{"title":"Environmental Justice: Where It Has Been, and Where It Might Be Going.","authors":"Merlin Chowkwanyun","doi":"10.1146/annurev-publhealth-071621-064925","DOIUrl":"10.1146/annurev-publhealth-071621-064925","url":null,"abstract":"<p><p>Taking stock of environmental justice (EJ) is daunting. It is at once a scholarly field, an ongoing social movement, and an administrative imperative adopted by government agencies and incorporated into legislation. Moreover, within academia, it is multidisciplinary and multimethodological, comprising scholars who do not always speak to one another. Any review of EJ is thus necessarily restrictive. This article explores several facets of EJ activism. One is its coalitional and \"inside-outside\" orientation. EJ activists are constantly forming alliances with other stakeholders, but these coalitions do not flout the importance of engaging with formal institutions. The review next turns to one set of such institutions-the courts and regulatory agencies-to see how well EJ claims have fared there. I then survey scientific findings that have been influenced by EJ. The review concludes with future directions for activists and scholars to consider: the changing nature of EJ coalitions, fragmentation within EJ and with other fields, the historical roots of environmental injustice, and opportunities for stronger infusion of the EJ lens.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"44 ","pages":"93-111"},"PeriodicalIF":20.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10962396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9254622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Philippa Howden-Chapman, Julie Bennett, Richard Edwards, David Jacobs, Kim Nathan, David Ormandy
{"title":"Review of the Impact of Housing Quality on Inequalities in Health and Well-Being.","authors":"Philippa Howden-Chapman, Julie Bennett, Richard Edwards, David Jacobs, Kim Nathan, David Ormandy","doi":"10.1146/annurev-publhealth-071521-111836","DOIUrl":"https://doi.org/10.1146/annurev-publhealth-071521-111836","url":null,"abstract":"<p><p>Housing quality is essential for population health and broader well-being. The World Health Organization Housing and health guidelines highlight interventions that protect occupants from cold and hot temperatures, injuries, and other hazards. The COVID-19 pandemic has emphasized the importance of ventilation standards. Housing standards are unevenly developed, implemented, and monitored globally, despite robust research demonstrating that retrofitting existing houses and constructing high-quality new ones can reduce respiratory, cardiovascular, and infectious diseases. Indigenous peoples, ethnic minorities, and people with low incomes face cumulative disadvantages that are exacerbated by poor-quality housing. These can be partially ameliorated by community-based programs to improve housing quality, particularly for children and older people, who are hospitalized more often for housing-related illnesses. There is renewed interest among policy makers and researchers in the health and well-being of people in public and subsidized housing, who are disproportionately disadvantaged by avoidable housing-related diseases and injuries. Improving the overall quality of new and existing housing and neighborhoods has multiple cobenefits, including reducing carbon emissions.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"44 ","pages":"233-254"},"PeriodicalIF":20.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9254598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helen V S Cole, Isabelle Anguelovski, Margarita Triguero-Mas, Roshanak Mehdipanah, Mariana Arcaya
{"title":"Promoting Health Equity Through Preventing or Mitigating the Effects of Gentrification: A Theoretical and Methodological Guide.","authors":"Helen V S Cole, Isabelle Anguelovski, Margarita Triguero-Mas, Roshanak Mehdipanah, Mariana Arcaya","doi":"10.1146/annurev-publhealth-071521-113810","DOIUrl":"https://doi.org/10.1146/annurev-publhealth-071521-113810","url":null,"abstract":"<p><p>Public health researchers are increasingly questioning the consequences of gentrification for population health and health equity, as witnessed in the rapid increase in public health publications on the health (equity) effects of gentrification. Despite methodological challenges, and mixed results from existing quantitative research, qualitative evidence to date points to the role of gentrification processes in exacerbating health inequities. Here we discuss past methodological and theoretical challenges in integrating the study of gentrification with public health research. We suggest taking an interdisciplinary approach, considering the conceptualization of gentrification in measurement techniques and conceiving this process as a direct exposure or as a part of broader neighborhood changes. Finally, we discuss existingpolicy approaches to mitigating and preventing gentrification and how these could be evaluated for effectiveness and as public health promotion and specifically as interventions to promote health equity.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"44 ","pages":"193-211"},"PeriodicalIF":20.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9250400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molly Knowles, Aidan P Crowley, Aditi Vasan, Shreya Kangovi
{"title":"Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States.","authors":"Molly Knowles, Aidan P Crowley, Aditi Vasan, Shreya Kangovi","doi":"10.1146/annurev-publhealth-071521-031648","DOIUrl":"https://doi.org/10.1146/annurev-publhealth-071521-031648","url":null,"abstract":"<p><p>Community health workers (CHWs) have worked in a variety of settings in the United States for more than 70 years and are increasingly recognized as an essential health workforce. CHWs share life experience with the people they serve and have firsthand knowledge of the causes and impacts of health inequity. They provide a critical link between marginalized communities and health care and public health services. Several studies have demonstrated that CHWs can improve the management of chronic conditions, increase access to preventive care, improve patients' experience of care, and reduce health care costs. CHWs can also advance health equity by addressing social needs and advocating for systems and policy change. This review provides a history of CHW integration with health care in the United States; describes evidence of the impact of CHW programs on population health, experience, costs of care, and health equity; and identifies considerations for CHW program expansion.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"44 ","pages":"363-381"},"PeriodicalIF":20.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9250401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Rapid Randomized Trials to Improve Health Care Systems.","authors":"Leora I Horwitz, Holly A Krelle","doi":"10.1146/annurev-publhealth-071521-025758","DOIUrl":"https://doi.org/10.1146/annurev-publhealth-071521-025758","url":null,"abstract":"<p><p>Rapid randomized controlled trials have been surprisingly rare in health care quality improvement (QI) and systems interventions. Applying clinical trials methodology QI work brings two distinct fields together, applying the robustness of randomized controlled trials (RCTs) to the practical, operational learnings of the well-established QI field. Rapid trials also add a third element-speed-that enables health care systems to rapidly test multiple variations of an intervention in much the same way that A/B testing is done in the technology sector. When performed well, these rapid trials free researchers and health care systems from the requirement to be correct the first time (because it is low cost and quick to try something else) while offering a standard of evidence often absent in QI. Here we outline the historical underpinnings of this approach, provide guidance about how best to implement it, and describe lessons learned from running more than 20 randomized projects in the NYU Langone Health system.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"44 ","pages":"445-457"},"PeriodicalIF":20.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9254754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonathon P Leider, Valerie A Yeager, Chelsey Kirkland, Heather Krasna, Rachel Hare Bork, Beth Resnick
{"title":"The State of the US Public Health Workforce: Ongoing Challenges and Future Directions.","authors":"Jonathon P Leider, Valerie A Yeager, Chelsey Kirkland, Heather Krasna, Rachel Hare Bork, Beth Resnick","doi":"10.1146/annurev-publhealth-071421-032830","DOIUrl":"https://doi.org/10.1146/annurev-publhealth-071421-032830","url":null,"abstract":"<p><p>Between the 2009 Great Recession and the onset of the COVID-19 pandemic, the US state and local governmental public health workforce lost 40,000 jobs. Tens of thousands of workers also left during the pandemic and continue to leave. As governmental health departments are now receiving multimillion-dollar, temporary federal investments to replenish their workforce, this review synthesizes the evidence regarding major challenges that preceded the pandemic and remain now. These include the lack of the field's ability to readily enumerate and define the governmental public health workforce as well as challenges with the recruitment and retention of public health workers. This review finds that many workforce-related challenges identified more than 20 years ago persist in the field today. Thus, it is critical that we look back to be able to then move forward to successfully rebuild the workforce and assure adequate capacity to protect the public's health and respond to public health emergencies.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"44 ","pages":"323-341"},"PeriodicalIF":20.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9260982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David H Cloud, Ilana R Garcia-Grossman, Andrea Armstrong, Brie Williams
{"title":"Public Health and Prisons: Priorities in the Age of Mass Incarceration.","authors":"David H Cloud, Ilana R Garcia-Grossman, Andrea Armstrong, Brie Williams","doi":"10.1146/annurev-publhealth-071521-034016","DOIUrl":"10.1146/annurev-publhealth-071521-034016","url":null,"abstract":"<p><p>Mass incarceration is a sociostructural driver of profound health inequalities in the United States. The political and economic forces underpinning mass incarceration are deeply rooted in centuries of the enslavement of people of African descent and the genocide and displacement of Indigenous people and is inextricably connected to labor exploitation, racial discrimination, the criminalization of immigration, and behavioral health problems such as mental illness and substance use disorders. This article focuses on major public health crises and advances in state and federal prisons and discusses a range of practical strategies for health scholars, practitioners, and activists to promote the health and dignity of incarcerated people. It begins by summarizing the historical and sociostructural factors that have led to mass incarceration in the United States. It then describes the ways in which prison conditions create or worsen chronic, communicable, and behavioral health conditions, while highlighting priority areas for public health research and intervention to improve the health of incarcerated people, including decarceral solutions that can profoundly minimize-and perhaps one day help abolish-the use of prisons.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"44 ","pages":"407-428"},"PeriodicalIF":20.8,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10128126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9402401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda K Weaver, Jennifer R Head, Carlos F Gould, Elizabeth J Carlton, Justin V Remais
{"title":"Environmental Factors Influencing COVID-19 Incidence and Severity.","authors":"Amanda K Weaver, Jennifer R Head, Carlos F Gould, Elizabeth J Carlton, Justin V Remais","doi":"10.1146/annurev-publhealth-052120-101420","DOIUrl":"10.1146/annurev-publhealth-052120-101420","url":null,"abstract":"<p><p>Emerging evidence supports a link between environmental factors-including air pollution and chemical exposures, climate, and the built environment-and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission and coronavirus disease 2019 (COVID-19) susceptibility and severity. Climate, air pollution, and the built environment have long been recognized to influence viral respiratory infections, and studies have established similar associations with COVID-19 outcomes. More limited evidence links chemical exposures to COVID-19. Environmental factors were found to influence COVID-19 through four major interlinking mechanisms: increased risk of preexisting conditions associated with disease severity; immune system impairment; viral survival and transport; and behaviors that increase viral exposure. Both data and methodologic issues complicate the investigation of these relationships, including reliance on coarse COVID-19 surveillance data; gaps in mechanistic studies; and the predominance of ecological designs. We evaluate the strength of evidence for environment-COVID-19 relationships and discuss environmental actions that might simultaneously address the COVID-19 pandemic, environmental determinants of health, and health disparities.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"43 ","pages":"271-291"},"PeriodicalIF":21.4,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10044492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul Wesson, Yulin Hswen, Gilmer Valdes, Kristefer Stojanovski, Margaret A Handley
{"title":"Risks and Opportunities to Ensure Equity in the Application of Big Data Research in Public Health.","authors":"Paul Wesson, Yulin Hswen, Gilmer Valdes, Kristefer Stojanovski, Margaret A Handley","doi":"10.1146/annurev-publhealth-051920-110928","DOIUrl":"10.1146/annurev-publhealth-051920-110928","url":null,"abstract":"<p><p>The big data revolution presents an exciting frontier to expand public health research, broadening the scope of research and increasing the precision of answers. Despite these advances, scientists must be vigilant against also advancing potential harms toward marginalized communities. In this review, we provide examples in which big data applications have (unintentionally) perpetuated discriminatory practices, while also highlighting opportunities for big data applications to advance equity in public health. Here, big data is framed in the context of the five Vs (volume, velocity, veracity, variety, and value), and we propose a sixth V, virtuosity, which incorporates equity and justice frameworks. Analytic approaches to improving equity are presented using social computational big data, fairness in machine learning algorithms, medical claims data, and data augmentation as illustrations. Throughout, we emphasize the biasing influence of data absenteeism and positionality and conclude with recommendations for incorporating an equity lens into big data research.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"43 ","pages":"59-78"},"PeriodicalIF":21.4,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8983486/pdf/nihms-1771900.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9254670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Barriers and Enablers for Integrating Public Health Cobenefits in Urban Climate Policy.","authors":"Maya Negev, Leonardo Zea-Reyes, Livio Caputo, Gudrun Weinmayr, Clive Potter, Audrey de Nazelle","doi":"10.1146/annurev-publhealth-052020-010820","DOIUrl":"https://doi.org/10.1146/annurev-publhealth-052020-010820","url":null,"abstract":"<p><p>Urban climate policy offers a significant opportunity to promote improved public health. The evidence around climate and health cobenefits is growing but has yet to translate into widespread integrated policies. This article presents two systematic reviews: first, looking at quantified cobenefits of urban climate policies, where transportation, land use, and buildings emerge as the most studied sectors; and second, looking at review papers exploring the barriers and enablers for integrating these health cobenefits into urban policies. The latter reveals wide agreement concerning the need to improve the evidence base for cobenefits and consensus about the need for greater political will and leadership on this issue. Systems thinking may offer a way forward to help embrace complexity and integrate health cobenefits into decision making. Knowledge coproduction to bring stakeholders together and advance policy-relevant research for urban health will also be required. Action is needed to bring these two important policy agendas together.</p>","PeriodicalId":50752,"journal":{"name":"Annual Review of Public Health","volume":"43 ","pages":"255-270"},"PeriodicalIF":20.8,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10856789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}