Interactive Agenda – Session Type

 

Plenary Sessions

Poster Sessions

Poster Sessions will be held in the Metropolitan Ballroom. Poster awards will be given to the top three selected posters, presented by a student. Poster Award Winners will be announced the following morning, in the opening session.

Abstract Concurrent Sessions

Three Abstract Concurrent Session blocks will be held October 2-3 with 5-6 sessions in each block.
Abstract Concurrent Session 1

Wednesday, October 2
1:30pm – 2:45pm

  • Session Chair: Katrina Walsemann

    Examining anomalies in the education-health gradient: A new research direction
    Anna Zajacova

    Both timing of educational attainment and type of educational credential predict middle age memory
    Anusha Vable

    Socioeconomic inequalities in cancer mortality in Belgium 
    Victoria Sass

    Influence of individual- and neighborhood-level socioeconomic factors on odds of late colorectal cancer diagnosis and the likelihood of colorectal cancer survival by sex
    Jamaica Robinson

    The Impact of Economic Hardship and Welfare Sanctioning on Syndemic Conditions among Mothers Over Time
    Courtney Caiola

  • Session Chair: Brittany Morey

    Autonomic responses to natural, physical, and social features of neighborhood environments
    Daniel Hackman

    Structural racism and obesity in affluent African American counties compared to affluent white counties
    Caryn Bell

    Area-Level Poverty and Organ Damage in the Black Women’s Experiences Living with Lupus (BeWELL) Study
    Connor Martz

    Neighborhood Socioeconomic Disadvantage and Cardiovascular Disease Among Asian and Pacific Islander Medicare Advantage Enrollees in California
    Lan Doan

    Neighborhood Air Pollution Exposure and Self-Rated Health: Examining Sources of Effect Heterogeneity
    Nicole Kravitz-Wirtz

  • Session Chair: Jimi Adams

    Maternal Social Capital and Adverse Birth Outcomes in Peri-Urban India
    William T. Story

    Assortativity by Treatment in Social Networks and Bias in Population Studies
    Paul Zivich

    Pathways of Global Cultural Diffusion across Lay People: Media Exposure and Attitudes toward Violence against Women
    Jeffery Swindle

    A strategy to support the dissemination of transdisciplinary research to improve urban health: The Salud Urbana en América Latina (SALURBAL) multi-country project
    Adriana C. Lein

    Whole Communities – Whole Health: Changing the way science helps society thrive
    Amanda N. Barczyk

  • Session Chair: Danya Keene

    State Cigarette Taxes, Smoking, and Implications for the Educational Gradient in Mortality
    Alicia Riley

    Economic Security Policy and Infant Health: A Multi-level Analysis
    Megan Reynolds

    Variation in State-Level Laws on Civil Protection Orders for Adolescent Victims of Intimate Partner Violence
    Avanti Adhia

    Fear of a White Minority: Shifting Racial Demographics & Support for Equitable Health Policies
    Tyler Jimenez

    When Talk is Not Cheap: What Factors Predict Political Campaign Messaging on the Social Determinants of Health?
    Sarah Gollust

Abstract Concurrent Session 2

Thursday, October 3
11:00am – 12:15pm

  • Session Chair: Brian Elbel

    The Affordable Care Act Contraception Mandate & Unintended Pregnancy in Women of Reproductive Age: An Analysis of the National Survey of Family Growth 2008-2015
    Colleen L. MacCallum

    Firearm purchases without background checks in California: Findings from a 2018 statewide survey
    Nicole Kravitz-Wirtz

    Active living-oriented zoning and BMI: A test of complementarity and substitution with the retail food environment
    Shannon N. Zenk

    Taxing Sugary Drinks in Mexico: an Analysis of Science, Politics, and Policy
    David Washburn

    Implementing a multi-level electronic health record and community health worker intervention in immigrant-serving primary care practices to improve hypertension control among South Asian patients
    Nadia Islam

Abstract Concurrent Session 3

Thursday, October 3
3:15pm – 4:30pm

  • Session Chair: Dayna Matthew

    Rural Hospitals as Anchoring Institutions: Innovating to Improve Population Health Outcomes
    Sameer Vohra

    Building a Regional Infrastructure to Improve Rural Population Health Outcomes
    Heather Whetsell

    Unhealthy Alcohol Use in Rural and Urban Parents
    Kara Bensley

    Underserved, Underfunded: The Impact of Mindful Medical Equipment Recovery on Healthcare Access in Underserved Communities.
    Ethan McGann

    Populations potentially affected by sugar-sweetened beverage portion size laws
    Natalie Smith

    The Illinois Rural Health Summit: Creating Policy Blueprints to Improve Rural Health Outcomes
    Sameer Vohra

Panel Sessions

Four Panel Session blocks will be held October 2-4 with 6 sessions in each block.
Panel Session 1

Wednesday, October 2
11:00am – 12:15pm

  • Session Co-Chair: Angela Bruns
    Session Co-Chair: Michael Esposito

    Racial disparities in cognitive functioning: the interaction among education and local social-context
    Dominique Sylvers

    Racial inequalities in poor birth outcomes: Clarifying the role of job quality
    Angela Bruns

    Educational returns to self-rated health among racialized immigrants to France
    Amel Omari

    Health is often unevenly distributed across racial populations—both locally, within the United States, and globally. Individual-based explanations have failed to fully account for these inequalities. Indeed, racial disparities across a breath of health outcomes persist after accounting for individual-level factors, like direct exposure to interpersonal discrimination or personal socioeconomic status. This panel emphasizes the potential role that contextual environments play in generating racial disparities in health. In particular, we consider how social and structural environments, at various levels of geographic resolution, generate unequal well-being among racial groups. We examine how race interacts with processes at the national, state and city level to shape cognitive functioning, birth outcomes and general health status among individuals assigned to different racial groups, as well as what these interactions imply for population health disparities. We present three papers from members of RacismLab, a transdisciplinary working group at the University of Michigan that brings together researchers from public health, education, psychology, and sociology to develop innovative theoretical frameworks and empirical approaches to better understand the impact of racism on health.

  • Session Chair: Marguerite Ro

    The Impacts of Seattle’s Yesler Terrace Redevelopment on Health Outcomes
    Alastair Matheson

    Lessons from Cross-sector Collaboration: Integrating home improvement programs with asthma health education for low-income residents
    Bradley Kramer

    Lead and Toxics Program: Community identified and culturally appropriate strategies and actions
    Candace Jackson

    Housing quality and affordability is profoundly linked to the health of individuals and their community. Public Health — Seattle & King County has three action oriented projects to improve housing and health. Our regional health department can provide services, as well as convene community practitioners, clinicians, and community members to develop more robust solutions to population health management. These projects provide programs, analysis, and partnership development that bridge health and housing services, with a focus on equity and social justice – a primary tenant of our health department. These projects include high quality evaluations and academic partnerships for health outcomes and program implementation.


    Presented in Seattle, the conference host city, the panel offers a unique opportunity for conference participants to engage with the project teams. Each panelist represents a multi-sector project and will have representatives from government, community practitioners, and academics present at the session for questions and answers. Some of the partners represented here include the Seattle Housing Authority, King County Housing Authority, Neighborcare Health community health centers, Living Well Kent, Somali Health Board, Horn of Africa, and the University of Washington.
    Some of the goals of the panel are to demonstrate: 1) How evaluation teams integrate housing and health data and apply quantitative and qualitative methods that bring forward the voice of community to shape better health outcomes in housing projects. 2) How multi-sector partnerships can improve successful adoption of sustainably integrating evidence-based programs. 3) How a focus on equity and cultural competence can build stronger programs that work for those most in need of services.

  • Session Chair: Karina Shreffler

    Brief Overview of the Intergenerational Transmission of ACES
    Karina Shreffler

    Maternal Early Life Adversity, Stress Biomarkers During Pregnancy, and Birth Outcomes
    Stacy Tiemeyer

    Applying a Public Health Model to Reduce Substance Use During Pregnancy
    Julie Croff

    Evidence-Based Parenting Interventions
    Lucia Ciciolla

     

    Adversity and stress during sensitive developmental periods can cause permanent alterations in brain, immune, and endocrine functions, placing individuals at greater risk for deficits in social attachment formation, self-regulation of negative thoughts and feelings, and impulse control. The impact of these risks for one’s own later life health outcomes has been well-documented. What has been less examined, currently, is the intergenerational link between maternal adverse childhood experiences (ACEs) and children’s health and development. Drawing on data from a state with among the highest ACES prevalence, panelists will discuss biological and behavioral pathways linking maternal ACES to adverse birth outcomes and present promising programmatic and policy solutions to reduce or buffer intergenerational risks.

  • Session Chair: Jenna van Draanen

    Pathways linking combinations of early-life adversities to adult mortality: Tales that vary by gender
    Chioun Lee

    Cultural trauma as a root cause of health inequities
    Andy Subica

    Recovery and resilience using trauma-informed approaches in schools and communities: Evidence from the CLEAR intervention (presenting with Jen Moore)
    Christopher Blodgett

    Recovery and resilience using trauma-informed approaches in schools and communities: Evidence from the CLEAR intervention (presenting with Christopher Blodgett)
    Jen Moore

     

    Much recent attention has been given to the critical role that experiences of adverse childhood experiences (ACEs) and early trauma contribute to population health outcomes. In these discussions, the role that community-level experiences play and the potential for collective healing has not received as much attention as individual-level childhood experiences. This panel will shed light on the interplay between individual and collective experiences of trauma. Additionally, within published research, childhood adversity has predominantly operationalized and focused on ACEs as a discrete set of experiences. A more fulsome understanding of the long reach of childhood adversities necessitates discussion about how adverse experiences can proliferate into trauma later in life. This panel will examine chains of events that link early adversity to disadvantage throughout the life course. We will discuss discrimination and systems that drive inequities in individual and collective experiences of adversity and trauma and how these translate to inequities in health outcomes. Finally, panelists will address potential avenues for building resilience at the individual and group level and mechanisms for buffering stress from trauma.

  • Session Chair: Dana Williamson

    An Environmental Justice Approach to Understanding the Connection Between Urban Agriculture and Health
    Ashley Gripper

    Health Impacts of Green Redevelopment
    Patrice Williams

    Extractivism, Hurricanes and Resistance: Puerto Rico’s Perfect Storm
    Angeliz Encarnacion Burgos

    Indigenous Science and Decolonizing our Environments
    Deniss Martinez

    When researchers, practitioners, and policymakers use the term “built environment,” they may be referring to the buildings within which we live and work or the parks in which our children play. Typically, the concept of the built environment has been narrowly defined as the physical spaces in which we inhabit without consideration for the social, cultural, and historical contexts in which those spaces were cultivated and grown. Issues like gentrification, disaster preparedness and recovery, and community organizing around issues of the environment and health all push the boundaries of what we think of as the built environment as scholars seek to tackle these complex and layered challenges. Using environmental justice as a multidimensional and multidirectional framework, this panel will feature five doctoral students in different disciplines – behavioral science, environmental health, urban planning, architecture, and ecology – who will expand upon this definition of the built environment for population health research. The environmental justice framework addresses a desire for the elimination of discriminatory practices in housing, planning, and land use, industrial pollution, economic disinvestment, immigrant and labor rights, Native and Indigenous rights, climate change, green space movements, food justice, land use and water quality, transportation, energy development, and sustainability. Panelists will discuss environmental health and environmental justice through the lens of food sovereignty; health impact of green redevelopment among low-income populations and communities of color; community mobilization to raise issues of “health” and “rights” in face of injustices within Puerto Rico; and cultural and food sovereignty in Native American communities.

     

  • Session Chair: James Buszkiewicz

    Safe firearm storage: can municipal policies make a difference?
    Ali Rowhani-Rahbar

    The effect of Seattle’s Paid Sick and Safe Time Ordinance on workers’ employment and earnings trajectories.
    Hilary Wething

    Equal access to brain injury risk? Equity and head safety considerations in Seattle’s bike sharing system.
    Stephen Mooney

    Evaluation of Seattle’s Sweetened Beverage Tax
    Jessica Jones-Smith

    Discussant
    Heather Hill

     

    The City of Seattle is a leading innovator and early adopter of policies related to work, taxes, safety, and the built environment, which have the potential to improve the health and economic wellbeing of its residents. This panel will highlight ongoing work, conducted at the University of Washington, that aims to evaluate the effects of innovative Seattle-area policies on public health. Jessica Jones-Smith will discuss the evaluation of Seattle’s sugar-sweetened beverage tax and its effect on beverage prices and consumer purchasing behavior. Ali Rowhani-Rahbar will discuss the effect of safe firearm storage laws on reducing firearm suicides among youth and unintentional injuries and how the current evidence base led to the creation of a safe storage ordinance in the Seattle. Stephen Mooney will discuss several challenges and unintended consequences of launching local-area bike-sharing systems, such as disparities in access, social norms surrounding helmet use, and equity tensions, which can affect bicycle and motor vehicle-related injury. Finally, Hilary Wething will discuss the effect of Seattle’s Paid Sick and Safe Time policy on covered workers’ employment and earnings trajectories, both of which are strongly related to health and health behavior. Heather Hill, an expert on poverty and social policies, will serve as the discussant.

Panel Session 2

Wednesday, October 2
3:15pm – 4:30pm

  • Session Chair: Catherine Duarte

    Place and Trauma: Assessing Community Mental Well-being from a Policy Approach
    Jocelyn Poe

    Construction of the ideal student: A Critical Race and Institutional Theory approach to understanding racial health inequities
    Sireen Irsheid

    Construction of the ideal student: A Critical Race and Institutional Theory approach to understanding racial health inequities
    Asia Ivey

    School discipline policy and mental health: An epidemiologic approach
    Catherine Duarte

    School Connectedness and Mental Well-being: A relational approach to understanding academic and health outcomes
    Adrian Neely

    Structural and institutional racism are defined by processes whereby racist ideologies, fostered by convictions of power, are translated into discriminatory policies, procedures, and actions that propagate racial injustice. Neither these determinants nor their downstream consequences are contained; rather, they encompass a multitude of sectors such as housing, education, and health, among others. For example, consider the US system of racial housing segregation. Designed by macro-policy levers and bolstered by practices of white flight, redlining, and predatory lending among others, these policies and practices have been linked with the concentration of wealth among white communities and of poverty among communities of color; exposure to environmental pollutants that fall along a racial gradient; and inequitable and racially patterned distributions of educational opportunity, all of which are established determinants of health and well-being. Thus, just as these downstream effects are mediated across sectors, efforts to address them require transdisciplinary collaboration.

    In this session, we each leverage our discipline-specific training to co-construct a transdisciplinary understanding of the determinants of racial inequity in adverse mental health outcomes. We structure the panel to mirror the nested ecological systems that individuals navigate –from the institutional level down to interpersonal interactions. First, we begin with an exploration of centrality and intersectionality of place production. Next, we consider the role of discourse in the construction of educational institutions and how that shapes policy and practice with implications for racial health inequities. Lastly, we examine the nature of relationships in schools and classrooms as a protective factor for mental wellness with implications for policy and other interventions. To inform this conversation, we draw upon theory from our respective disciplines, which include education, epidemiology, social work, sociology, and urban planning, to understand, hypothesize about, and address the fundamental causes of racial inequities in these outcomes. We end our presentation with a counterstory, incorporating a synthesis of our research to envision and chronicle healthy schools and communities. We also illustrate the importance of and challenges with working collaboratively across a transdisciplinary team, with lessons learned to inform future transdisciplinary research and practice.

  • Session Chair: Marino A. Bruce

    The Underrepresented Minority STEM Pipeline Concept is a Pipedream: The Pipes Rarely Connect
    Keith C. Norris

    Tailoring Responsible Conduct of Research (RCR) Education to Underrepresented Minority Trainees and Population Health Research
    Elizabeth Heitman

    Writing Accountability Groups are a Tool for Academic Success: The Obesity Health Disparities PRIDE Program
    Roland J. Thorpe Jr.

    OHD PRIDE Alumni Network: Beyond Formal Research Training and Mentoring
    Bettina M. Beech

     

    Recent national reports focusing on the future of the scientific workforce in the United States have called for improvements in approaches to research training and mentoring. Diversity has been cited as an essential component of this effort and a number of research training and mentoring programs targeting individuals from backgrounds underrepresented in biomedical, behavioral, and social sciences have emerged in recent years. Interestingly, the scientific literature in this area is nascent. The purpose of this panel is to contribute to scientific discourse regarding research training and mentoring of scholars from underrepresented populations with presentations highlighting key considerations associated with this enterprise.

  • Session Chair: Kerry Anne McGeary

    Health at a Living Wage: Evidence from Natural Experiments
    Mustafa Hussein

    Exploring the Effects of Wage on the Culture of Health in Early Childhood Education Centers
    Heather Hill

    Effects of San Francisco’s Paid Parental Leave Ordinance: A Quasi-Experimental Study Using Administrative Data
    Julia Goodman

    Effects of Minimum Wage on Children’s Health
    George Wehby

     

    Economic security and the ability to meaningfully participate in the economy are vital to individual and population health and well-being. Yet for many workers, low wages and lack of paid leave policies put them at risk for poor outcomes. Wealth and health are intricately linked—through various direct and indirect pathways—and a more nuanced understanding of these connections is key to increasing the opportunity to achieve good health.

    Funded by the Robert Wood Johnson Foundation’s Evidence for Action and Policies for Action programs, our four panelists are investigating these connections, asking, “What are the most effective and efficient pathways to reach economic security, particularly for low-wage earners and disadvantaged populations? How do each of these pathways impact health, equity, and well-being? Through which levers are health and economic security tethered? How do such policies impact the systems inside and outside of which they operate?”

    The panel draws on a wide range of experts from health economics, public health, and health policy, and each presentation will focus on a different aspect of the effects of policies designed to increase the economic security of low-wage workers and their families. These policies include the effects of minimum wage on the health of children and early childhood education providers, living wage policy impacts on low-income adult health, and the effects of San Francisco’s Paid Parental Leave Ordinance on low-income workers.

    Together, these projects provide important clues to how wage and paid leave policies can be leveraged to improve health and well-being. As local, state, and national policymakers—as well as the private sector—grapple with our country’s poor health outcomes, this research helps illuminate the non-health policy levers that can promote health and health equity and truly make a difference for low-income workers and their families.

  • Session Co-Chair: Jessica Fish
    Session Co-Chair: Evan Krueger

    Distribution and Prevalence of Health in a Nationally Representative Sample of Three Cohorts of Lesbian, Gay, and Bisexual Adults in the United States
    Stephen T. Russell

    An intersectional approach to measurement with a nationally representative sample of three cohorts of lesbian, gay, and bisexual adults in the United States
    Allen B. Mallory

    Mental Distress, Stigma, and HIV Prevention Among Men Who Have Sex With Men in a Nationally-Representative Sample
    Evan A. Krueger

    Peer Victimization, Bullying, and Sexual Orientation-Related Health Disparities: Conceptual and Methodological Distinctions and Considerations
    Jessica N. Fish

     

    Research documenting the health and wellness of sexual minorities (e.g., lesbian, gay, bisexual, and queer people) has amassed at a rapid pace, largely due to the inclusion of sexual orientation measures in population-based surveys. Much of this work necessarily focuses on documenting the disparities that exist between sexual minority and heterosexual populations across a myriad of mental, behavioral, and physical health indicators. These studies have been vital to improving health policies and other legal protections for LGBQ people. We argue, however, that the field of sexual minority population health is at a turning point. To appreciably improve LGBQ population health, it is vital to more readily explore the unique health concerns and mechanisms contributing to health outcomes among LGBQ people, and not simply in relation to heterosexual people. Critical next steps include the exploration of within-group variability, assessments of resilience, validation and testing of measures, improved methods of estimating risk, and other formative topics to help advance the science and understanding of LGBQ population health. We present four papers that endeavor to push the field of LGBQ population health in new and unique ways. Several of the studies use data from the Generations Study, the first nationally-representative population-based survey of LGBQ people in the United States. These studies seek to understand how multiple social identities (e.g., sexual identity, race, and gender) overlap to impact health and positive-wellbeing (Study 1), whether commonly relied upon measures of minority stress systematically vary for the groups on the basis of sexual identity, race, and gender (Study 2), and how mental distress and LGB stigma awareness interact to influence HIV prevention behaviors (e.g., testing, PrEP use; Study 3). In Study 4, researchers use the Youth Risk Behavior Survey to illustrate how two commonly explored mediators of sexual minority youth health (i.e., school-based victimization and bullying) operate differently for youth on the basis of sex, sexual identity, and health outcome. Together these studies challenge and progress the field of LGBQ population health and help to advance scientific and applied approaches to improving health for this population.

  • Session Chair: Lisa M. Bates

    A multilevel analysis of the effect of normativity on the association between intimate partner violence and depression in rural Bangladesh
    Precious Esie

    Is village-level collective efficacy associated with lower risk of intimate partner violence in rural Bangladesh? A multilevel population-based study
    Theresa L. Osypuk

    Domestic violence attitudes and culturally appropriate prevention in rural Pakistan
    Sharon Green

    IPV-related stressors in the postpartum period among adolescent mothers in peri-rural Nepal
    Ashley Green

     

    Intimate partner violence (IPV) is highly prevalent and injurious globally, especially in contexts such as South Asia. As a manifestation of patriarchal norms and gendered socioeconomic inequality, IPV represents a significant gender health disparity in the region and is a major driver of morbidity, including psychiatric morbidity, among women. Efforts to reduce IPV in this region are highly uneven, ranging from long-standing socially transformative interventions to empower women (e.g., in Bangladesh) to very recent and weakly enforced laws against domestic violence (e.g., in Pakistan at the provincial level). What is consistent throughout the region is very limited options for recourse for IPV victims, especially in rural areas – either in terms of services or socially- or economically-viable options outside of marriage. As a result, the majority of IPV intervention strategies, where they exist, focus on primary prevention (trying to reduce IPV by changing norms and/or reducing gender inequality) or mitigating its effects (e.g., providing psychosocial services to lesson victims’ distress). This interdisciplinary panel engages with this complex set of issues – IPV, psychiatric morbidity, community norms, and intervention strategies – by presenting findings from four empirical studies in three countries in the region – Bangladesh, Pakistan, and Nepal. Two quantitative studies in Bangladesh interrogate the role of community norms: one, the effect of village-level collective efficacy on the risk of individual-level IPV exposure; two, the role of IPV normativity in modifying the effect of IPV exposure on major depressive episode risk. A mixed-methods study in Pakistan explores community attitudes regarding IPV and the potential for greater community-based health-oriented IPV prevention strategies in a very culturally conservative setting. And, finally, a qualitative study in Nepal explores the relationship between psychological abuse in marriage and depression, and the potential for a maternal depression intervention to address issues related to IPV in a family context.

  • Session Chair: Usama Bilal

    Health Inequalities by Income in Cardiovascular Risk Factors and Life Expectancy in US Metropolitan Areas
    Usama Bilal

    Area and Neighborhood-Level Social Disparities and Pedestrian Road Traffic Deaths in the USA, 1999-2017
    Alex Quistberg

    Development of a quantitative measure of gentrification for urban health research
    Leah Schinasi

    Perceived gentrification among neighborhood residents: creation of a novel survey instrument
    Jana Hirsch

     

    More than 80% of the population in the US currently live in urban areas. As a consequence of increased population density, social contacts, presence of environmental hazards, and exposure to advertisement, the challenges to health posed by cities are unique. Cities are also the loci of social and health inequalities. Understanding how city-level factors influence health outcomes and health inequalities can provide the tools necessary for improved research and advocacy on these factors. We propose an interdisciplinary panel that draws from the several disciplines that can help understanding population health in cities, including epidemiology, demography, urban planning and environmental health. This panel will include two presentations focusing on the role of one of the drivers of inequalities in urban areas, the phenomenon of gentrification, and two presentations focusing on the role of social and health inequalities in two health outcomes (pedestrian fatalities, and cardiovascular risk factors and life expectancy). Each 12min presentation will be followed by 5 minutes for Q&A. We will have 5-10min at the end for an integrative discussion that will help bridge disciplines and study settings.

Panel Session 3

Thursday, October 3
1:30pm – 2:45pm

  • Session Chair: Brigette Davis

    What Do We Mean When We Say “Structural Racism?”
    Rebekah Israel Cross

    Connecting Structural Racism to Health
    Hawi Teizazu

    … But How Can We Measure That?
    Brittney Butler

    Connecting Research to Policy Change
    Samuel Baxter

    Emerging population health research has moved from theorizing about the impact of racism on racial health disparities, to studying this causal mechanism empirically. However, of the four-levels through which racism is conceptualized—from intrapersonal & interpersonal (micro), institutional (meso) and structural (macro)—health research has primarily focused on racism as an individual level exposure. Drawing on ecosocial theory, policy and other structural interventions could serve as an important pathway through which health disparities can be eliminated. Nevertheless, the difficulties of conceptualizing, measuring, and empirically studying structural racism, makes its research in population health challenging.

    This panel discussion will serve as a gathering place for researchers, policymakers, practitioners, and others who are interested in breaking down the barriers imposed by structural racism through rigorous research, interdisciplinary partnerships, and policy change. Through innovative discussion, emerging transdisciplinary scholars will name structural racism as a fundamental causal mechanism through which health disparities persist; share the emerging research landscape; discuss methodological challenges of structural racism research; highlight promising pathways to dismantling structural racism; and discuss the role of research in health policy change

  • Session Chair: Claire Margerison

    Social Disadvantage and Severe Maternal Morbidity
    Alison Gemmill

    Preventable maternal morbidity: A driver of inequities?
    Michelle Debbink

    Association between Structural Inequity and Maternal Morbidity in the Twin Cities
    Rachel Hardeman

    Incidence of and disparities in maternal drug-related and suicide deaths in California, 2010-2012
    Claire Margerison

    Women’s experiences of severe maternal hemorrhage and opportunities for improving care and outcomes
    Christine Morton

     

    More women die from maternal deaths in the US than in most other developed nations, and rates of pregnancy-related mortality appear to be increasing in most US states. Moreover, for every maternal death, an additional 100 women experience severe maternal morbidity, which includes serious threats to maternal health and survival that occur at delivery or postpartum. Racial disparities in maternal mortality and morbidity are alarming, with Black women 3-4 times more likely to die from a pregnancy-related complication than non-Hispanic white women. Yet, research on maternal health outcomes has received little attention in the population health community. In this interdisciplinary panel, scholars from demography, medicine, public policy, epidemiology, and sociology will present new quantitative and qualitative research on maternal mortality and morbidity, using five unique data sets. In particular, we focus on socioeconomic, racial/ethnic, and geographic correlates of and inequities in severe maternal morbidity and mortality. We will also present data on maternal deaths due to drugs and suicide, which are traditionally not included in estimates of maternal mortality but which are of increasing prevalence and importance in the US.

  • Session Chair: Katherine Dickinson

    JPB Environmental Health Fellows Panel Overview
    Chandra Jackson

    Green in the desert: Impacts of greenness on metabolic health in El Paso, Texas
    Hector Olvera

    Green in the city: Urban vegetation and self-reported health in New York City
    Colleen Reid

    Measuring effects of nature experience on mental health
    Gregory Bratman

    Colorado’s Outdoor RX Initiative
    Katherine Dickinson

     

    The JPB Environmental Health Fellows program supports junior faculty, including assistant professors and federal government agency researchers, engaged in research on social and physical determinants of health relevant to vulnerable communities. This panel showcases conceptual, empirical, and policy-engaged research being conducted by JPB fellows, with a specific focus on green space and nature access as health determinants. To introduce the panel, agency fellow Dr. Chandra Jackson (NIH) will describe the JPB Fellowship and its goals, provide a brief conceptual overview of social and environmental determinants of health disparities in terms of race/ethnicity and socioeconomic status, and explore the conceptual overlap between green space, nature access, and social determinants of health. Following this introduction, JPB fellow panelists (Drs. Hector Olvera, Greg Bratman, Colleen Reid, and Katie Dickinson) present specific research and policy projects that provide a deeper dive into this topic from a variety of disciplinary and methodological angles, and in diverse geographical contexts: the Texas-Mexico border, Colorado, and New York City.

  • Session Chair: Roland J. Thorpe Jr.

    What Technological Advances have Taught Us About Biological Determinants of Mens Health and Aging
    Harlan P. Jones

    The Price of the Ticket: The Effects of Hypervigilance on Black Men
    Darrell Hudson

    Depression and Allostatic Load Among Black Men
    Roland J. Thorpe Jr.

    Stress, Faith, and Health among Black Men
    Marino A. Bruce

     

    The benefits of discovery in science and healthcare have not been distributed equally across populations in the United States. Recent data show that the life expectancy of a Black man is equivalent to a White peer 31 years ago. Black men are among the most likely to experience early onset, accelerated progression of disease, and elevated risks for complications and disability. Yet, research on this population continues to be limited. The collection of topics covered in this panel highlight the robustness of inquiry associated with research on Black men and illustrate how science can inform current efforts to improve health and well-being among this vulnerable population.

  • Session Chair: Sarah Cowan

    Preliminary findings from the formative phase of a San Francisco pregnancy income supplement program
    Deborah Karasek

    Universal Baby Bonds Reduce Black- White Wealth Inequality, Progressively Raise Net Worth of all Young Adults
    Naomi Zewde

    Medical-Financial Partnerships: Integration of Anti-Poverty and Financial Capabilities Interventions into Health Care Delivery for Low-Income Communities
    Adam Schickedanz

    Effects of the earned income tax credit on mental health and substance use: a quasi-experimental study of federal and state policy
    Rita Hamad

    The causal effect of a universal basic income on fertility and newborn health
    Sarah Cowan

     

    There is growing national momentum for basic income/cash transfers as a poverty reduction and equity-generating strategy. This panel will review recent evidence for financial policy and interventions to reduce inequities in maternal and child health. Cash has the opportunity to disrupt stress pathways leading to poor outcomes by reducing stigma and increasing trust, control, and belonging. It may not reach that potential, however. We examine this through different routes with all empirical cases in the United States.

  • Session Chair: Molly Dondero

    Health Messaging in Africa: Public Performance as Participatory Action Research (or CBPR)
    Jasmine Blanks Jones

    ¿Quién tiene el poder en el sur de Phoenix? Un proyecto usando acción participativa basada en la comunidad. (Who has the power in South Phoenix? A project using community based participatory action research)
    Monica Gutierrez

    #YOUTH: Agents of Transformative Social Change
    Jake Ryann Sumibcay

    Pono Research for Kānaka Maoli Self-Determination
    Samantha Keaulana (Scott)

     

    This interactive session will feature researchers who are pushing the boundaries of community-based participatory research (CBPR) through innovative approaches, advocacy, youth engagement, and accountability. The first segment will focus on the three questions below, as each panelist shares their work using CBPR. The second segment will feature audience discussion that provides a space for researchers, practitioners, and policymakers to interrogate their own practices of community engagement and consider new ways that communities can lead in generating knowledge, education, and action.

    What is traditional CBPR?

    Over the last few decades, community-based participatory research (CBPR) has emerged in population health sciences and public health as a tool to incorporate participant and community voices into the research process. CBPR seeks the engagement and influence of participants or community members in all aspects of the research process. Researchers use CBPR for the added value of participant and community expertise, the inclusion of social or environmental approaches to complex public health issues, or for dissemination and action of research findings.

    Why move beyond traditional CBPR?

    While the tenets of CBPR research are helpful for incorporating community expertise research, scholars are beginning to move beyond these traditional models. One such approach is community-based participatory action research (CBPAR), which uses research to advocate alongside communities for structural change. CBPAR blurs the line between researcher and activist and begins to account for the structural oppression many communities face.

    What are researchers doing to “push the boundaries” of traditional CBPR?

    The panelists will share their research using CBPAR to explore how this approach can be used to tackle complex public health issues. Jasmine Blank Jones will discuss work with youth artists who use acting and performance as a means of civic engagement in Liberia. Mónica Gutiérrez will present work exploring how community members engage in activism around a proposed transportation project in their South Phoenix community. Jake Ryann Sumibcay will present work with youth and young adults of color on public health interventions related to tobacco/nicotine prevention. Samantha Keaulana (Scott) will discuss work with a Kānaka Maoli (Native Hawaiian) community called Waimānalo, where she uses research as a tool to mobilize community priorities.

Panel Session 4

Friday, October 4
11:00am – 12:15pm

  • Session Co-Chair: Charles Branas
    Session Co-Chair:
    Katherine Theall

    A Citywide Randomized Controlled Trial of the Effect of Remediating Blighted Vacant Land on Substance Abuse and Violence
    Charles Branas

    Community-engaged environmental interventions as a method for crime reduction: A test of Busy Streets Theory
    Justin Heinze and Marc Zimmerman

    Reducing Crime Through Environmental Design: Evidence from a Randomized Experiment of Street Lighting in New York City
    Aaron Chaflin

    The spread of disorder from neighborhood to household: Connections between neighborhood blight and family violence
    Katherine Theall

    Violence is a leading health burden in the U.S. and globally. It plays a significant role in shaping population health and health disparities and contributes to substantial economic costs on our society. Firearm violence has been increasing over the last decade and its rate in the U.S. is estimated to be larger than that in any other developed nation. Youth violence is especially troubling given that patterns of violence beginning in childhood often result in ongoing life challenges, as well as sustained disability, and even death. Homicide is the 2nd leading cause of death for youth 15 to 24 years old, killing an average of 13 young adults each day, mostly (83%) from firearms. Non-fatal injuries sustained from physical assaults, school violence, intimate partner violence (IPV), and child maltreatment occur with a prevalence that is many times higher than their fatal counterparts. Neighborhood environments have been shown to play a role in certain forms of violence, and its prevention. Place-based contextual changes, such as blight remediation, may be more effective and more sustainable than focusing on individuals and lifestyles, particularly for violence reduction. This panel emphasizes the role of context in both producing and preventing violence. Four presentations will include analyses of the role of neighborhood conditions such as blight and alcohol density on both community and family violence, including innovative population-level placed-based strategies for prevention. Through a shared socioecological and structural framework of violence prevention, these presentations highlight broad-scale, policy-relevant opportunities for prevention efforts also aimed at promoting population health equity.

  • Session Chair: Erika Blacksher

    Might solidarity be a key ingredient in reducing health disparities?
    Marion Danis

    Black Death, White Death: Understanding Historical Legacies of Racial Violence and its Population Health Consequences
    Michael Esposito

    Targeting the Source: Focusing on Cultural and Structural Racism to Improve the Health of All Americans
    Margaret Hicken

    Proportionate Universalism: Normative Assumptions, Principles, and Implications
    Erika Blacksher

    An absolute decline in life expectancy in low education whites in the US has alarmed population health researchers, been cast in sympathetic terms (“deaths of despair”), and generated policy responses at the highest levels of US government. Depending on which studies are correct, low education white women have lost between 3 and 5 years; low education white men, between 6 months and 3 years. Some have charged that this alarm and attention reflect a racist concern for white lives over black and brown lives and run the risk of diverting resources from programs and policies that help people of color, who have long endured worse health and shorter lives than whites. Although the longevity prospects of whites and blacks with 11 or fewer years of education have now converged (~74 years for low education white and black women, ~68 years for low education white and black men), at higher levels of educational attainment, black life expectancy lags 3 to 4 years behind that of their white-gender counterparts.

    Implicit in this controversy are normative judgments about whether and how much this trend in life expectancy should matter, including a fundamental question about whether the absolute decline in low education whites’ life expectancy constitutes an injustice. A recent ethical analysis made the case for the injustice of this mortality trend, but did not addresse related and important questions about what society may or may not be obligated to do in response. But, agreement on the injustice of the life-span contraction in low education whites—if such agreement exists—does not mean that policy responses will be just.

    Social choices about which populations and health deficits to prioritize and what form population health investments should take are ethically and politically complex. In the worst case, policies may be racist, sexist, classist, homophobic, xenophobic. But, even in the best case, when policies aim to reflect our best values, significant ethical complexity exists, because people disagree about what is fair and equitable. This panel will explore a range of normative questions about the social choices and population health policies society ought (or ought not) to pursue in response to the absolute decline in low education whites’ life expectancy, the ethical principles and criteria that should (or should not) guide collective action, and how racist and classist systems of oppression figure in these considerations.

  • Session Chair: Glen Mays

    Insights from Big Data to Support Population Health and Social Needs
    Joshua Vest

    Estimating the Effect of U.S. County Spending on Life Expectancy
    Sneha Lamba

    Strategies for Dissemination of the Comprehensive Care, Community and Culture Program Models
    David Meltzer

    Multi-Sector Networks and Their Contributions to Rural-Urban Differences in Mortality
    Glen Mays

     

    Services designed to address social needs such as housing, transportation, and economic assistance are often disconnected from the medical services and public health programs tasked with improving health. Efforts to better align delivery systems for medical, social, and public health services hold considerable promise for improving population health. This panel examines findings from four studies supported through the Robert Wood Johnson Foundation’s Systems for Action research program, which test novel approaches for systems alignment. In the first study, Josh Vest and colleagues test a novel approach for predicting and addressing unmet social needs using the electronic health records system of a large urban safety-net healthcare system. Second, Sneha Lamba and colleagues use national data on local government health and social service spending patterns to identify resource combinations associated with improved life expectancy. Third, David Meltzer and colleagues evaluate the health impacts of a program that connects vulnerable low-income seniors to available social and cultural resources in the community. Finally, Glen Mays and colleagues follow a national cohort of 600 community networks over 20 years to examine long-run network contributions to rural-urban differences in population health.

  • Session Chair: Farrah Jacquez

    Interdisciplinary Processes in Engagement Science
    Elizabeth Cope

    Building Curriculum To Support Interdisciplinary Researchers and Community Leaders
    Sarah Gollust

    A Place-Based Approach to Early Childhood Wellness in Cincinnati: Communities Acting for Kids Empowerment (CAKE)
    Farrah Jacquez

    A Place-Based Approach to Early Childhood Wellness in Cincinnati: Communities Acting for Kids Empowerment (CAKE)
    Michael Topmiller

    Improving Racial Equity in Birth Outcomes: A Community-based, Culturally Centered Approach
    Rachel Hardeman

    The One Girl, Many Systems: A Community-based Effort to Support Girls with Status Offenses
    Arina Gertseva

    The One Girl, Many Systems: A Community-based Effort to Support Girls with Status Offenses
    Sarah Veele

    The One Girl, Many Systems: A Community-based Effort to Support Girls with Status Offenses
    Ann Muno

     

    Population health science recognizes the inherent value in community-academic partnerships that allow the lived experience of communities to infuse and inform research. Community-engaged research efforts, including community-engaged participatory research, action research, citizen science, team science, and patient-centered outcomes research have increased dramatically over the last two decades. As a result, we are witnessing the emergence of a new empirical area of inquiry – engagement science – which examines the work happening across disciplines in order to elucidate the dynamics driving successful multi-stakeholder engagement in population health research. Specifically, engagement science investigates: 1) the methods for, and practice of, engagement; 2) the development of evidence-based approaches or guiding frameworks for engagement; and 3) the application of these resources, to guide meaningful engagement of non-traditional stakeholders in research. The rise of engagement science has amplified awareness of the value and impact of engagement efforts, and of the potential for these to enhance both the quality and rigor of research activities. Our proposed panel will be moderated by Dr. Elizabeth Cope, who will also serve as discussant. Through her efforts in PCORnet and other initiatives, Dr. Cope has been working to build and promote the field of engagement science. This was highlighted in a recent AcademyHealth blog series developed by Dr. Cope and her PCORnet colleagues detailing engagement science as an emerging discipline, describing the existing evidence base, and providing recommendations for the future. Dr. Cope will introduce the panel with brief remarks to frame the discussion and then provide summary comments and synthesizing questions at the end. In between, four panelists who are currently approaching engagement science from diverse perspectives will present their unpublished work. Dr. Sarah Gollust, Associate Director of the Robert Wood Johnson Foundation’s Interdisciplinary Research Leaders Program (IRL), is infusing engagement science into a curriculum to train teams of community and academic partners to work together to create a culture of health. Panelists Jacquez, Topmiller, Hardeman, Gertseva, Veele & Muno are all fellows of the IRL Program and will each describe how engagement science is represented in their specific community-partnered research projects.

  • Session Chair: Kaori Fujishiro

    The role of job task characteristics in explaining the educational gradient in all-cause mortality
    Kaori Fujishiro

    The social distribution of employment quality in the U.S. labor market: It’s not just education
    Trevor Peckham

    Constrained choices: How work and social circumstances constrain daily time for health behaviors
    Megan Winkler

    Gendered exposures: The role of unpaid labor in understanding the influence of work on women’s health
    Emily Ahonen

     

    Fundamental cause theory articulates the creation of socioeconomic gradients in health: personal resources–money, knowledge, power, prestige, and social connections–enable persons to live healthy lives; hence unequal access to these resources creates health inequalities. Because gender and race/ethnicity have strong influences on access to these resources, health inequalities exist along these social fault lines. In the fundamental causes framework, the role of work has been under-explored. This hinders research on health inequalities because work is a major way in which individuals interact with society and thus experience the dynamics of social locations such as gender and race/ethnicity.

    Work is a complex concept as it offers both material gains (e.g., pay, health insurance) and psychosocial benefits (e.g., sense of mastery, social recognition). At the same time, work can involve physical, psychological, and social hazards and strain. The economic and power relationship between the employer and employee has been rapidly changing in the last decade. Because qualities of working and employment conditions are strongly patterned by gender and race/ethnicity, we argue that differences in resource accumulation across these dimensions occur through work. Thus focusing on work can provide a rich new perspective to understanding health inequalities. This perspective is important because work has organizational structures that could be mobilized to effect changes.

    This panel presents several concrete ways to examine the role of work in creating health inequalities, with a special focus on gender and race/ethnicity, specifically their relationship to job task characteristics, employment conditions, work hours and work-life interface, and the intersection between paid and unpaid work. Each presentation will illuminate how these aspects of work can help explain health inequalities. We will conclude by presenting promising future directions made possible through occupational perspectives.

  • Session Chair: Celeste Philip

    Rural hospital closures and the population health connection
    Jennifer Whittaker

    Variation in hospital cross-sector partnerships by hospital mission alignment with population health
    Deanna Barath

    An exploratory analysis of not-for profit hospital community benefits and racial equity in California
    Erica Browne

    Careful(l) Community – healthcare organizations as moral agents
    Leah Lomotey-Nakon

     

    Creating a Culture of Health that improves population health and promotes equity requires the integration of our health services and systems, which are vital to fostering cross-sector partnerships, making health a shared value, and creating healthier and more equitable communities. Although hospitals and hospital systems play a critical role in health care delivery, their contributions to population health improvements via strategies that address structural and social health determinants are less frequently considered. This panel examines how the organizational behavior of hospitals—as it relates to motivations, decisions, and practices—may be a structural determinant of population health. With expertise in urban planning, health policy, community health, and ethics, this interdisciplinary panel will discuss how hospital decisions impact population health, and how organizational behavior influences community engagement, cross-sector partnerships, and community investments. The goal of this panel is to explore how the relationship between hospital organizational behavior and population health can inform strategies to build a culture of health.