Public Health

Understanding the Relation Between Tobacco Outlet Density and Tobacco Use in African American Young Adults

Rodriguez, D
Adachi-Mejia, A
Carlos, H
Ratmansky, J
2020

Researchers assessed the relation between tobacco outlet density (TOD) and sociodemographic factors (e.g., urbanicity, % people living in poverty, % minorities in a census tract). Results revealed TOD disparities, with the greatest density in areas where ethnic minorities and the poor live. Researchers found relations between TOD and smoking behavior, although results are mixed, with some finding no relations at all. This suggests that the TOD/tobacco use relation is heterogeneous. We proposed to assess the relation between TOD and tobacco use (i.e., combustible cigarettes and chew tobacco...

A Method for Estimating the Associations of Neighborhood Type with Availability of Sit-down Restaurants and Supermarkets

Peng, K
Rodriguez, D
Hirsch, JA
Gordon-Larsen, P
2020

Although neighborhood-level access to food differs by sociodemographic factors, almost all research on neighborhoods and food access has used a single construct of neighborhood context, such as income or race. Neighborhoods possess many interrelated built environment and sociodemographic characteristics, a condition that obscures relationships between neighborhood factors and food access. Methods: To account for the effects of many interrelated aspects of neighborhoods in food access, we developed a generally applicable method that used multiple measures (e.g., population density, mix of...

A Systematic Review of Empirical and Simulation Studies Evaluating the Health Impact of Transportation Interventions

Stankov, I
Garcia, LMT
Mascolli, M
Montes, F
Meisel, JD
Gouveia, N
Sarmiento, O
Rodriguez, D
Hammond, R
Caiaffa, WT
Roux, AV Diez
2020
Urban transportation is an important determinant of health and environmental outcomes, and therefore essential to achieving the United Nation's Sustainable Development Goals. To better understand the health impacts of transportation initiatives, we conducted a systematic review of longitudinal health evaluations involving: a) bus rapid transit (BRT); b) bicycle lanes; c) Open Streets programs; and d) aerial trams/cable cars. We also synthesized systems-based simulation studies of the health-related consequences of walking, bicycling, aerial tram, bus and BRT use. Two reviewers screened 3302...

Urban Health and Health Equity in Latin American Cities: What COVID-19 is Teaching Us

Roux, AV Diez
Barrientos-Gutierrez, T
Caiaffa, WT
Miranda, J
Rodriguez, D
Sarmiento, O
Slesinksi, S
Vergaga, A
2020

Latin America is the most unequal and urbanized region of the world. The physical and social environments of Latin American cities, the lack of public health and health-care infrastructure, and pronounced social and health inequities make these cities especially vulnerable to COVID-19. It is too soon to know the true impact of the pandemic and how it will compare to the many ongoing health and environmental challenges facing Latin American cities. In this commentary, we highlight a few key lessons with major implications not only for COVID-19 but for urban health and health...

Physical Disorders and Poor Self-Rated Health in Adults Living in Four Latin American Cities: A Multilevel Approach

Vaz, C
Andrade, A
Silva, U
Rodriguez, D
Wang, X
Moore, K
Friche, A
Roux, AV Diez
Caiaffa, WT
2020
Considering that urban environments may affect self-rated health through behavioral and psychosocial mechanisms, the aim of this study was to investigate the association between self-rated health and perceived urban environment characteristics among adults living in four Latin American cities. Data is from a population-based survey by Development Bank of Latin America, encompassing adults between 20 and 60 years old in Buenos Aires, Lima, Mexico City, and Panama City. Self-rated health was measured using a single question and the response options were categorized as poor and good. The...

Life Expectancy and Mortality in 363 Cities of Latin America

Bilal, U
Hessel, P
Perez-Ferrer
Michael
Alfaro, T
Tenorio-Mucha
Friche, A
Pina, M
Vives, A
Quick, H
Alazraqui, M
Rodriguez, D
Miranda, J
Roux, AV Diez
the SALURBAL group
2021

The concept of a so-called urban advantage in health ignores the possibility of heterogeneity in health outcomes across cities. Using a harmonized dataset from the SALURBAL project, we describe variability and predictors of life expectancy and proportionate mortality in 363 cities across nine Latin American countries. Life expectancy differed substantially across cities within the same country. Cause-specific mortality also varied across cities, with some causes of death (unintentional and violent injuries and deaths) showing large variation within countries, whereas other causes of death...

Disentangling Associations Between Vegetation Greenness and Dengue in a Latin American City: Findings and Challenges

Dronova, I
Ribeiro, S
Bruhn, F
Sales, D
Schultes, O
Rodriguez, D
Cunha, M
Lima, L
Caiffa, W
Morais, MHF
Ju, Y
2021

Being a Re-emerging Infectious Disease, dengue causes 390 million cases globally and is prevalent in many urban areas in South America. Understanding the fine-scale relationships between dengue incidence and environmental and socioeconomic factors can guide improved dieses prevention strategies. This ecological study examine the association between dengue incidence and satellite-based vegetation greenness in 3826 census tracts nest in 474 neighborhoods in Belo Horizonte, Brazil during the 2010 dengue epidemic.

The Changing Impacts of the COVID-19 Pandemic on Individuals and Households in the US

Bouzaghrane, M
Obeid, H
Parker, M
Li,. M
Hayes, D
Chen, M
Frick, K
Rodriguez, D
Walker, Joan
Sengupta, R
Chatman, D
2021

This brief describes findings from a research effort to understand the changing impacts of the pandemic upon households from different places and backgrounds living in the United States. We investigated the effects of the pandemic along with pandemic-based restrictions and rules on people’s behavior along with their mental and emotional health, social relations, and livelihoods. Unlike other research efforts, as far as we are aware this effort is the only one to join passive data from cell phones with survey information collected from the same individuals over time. We combined these data...

Health and Environmental Co-benefits of City Urban Form in Latin America: An Ecological Study

Avila-Palencia
Sánchez, BN
Rodriguez, DA
Ferrer, C
Miranda, J
Gouveia, N
Bilal, U
Useche, A
Wilches-Mogollon, M
Moore, K
Sarmiento, O
Roux, AV Diez
2021
Urban design features are often studied in relation to health and behavioural outcomes. They can also have major implications for environmental outcomes. However, the impact of these features on both health and environmental outcomes (co-benefits) is rarely examined. We investigated how urban landscape and street design profiles are related to jointly occurring health and environmental outcomes in Latin America cities. We used data from the Salud Urbana en América Latina (SALURBAL) project, which has compiled and harmonised data on built environment, environmental...

Greenness and Education Inequalities in Life Expectancy in Latin American Cities: An Ecological Study

Moran, M
Bilal, U
Dronova, I
Ju, Y
Gouveia, N
Caiaffa, W
Friche, A
Moore, K
Miranda, J
Rodriguez, D
2021
Greenness has been found to be associated with reduced mortality and morbidity and improved wellbeing, with recent evidence further linking it to narrower health inequalities. However, results come mostly from high-income countries and thus might not be generalisable to other settings. In this preliminary analysis, we address this gap by examining whether education inequalities in life expectancy in Latin American cities vary by area-level greenness.We used data from the Salud Urbana en America Latina (SALURBAL) study. The analysis sample included 28 large cities in nine Latin American...