Applying Systems Thinking Approaches to Address Preventive Health Factors through Public Parks and Recreation Agencies

2022 ◽  
Author(s):  
Teresa Penbrooke ◽  
Michael Edwards ◽  
Jason Bocarro ◽  
Karla Henderson ◽  
J. Aaron Hipp
Keyword(s):  
Systems Thinking ◽  
Selection Process ◽  
Research Question ◽  
Panel Study ◽  
The United States ◽  
Preventive Health ◽  
Delphi Panel ◽  
Theory Approach ◽  
Parks And Recreation ◽  
Health Factors

Within the United States parks and recreation agencies (P&R) manage public facilities, spaces, lands, and recreation programs. Public health (PH) evidence has increasingly pointed to local public P&R agencies as critical for promoting preventive health. Programs and strategies are available, but most P&R agencies have limited resources and lack local knowledge on which to base actions. However, the research base is growing. The global research question has shifted from asking IF P&R agencies can positively affect PH factors, to HOW they can best do so with limited resources.This research adapted a systems theory approach to how local public P&R agencies are addressing health factors. Methods included a literature review along with iterative exploration through a three-stage Delphi panel study with 17 P&R agency Expert Panelists in the U.S and Canada. Panelists were identified through a waterfall selection process. Each had at least three years of senior administration experience with interest in addressing PH factors.The study explored which preventive factors appear to be most modifiable by P&R. Results indicated increased physical activity, improved nutrition, enhanced safety or perception of safety, increased social and parental engagement, improved transportation and access to locations (especially nature), and cessation or reduced overconsumption of tobacco and alcohol. However, the priority of factors varies by community, and the continuing challenge is determining the priority of the factors for agencies and their partners to address. Community-specific data are not typically readily available to P&R agencies. Programs, strategies, internal methods, policies, and documents utilized by agencies were collected. Thirty-one related national initiatives (programs) were identified and ranked by the panelists.Key common strategies for P&R were identified. Results indicated a need to focus strategies on leadership and adequate funding to create a strong organizational culture of systematic assessment for addressing PH through allocation of P&R staff and financial resources. Systems thinking analysis and strategies can improve outcomes for cultural ethics of inclusion and equity, equitable access to assets and programs, collaboration with other partners, utilization of crime prevention and environmental design strategies, increased health promotions and education, and centralized tracking and evaluation of feasible measures.Implications for research include needs for additional validation and dissemination of research, evidence-based tools, and proven methods. There continues to be a strong need to help address gaps in knowledge transfer between research and practice realms. Management implications suggest methods for practice to enhance systems-thinking approaches for better preventive health outcomes through P&R in communities.

scholarly journals The Practice of Civic Tech: Tensions in the Adoption and Use of New Technologies in Community Based Organizations

2019 ◽  
Vol 7 (3) ◽  
pp. 57-68
Author(s):  
Eric Gordon ◽  
Rogelio Alejandro Lopez
Keyword(s):  
New Technologies ◽  
Research Question ◽  
Daily Practice ◽  
The United States ◽  
Ethnographic Study ◽  
Theory Approach ◽  
Community Based ◽  
Small Organizations ◽  
Community Based Organizations ◽  
Civic Work

This article reports on a qualitative study of community based organizations’ (CBOs) adoption of information communication technologies (ICT). As ICTs in the civic sector, otherwise known as civic tech, get adopted with greater regularity in large and small organizations, there is need to understand how these technologies shape and challenge the nature of civic work. Based on a nine-month ethnographic study of one organization in Boston and additional interviews with fourteen other organizations throughout the United States, the study addresses a guiding research question: how do CBOs reconcile the changing (increasingly mediated) nature of civic work as ICTs, and their effective adoption and use for civic purposes, increasingly represent forward-thinking, progress, and innovation in the civic sector?—of civic tech as a measure of “keeping up with the times.” From a sense of top-down pressures to innovate in a fast-moving civic sector, to changing bottom-up media practices among community constituents, our findings identify four tensions in the daily practice of civic tech, including: 1) function vs. representation, 2) amplification vs. transformation, 3) grassroots vs. grasstops, and 4) youth vs. adults. These four tensions, derived from a grounded theory approach, provide a conceptual picture of a civic tech landscape that is much more complicated than a suite of tools to help organizations become more efficient. The article concludes with recommendations for practitioners and researchers.

scholarly journals Early Exposure to County Income Mobility and Adult Individual Health in the United States

2020 ◽  
Author(s):  
Sebastian Daza ◽  
alberto palloni
Keyword(s):  
Residential Mobility ◽  
Selection Process ◽  
Panel Study ◽  
The United States ◽  
Income Mobility ◽  
Childhood And Adolescence ◽  
County Level ◽  
Adult Health ◽  
Adult Individual ◽  
The U.S

Despite substantial research, drivers of the widening gap in life expectancy between rich and poor in the U.S. -- the so-called longevity gap -- remain unknown. Recent research has suggested that contextual income mobility (e.g., county-level socioeconomic mobility) may play an essential role in explaining the longevity gap. Previous studies -- based mostly on aggregate and cross-sectional individual data -- show an association between county income mobility and county mortality and individual's health. However, inferring individual effects from aggregate (county-level) data can be problematic (i.e., ecological fallacy), and measuring exposure to income mobility using the county where respondents currently live or die, might overlook the selection process associated with residential mobility. This paper aims to extend previous research by estimating the effect of average exposure to mobility regimes during childhood and adolescence on adult health using longitudinal data and accounting for selection into counties over time (i.e., residential mobility). We use both the National Longitudinal Survey of Youth 1997 (NLSY97) and the Panel Study of Income Dynamics (PSID) with geocoded data to assess the link between county-level income mobility (Chetty's estimates), behaviors (smoking) and health conditions and status (self-reported health, BMI, depressive symptoms). Furthermore, we use cohorts optimally match Chetty's estimates of income mobility in the U.S. (1980-1982) and account for selection and time-varying confounders using marginal structural models (MSM). Overall, we provide a more precise test of the hypothesis that childhood exposure to income mobility regimes may determine health status through behavior (i.e., smoking) later in life and contribute to longevity gaps.

Social Stratification and Choice-Based Policy Programs: The Case of Early Withdrawal of Retirement Savings during the Great Recession

Social Forces ◽  
2020 ◽  
Author(s):  
Zachary D Kline ◽  
Jeremy Pais
Keyword(s):  
Great Recession ◽  
Social Stratification ◽  
Selection Process ◽  
Panel Study ◽  
The United States ◽  
Retirement Savings ◽  
Retirement Plans ◽  
The Great Recession ◽  
Early Withdrawal ◽  
Retirement System

Abstract Access to emergency funds during times of need is increasingly dependent on a “choice-based” retirement system in the United States. This study examines the operation of this choice-based retirement system across a socioeconomically stratified population impacted by the Great Recession. Using data from the Panel Study of Income Dynamics collected between 2005 and 2011, we first assess how socioeconomic status shapes access to different types of retirement plans. We then examine the varied pathways that lead to the early withdrawal of retirement savings. The results depict a multistage selection process through which socioeconomic resources structure the process of withdrawal. This occurs first through the availability of retirement funds and the makeup of the retirement portfolio and then through the likelihood of hardship. The results also reveal the importance of education in getting access to retirement savings during a hardship. The general implications for choice-based programs are discussed.

Migration and the Internet

2017 ◽  
Vol 14 (3) ◽  
pp. 331-342 ◽  
Author(s):  
Thomas John Cooke ◽  
Ian Shuttleworth
Keyword(s):  
United States ◽  
Information And Communication Technologies ◽  
Unobserved Heterogeneity ◽  
Panel Study ◽  
The United States ◽  
Negative Effect ◽  
Information And Communication ◽  
Using Data ◽  
And Migration ◽  
Dynamics Models

It is widely presumed that information and communication technologies, or ICTs, enable migration in several ways; primarily by reducing the costs of migration. However, a reconsideration of the relationship between ICTs and migration suggests that ICTs may just as well hinder migration; primarily by reducing the costs of not moving.  Using data from the US Panel Study of Income Dynamics, models that control for sources of observed and unobserved heterogeneity indicate a strong negative effect of ICT use on inter-state migration within the United States. These results help to explain the long-term decline in internal migration within the United States.

Pre-Rehearsal Questions of Performance Tradition and Play-Selection

2018 ◽  
Author(s):  
Kathleen Jeffs
Keyword(s):  
Golden Age ◽  
Selection Process ◽  
The United States ◽  
Spanish Golden Age ◽  
Royal Shakespeare Company ◽  
The Public ◽  
Performance Tradition ◽  
Performance Traditions ◽  
Public Consciousness

This chapter asks the questions: ‘what is the Spanish Golden Age and why should we stage its plays now?’ The Royal Shakespeare Company (RSC) Spanish season of 2004–5 came at a particularly ripe time for Golden Age plays to enter the public consciousness. This chapter introduces the Golden Age period and authors whose works were chosen for the season, and the performance traditions from the corrales of Spain to festivals in the United States. The chapter then treats the decision taken by the RSC to initiate a Golden Age season, delves into the play-selection process, and discusses the role of the literal translator in this first step towards a season. Then the chapter looks at ‘the ones that got away’, the plays that almost made the cut for production, and other worthy scripts from this period that deserve consideration for future productions.

scholarly journals El Nacimiento del Pueblo Mestizo: Critical Discourse on Historical Trauma, Community Resilience and Healing

2021 ◽  
Vol 48 (3) ◽  
pp. 265-275
Author(s):  
Lisa Cacari Stone ◽  
Magdalena Avila ◽  
Bonnie Duran
Keyword(s):  
Public Health ◽  
Service Learning ◽  
Mexican Americans ◽  
Research Question ◽  
Historical Trauma ◽  
The United States ◽  
Policy Implications ◽  
Border Region ◽  
Indigenous Populations ◽  
Field Notes

Purpose. Historical trauma has been widely applied to American Indian/Alaska Native and other Indigenous populations and includes dimensions of language, sociocultural, and land losses and associated physical and mental disorders, as well as economic hardships. Insufficient evidence remains on the experiences of historical trauma due to waves of colonization for mixed-race Mexican people with indigenous ancestry (el pueblo mestizo). Research Question. Drawing from our critical lenses and epistemic advantages as indigenous feminist scholars, we ask, “How can historical trauma be understood through present-day discourse of two mestizo communities? What are public health practice and policy implications for healing historical trauma among mestizo populations?” Methodology and Approach. We analyzed the discourse from two community projects: focus groups and ethnographic field notes from a study in the U.S.–Mexico border region (2012–2014) and field notes and digital stories from a service-learning course in northern New Mexico (2016–2018). Findings. Our analysis describes the social and historical experiences of Mexicans, Mexican Americans, Chicanas/os, and Nuevo Mexicano peoples in the southwestern border region of the United States. We found four salient themes as manifestations of “soul-wound”: (1) violence/fear, (2) discrimination/shame, (3) loss, and (4) deep sorrow. Themes mitigating the trauma were community resiliency rooted in “querencia” (deep connection to land/home/people) and “conscientizacion” (critical consciousness). Conclusion. Historical trauma experienced by mestizo Latinx communities is rooted in local cultural and intergenerational narratives that link traumatic events in the historic past to contemporary local experiences. Future public health interventions should draw on culturally centered strength-based resilience approaches for healing trauma and advancing health equity.

scholarly journals “Wars” on COVID-19 in Slovakia, Russia, and the United States: Securitized Framing and Reframing of Political and Media Communication Around the Pandemic

2020 ◽  
Vol 5 ◽  
Author(s):  
Marta N. Lukacovic
Keyword(s):  
United States ◽  
Social Media ◽  
Digital Media ◽  
Political Communication ◽  
Research Question ◽  
The United States ◽  
Frame Element ◽  
Political Factions ◽  
Russian Media ◽  
The Government

This study analyzes securitized discourses and counter narratives that surround the COVID-19 pandemic. Controversial cases of security related political communication, salient media enunciations, and social media reframing are explored through the theoretical lenses of securitization and cascading activation of framing in the contexts of Slovakia, Russia, and the United States. The first research question explores whether and how the frame element of moral evaluation factors into the conversations on the securitization of the pandemic. The analysis tracks the framing process through elite, media, and public levels of communication. The second research question focused on fairly controversial actors— “rogue actors” —such as individuals linked to far-leaning political factions or militias. The proliferation of digital media provides various actors with opportunities to join publicly visible conversations. The analysis demonstrates that the widely differing national contexts offer different trends and degrees in securitization of the pandemic during spring and summer of 2020. The studied rogue actors usually have something to say about the pandemic, and frequently make some reframing attempts based on idiosyncratic evaluations of how normatively appropriate is their government's “war” on COVID-19. In Slovakia, the rogue elite actors at first failed to have an impact but eventually managed to partially contest the dominant frame. Powerful Russian media influencers enjoy some conspiracy theories but prudently avoid direct challenges to the government's frame, and so far only marginal rogue actors openly advance dissenting frames. The polarized political and media environment in the US has shown to create a particularly fertile ground for rogue grassroots movements that utilize online platforms and social media, at times going as far as encouragement of violent acts to oppose the government and its pandemic response policy.

scholarly journals A Wife’s Separate Financial Arrangement in Contemporary Japan

2003 ◽  
Vol 24 (3) ◽  
pp. 381-401 ◽  
Author(s):  
Hiromi Ono ◽  
Ming-Ching Luoh
Keyword(s):  
Panel Study ◽  
Married Couples ◽  
The United States ◽  
Major Influence ◽  
Partial Support ◽  
Transaction Cost Economic ◽  
Bank Account ◽  
Economic Framework ◽  
Logistic Regressions ◽  
Cost Economic

This article tests the applicability of Treas’s transaction cost economic framework to contexts outside the allocation of bank accounts among married couples in the United States. Using the Japanese Panel Study of Consumer Life, the authors apply logistic regressions among Japanese couples who have joint accounts to predict (a) the chance that the wife has a separate bank account from the joint account and (b) the chance that she has an allowance. The results provide only partial support for the hypotheses based on Treas’s framework. Whereas Treas argues that the potential discontinuity of a marriage has a major influence on a couple’s separate financial arrangement, the study finds no evidence consistent with this argument. Although some of Treas’s hypotheses are well supported when predicting the chance that a Japanese wife has an allowance, the same hypotheses are not supported when predicting the chance that she has a separate bank account.

Health Care, Health Insurance, and the Distribution of American Incomes

2010 ◽  
Vol 13 (1) ◽  
Author(s):  
Gary Burtless ◽  
Pavel Svaton
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Panel Study ◽  
The United States ◽  
Medical Expenditure ◽  
Cash Income ◽  
Health Coverage ◽  
Money Income ◽  
Health Care Consumption ◽  
The Impact

Cash income offers an incomplete picture of the resources available to finance household consumption. Most American families are covered by an insurance plan that pays for some or all of the health care they consume. Only a comparatively small percentage of families pays for the full cost of this insurance out of their cash incomes. As health care has claimed a growing share of consumption, the percentage of care that is financed out of household incomes has declined. Because health care consumption is more important for some groups in the population than others, the growth in spending and changes in the payment system for medical care have reduced the value of standard income measures for assessing relative incomes of the rich and poor and the young and old. More than a seventh of total personal consumption now consists of health care that is purchased with government insurance and employer contributions to employee health plans. This paper combines health care spending and insurance reimbursement data in the Medical Expenditure Panel Study and money income and health coverage data in the Current Population Survey to assess the impact of health insurance on the distribution of income. Our estimates imply that gross money income significantly understates the resources available to finance household purchases. The estimates imply that a more complete measure of resources would show less inequality than the income measures that are currently used. The addition of estimates of the value of health insurance to countable incomes reduces measured inequality in the population and the income gap between young and old. If the analysis were extended over a longer period, it would show a sizeable impact of insurance on inequality trends in the United States.

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