“…Public health often uses a human ecology approach [5,10,11] to show the nested nature of individual health in family, community, and policy systems. This approach has been used to structure community level studies of public health as it relates to early childhood [6,12,13] and family wellbeing [14][15][16], and to design comprehensive models for community action and policy engagement [6,7,10,11]. A human ecological model of public health looks at multiple layers: the community built environment, community level services, public engagement, collaboration among health related agencies, and geographic differences across place [17].…”