increased social disadvantage to reduce the incidence of COVID-19 in vulnerable populations.


2019 ◽  
Vol 21 (2) ◽  
pp. 319-333
Author(s):  
Mayara Jordana De Castro Sousa ◽  
Francílio De Amorim Dos Santos

O objetivo da pesquisa foi analisar a vulnerabilidade a inundação dos setores censitários no município de Piracuruca, norte do estado do Piauí. A metodologia apresentou natureza descritiva e empregou dados alfanuméricos relacionados aos setores censitários definidos pelo Instituto Brasileiro de Geografia e Estatística (IBGE). Desse modo, foram elencados 4 critérios para composição do Índice de Vulnerabilidade Social (IVS), a saber: Demografia; Educação; Renda; Condições habitacionais. Utilizou-se a média aritmética simples para cálculo do IVS, cujos valores dos dados foram convertidos para porcentuais e manuseados no SIG QGIS, versão 2.14, para efetivação da união entre a tabela do (arquivo vetorial e planilha eletrônica) e sua espacialização. Foram definidas 5 classes para o IVS, a saber: muito baixa (0,00 a 0,93), baixa (0,93 a 1,86), média (1,86 a 2,78), alta (2,78, a 3,71) e muito alta (3,71 a 4,64). Por meio do IVS afirma-se que os setores urbanos exibem maior vulnerabilidade a processos de inundações, pois dos 44 setores 25 deles estão situados na classe Média a Muito Alta. Logo, um maior adensamento populacional, baixos níveis de instrução e renda e condições inadequadas de habitação contribuem para exercer maior pressão sobre os recursos naturais e acentuar o processo de inundação.Palavras-chave: Desastre natural; Rio Piracuruca; Risco. ABSTRACTThe objective of the research was to analyze the vulnerability to flooding of the census tracts in the municipality of Piracuruca, in the northern part of the state of Piauí. The methodology was descriptive and used alphanumerical data related to the census tracts defined by the Instituto Brasileiro de Geografia e Estatística (IBGE). Thus, four criteria were included for the composition of the Social Vulnerability Index (SVI), namely: Demography; Education; Income; Housing conditions. We used the simple arithmetic mean to calculate the SVI, whose data values were converted to percentages and handled in the GIS QGIS, version 2.14, to effect the union between the table (vector file and spreadsheet) and its spatialization. Five classes were defined for IVS: very low (0.00 to 0.93), low (0.93 to 1.86), mean (1.86 to 2.78), high (2.78 to 3.71) and very high (3.71 to 4.64). Through the IVS, it is stated that the urban sectors are more vulnerable to flooding processes, because of the 44 sectors, 25 of them are located in the Medium to Very High class. Therefore, greater population density, low levels of education and income, and inadequate housing conditions contribute to putting more pressure on natural resources and accentuating the flooding process.Keywords: Natural disaster; Piracuruca River; Risk. RESUMENEl objetivo de la investigación fue analizar la vulnerabilidad a las inundaciones de las secciones censales en el municipio de Piracuruca, estado norteño de Piauí. La metodología fue descriptiva y empleó datos alfanuméricos relacionados con las secciones censales definidas por el Instituto Brasileño de Geografía y Estadística (IBGE). Por lo tanto, se enumeraron cuatro criterios para la composición del Índice de Vulnerabilidad Social (SIV), a saber: Demografía; Educación; Ingresos; Condiciones de vivienda. La media aritmética simple se utilizó para calcular el IVS, cuyos valores de datos se convirtieron en porcentajes y se manejaron en GIS QGIS, versión 2.14, para efectuar la unión entre la tabla (archivo vectorial y hoja de cálculo) y su espacialización. Se definieron cinco clases para IVS, a saber: muy baja (0.00 a 0.93), baja (0.93 a 1.86), media (1.86 a 2.78), alta (2.78 a 3.71) y muy alto (3.71 a 4.64). A través del IVS se afirma que los sectores urbanos son más vulnerables a los procesos de inundación, ya que de los 44 sectores, 25 de ellos están en la clase media a muy alta. Por lo tanto, mayores densidades de población, bajos niveles de educación e ingresos y condiciones inadecuadas de vivienda contribuyen a una mayor presión sobre los recursos naturales y acentúan el proceso de inundación.Keywords: Desastre Natural; Río Piracuruca; Riesgo.


2021 ◽  
Vol 13 (13) ◽  
pp. 7274
Author(s):  
Joshua T. Fergen ◽  
Ryan D. Bergstrom

Social vulnerability refers to how social positions affect the ability to access resources during a disaster or disturbance, but there is limited empirical examination of its spatial patterns in the Great Lakes Basin (GLB) region of North America. In this study, we map four themes of social vulnerability for the GLB by using the Center for Disease Control’s Social Vulnerability Index (CDC SVI) for every county in the basin and compare mean scores for each sub-basin to assess inter-basin differences. Additionally, we map LISA results to identify clusters of high and low social vulnerability along with the outliers across the region. Results show the spatial patterns depend on the social vulnerability theme selected, with some overlapping clusters of high vulnerability existing in Northern and Central Michigan, and clusters of low vulnerability in Eastern Wisconsin along with outliers across the basins. Differences in these patterns also indicate the existence of an urban–rural dimension to the variance in social vulnerabilities measured in this study. Understanding regional patterns of social vulnerability help identify the most vulnerable people, and this paper presents a framework for policymakers and researchers to address the unique social vulnerabilities across heterogeneous regions.


Author(s):  
Emily J. Haas ◽  
Alexa Furek ◽  
Megan Casey ◽  
Katherine N. Yoon ◽  
Susan M. Moore

During emergencies, areas with higher social vulnerability experience an increased risk for negative health outcomes. However, research has not extrapolated this concept to understand how the workers who respond to these areas may be affected. Researchers from the National Institute for Occupational Safety and Health (NIOSH) merged approximately 160,000 emergency response calls received from three fire departments during the COVID-19 pandemic with the CDC’s publicly available Social Vulnerability Index (SVI) to examine the utility of SVI as a leading indicator of occupational health and safety risks. Multiple regressions, binomial logit models, and relative weights analyses were used to answer the research questions. Researchers found that higher social vulnerability on household composition, minority/language, and housing/transportation increase the risk of first responders’ exposure to SARS-CoV-2. Higher socioeconomic, household, and minority vulnerability were significantly associated with response calls that required emergency treatment and transport in comparison to fire-related or other calls that are also managed by fire departments. These results have implications for more strategic emergency response planning during the COVID-19 pandemic, as well as improving Total Worker Health® and future of work initiatives at the worker and workplace levels within the fire service industry.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Flávia Silvestre Outtes Wanderley ◽  
Ulisses Montarroyos ◽  
Cristine Bonfim ◽  
Carolina Cunha-Correia

Abstract Background To assess the effectiveness of mass treatment of Schistosoma mansoni infection in socially vulnerable endemic areas in northeastern Brazil. Method An ecological study was conducted, in which 118 localities in 30 municipalities in the state of Pernambuco were screened before 2011 and in 2014 (after mass treatment). Information on the endemic baseline index, mass treatment coverage, socio-environmental conditions and social vulnerability index were used in the multiple correspondence analysis. One hundred fourteen thousand nine hundred eighty-seven people in 118 locations were examined. Results The first two dimensions of the multiple correspondence analysis represented 55.3% of the variability between locations. The human capital component of the social vulnerability index showed an association with the baseline endemicity index. There was a significant reduction in positivity for schistosomes. For two rounds, for every extra 1% of initial endemicity index, the fixed effect of 13.62% increased by 0.0003%, achieving at most 15.94%. Conclusions The mass treatment intervention helped to reduce transmission of schistosomiasis in areas of high endemicity. Thus, it can be recommended that application of mass treatment should be accompanied by other control actions, such as basic sanitation, monitoring of intermediate vectors and case surveillance.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Claudia Araceli Hernández González

PurposeThis study aims to provide evidence of market reactions to organizations' inclusion of people with disabilities. Cases from financial journals in 1989–2014 were used to analyze the impact of actions taken by organizations to include or discriminate people with disabilities in terms of the companies' stock prices.Design/methodology/approachThis research is conducted as an event study where the disclosure of information on an organization's actions toward people with disabilities is expected to impact the organization's stock price. The window of the event was set as (−1, +1) days. Stock prices were analyzed to detect abnormal returns during this period.FindingsResults support the hypotheses that investors value inclusion and reject discrimination. Furthermore, the impact of negative actions is immediate, whereas the impact of positive actions requires at least an additional day to influence the firm's stock price. Some differences among the categories were found; for instance, employment and customer events were significantly more important to a firm's stock price than philanthropic actions. It was observed that philanthropic events produce negative abnormal returns on average.Originality/valueThe event study methodology provides a different perspective to practices in organizations regarding people with disabilities. Moreover, the findings in this research advance the literature by highlighting that organizations should consider policies and practices that include people with disabilities.


2021 ◽  
pp. 152692482110460
Author(s):  
Alexis J. Carter ◽  
Rhiannon D. Reed ◽  
A. Cozette Kale ◽  
Haiyan Qu ◽  
Vineeta Kumar ◽  
...  

Introduction Transplant candidate participation in the Living Donor Navigator Program is associated with an increased likelihood of achieving living donor kidney transplantation; yet not every transplant candidate participates in navigator programming. Research Question We sought to assess interest and ability to participate in the Living Donor Navigator Program by the degree of social vulnerability. Design Eighty-two adult kidney-only candidates initiating evaluation at our center provided Likert-scaled responses to survey questions on interest and ability to participate in the Living Donor Navigator Program. Surveys were linked at the participant-level to the Centers for Disease Control and Prevention Social Vulnerability Index and county health rankings and overall social vulnerability and subthemes, individual barriers, telehealth capabilities/ knowledge, interest, and ability to participate were assessed utilizing nonparametric Wilcoxon ranks sums tests, chi-square, and Fisher's exact tests. Results Participants indicating distance as a barrier to participation in navigator programming lived approximately 82 miles farther from our center. Disinterested participants lived in areas with the highest social vulnerability, higher physical inactivity rates, lower college education rates, and higher uninsurance (lack of insurance) and unemployment rates. Similarly, participants without a computer, who never heard of telehealth, and who were not encouraged to participate in telehealth resided in areas of highest social vulnerability. Conclusion These data suggest geography combined with being from under-resourced areas with high social vulnerability was negatively associated with health care engagement. Geography and poverty may be surrogates for lower health literacy and fewer health care interactions.


2018 ◽  
Vol 19 (4) ◽  
pp. 273-285 ◽  
Author(s):  
Charles Musselwhite

Purpose The purpose of this paper is to examine how older people who are almost entirely housebound use a view from their window to make sense of the world and stay connected to the outside space that they cannot physically inhabit. Design/methodology/approach Semi-structured interviews with 42 individuals were carried out who were living at home, were relatively immobile and had an interesting view outside they liked from one or more of their windows. Findings The findings suggest that immobile older people enjoy watching a motion-full, changing, world going on outside of their own mobility and interact and create meaning and sense, relating themselves to the outside world. Practical implications Findings suggest that those working in health and social care must realise the importance of older people observing the outdoors and create situations where that is enabled and maintained through improving vantage points and potentially using technology. Originality/value This study builds and updates work by Rowles (1981) showing that preference for views from the window involves the immediate surveillance zone but also further afield. The view can be rural or urban but should include a human element from which older people can interact through storytelling. The view often contains different flows, between mundane and mystery and intrigue, and between expected and random.


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