scholarly journals Associations between Greenspace and Gentrification-Related Sociodemographic and Housing Cost Changes in Major Metropolitan Areas across the United States

2021 ◽  
Vol 18 (6) ◽  
pp. 3315
Author(s):  
Leah H. Schinasi ◽  
Helen V. S. Cole ◽  
Jana A. Hirsch ◽  
Ghassan B. Hamra ◽  
Pedro Gullon ◽  
...  
Keyword(s):  
United States ◽  
Census Tract ◽  
Household Income ◽  
The United States ◽  
Effect Modification ◽  
Ethnic Composition ◽  
Housing Cost ◽  
Census Tract Level ◽  
Specific Distribution ◽  
Meta Analyses

Neighborhood greenspace may attract new residents and lead to sociodemographic or housing cost changes. We estimated relationships between greenspace and gentrification-related changes in the 43 largest metropolitan statistical areas (MSAs) of the United States (US). We used the US National Land Cover and Brown University Longitudinal Tracts databases, as well as spatial lag models, to estimate census tract-level associations between percentage greenspace (years 1990, 2000) and subsequent changes (1990–2000, 2000–2010) in percentage college-educated, percentage working professional jobs, race/ethnic composition, household income, percentage living in poverty, household rent, and home value. We also investigated effect modification by racial/ethnic composition. We ran models for each MSA and time period and used random-effects meta-analyses to derive summary estimates for each period. Estimates were modest in magnitude and heterogeneous across MSAs. After adjusting for census-tract level population density in 1990, compared to tracts with low percentage greenspace in 1992 (defined as ≤50th percentile of the MSA-specific distribution in 1992), those with high percentage greenspace (defined as >75th percentile of the MSA-specific distribution) experienced higher 1990–2000 increases in percentage of the employed civilian aged 16+ population working professional jobs (β: 0.18, 95% confidence interval (CI): 0.11, 0.26) and in median household income (β: 0.23, 95% CI: 0.15, 0.31). Adjusted estimates for the 2000–2010 period were near the null. We did not observe evidence of effect modification by race/ethnic composition. We observed evidence of modest associations between greenspace and gentrification trends. Further research is needed to explore reasons for heterogeneity and to quantify health implications.

scholarly journals An Examination of Geographic Differences in Social Determinants of Health Among Women with Diagnosed HIV in the United States and Puerto Rico, 2017

2021 ◽  
Vol 15 (1) ◽  
pp. 10-20
Author(s):  
Ndidi Nwangwu-Ike ◽  
Chan Jin ◽  
Zanetta Gant ◽  
Shacara Johnson ◽  
Alexandra B. Balaji
Keyword(s):  
United States ◽  
Puerto Rico ◽  
Health Insurance ◽  
Social Determinants ◽  
Census Tract ◽  
The United States ◽  
Adult Women ◽  
Hiv Diagnosis ◽  
Census Tracts ◽  
Census Tract Level

Objective: To examine differences, at the census tract level, in the distribution of human immunodeficiency virus (HIV) diagnoses and social determinants of health (SDH) among women with diagnosed HIV in 2017 in the United States and Puerto Rico. Background: In the United States, HIV continues to disproportionately affect women, especially minority women and women in the South. Methods: Data reported in the National HIV Surveillance System (NHSS) of the Centers for Disease Control and Prevention were used to determine census tract-level HIV diagnosis rates and percentages among adult women (aged ≥18 years) in 2017. Data from the American Community Survey were combined with NHSS data to examine regional differences in federal poverty status, education level, income level, employment status, and health insurance coverage among adult women with diagnosed HIV infection in the United States and Puerto Rico. Results: In the United States and Puerto Rico, among 6,054 women who received an HIV diagnosis in 2017, the highest rates of HIV diagnoses generally were among those who lived in census tracts where the median household income was less than $40,000; at least 19% lived below the federal poverty level, at least 18% had less than a high school diploma, and at least 16% were without health insurance. Conclusion: This study is the first of its kind and gives insight into how subpopulations of women are affected differently by the likelihood of an HIV diagnosis. The findings show that rates of HIV diagnosis were highest among women who lived in census tracts having the lowest income and least health coverage.

Proportion of Individuals With Past-Year Suicidal Ideation Who Attempted Suicide Over the Past 10 Years in the United States, and the Influence of Age and Sex

Crisis ◽  
2020 ◽  
pp. 1-5
Author(s):  
Shannon Lange ◽  
Courtney Bagge ◽  
Charlotte Probst ◽  
Jürgen Rehm
Keyword(s):  
United States ◽  
Suicidal Ideation ◽  
Random Effects ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
The United States ◽  
Individual Level ◽  
The Past ◽  
Meta Analyses ◽  
Age Category

Abstract. Background: In recent years, the rate of death by suicide has been increasing disproportionately among females and young adults in the United States. Presumably this trend has been mirrored by the proportion of individuals with suicidal ideation who attempted suicide. Aim: We aimed to investigate whether the proportion of individuals in the United States with suicidal ideation who attempted suicide differed by age and/or sex, and whether this proportion has increased over time. Method: Individual-level data from the National Survey on Drug Use and Health (NSDUH), 2008–2017, were used to estimate the year-, age category-, and sex-specific proportion of individuals with past-year suicidal ideation who attempted suicide. We then determined whether this proportion differed by age category, sex, and across years using random-effects meta-regression. Overall, age category- and sex-specific proportions across survey years were estimated using random-effects meta-analyses. Results: Although the proportion was found to be significantly higher among females and those aged 18–25 years, it had not significantly increased over the past 10 years. Limitations: Data were self-reported and restricted to past-year suicidal ideation and suicide attempts. Conclusion: The increase in the death by suicide rate in the United States over the past 10 years was not mirrored by the proportion of individuals with past-year suicidal ideation who attempted suicide during this period.

A Systematic Review on Barriers to Palliative Care in Oncology

2021 ◽  
pp. 104990912098328
Author(s):  
Jyotsana Parajuli ◽  
Judith E. Hupcey
Keyword(s):  
United States ◽  
Systematic Review ◽  
Palliative Care ◽  
Full Text ◽  
Literature Search ◽  
Intervention Development ◽  
The United States ◽  
Care Utilization ◽  
Review Of Literature ◽  
Meta Analyses

The number of people with cancer and the need for palliative care among this population is increasing in the United States. Despite this growing need, several barriers exist to the utilization of palliative care in oncology. The purpose of this study was to synthesize the evidence on the barriers to palliative care utilization in an oncology population. A systematic review of literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, and Psych Info databases were used for the literature search. Articles were included if they: 1) focused on cancer, (2) examined and discussed barriers to palliative care, and c) were peer reviewed, published in English, and had an accessible full text. A total of 29 studies (8 quantitative, 18 qualitative, and 3 mixed-methods) were identified and synthesized for this review. The sample size of the included studies ranged from 10 participants to 313 participants. The barriers to palliative care were categorized into barriers related to the patient and family, b) barriers related to providers, and c) barriers related to the healthcare system or policy. The factors identified in this review provide guidance for intervention development to mitigate the existing barriers and facilitate the use palliative care in individuals with cancer.

From Defining Characteristic to Vitiation of Principle

2006 ◽  
Vol 30 (4) ◽  
pp. 479-500
Author(s):  
J. C. Herbert Emery
Keyword(s):  
United States ◽  
Welfare State ◽  
Household Income ◽  
The United States ◽  
Sickness Insurance ◽  
Declining Demand ◽  
The Government ◽  
The Welfare State

Some studies that address the decline of fraternal sickness insurance conclude that fraternal insurers were crowded out of the market by increasing government and commercial competition. This line of reasoning reinforces beliefs that government and commercial insurers were superior to fraternal providers and that voluntary insurance arrangements were deficient for addressing household income risks before the rise of the welfare state. This article shows that this interpretation is problematic. The largest sickness insurer in the United States, the Independent Order of Odd Fellows, dismantled its sick benefit arrangements between the 1860s and the 1920s not because of an inability to compete with the government and commercial insurers that were not in the market until well after 1920 but rather because of declining demand for the insurance within the membership.

Effectiveness of HIV Stigma Interventions for Men who have Sex with Men (MSM) With and Without HIV in the United States: A Systematic Review and Meta-Analyses

2021 ◽  
Author(s):  
Jayleen K. L. Gunn ◽  
Cherie Rooks-Peck ◽  
Megan E. Wichser ◽  
Christa Denard ◽  
Donna Hubbard McCree ◽  
...  
Keyword(s):  
United States ◽  
Systematic Review ◽  
The United States ◽  
Hiv Stigma ◽  
Sex With Men ◽  
Meta Analyses

scholarly journals A Historical and Contemporary Discussion of the Tourism Industry in the Appalachian Region of the United States, with an analysis on its economic and sociological effects

Perceptions ◽  
2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Nick Tarpey
Keyword(s):  
United States ◽  
The United States ◽  
Tourism Industry ◽  
Service Industries ◽  
Ethnic Composition ◽  
Easy Access ◽  
Eastern United States ◽  
Appalachian Region ◽  
Unique Region ◽  
Appalachian Regional Commission

Appalachia is defined as a roughly 1,000-mile long region in the eastern United States nestled in and around the Appalachian mountains. It is roughly 205,000 square miles and contains all or parts of twelve states: Alabama, Georgia, Mississippi, Kentucky, Maryland, New York, Pennsylvania, Virginia, North Carolina, Tennessee, West Virginia, and Ohio. The area was  home to about 25 million people as of the 2010 census. It is important to note that the region has struggled with outmigration since the 1930s beginning with the onset of the Great Depression. (Appalachian Regional Commission 2017). Historically, Appalachia has been known as a unique region in the United States. Beginning with roots as a common settlement region for fiery Scotch-Irish immigrants in the 1700s, continued by earning a reputation as a center for moonshine production during the 1930s, and now known as a region where the wealthy buy their second and third homes, the region has consistently been able to craft its own, particular culture. With a population that is 42% rural (compared to a 20% rural population for the entire U.S.) and overwhelmingly Scotch-Irish in ethnic composition, the area differs from the mainstream US. Beset by poverty, the region needs tourism to be a viable industry in many of its locales. A population that is relatively low in educational achievement (Appalachia as whole averages a 22% college completion rate per county compared with a US rate of 29% per county) and does not have easy access to intellectual resources in many places needs a stable, job-providing industry (Appalachian Regional Commission 2017). The area once had a legacy in the mining and forestry industries, but according to the Appalachian Regional Commission, that era has passed and people now rely on a rebirth of manufacturing, service industries, and tourism to provide jobs (2017). Fortunately, the situation in Appalachia has improved since 1960, as the number of economically distressed counties in the region has declined from 295 in 1960 to 91 in 2014 (Appalachian Regional Commission 2017). The poverty rate of 17.1% is slightly above the national average of 14.3% (Appalachian Regional Commission 2017). The region has come to increasingly depend on the tourism industry to fill an economic void as gaps in basic services and the continual draining of potential intellectual capital from population loss continue to plague the area. This paper will examine contemporary perspectives  on tourism in the Appalachian region and analyze their economic and sociological effects.

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