Impact of Neighborhood Social Cohesion and Rodent Sightings on Mental Health among Residents of New York City During the COVID-19 Pandemic
AbstractCommon mental disorders such as depression and anxiety are prevalent globally, and rates are especially high in New York City (NYC) since the COVID-19 pandemic. Neighborhood social and physical environments have been found to influence mental health. We investigated the impact of neighborhood social cohesion and neighborhood rodent sightings (as an indicator of neighborhood cleanliness) on nonspecific serious psychological distress (NSPD) status using 2020 NYC Community Health Survey data from 8781 NYC residents. Multivariable logistic regression was used to evaluate the relationships among social cohesion, rodent ...
Source: Journal of Urban Health - April 4, 2024 Category: Health Management Source Type: research

Association Between Park Use and Moderate-to-Vigorous Activity During COVID-19 Years among a Cohort of Low-Income Youth
AbstractNeighborhood parks are important venues to support moderate-to-vigorous (MVPA) activity. There has been a noticeable increase promoting physical activity among youth in neighborhood parks. This paper aims to assess the association between park use and MVPA among low-income youth in a large urban area. We recruited a cohort of 434 youth participants during the COVID pandemic years (2020 –2022) from low-income households in Washington, D.C. We collected multiple data components: accelerometry, survey, and electronic health record data. We explored the bivariate relationship between the accelerometer-measured daily ...
Source: Journal of Urban Health - April 4, 2024 Category: Health Management Source Type: research

Overdose from Unintentional Fentanyl Use when Intending to Use a Non-opioid Substance: An Analysis of Medically Attended Opioid Overdose Events
AbstractFentanyl-mixed and substituted heroin is well-documented, but less is known about unintentional fentanyl use among people using stimulants. To determine the prevalence of and racial and ethnic disparities in unintentional fentanyl use among people experiencing a medically attended opioid overdose, we reviewed 448 suspected non-fatal overdose cases attended by a community paramedic overdose response team in San Francisco from June to September 2022. We applied a case definition for opioid overdose to paramedic records and abstracted data on intended substance use prior to overdose. Among events meeting case criteria...
Source: Journal of Urban Health - April 3, 2024 Category: Health Management Source Type: research

Associations between Rat Infestations and Mental Health Vary by Gender, Race, and Income in Chicago
In this study, we examined associations between residential rat sightings and mental health in Chicago, where rat complaints are the highest of any American city. We examined how this relationship varied by frequency of rat sightings, race, ethnicity, income, home ownership, and gender and explored potential psychosocial pathways (e.g., feelings about the home) between rat sightings and mental distress. We conducted a randomized household survey along an income gradient in 2021 and asked about depressive symptoms in the past week (i.e., Center for Epidemiologic Studies Depression scale), frequency of rat sightings in/aroun...
Source: Journal of Urban Health - April 2, 2024 Category: Health Management Source Type: research

Situational and Victim Correlates of Increased Case Fatality Rates in Los Angeles Shootings, 2005 –2021
AbstractThe gun assault case fatality rate measures the fraction of shooting victims who die from their wounds. Considerable debate has surrounded whether gun assault case fatality rates have changed over time and what factors may be involved. We use crime event data from Los Angeles to examine the victim and situational correlates of gun assault case fatality rates over time. We estimated log binomial regression models for the probability of death in each year from 2005 to 2021, conditioned on situational and victim characteristics of the crime. Case fatality rates increased by around 1.3% per year between 2005 and 2021 f...
Source: Journal of Urban Health - March 28, 2024 Category: Health Management Source Type: research

Inter-district and Wealth-related Inequalities in Maternal and Child Health Service Coverage and Child Mortality within Addis Ababa City
This study aims to investigate temporal trends and geographic differences in maternal, newborn, and child health service utilization between Addis Ababa ’s poorest and richest districts and households. A World Bank district-based poverty index was used to classify districts into the top 60% (non-poor) and bottom 40% (poor), and wealth index data from the Ethiopian Demographic and Health Survey (EDHS) was used to classify households into the top 60 % (non-poor) and bottom 40% (poor). Essential maternal, newborn, and child health service coverage was estimated from routine health facility data for 2019–2021, and five rou...
Source: Journal of Urban Health - March 27, 2024 Category: Health Management Source Type: research

Characterizing Use of Supervised Consumption Services among Street-involved Youth and Young Adults in the Context of an Overdose Crisis
AbstractIn response to an increase in overdose deaths, there was a rapid scale-up of supervised consumption services (SCS), including federally sanctioned SCS and low-barrier SCS known as overdose prevention sites (OPS), in Vancouver, Canada, beginning in December 2016. However, little is known about the use of such services among adolescents and young adults (AYA) in this context. We therefore sought to characterize factors associated with the use of federally sanctioned SCS and OPS among street-involved AYA who inject drugs in Vancouver during an overdose crisis. From December 2016 to March 2020, data were collected from...
Source: Journal of Urban Health - March 27, 2024 Category: Health Management Source Type: research

State-Level Firearm Laws and Firearm Homicide in US Cities: Heterogenous Associations by City Characteristics
We examined associations of 5 categories of state firearm laws —pertaining to buyers, dealers, domestic violence, gun type/trafficking, and possession—with city-level firearm homicide, and then tested differential associations by city characteristics. City-level panel data on firearm homicide cases of 78 major cities from 2010 to 2020 was assessed from t he Centers for Disease Control and Prevention’s National Vital Statistics System. We modeled log-transformed firearm homicide rates as a function of firearm law scores, city, state, and year fixed effects, along with time-varying city-level confounders. We conside...
Source: Journal of Urban Health - March 27, 2024 Category: Health Management Source Type: research

Characterizing Use of Supervised Consumption Services among Street-involved Youth and Young Adults in the Context of an Overdose Crisis
AbstractIn response to an increase in overdose deaths, there was a rapid scale-up of supervised consumption services (SCS), including federally sanctioned SCS and low-barrier SCS known as overdose prevention sites (OPS), in Vancouver, Canada, beginning in December 2016. However, little is known about the use of such services among adolescents and young adults (AYA) in this context. We therefore sought to characterize factors associated with the use of federally sanctioned SCS and OPS among street-involved AYA who inject drugs in Vancouver during an overdose crisis. From December 2016 to March 2020, data were collected from...
Source: Journal of Urban Health - March 27, 2024 Category: Health Management Source Type: research

Inter-district and Wealth-related Inequalities in Maternal and Child Health Service Coverage and Child Mortality within Addis Ababa City
This study aims to investigate temporal trends and geographic differences in maternal, newborn, and child health service utilization between Addis Ababa ’s poorest and richest districts and households. A World Bank district-based poverty index was used to classify districts into the top 60% (non-poor) and bottom 40% (poor), and wealth index data from the Ethiopian Demographic and Health Survey (EDHS) was used to classify households into the top 60 % (non-poor) and bottom 40% (poor). Essential maternal, newborn, and child health service coverage was estimated from routine health facility data for 2019–2021, and five rou...
Source: Journal of Urban Health - March 27, 2024 Category: Health Management Source Type: research

State-Level Firearm Laws and Firearm Homicide in US Cities: Heterogenous Associations by City Characteristics
We examined associations of 5 categories of state firearm laws —pertaining to buyers, dealers, domestic violence, gun type/trafficking, and possession—with city-level firearm homicide, and then tested differential associations by city characteristics. City-level panel data on firearm homicide cases of 78 major cities from 2010 to 2020 was assessed from t he Centers for Disease Control and Prevention’s National Vital Statistics System. We modeled log-transformed firearm homicide rates as a function of firearm law scores, city, state, and year fixed effects, along with time-varying city-level confounders. We conside...
Source: Journal of Urban Health - March 27, 2024 Category: Health Management Source Type: research

Evaluating Methods for Mapping Historical Redlining to Census Tracts for Health Equity Research
AbstractNeighborhood characteristics including housing status can profoundly influence health. Recently, increasing attention has been paid to present-day impacts of “redlining,” or historic area classifications that indicated less desirable (redlined) areas subject to decreased investment. Scholarship of redlining and health is emerging; limited guidance exists regarding optimal approaches to measuring historic redlining in studies of present-day health out comes. We evaluated how different redlining approaches (map alignment methods) influence associations between redlining and health outcomes. We first identified 11...
Source: Journal of Urban Health - March 22, 2024 Category: Health Management Source Type: research