scholarly journals Recurrent Home Flooding in Detroit, MI 2012–2020: Results of a Household Survey

2021 ◽  
Vol 18 (14) ◽  
pp. 7659
Author(s):  
Peter S. Larson ◽  
Carina Gronlund ◽  
Lyke Thompson ◽  
Natalie Sampson ◽  
Ramona Washington ◽  
...  
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Hot Spot ◽  
Household Survey ◽  
Housing Conditions ◽  
Household Level ◽  
Regression Methods ◽  
Aging Infrastructure ◽  
Basement Walls ◽  
Flooding Risk

Household flooding has wide ranging social, economic and public health impacts particularly for people in resource poor communities. The determinants and public health outcomes of recurrent home flooding in urban contexts, however, are not well understood. A household survey was used to assess neighborhood and household level determinants of recurrent home flooding in Detroit, MI. Survey activities were conducted from 2012 to 2020. Researchers collected information on past flooding, housing conditions and public health outcomes. Using the locations of homes, a “hot spot” analysis of flooding was performed to find areas of high and low risk. Survey data were linked to environmental and neighborhood data and associations were tested using regression methods. 4803 households participated in the survey. Flooding information was available for 3842 homes. Among these, 2085 (54.26%) reported experiencing pluvial flooding. Rental occupied units were more likely to report flooding than owner occupied homes (Odd ratio (OR) 1.72 [95% Confidence interval (CI) 1.49, 1.98]). Housing conditions such as poor roof quality and cracks in basement walls influenced home flooding risk. Homes located in census tracts with increased percentages of owner occupied units (vs. rentals) had a lower odds of flooding (OR 0.92 [95% (CI) 0.86, 0.98]). Household factors were found the be more predictive of flooding than neighborhood factors in both univariate and multivariate analyses. Flooding and housing conditions associated with home flooding were associated with asthma cases. Recurrent home flooding is far more prevalent than previously thought. Programs that support recovery and which focus on home improvement to prevent flooding, particularly by landlords, might benefit the public health. These results draw awareness and urgency to problems of urban flooding and public health in other areas of the country confronting the compounding challenges of aging infrastructure, disinvestment and climate change.

PELAYANAN PUBLIK KESEHATAN PUSKESMAS DALAM MEMBERIKAN KEPUASAN MASYARAKAT DI KABUPATEN SUMENEP

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Aryo Wibisono ◽  
R. Amilia Destryana
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Patient Satisfaction ◽  
Health Center ◽  
Public Service ◽  
Public Health Center ◽  
The Public ◽  
Regression Methods ◽  
Total Satisfaction ◽  
The Relationship

This study aims to determine the index of public satisfaction in public health center services in Sumenep Regency and the relationship between the services to the public satisfaction. The analysis measured the index of public satisfaction and logistic regression methods to determine the effect of the relationship on total satisfaction in the health services of Public Health Center. The results of the study are the alignment between interests and patient satisfaction is still not aligned, there are still differences between interests and satisfaction, the pattern of the result is the relationship between the assurance dimension to the service satisfaction of the public health center, and the results of the index of public satisfaction  values show that the results of the community assess the public health center performance is very good by getting an A grade. Keywords: public service, logistic regretion, index of public satisfaction

scholarly journals Working conditions and health status of 6,317 front line public health workers across five provinces in China during the COVID-19 epidemic: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Working Conditions ◽  
Health Workers ◽  
Front Line ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Public Health Workers

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.

scholarly journals Measuring Household Resilience to Cyclone Disasters in Coastal Bangladesh

Climate ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 97
Author(s):  
Abdullah Al-Maruf ◽  
J. Craig Jenkins ◽  
Amelie Bernzen ◽  
Boris Braun
Keyword(s):  
Methodological Approach ◽  
Coastal Region ◽  
Household Survey ◽  
Storm Surges ◽  
Household Level ◽  
Coastal Bangladesh ◽  
Indicator Approach ◽  
Island Communities ◽  
Assessment And Monitoring ◽  
Social Safety Nets

The main objective of this paper is to measure the level of household resilience to cyclone and storm surges in the coastal area of Bangladesh. We draw on four general disaster frameworks in terms of addressing household-level resilience to cyclones and storm surges. We use a composite indicator approach organized around four components: (1) household infrastructure (HI); (2) household economic capacity (HEC); (3) household self-organization and learning (HSoL), and; (4) social safety nets (SSN). Drawing on a household survey (N = 1188) in nine coastal union parishads in coastal Bangladesh purposively selected as among the most vulnerable places in the world, we use principal components analysis applied to a standardized form of the survey data that identifies key household resilience features. These household index scores can be used for the assessment and monitoring of household capacities, training, and other efforts to improve household cyclone resilience. Our innovative methodological approach allows us to (a) identify patterns and reveal the underlying factors that accurately describe the variation in the data; (b) reduce a large number of variables to a much smaller number of core dimensions of household resilience, and (c) to detect spatial variations in resilience among communities. Aggregated to the community level, our new index reveals significant differences in community cyclone resilience in different areas of the coastal region. In this way, we can show that shoreline and island communities, in particular, have significant deficits in terms of household resilience, which seem to be mutually reinforcing one another and making for lower resilience.

scholarly journals More Than Shelter: Housing for Urban Maternal and Infant Health

2021 ◽  
Vol 18 (7) ◽  
pp. 3331
Author(s):  
Jason Reece
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Outcomes ◽  
City Planning ◽  
Infant Health ◽  
The United States ◽  
Housing Quality ◽  
Housing Discrimination ◽  
Maternal Health Outcomes ◽  
The Impact

Housing quality, stability, and affordability have a direct relationship to socioemotional and physical health. Both city planning and public health have long recognized the role of housing in health, but the complexity of this relationship in regard to infant and maternal health is less understood. Focusing on literature specifically relevant to U.S. metropolitan areas, I conduct a multidisciplinary literature review to understand the influence of housing factors and interventions that impact infant and maternal health. The paper seeks to achieve three primary goals. First, to identify the primary “pathways” by which housing influences infant and maternal health. Second, the review focuses on the role and influence of historical housing discrimination on maternal health outcomes. Third, the review identifies emergent practice-based housing interventions in planning and public health practice to support infant and maternal health. The literature suggests that the impact of housing on infant health is complex, multifaceted, and intergenerational. Historical housing discrimination also directly impacts contemporary infant and maternal health outcomes. Policy interventions to support infant health through housing are just emerging but demonstrate promising outcomes. Structural barriers to housing affordability in the United States will require new resources to foster greater collaboration between the housing and the health sectors.

scholarly journals Epidemiological modelling of the health and economic effects of COVID-19 control in Australia’s second wave

2021 ◽  
Author(s):  
R. Quentin Grafton ◽  
John Parslow ◽  
Tom Kompas ◽  
Kathryn Glass ◽  
Emily Banks
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Health Management ◽  
Economic Effects ◽  
Social Distancing ◽  
The Public ◽  
Long Duration ◽  
Community Transmission ◽  
Second Wave ◽  
Detection Strategies

Abstract Background We investigated the public health and economy outcomes of different levels of social distancing to control a ‘second wave’ outbreak in Australia and identify implications for public health management of COVID-19. Methods Individual-based and compartment models were used to simulate the effects of different social distancing and detection strategies on Australian COVID-19 infections and the economy from March to July 2020. These models were used to evaluate the effects of different social distancing levels and the early relaxation of suppression measures, in terms of public health and economy outcomes. Results The models, fitted to observations up to July 2020, yielded projections consistent with subsequent cases and showed that better public health outcomes and lower economy costs occur when social distancing measures are more stringent, implemented earlier and implemented for a sufficiently long duration. Early relaxation of suppression results in worse public health outcomes and higher economy costs. Conclusions Better public health outcomes (reduced COVID-19 fatalities) are positively associated with lower economy costs and higher levels of social distancing; achieving zero community transmission lowers both public health and economy costs compared to allowing community transmission to continue; and early relaxation of social distancing increases both public health and economy costs.

Health Outcomes und Evaluation in Public Health

2000 ◽  
Vol 8 (3) ◽  
pp. 2-3 ◽  
Author(s):  
Eva Bitzer ◽  
Jürgen Wasem ◽  
Thomas Kohlmann ◽  
Marie-Luise Dierks
Keyword(s):  
Public Health ◽  
Health Outcomes

scholarly journals Taxing Food to Improve Health: Economic Evidence and Arguments

2007 ◽  
Vol 36 (2) ◽  
pp. 174-182 ◽  
Author(s):  
Sean B. Cash ◽  
Ryan D. Lacanilao
Keyword(s):  
Public Health ◽  
Health Economic ◽  
Health Outcomes ◽  
Tax Policy ◽  
Economic Evidence ◽  
Relative Prices ◽  
Health Objectives ◽  
Improve Health

Many observers have suggested that tax policy can be used to change the relative prices of foods in ways that will produce desirable health outcomes. We briefly review the economic evidence regarding such claims, and discuss several conceptual and pragmatic issues surrounding the use of such interventions to achieve public health objectives.

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