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Urban Revitalization and Long-Term Effects on Diet, Economic, and Health Outcomes

城市复兴及其对饮食、经济和健康结果的长期影响

基本信息

批准号：
10376677
负责人：
Tamara Dubowitz
金额：
$ 19.66万
依托单位：
RAND CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-05-14 至 2023-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10376677
关键词：
Address Affect African American Buffers COVID-19 COVID-19 pandemic Chronic Disease Communities Containment Data Development Diet Disadvantaged Discrimination Disease Outbreaks Distress Documentation Economics Epidemic Food Funding General Population Grant Health Health Policy Home Individual Intervention Investments Life Link Long-Term Effects Longitudinal Studies Longitudinal cohort Low income Mental Health Natural experiment Neighborhoods Nutritional Obesity Outcome Parents Patient Self-Report Pennsylvania Personal Satisfaction Plant Roots Policies Privatization Process Psyche structure Public Housing Research Risk Role Schools Series Services Social Distance Social status Structure Supermarket Testing Work base behavioral economics cohort economic impact epidemiology study experience food desert food insecurity food security health economics health inequalities improved marginalized population nutrition pandemic disease parent grant psychological distress resilience response social social health determinants socioeconomics synergism trend walkability

项目摘要

Project Summary Food insecurity—a lack of consistent access to enough food for an active, healthy life—is a fundamental social determinant of health linked to poor nutrition, obesity, and chronic disease. During the initial months of the COVID-19 pandemic, existing racial inequities in food insecurity were exacerbated. Compared to an estimated increase of 60% in the U.S. general population, food insecurity increased nearly 80% among residents of two low-income African American food desert neighborhoods in Pittsburgh, Pennsylvania. Other data from our cohort as well as other studies suggests there were also substantial upticks in financial instability and mental health challenges as the pandemic and policy responses to it unfolded. We propose these three factors may be part of a syndemic (synergy of epidemics), i.e., that food insecurity, financial instability and mental distress may share similar causal roots, that they also influence one another, and that this process is exacerbated by disadvantage. Few scientific studies have longitudinal data with which to examine these factors. Our longitudinal cohort of low-income African Americans allows an opportunity to examine the health and economic impact of the pandemic. We propose analyses of our Pittsburgh Research on Neighborhood Change and Health (PHRESH) cohort data collected during three periods, including before and during the COVID-19 pandemic, to test these ideas. Specifically, our aims are to: (1) Examine the effects of the COVID-19 containment and mitigation efforts (shut downs, stay at home orders, school closings) on food security, financial stability, and mental health from pre-pandemic (2018) to its early months (Spring 2020), to more than one year following the U.S. outbreak (through mid-year 2021), testing for trends in these outcomes and how these trends are associated with one another. In addition, we will (2) test the extent to which pre-existing (2018) individual-level perceived (e.g., self-reported discrimination, low social status) and structural (neighborhood investments, improved socioeconomic conditions, walkability) inequities moderated pandemic impacts, buffering or exacerbating its influence on residents’ food security, financial stability and mental health.

项目总结

项目成果

期刊论文数量（45）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Food Insecurity is Associated with Objectively Measured Sleep Problems.

DOI：
10.1080/15402002.2019.1669605
发表时间：
2020-11
期刊：
Behavioral sleep medicine
影响因子：
3.1
作者：
Troxel WM;Haas A;Ghosh-Dastidar B;Richardson AS;Hale L;Buysse DJ;Buman MP;Kurka J;Dubowitz T
通讯作者：
Dubowitz T

RE: "IMPROVEMENTS IN NEIGHBORHOOD SOCIOECONOMIC CONDITIONS MAY IMPROVE RESIDENT DIET".

回复：“社区社会经济条件的改善可能会改善居民的饮食”。

DOI：
10.1093/aje/kwab218
发表时间：
2021
期刊：
American journal of epidemiology
影响因子：
5
作者：
通讯作者：

Multi-dimensional Profiles of Risk and Their Association with Obesity-Severity in Low-Income Black Women.

低收入黑人女性的多维风险概况及其与肥胖严重程度的关联。

DOI：
10.1007/s10903-022-01384-y
发表时间：
2023
期刊：
Journal of immigrant and minority health
影响因子：
1.9
作者：
Richardson,AndreaS;Collins,RebeccaL;Ghosh-Dastidar,Bonnie;Beckman,Robin;Troxel,WendyM;Dubowitz,Tamara
通讯作者：
Dubowitz,Tamara

Violent crime, police presence and poor sleep in two low-income urban predominantly Black American neighbourhoods.

DOI：
10.1136/jech-2020-214500
发表时间：
2021-01
期刊：
Journal of epidemiology and community health
影响因子：
6.3
作者：
Richardson AS;Troxel WM;Ghosh-Dastidar M;Hunter GP;Beckman R;Collins R;Brooks Holliday S;Nugroho A;Hale L;Buysse DJ;Buman MP;Dubowitz T
通讯作者：
Dubowitz T

Can the introduction of a full-service supermarket in a food desert improve residents' economic status and health?