This document contains lecture notes that discuss several topics related to public health and the built environment:
1) It discusses factors like housing quality, access to healthy food and healthcare, transportation options, and segregation that influence neighborhood health.
2) It notes that over 130 million Americans have chronic health conditions, and addresses how the built environment can help through interventions like trails and parks.
3) The health impact pyramid is explained, with a focus on how changing the built environment (tier 5) can impact population health more than clinical interventions or education (tiers 4 and 3).
4) The concepts of weathering and embodiment are introduced in the context of how long-term exposure to stress and discrimination
This document contains lecture notes that discuss several topics related to public health and the built environment:
1) It discusses factors like housing quality, access to healthy food and healthcare, transportation options, and segregation that influence neighborhood health.
2) It notes that over 130 million Americans have chronic health conditions, and addresses how the built environment can help through interventions like trails and parks.
3) The health impact pyramid is explained, with a focus on how changing the built environment (tier 5) can impact population health more than clinical interventions or education (tiers 4 and 3).
4) The concepts of weathering and embodiment are introduced in the context of how long-term exposure to stress and discrimination
This document contains lecture notes that discuss several topics related to public health and the built environment:
1) It discusses factors like housing quality, access to healthy food and healthcare, transportation options, and segregation that influence neighborhood health.
2) It notes that over 130 million Americans have chronic health conditions, and addresses how the built environment can help through interventions like trails and parks.
3) The health impact pyramid is explained, with a focus on how changing the built environment (tier 5) can impact population health more than clinical interventions or education (tiers 4 and 3).
4) The concepts of weathering and embodiment are introduced in the context of how long-term exposure to stress and discrimination
1. Queering curriculum (wants suggestions for ABSN cohort in regard to curriculum
development) 2. Why are some neighborhoods healthier than others? (Virginia Commonwealth University) a. Unhealthy housing; food security and access to healthy food b. Opportunities for residents to exercise, walk, or cycle c. Proximity to highways, factories, or other sources of toxic agents d. Access to primary care doctors and good hospitals e. Unreliable or expensive public transit can isolate residents from good jobs, health and child care, and social services f. Residential segregation and features that isolate communities (e.g., highways) can limit social cohesion, stifle economic growth… 3. More than 130 million Americans suffer from chronic conditions, a number that will continue to rise a. Chronic dz cause 7/10 deaths 4. Built environment interventions a. The Circuit: Greater Philadelphia’s Regional Trail Network b. “The Negro Problem” study assigned to W.E.B. Du Bois “The Seventh Ward” i. Housing/bathrooms/water/alley dwelling 5. Health impact pyramid a. Downstream (increasing individual effort needed) vs. upstream (increasing population impact) i. Counseling and education -> clinical interventions -> long-lasting protective interventions (immunizations, fluoride in water, etc.) -> changing the context to make individuals’ default decisions healthy (built environment focused on this tier; fails to ignore human behavior and how people actually respond to environmental changes) -> socioeconomic factors (poverty, racism, other forms of discrimination) 6. The Weathering Hypothesis: Impact of dealing with disadvantage through the life course wears down the body’s organs and tissues, particularly the cardiovascular system, causing advanced health deterioration and early death a. Cumulative exposure of stressful environments wears down body systems and leads to early death 7. Embodiment a. How racism gets under one’s skin b. Daily micro-aggressions and indignities faced d/t institutional discrimination 8. Increased park use -> increase in physical activity (improved cardiovascular health which leads to decrease in BMI), exposure to nature (reduced stress which leads to improved mental and physical health), and exposure to people (increased social cohesion/collective efficacy which leads to improved mental and physical health; increased interracial contact which leads to reduced racial discrimination) a. WIC q3mo and you get coupons for certain kinds of food. Go in for counseling and blood tests b. Food stamps are monthly generic allocations 9. Health Impact Assessments (HIA) a. Federally mandated if you, for ex., build a new wing of an airport, new highline park area, new bikeshare areas b. Screening -> scoping -> assessment -> recommendations -> reporting -> monitoring and evaluation c. How does this impact marginalized/minority communities? 10. Tuesday, June 20th be ready at 12:00pm for bus tour a. WALKING GROUP 2; BE AT MERCY LIFE AT 1:00PM