Racial, Ethnic, and Socioeconomic Disparities in Multiple Measures of Blue and Green Spaces in the United States

BACKGROUND: Several studies have evaluated whether the distribution of natural environments differs between marginalized and privileged neighborhoods. However, most studies restricted their analyses to a single or handful of cities and used different natural environment measures. OBJECTIVES: We evaluated whether natural environments are inequitably distributed based on socioeconomic status (SES) and race/ethnicity in the contiguous United States. METHODS: We obtained SES and race/ethnicity data (2015–2019) for all U.S. Census tracts. For each tract, we calculated the Normalized Different Vegetation Index (NDVI) for 2020, NatureScore (a proprietary measure of the quantity and quality of natural elements) for 2019, park cover for 2020, and blue space for 1984–2018. We used generalized additive models with adjustment for potential confounders and spatial autocorrelation to evaluate associations of SES and race/ethnicity with NDVI, NatureScore, park cover, and odds of containing blue space in all tracts ([Formula: see text]) and in urban tracts ([Formula: see text]). To compare effect estimates, we standardized NDVI, NatureScore, and park cover so that beta coefficients presented a percentage increase or decrease of the standard deviation (SD). RESULTS: Tracts with higher SES had higher NDVI, NatureScore, park cover, and odds of containing blue space. For example, urban tracts in the highest median household income quintile had higher NDVI [44.8% of the SD (95% CI: 42.8, 46.8)] and park cover [16.2% of the SD (95% CI: 13.5, 19.0)] compared with urban tracts in the lowest median household income quintile. Across all tracts, a lower percentage of non-Hispanic White individuals and a higher percentage of Hispanic individuals were associated with lower NDVI and NatureScore. In urban tracts, we observed weak positive associations between percentage non-Hispanic Black and NDVI, NatureScore, and park cover; we did not find any clear associations for percentage Hispanics. DISCUSSION: Multiple facets of the natural environment are inequitably distributed in the contiguous United States. https://doi.org/10.1289/EHP1116

The Dynamic Body Image and the Moving Body: A Theoretical and Empirical Investigation

The study of the psychological experience of the personal body in the discipline of psychology, through the concept referred to as the body image, has its roots in neurology and psychoanalysis. This thesis begins with a review of body image research across three disciplines: neuroscience, psychoanalysis and psychology. The literature review places the work titled 'The image and appearance of the human body' by neurologist and psychoanalyst Paul Schilder (1935/1978) at the intersection of these three disciplines. Schilder's text described the organization of the body image as a dynamic and tri-dimensional structuralization. Since the midtwentieth century, psychological research has taken special interest in the body image as a topic for study. However, the paradigm guiding that research enterprise has transformed the holistic quality of Schilder's work, identified its organization as antiquated and often unsuitable for empirical research. This thesis argues that Schilder's theory is as relevant today as ever, and that psychology would benefit greatly from a re-consideration of its relevance to empirical study. To demonstrate the potential of Schilder's theory, the present study conducted 15 semi-structured interviews with women participating in three styles of movement and performance: contemporary dance, Middle-eastern dance (or belly dance) and aerobics (instructors). The investigation considered core propositions described by Schilder with respect to the role of movement and the body image, to explore structuralization from the point of view of procedural movement. The study sought also to examine the extent to which the findings might serve the development of theory on the body image. The findings established a priori and a posteriori themes, and these served to demonstrate how Schilder's theory provides a sound framework for empirical inquiry in psychology. The implications of the present study highlight the explanatory power of that theory, especially the way it illuminates a new perspective from which a fuller understanding of the role of the body image might be gleaned. Finally, the implications highlight the importance of the actual presence of the physical body in the construction of the body image, particularly the kinesthetic perceptual system, and underline the importance of re-visiting Schilder's theory in order to open up new opportunities for interdisciplinary research

A study of the effectiveness of MP3 players to support family carers of people living with dementia at home

Background: Music can be therapeutic to people with dementia; however, little is known about its effect on the family carers. This project aimed to (1) assess the effects of MP3 player use by a person with dementia on caregivers’ mental health and wellbeing, including their self-care and health-promoting behavior and (2) determine whether MP3 player use increases caregivers’ self-reported capacity to cope with their role. Methods: A pre–post quantitative and qualitative design was used. Carers completed a survey prior to commencing and four weeks after using the player. The survey included validated measures to assess the level of stress and coping among carers. Carers also kept a diary of the way they used the MP3 player. Half of the carers were interviewed about their experiences at the end of the study. Results: Of 59 people who started using the MP3 player, 51 carers completed the four-week study period and surveys. Use of the MP3 player significantly decreased psychological distress, significantly improved the mental health and wellbeing of carers, significantly increased caregiver self-efficacy to manage symptoms of dementia, and was reported to provide valued respite from the high level of vigilance required for caring for a person with dementia. Conclusion: An MP3 player loaded with music can be a low cost and relatively simple and effective additional strategy to support families caring for people with dementia in the community. (PsycINFO Database Record (c) 2016 APA, all rights reserved

Understanding vulnerability in primary health care: Overcoming barriers to consumer transitions through the primary health system.

Demands on the Australian health system require primary health care (PHC) delivery to be cost-effective and sustainable. It is recognised that some people need more health care than others in order to become and remain healthy. 'Vulnerable' groups are identified through analysis of population health and service data. Identifying need at the level of population groups is an important strategy in policy development to focus attention on groups that would otherwise often be very marginalised in the health system. Programmatic funding and targeted fee-for-service approaches build expertise to provide specialised PHC to consumers from some vulnerable populations; however, a systematic response is required to ensure PHC for vulnerable consumers is timely, appropriate and able to respond to new demands. This project considered the refugee health response of a large inner suburban community health service in Victoria as a case study to investigate ways to improve the management and coordination of primary health care service delivery to vulnerable consumers over the long term.The research reported in this paper is a project of the Australian Primary Health Care Research Institute which is supported by a grant from the Australian Government Department of Health and Ageing under the Primary Health Care Research Evaluation and Development Strategy