Description and analysis of the Franklin County meteoric iron [Kentucky]...

While national surveillance studies have stratified high school students’ health behavior outcomes, few ecological data sets have been explored, collected, and analyzed on the unique health problems of minority children. An area for which limited data on minority youth has been collected is Franklin County, home of the state capital of Kentucky. In the current study, we use baseline data collected in 2015 from students attending two high schools that were sites for Kentucky State University’s Youth Empowerment Project. We hypothesize that youth who reside in Franklin County would report lower maladjusted behaviors than their national and statewide counterparts in the same year of observation. Data analyses confirm that compared to their national- and state-level counterparts, Franklin County high school students were less likely to report riding with a driver who had been drinking alcohol, engaging in sexual intercourse, drinking alcohol before sexual intercourse, and experiencing non-condom use when engaged in sexual intercourse, forced sexual intercourse, dating violence, cyber bullying, suicidal ideation, and drug use. These findings suggest that Franklin County high school students may be exposed to environmental variables that may be preventive to maladjusted behaviors.

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Abstract 187: Cardiac Arrest Incidence, Bystander Cardiopulmonary Resuscitation Rates, and Community Characteristics Differ by High and Low Risk Areas

Circulation ◽

10.1161/circ.140.suppl_2.187 ◽

2019 ◽

Vol 140 (Suppl_2) ◽

Author(s):

Rebecca Cash ◽

Madison K Rivard ◽

Eric Cortez ◽

David Keseg ◽

Ashish Panchal

Keyword(s):

Cardiac Arrest ◽

High Risk ◽

Cardiopulmonary Resuscitation ◽

Low Risk ◽

Poverty Level ◽

Community Characteristics ◽

Franklin County ◽

Census Tracts ◽

Bystander Cardiopulmonary Resuscitation ◽

Risk Areas

Introduction: Survival from out-of-hospital cardiac arrest (OHCA) has significant variation which may be due to differing rates of bystander cardiopulmonary resuscitation (BCPR). Defining and understanding the community characteristics of high-risk areas (census tracts with low BCPR rates and high OHCA incidence) can help inform novel interventions to improve outcomes. Our objectives were to identify high and low risk census tracts in Franklin County, Ohio and to compare the OHCA incidence, BCPR rates, and community characteristics. Methods: This was a cross-sectional analysis of OHCA events treated by Columbus Division of Fire in Franklin County, Ohio from the Cardiac Arrest Registry to Enhance Survival between 1/1/2010-12/31/2017. Included cases were 18 and older, with a cardiac etiology OHCA in a non-healthcare setting, with EMS resuscitation attempted. After geocoding to census tracts, Local Moran’s I and quartiles were used to determine clustering in high risk areas based on spatial Empirical Bayes smoothed rates. Community characteristics, from the 2014 American Community Survey, were compared between high and low risk areas. Results: From the 3,841 included OHCA cases, the mean adjusted OHCA incidence per census tract was 0.67 per 1,000 with a mean adjusted BCPR rate of 31% and mean adjusted survival to discharge of 9.4%. In the 25 census tracts identified as high-risk areas, there were significant differences in characteristics compared to low-risk areas, including a higher proportion of African Americans (64% vs. 21%, p<0.001), lower median household income ($30,948 vs. $54,388, p<0.001), and a higher proportion living below the poverty level (36% vs. 20%, p<0.001). There was a 3-fold increase in the adjusted OHCA incidence between high and low risk areas (1.68 vs. 0.57 per 1,000, p<0.001) with BCPR rates of 27% and 31% (p=0.31), respectively. Compared to a previous analysis, 9 (36%) census tracts persisted as high-risk but an additional 16 were newly identified. Conclusions: Neighborhood-level variations in OHCA incidence are dramatic with marked disparities in characteristics between high and low risk areas. It is possible that improving OHCA outcomes requires multifaceted interventions to address social determinants of health.

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National Dam Inspection Program. Caledonia Water Company Dam (NDI I.D. PA-1143, DER I.D. 28-108), Potomac River Basin, Stump Run, Franklin County, Pennsylvania. Phase I Inspection Report

10.21236/ada108949 ◽

1981 ◽

Author(s):

R. Jeffrey Kimball

Keyword(s):

Phase I ◽

River Basin ◽

Potomac River ◽

Franklin County ◽

Water Company ◽

Potomac River Basin

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Art and Community Capacity-Building

Advances in Media, Entertainment, and the Arts - Handbook of Research on the Facilitation of Civic Engagement through Community Art ◽

10.4018/978-1-5225-1727-6.ch023 ◽

2017 ◽

pp. 499-523

Author(s):

Ferdinand Lewis ◽

Eleanor K. Sommer

Keyword(s):

Community Health ◽

Action Theory ◽

Health Planning ◽

Community Gardens ◽

Organizational Capacity ◽

Franklin County ◽

Community Capacity Building ◽

The Arts ◽

Arts Programs ◽

Healthcare Program

Arts programs are increasingly becoming part of public engagement in the context of community health but have mostly been studied in urban and suburban locations. This chapter outlines a successful partnership between an arts in healthcare program and a community health coalition in rural Franklin County, Florida, an area struck by natural and human-made disasters. During a five-year period, the organizations worked in partnership to address the “fragmentation” of the community and its health services and to build community and organizational capacity for public health planning using the arts. The partnership sustained engagement with a variety of communities and institutions in Franklin County, Florida, conducted community assessments, developed public murals and mosaics, created community gardens, gathered stories, and employed Boalian theater strategies. The case study examines the partnership through the lens of a “Community Coalition Action Theory” framework, offering a narrative of a unique partnership (Butterfoss & Kegler, 2002).

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