Author Archives: Built Environment and Health

Machine Learning Approaches for Measuring Neighborhood Environments in Epidemiologic Studies

We recently published a review article in Current Epidemiology Reports describing the use of machine learning to measure neighborhood environments in epidemiologic studies. Innovations in information technology, initiatives by local governments to share administrative data, and growing inventories of data … Continue reading

Posted in Methods, Street View | Leave a comment

The Evolution of Disparities in Spatial Access to Social Services in the U.S., 1990 to 2014

To address patient’s unmet social needs and improve health outcomes, health systems have developed programs to refer patients in need to social service agencies. However, the capacity to respond to patient referrals varies tremendously across communities. To understand how disparities … Continue reading

Posted in Economic Development, Health Care Access, Social Determinants, Socioeconomic status, Transportation | Leave a comment

Higher Neighborhood Walkability is Associated with a Lower Risk of Excessive Weight Gain During Pregnancy

In partnership with the NYC Department of Health and Mental Hygiene we have been studying how neighborhood environments influence health during pregnancy and birth outcomes, with recent work focusing on weight gain during pregnancy.   In 2009, the Institute of Medicine … Continue reading

Posted in Active Transport, Adults, Childhood, Healthy Pregnancies, Physical Activity, Urban Design, Walkability | Leave a comment

Maintaining patient privacy while geocoding patient addresses: Do Not Use R to Geocode

Imagine if a clinical researcher were to disclose a list of patient addresses to a third-party – government agency, for profit company or not-for-profit entity – that was outside of their hospital or health system. Imagine the researcher then publicly … Continue reading

Posted in Health Care Access, Methods, Tools | Leave a comment

Neighborhood Walkability and Body Mass Index among African American Cancer Survivors

Increasingly, health care systems are becoming stakeholders in urban design and infrastructure planning processes, and are considering how neighborhood environments can support the health of communities and patient populations within health system catchment areas. To this end, health systems are: … Continue reading

Posted in Adults, Cancer Survivors, Urban Design, Walkability | Leave a comment

Improving the measurement of Neighborhood Physical Disorder

Neighborhood audit methods (AKA Systematic Social Observation) are often used to create measures of neighborhood built and social environments.  But even with the enhanced efficiency of virtual neighborhood audit methods using CANVAS-Street View, it is generally not possible to collect … Continue reading

Posted in CANVAS, Methods, Street View, Tools | Leave a comment

Newly Funded Work on Pedestrian Injury

We have recently been funded by NIH to conduct a four-year study of how urban design, the locations of alcohol selling establishments, night life districts and locations of services for the homeless influence pedestrian fatality risk.  We will be conducting … Continue reading

Posted in Active Transport, CANVAS, Economic Development, Methods, Pedestrian Injury, Safety, Street View, Tools, Urban Design, Walkability | Leave a comment

Physical Activity in an Urban Environment and Associations with Air Pollution and Lung Function

In new work published in the Annals of the American Thoracic Society we analyzed the links between where children are physically active and their exposure to air pollution and lung function.  Physical activity is associated with increased ventilation because of … Continue reading

Posted in Accelerometers, Asthma, Childhood, GPS | Leave a comment

Mapping Food Insecurity During the COVID-19 Pandemic

Prior to the COVID-19 pandemic, 11% of households and nearly 16% of families with children were food insecure. With schools closed and families out of work, food insecurity rates are expected to skyrocket in the coming months. During the crisis, … Continue reading

Posted in Food Environment, Social Determinants, Socioeconomic status | Leave a comment

Updated: County Level Estimates of Highly Stressed Health Care Systems

Our online mapping tool has been updated with new data showing counties that are at high risk of experiencing patient volumes that exceed their hospital capacity over the next 6 weeks.  The maps show at risk counties for three different levels … Continue reading

Posted in Community Needs Assessment, Health Care Access | Leave a comment