scholarly journals Applying the Social Vulnerability Index as a Leading Indicator to Protect Fire-Based Emergency Medical Service Responders’ Health

2021 ◽  
Vol 18 (15) ◽  
pp. 8049
Author(s):  
Emily J. Haas ◽  
Alexa Furek ◽  
Megan Casey ◽  
Katherine N. Yoon ◽  
Susan M. Moore
Keyword(s):  
Emergency Response ◽  
Social Vulnerability ◽  
Vulnerability Index ◽  
Fire Service ◽  
Household Composition ◽  
Fire Departments ◽  
Social Vulnerability Index ◽  
Response Planning ◽  
Leading Indicator ◽  
Increased Risk

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.

Can the Social Vulnerability Index Be Used for More Than Emergency Preparedness? An Examination Using Youth Physical Fitness Data

2016 ◽  
Vol 13 (2) ◽  
pp. 121-130 ◽  
Author(s):  
Jennifer L. Gay ◽  
Sara W. Robb ◽  
Kelsey M. Benson ◽  
Alice White
Keyword(s):  
Body Mass Index ◽  
Physical Fitness ◽  
Body Mass ◽  
Emergency Preparedness ◽  
Social Vulnerability ◽  
Vulnerability Index ◽  
Household Composition ◽  
Minority Status ◽  
Social Vulnerability Index ◽  
The Social

Background:The Social Vulnerability Index (SVI), a publicly available dataset, is used in emergency preparedness to identify communities in greatest need of resources. The SVI includes multiple socioeconomic, demographic, and geographic indicators that also are associated with physical fitness and physical activity. This study examined the utility of using the SVI to explain variation in youth fitness, including aerobic capacity and body mass index.Methods:FITNESSGRAM data from 2,126 Georgia schools were matched at the census tract level with SVI themes of socioeconomic, household composition, minority status and language, and housing and transportation. Multivariate multiple regression models were used to test whether SVI factors explained fitness outcomes, controlling for grade level (ie, elementary, middle, high school) and stratified by gender.Results:SVI themes explained the most variation in aerobic fitness and body mass index for both boys and girls (R2 values 11.5% to 26.6%). Socioeconomic, Minority Status and Language, and Housing and Transportation themes were salient predictors of fitness outcomes.Conclusions:Youth fitness in Georgia was related to socioeconomic, demographic, and geographic themes. The SVI may be a useful needs assessment tool for health officials and researchers examining multilevel influences on health behaviors or identifying communities for prevention efforts.

scholarly journals Exploratory Bivariate and Multivariate Geovisualizations of a Social Vulnerability Index

2020 ◽  
Author(s):  
Georgianna Strode ◽  
Victor Mesev ◽  
Susanne Bleisch ◽  
Kathryn Ziewitz ◽  
Fennis Reed ◽  
...  
Keyword(s):  
Social Vulnerability ◽  
Visual Analytics ◽  
Vulnerability Index ◽  
The United States ◽  
Public Health Research ◽  
Household Composition ◽  
Vulnerable Groups ◽  
Social Vulnerability Index ◽  
National Agency ◽  
Emergency Responders

In the United States, the Centers for Disease Control and Prevention (CDC) is the national agency that conducts and supports public health research and practice. Among the CDC’s many achievements is the development of a social vulnerability index (SVI) to aid planners and emergency responders when identifying vulnerable segments of the population, especially during natural hazard events. The index includes an overall social vulnerability ranking as well as four individual themes: socioeconomic, household composition & disability, ethnicity & language, and housing & transportation. This makes the SVI dataset multivariate, but it is typically viewed via maps that show one theme at a time. This paper explores a suite of cartographic techniques that can represent the SVI beyond the univariate view. Specifically, we recommend three techniques: (1) bivariate mapping to illustrate overall vulnerability and population density, (2) multivariate mapping using cartographic glyphs to disaggregate levels of the four vulnerability themes, and (3) visual analytics using Euler diagrams to depict overlap between the vulnerability themes. The CDC’s SVI, and by extension, vulnerability indices in other countries, can be viewed in a variety of cartographic forms that illustrate the location of vulnerable groups of society. Viewing data from various perspectives can facilitate the understanding and analysis of the growing amount and complexity of data.

Social Vulnerability and Access of Local Medical Care During Hurricane Harvey: A Spatial Analysis

2021 ◽  
pp. 1-9
Author(s):  
David S. Rickless ◽  
Grete E. Wilt ◽  
J. Danielle Sharpe ◽  
Noelle Molinari ◽  
William Stephens ◽  
...  
Keyword(s):  
Medical Care ◽  
Social Vulnerability ◽  
Vulnerability Index ◽  
Emergency Department Visits ◽  
Household Composition ◽  
Social Vulnerability Index ◽  
Socioeconomic Vulnerability ◽  
Control And Prevention ◽  
Impact Area ◽  
Education And Employment

Abstract Objectives: When Hurricane Harvey struck the coastline of Texas in 2017, it caused 88 fatalities and over US $125 billion in damage, along with increased emergency department visits in Houston and in cities receiving hurricane evacuees, such as the Dallas-Fort Worth metroplex (DFW). This study explored demographic indicators of vulnerability for patients from the Hurricane Harvey impact area who sought medical care in Houston and in DFW. The objectives were to characterize the vulnerability of affected populations presenting locally, as well as those presenting away from home, and to determine whether more vulnerable communities were more likely to seek medical care locally or elsewhere. Methods: We used syndromic surveillance data alongside the Centers for Disease Control and Prevention Social Vulnerability Index to calculate the percentage of patients seeking care locally by zip code tabulation area. We used this variable to fit a spatial lag regression model, controlling for population density and flood extent. Results: Communities with more patients presenting for medical care locally were significantly clustered and tended to have greater socioeconomic vulnerability, lower household composition vulnerability, and more extensive flooding. Conclusions: These findings suggest that populations remaining in place during a natural disaster event may have needs related to income, education, and employment, while evacuees may have more needs related to age, disability, and single-parent household status.

scholarly journals Social Vulnerability across the Great Lakes Basin: A County-Level Comparative and Spatial Analysis

2021 ◽  
Vol 13 (13) ◽  
pp. 7274
Author(s):  
Joshua T. Fergen ◽  
Ryan D. Bergstrom
Keyword(s):  
Great Lakes ◽  
Spatial Patterns ◽  
Social Vulnerability ◽  
Vulnerability Index ◽  
Social Vulnerability Index ◽  
Great Lakes Basin ◽  
Empirical Examination ◽  
Regional Patterns ◽  
Urban Rural ◽  
Social Vulnerabilities

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.

scholarly journals Effectiveness of mass treatment of Schistosoma mansoni infection in socially vulnerable areas of a state in northeastern Brazil, 2011–2014

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Flávia Silvestre Outtes Wanderley ◽  
Ulisses Montarroyos ◽  
Cristine Bonfim ◽  
Carolina Cunha-Correia
Keyword(s):  
Schistosoma Mansoni ◽  
Correspondence Analysis ◽  
Social Vulnerability ◽  
Multiple Correspondence Analysis ◽  
Vulnerability Index ◽  
Two Dimensions ◽  
Northeastern Brazil ◽  
Mass Treatment ◽  
Social Vulnerability Index ◽  
Treatment Information

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.

Impact of Social Vulnerability on Access to Educational Programming Designed to Enhance Living Donation

2021 ◽  
pp. 152692482110460
Author(s):  
Alexis J. Carter ◽  
Rhiannon D. Reed ◽  
A. Cozette Kale ◽  
Haiyan Qu ◽  
Vineeta Kumar ◽  
...  
Keyword(s):  
Health Care ◽  
Social Vulnerability ◽  
Living Donor ◽  
Research Question ◽  
College Education ◽  
Vulnerability Index ◽  
Social Vulnerability Index ◽  
Chi Square ◽  
Control And Prevention ◽  
Transplant Candidate

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.

Creation of a social vulnerability index for justice in health planning

1988 ◽  
Vol 10 (4) ◽  
pp. 23-32 ◽  
Author(s):  
G E Alan Dever ◽  
Mark Sciegaj ◽  
Thomas E. Wade ◽  
Teresa C. Lofton
Keyword(s):  
Social Vulnerability ◽  
Health Planning ◽  
Vulnerability Index ◽  
Social Vulnerability Index
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