Neighborhood Poverty and Child Health: Investing in Communities to Improve Childhood Opportunity and Well-Being

Jutte, Douglas P.; Badruzzaman, Renae A.; Thomas-Squance, Ruth

doi:10.1016/j.acap.2021.04.027

Cited by 27 publications

(24 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…St. Louis remains one of the most segregated cities in the USA [ 32 ], with the infamous east–west Delmar Boulevard dividing the region city racially and socioeconomically as an artifact of segregationist policies [ 33 ]. Accordingly, participants emphasized the importance of upstream approaches to reducing OOD, suggesting that improving neighborhood amenities such as schools, parks, and grocery stores may reduce OOD and support recovery, which aligns with studies showing neighborhood investment improves social capital and overall well-being [ 34 , 35 ]. Participants also stressed the importance of increasing treatment access in their communities to address healthcare and service barriers but noted Black PWUD cannot maintain recovery if broader 4S needs remain unmet as drug use is an effective strategy for coping with The 4Ss.…”

Section: Discussionmentioning

confidence: 62%

Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers

et al. 2023

View full text Add to dashboard Cite

Background Black individuals in the USA face disproportionate increases in rates of fatal opioid overdose despite federal efforts to mitigate the opioid crisis. The aim of this study was to examine what drives increases in opioid overdose death among Black Americans based on the experience of key stakeholders. Methods Focus groups were conducted with stakeholders providing substance use prevention services in Black communities in St. Louis, MO (n = 14). One focus group included peer advocates and volunteers conducting outreach-based services and one included active community health workers. Focus groups were held at community partner organizations familiar to participants. Data collection was facilitated by an interview guide with open-ended prompts. Focus groups were audio recorded and professionally transcribed. Transcripts were analyzed using grounded theory to abstract line-by-line codes into higher order themes and interpret their associations. Results A core theme was identified from participants’ narratives suggesting that opioid overdose death among Black individuals is driven by unmet needs for safety, security, stability, and survival (The 4Ss). A lack of The 4Ss was reflective of structural disinvestment and healthcare and social service barriers perpetuated by systemic racism. Participants unmet 4S needs are associated with health and social consequences that perpetuate overdose and detrimentally impact recovery efforts. Participants identified cultural and relationship-based strategies that may address The 4Ss and mitigate overdose in Black communities. Conclusions Key stakeholders working in local communities to address racial inequities in opioid overdose highlighted the importance of upstream interventions that promote basic socioeconomic needs. Local outreach efforts utilizing peer services can provide culturally congruent interventions and promote harm reduction in Black communities traditionally underserved by US health and social systems.

show abstract

Section: Discussionmentioning

confidence: 62%

Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers

et al. 2023

View full text Add to dashboard Cite

show abstract

“…The importance is further supported by previous work showing that the risk of DKA and glycemic excursions are associated with lower parental educational level and unhealthy dietary intake choices . In addition, household food insecurity has been associated with higher hemoglobin A 1c values and hospitalization rates in children with T1D, which is notable because children with lower COI categories have more limited access to healthy food choices compared with those with higher COI categories . Less frequent use of diabetes technology, particularly continuous glucose monitoring devices, has also been associated with worse health outcomes in children with T1D, including higher rates of DKA and time spent in hyperglycemia .…”

Section: Discussionmentioning

confidence: 79%

“… 43 , 44 , 45 , 46 In addition, household food insecurity has been associated with higher hemoglobin A 1c values and hospitalization rates in children with T1D, 47 which is notable because children with lower COI categories have more limited access to healthy food choices compared with those with higher COI categories. 13 , 48 , 49 Less frequent use of diabetes technology, particularly continuous glucose monitoring devices, has also been associated with worse health outcomes in children with T1D, including higher rates of DKA 50 and time spent in hyperglycemia. 51 In a recent study of 1500 children, Lai et al 52 showed that 54% of White children with T1D started continuous glucose monitoring in the outpatient setting compared with 31% of Black and 33% of Hispanic children.…”

Section: Discussionmentioning

confidence: 99%

Association of Neighborhood Resources and Race and Ethnicity With Readmissions for Diabetic Ketoacidosis at US Children’s Hospitals

et al. 2022

View full text Add to dashboard Cite

Key Points Question Is neighborhood opportunity differentially associated with health outcomes by race and ethnicity among US children with diabetic ketoacidosis? Findings In this cross-sectional study including 72 726 pediatric encounters for diabetic ketoacidosis, the probability of readmission within 365 days was significantly higher among non-Hispanic Black children compared with Hispanic children and non-Hispanic White children at the same level of opportunity. Within racial and ethnic groups, children with very low opportunity had significantly greater probability of readmission compared with those with very high opportunity. Meaning These findings suggest that despite having similar measures of neighborhood opportunity, non-Hispanic Black children with type 1 diabetes experience disparities in health outcomes compared with children in other racial and ethnic groups.

show abstract

“…Medicine practices locating the cause(s) of a health outcome, whereas public health will help to ensure a population-level consideration and impact of identified interventions. Together in robust collaborations, these 2 disciplines can advocate for cross-sector community-engaged efforts in area investment, 8 which means, as per the issues raised by this study, 1 we are tasked with intervening upon the very fabric of socioeconomic distributions and systematically disenfranchised neighborhoods.…”

Section: Openmentioning

confidence: 99%

Expanding on the Solutions to Reduce Neonatal Intensive Care Unit Morbidity and Mortality for Extremely Premature Infants—Looking Out the Hospital Window and Into the Neighborhoods

Jaderholm

Messer

2023

JAMA Netw Open

View full text Add to dashboard Cite

Neighborhood Poverty and Child Health: Investing in Communities to Improve Childhood Opportunity and Well-Being

Cited by 27 publications

References 20 publications

Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers

Identifying drivers of increasing opioid overdose deaths among black individuals: a qualitative model drawing on experience of peers and community health workers

Association of Neighborhood Resources and Race and Ethnicity With Readmissions for Diabetic Ketoacidosis at US Children’s Hospitals

Expanding on the Solutions to Reduce Neonatal Intensive Care Unit Morbidity and Mortality for Extremely Premature Infants—Looking Out the Hospital Window and Into the Neighborhoods

Contact Info

Product

Resources

About