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Grantee Research Project Results

2012 Progress Report: Environmental Context of Health Disparities

EPA Grant Number: NIMHD007
Title: Environmental Context of Health Disparities
Investigators: Juarez, Paul D , Hood, Darryl B , Mouton, Charles P. , Wansoo, Im
Current Investigators: Juarez, Paul D , Langston, Michael A , Hood, Darryl B , Wilson, Sacoby M. , Wansoo, Im , Lichtveld, Maureen , Estes, Maurice , Al-Hamdan, Mohammad , Matthews-Juarez, Patricia , Robinson, Paul , Levine, Robert , Crosson, William
Institution: Meharry Medical College
Current Institution: Meharry Medical College , Charles Drew University of Medicine & Science , National Space Science and Technology Center , Tulane University , University of Maryland - Baltimore , University of Tennessee
EPA Project Officer: Hahn, Intaek
Project Period: August 1, 2011 through July 31, 2014
Project Period Covered by this Report: September 21, 2011 through November 30,2012
Project Amount: $682,101
RFA: Transdisciplinary Networks of Excellence on the Environment and Health Disparities (2012) RFA Text |  Recipients Lists
Research Category: Environmental Justice , Human Health

Objective:

The overall purpose of the environmental core supplement is to develop and support research activities that will enable us to study the environmental context of health disparities, improve access to healthy environments by disproportionately impacted communities, and improve health outcomes and eliminate health disparities among communities at greatest risk. This research endeavor builds upon current innovations of the Health Disparities Research Center of Excellence (HDRCOE) at Meharry Medical College by establishing an Environmental Health Disparities Core (EHDC) and expanding the capacity of health services researchers and other biomedical scientists to use a trans-disciplinary systems approach to study the environmental context of health disparities. To achieve this goal, this supplement helped expand our current research program to: (1) incorporate data on the physical, social and environmental policies that will supplement currently funded health disparities research; (2) use High Throughput Analyses (HTA) to analyze relationships between health disparities and environmental factors; and (3) provide training in public participatory geographic information systems (PPGIS) and interactive mapping that supports community participation in the research process and in the translation, implementation and evaluation of targeted public health interventions.

Progress Summary:

The environmental core supplement has helped build a data infrastructure at the interface between environmental exposures and bio-psycho-social systems. The public health exposome has been developed by a trans-disciplinary team of investigators from multiple institutions that has convened weekly by teleconference and quarterly in-person meetings for the past 2 years. A “public health” exposome model was developed to guide research efforts for conceptualizing environmental pathways that affect health disparities and for developing a longitudinal database. This continuous effort has led to the establishment of a longitudinal, multi-dimensional, public health exposome database. The database was established initially for 11 southeastern states, commonly referred to as the Stroke Belt states for the period 1980-2010; it has since been expanded to include all 50 states. 
 
The public health exposome database integrates data on health disparities and environment and currently includes over 10,000 variables, for 3,142 counties and county equivalents, over 30 years. As many of the variables have “attributes tables” associated with them, we estimate that the database currently includes over 20,000 unique data elements. In the future, the database and data support tools derived from a public health exposome approach will permit both tracking and analyses of environmental health data over time, place and space, enabling users to both access and contribute to the expansion and application of the database towards the elimination of health disparities and to sustain the evolution of this knowledge over time.
 
The public health exposome database was structured in a manner that allows for both continued expansion and refinement of data, including new data sets, additional states, years, etc., and incorporation of greater amounts of sub-county level data through both secondary and primary data collection methods, including public participatory GIS and crowdsourcing. Most of the environmental and health care data sets were obtained from publicly available sites at no or low cost; most are downloadable directly from the web. We also purchased data.

Future Activities:

We plan to continue to extend the public health exposome paradigm across all of the Center Core activities. No major changes are expected in Center goals or objectives.


Journal Articles on this Report : 7 Displayed | Download in RIS Format

Publications Views
Other project views: All 47 publications 16 publications in selected types All 15 journal articles
Publications
Type Citation Project Document Sources
Journal Article Chen C-K, Bruce M, Tyler L, Brown C, Garrett A, Goggins S, Lewis-Polite B, Weriwoh ML, Juarez PD, Hood DB, Skelton T. Analysis of an environmental exposure health questionnaire in a metropolitan minority population utilizing logistic regression and Support Vector Machines. Journal of Health Care for the Poor and Underserved 2013;24(Suppl 1):153-171. NIMHD007 (2012)
NIMHD007 (2013)
NIMHD007 (Final)
  • Full-text from PubMed
  • Abstract from PubMed
  • Associated PubMed link
  • Full-text: ResearchGate-Abstract and Full Text-PDF
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  • Abstract: Project MUSE-Abstract
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  • Journal Article Juarez P, Hood DB. Sequencing the public health genome. Journal of Health Care for the Poor and Underserved 2013;24(Suppl 1):114-120. NIMHD007 (2012)
    NIMHD007 (2013)
    NIMHD007 (Final)
  • Abstract from PubMed
  • Abstract: Project Muse-Abstract
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  • Journal Article Levine RS, Rust G, Aliyu M, Pisu M, Zoorob R, Goldzweig I, Juarez P, Husaini B, Hennekens CH. United States counties with low black male mortality rates. The American Journal of Medicine 2013;126(1):76-80. NIMHD007 (2012)
    NIMHD007 (2013)
    NIMHD007 (Final)
  • Full-text from PubMed
  • Abstract from PubMed
  • Associated PubMed link
  • Full-text: American Journal of Medicine-Full Text-HTML
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  • Abstract: American Journal of Medicine-Abstract
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  • Other: American Journal of Medicine-Full Text-PDF
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  • Journal Article Matthews-Juarez P. Developing a cadre of transdisciplinary health disparities researchers for the 21st century. Journal of Health Care for the Poor and Underserved 2013;24(Suppl 1):121-128. NIMHD007 (2012)
    NIMHD007 (2013)
    NIMHD007 (Final)
  • Abstract from PubMed
  • Abstract: Project Muse-Abstract
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  • Journal Article Mejia de Grubb MC, Kilbourne B, Kihlberg C, Levine RS, Hood DB. Demographic and geographic variations in breast cancer mortality among U.S. Hispanics. Journal of Health Care for the Poor and Underserved 2013;24(Suppl 1):140-152. NIMHD007 (2012)
    NIMHD007 (2013)
    NIMHD007 (Final)
  • Abstract from PubMed
  • Abstract: Project MUSE-Abstract
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  • Other: ResearchGate-Abstract
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  • Journal Article Rehr R, Wilson S, Hood DB. The Maryland Commission on Environmental Justice and Sustainable Communities: a review. Journal of Health Care for the Poor and Underserved 2013;24(Suppl 1):129-139. NIMHD007 (2012)
    NIMHD007 (2013)
    NIMHD007 (Final)
  • Abstract from PubMed
  • Abstract: Project MUSE-Abstract
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  • Other: ResearchGate-Abstract
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  • Journal Article Robinson PL, Dominguez F, Teklehaimanot S, Lee M, Brown A, Goodchild M, Hood DB. Does distance decay modelling of supermarket accessibility predict fruit and vegetable intake by individuals in a large metropolitan area? Journal of Health Care for the Poor and Underserved 2013;24(Suppl 1):172-185. NIMHD007 (2012)
    NIMHD007 (2013)
    NIMHD007 (Final)
  • Full-text from PubMed
  • Abstract from PubMed
  • Associated PubMed link
  • Full-text: ResearchGate-Abstract and Full Text-PDF
    Exit
  • Abstract: Project Muse-Abstract
    Exit
  • Supplemental Keywords:

    Exposome, public health exposome, GIS participatory base research

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    Progress and Final Reports:

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    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Conclusions drawn by the principal investigators have not been reviewed by the Agency.

    Project Research Results

    • Final Report
    • 2013 Progress Report
    • Original Abstract
    47 publications for this project
    15 journal articles for this project

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