Identifying Louisiana communities at the crossroads of environmental and social vulnerability, COVID-19, and asthma

Bakshi, Arundhati; Doren, Alicia Van; Maser, Colette; Aubin, Kathleen; Stewart, Collette; Soileau, Shannon; Friedman, Kate; Williams, Alexis

doi:10.1101/2021.07.19.21257742

Cited by 3 publications

(6 citation statements)

References 27 publications

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“…Our data echoes current literature in that SM use is associated with significant BII in adolescents. However, no other study has assessed a population wherein the preponderance of children across an entire parish that is majority Americans of African descent or that ranks in the highest percentile for social vulnerability (47)(48)(49)(50). The consistency of our data with previous findings demonstrates the relationship between SM use and BII to transcend that of culture and socioeconomic status and be broadly deleterious for the adolescent population, a finding that would not be otherwise known until now.…”

Section: Future Directionssupporting

confidence: 66%

“…children, majority Americans of African descent, of the highest percentile of social vulnerability across an entire parish (47)(48)(49)(50). No previous studies have looked at impoverished adolescents with a sample size of such magnitude; others of similar size focus on 18 years and older or neglect to account for social minority populations (50,(52)(53)(54).…”

Section: Discussionmentioning

confidence: 99%

“…Removing "disparities" resulted in numerous distinct results involving SM and BII in populations of young adults, Latinx, British, and Australian participants. However, no other study has assessed a population wherein the preponderance of children across an entire parish that is majority Americans of African descent or that ranks in the highest percentile for social vulnerability (47)(48)(49)(50). Furthermore, this is the first study to examine the impact of BII in adolescents in a public school system where greater than 50% of the students live in impoverished households (31,32,51).…”

Section: Field Contributionmentioning

confidence: 99%

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Social media use and body image issues among adolescents in a vulnerable Louisiana community

Sagrera¹,

Magner²,

Temple³

et al. 2022

Front. Psychiatry

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Widespread concern has been expressed regarding unrealistic body image and adolescent eating disorder promoting content on social media (SM) platforms. Numerous research studies have examined the impact of SM on body image as well as social vulnerability on negative mental health outcomes. Despite this, few previous studies have examined the impact of SM on body image specifically in vulnerable, underserved, or predominantly minority communities. This study examines the impact of SM on body image issues (BII) in adolescents in a public school system where greater than 50% of the students live in impoverished households. In late 2019, high school student leaders in Northwest Louisiana developed a survey alongside Step Forward, a collective impact initiative. Questions investigated adolescent SM use and mental health in Caddo Parish, namely BII. Teachers within Caddo Parish Public School System administered the survey. Out of the 11,248 total high school students in the school system, nearly 50% were sampled for a sample size of 5,070. Hypotheses included: (1) females were more likely to use SM than males, (2) increasing time spent on SM would correlate with females reporting BII, with males remaining largely unaffected, and (3) highly visual social media (HVSM) platforms would be associated with greater reports of BII than non-HVSM platforms. Results showed females were more likely to use SM (p < 0.001) and report BII (p < 0.001) compared to males, while both sexes reported BII with increasing time spent on SM (p < 0.001). A diversity of platforms were associated with increased BII among SM users compared to non-users (p < 0.001): Pinterest, Reddit, Snapchat, TikTok, Twitter, and YouTube. This conclusion is tempered by the omission of race as a variable in the study design, the use of self-report, and the use of an unvalidated instrument. These findings suggest that the harmful association between SM use and BII may transcend culture and socioeconomic status for a broadly deleterious effect on adolescent mental wellbeing.

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Section: Future Directionssupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Field Contributionmentioning

confidence: 99%

See 1 more Smart Citation

Social media use and body image issues among adolescents in a vulnerable Louisiana community

Sagrera¹,

Magner²,

Temple³

et al. 2022

Front. Psychiatry

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“…Reach into underserved areas; measured by demographic characteristics of VHV recipients. The VHV aimed to serve blacks, children, and low-income patients residing in previously identified areas of concern 9 , namely East Baton Rouge (EBR), Caddo, Jefferson, and Orleans Parishes (counties), the latter two together comprising the Greater New Orleans (GNO) Area.…”

Section: Evaluation Purpose and Criteriamentioning

confidence: 99%

Virtual Home Visits Reduce Asthma Burden in Low-Income, Black Communities amidst the COVID-19 Pandemic

Bakshi

Apantaku

Marquette

et al. 2022

Preprint

Self Cite

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Objectives: Pilot an asthma virtual home visits program, and evaluate its reach and ability to promote asthma self-management strategies in underserved communities. Methods: Participants were continuously recruited into the 3-month-long program starting March 2021 and provided with materials related to asthma education. Participants reporting poorly-controlled asthma and home-based triggers were also offered three virtual home visits with a respiratory therapist. All participants were asked to complete a pre- and post-intervention knowledge test and Asthma Control Test (ACT), and a final survey assessing perceptions regarding asthma management and environmental trigger reduction. Results: As of October 2022, 147 participants were enrolled, and 51 had consented and received at least one virtual home visit. Approximately 77% of virtual visit recipients were children, 76% were non-Hispanic blacks, and 90% were from "extremely low" or "low" income families. Asthma symptoms improved across the whole group, with a median increase of 2.39 points on the ACT score. Knowledge tests revealed that 86% of participants learned about at least one new asthma trigger, with a larger fraction of virtual visit recipients (68% vs. 36% non-recipients) showing an improved score post-intervention. About 75% of participants reported feeling more empowered to take control of their asthma after participating in the program, and reported a significant improvement in their quality of life due to asthma. Conclusions: The program successfully provided virtual asthma education to underserved, at-risk communities, and improved asthma outcomes for participants. Similar virtual models can be used to promote health equity, especially in areas with limited access to healthcare.

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“…More than 2 years since the first SARS-CoV-2 infections were reported, the COVID-19 pandemic remains an acute global emergency in 2022. Since 2020, to meet WHO's goals: promote health, keep the world safe, and serve the vulnerable (37), meanwhile, to mitigate COVID-19 risk, several researchers developed vulnerability indexes for pandemics (35,(38)(39)(40), which expand the research content of the vulnerability.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the vulnerability to public health events in the Guangdong-Hong Kong-Macao Greater Bay Area

Cui

Chen

Shen

et al. 2022

Front. Public Health

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With the continuous improvement in the integration of urban agglomeration, a multi-functional, socialized, and complex dynamic system, effective prevention and control of emergent public health events have become increasingly important. Based on the Public-Health Vulnerability-Assessment-System of Urban Agglomeration (PVUA), the temporal and spatial differentiation characteristics of vulnerability in the Guangdong-Hong Kong-Macao Greater Bay Area (GBA) for the period of 2015-2019 are explored, and the vulnerable cities to public health events are identified in this area. The results can be summarized as follows: (1) The overall vulnerability to public health events in GBA decreases in the investigated period. (2) In the temporal dimension, accompanied by social and economic development, the sensitivity to public health events increases in GBA, and the coping capacity change from stable fluctuation to rapid improvement. (3) From the spatial dimension, the sensitivity level in GBA is low in the west, relatively high in the middle, and high in the southeast; the coping capacity is high in the southeast and low in the northwest; the collaborative governance capacity presents a spatial pattern of being low in the south and high in the north. (4) In the period of study, the vulnerability to public health events in Guangzhou and Jiangmen is stable at the lowest level, while that in Zhaoqing, Foshan, and Hong Kong SAR (Special Administrative Region) gradually reduces; the vulnerability in Shenzhen, Zhuhai, and Dongguan is fluctuating, and that in Huizhou, Zhongshan, and Macao SAR is continually maintained at a higher and the highest level.

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Identifying Louisiana communities at the crossroads of environmental and social vulnerability, COVID-19, and asthma

Cited by 3 publications

References 27 publications

Social media use and body image issues among adolescents in a vulnerable Louisiana community

Social media use and body image issues among adolescents in a vulnerable Louisiana community

Virtual Home Visits Reduce Asthma Burden in Low-Income, Black Communities amidst the COVID-19 Pandemic

Evaluation of the vulnerability to public health events in the Guangdong-Hong Kong-Macao Greater Bay Area

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