County Health Rankings

Hood, Carlyn M.; Gennuso, Keith P.; Swain, Geoffrey; Catlin, Bridget B.

doi:10.1016/j.amepre.2015.08.024

Cited by 601 publications

(261 citation statements)

References 7 publications

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“…By studying parents of AYAs 18-33 years, a broader age than is commonly utilized in HCT studies, we were able to identify concerning gaps in HCT services and other supports within and across systems for the ID population. Based on estimates that medical care explains only 10-20% of a populations modifiable contributors to healthy outcomes (Hood, Gennuso, Swain, & Catlin, 2016;Magnan, 2017), it is critical to seek ways systems can collaborate to optimize health for the ID population.…”

Section: Discussionmentioning

confidence: 99%

Health Care Transition for Adolescent and Young Adults with Intellectual Disability: Views from the Parents

Franklin

Beyer

Brotkin

et al. 2019

Journal of Pediatric Nursing

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This study explored the health care transition (HCT) experiences of parents of adolescents and young adults (AYAs) with intellectual disability (ID), 18-33 years of age, including barriers and facilitators to the AYA's transition to adulthood within and between the medical, educational, community, and vocational systems. Design and methods: A qualitative descriptive design with semi-structured individual interviews with 16 parent participants was used. Purposive sampling of parents was utilized with variation on race/ethnicity and AYA age, stage in transition, and condition. This study was conducted through a major medical center in the southeast United States. Content analysis was utilized. Results: Three overarching themes represented the factors and essence of supporting AYAs with ID transition to adulthood. Inefficient and siloed systems illuminated barriers families are commonly experiencing within and between the medical, educational, community, and vocational systems. 'Left out here floundering' in adulthood, described the continued inadequacy of resources within each of these systems and parent's having to find available resources themselves. Hope despite uncertainty, included the perceived costs and benefits of their AYA's disability and the value of parent peer support in providing key knowledge of resources, strategies, and perspectives. Conclusions: Our findings illuminate the need for improved infrastructure to provide effective HCT and partnerships to help integrate HCT support within other life course systems. Results support the rationale for noncategorical HCT-focused approach. Practice implications: A parent peer coach-facilitated intervention offers promise for bridging the gap between systems and meeting family needs.

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Section: Discussionmentioning

confidence: 99%

Health Care Transition for Adolescent and Young Adults with Intellectual Disability: Views from the Parents

Franklin

Beyer

Brotkin

et al. 2019

Journal of Pediatric Nursing

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“…We identified the county where each reviewed restaurant was located. Also, to present our analysis in the context of health outcomes at the county level, we explored associations between county health rankings from the County Health Rankings and Roadmaps project ( Hood et al, 2016 ) and the volume of illness-labeled reviews.…”

Section: Methodsmentioning

confidence: 99%

Disparities in digital reporting of illness: A demographic and socioeconomic assessment

Henly

Tuli

Kluberg

et al. 2017

Preventive Medicine

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Although digital reports of disease are currently used by public health officials for disease surveillance and decision making, little is known about environmental factors and compositional characteristics that may influence reporting patterns. The objective of this study is to quantify the association between climate, demographic and socio-economic factors on digital reporting of disease at the US county level. We reference approximately 1.5 million foodservice business reviews between 2004 and 2014, and use census data, machine learning methods and regression models to assess whether digital reporting of disease is associated with climate, socio-economic and demographic factors. The results show that reviews of foodservice businesses and digital reports of foodborne illness follow a clear seasonal pattern with higher reporting observed in the summer, when most foodborne outbreaks are reported and to a lesser extent in the winter months. Additionally, factors typically associated with affluence (such as, higher median income and fraction of the population with a bachelor's degrees) were positively correlated with foodborne illness reports. However, restaurants per capita and education were the most significant predictors of illness reporting at the US county level. These results suggest that well-known health disparities might also be reflected in the online environment. Although this is an observational study, it is an important step in understanding disparities in the online public health environment.

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“…Some 70%-90% of NCDs are attributable to environmental differences over time-genetic determinants are relatively small [121]. In the United States, provider-driven clinical care is estimated to account for only 16% of the modifiable determinants of healthy outcomes within the population; the bulk of health determinants among Western populations are found in socioeconomic factors and health behaviors [122]. As mentioned earlier, lifestyle and environmental exposures are the drivers of NCD-related early mortality.…”

Section: Narrative Neoliberalism Ncds-beyond Narrow Clinical Confinesmentioning

confidence: 99%

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

Prescott

Logan²

2019

Challenges

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The emerging concept of planetary health—defined as the interdependent vitality of all natural and anthropogenic ecosystems (social, political, and otherwise)—emphasizes that the health of human civilization is intricately connected to the health of natural systems within the Earth’s biosphere. In the clinical setting, narrative medicine underscores the importance of absorbing, reflecting upon, and responding to the narratives—the stories—conveyed by patients. Education and interventions using the tenets of narrative medicine have demonstrated value to both patient and provider. Given the grand interconnected challenges of our time—compounded by misinformation and quasi-scientific narratives propagated by the ideology of neoliberalism—we argue that the principles and practice of narrative medicine can be applied on a larger scale, one with planetary health in mind. The role of beliefs, expectations, and agency—mindsets—in the link between narrative and planetary health are emphasized. We use a story of our own to demonstrate that the biological buffering capacity in response to a fast-food meal does not sit on a level socioeconomic playing field. Patient, community, and global health narratives are melding with powerful narratives set by commercial entities. The success of planetary health as a new concept will be strengthened by attention to the ways in which storytelling can influence positive change. No less important is an understanding of the ways in which stories contribute to what ails person, place, and planet.

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County Health Rankings

Cited by 601 publications

References 7 publications

Health Care Transition for Adolescent and Young Adults with Intellectual Disability: Views from the Parents

Health Care Transition for Adolescent and Young Adults with Intellectual Disability: Views from the Parents

Disparities in digital reporting of illness: A demographic and socioeconomic assessment

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

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