Public Housing Communities Research Articles

The Challenges and Rewards of Carrying Out Qualitative Research on the Police in the African American Community

In this paper, we discuss the challenges and rewards of carrying out qualitative research on the police in the African American1 community. Using data drawn from interviews with seventy-seven African American adults in Durham, NC, we found that community member hostility toward research(ers) and fear of both neighbors and the police lowered African Americans’ willingness to be interviewed about their perceptions of and experiences with U.S. police. These findings were observed primarily in public housing and middle-income communities. On a positive note, we found that greater awareness of policing issues increased African Americans’ willingness to participate in research about the police. This finding was more common among upper-middle-income African Americans. The implications of our findings for future research and improved policing in the African American community are discussed.

Supermarket Opening in an Urban, Low-Income Community Was Not Found to Be Associated With Improvements in Dietary Outcomes for Most Residents in the First Year

BackgroundLimited access to healthy foods in low-income, racial and ethnic minority communities has been proposed as a critical factor contributing to health disparities. One policy option for improving access is to introduce supermarkets in low-income communities, but evidence increasingly points to null effects. ObjectiveThe aim of this study was to examine whether the introduction of a new supermarket in a public housing community, and proximity to it, were associated with improvements in residents’ dietary outcomes. It also explored whether these associations may be moderated by access and cost barriers to eating healthy at baseline. DesignA cohort of public housing residents were recruited from Jordan Downs, where the new supermarket was introduced, and from 2 comparison sites. Longitudinal data on outcomes and exposures were collected at baseline (2018-2019) and follow-up (2020-2021). Quasi-experimental variation in residents’ distance to the new supermarket was used to examine whether proximity to the supermarket was associated with dietary improvements. Participants/settingParticipants included 557 adult residents from 3 public housing sites in Watts, Los Angeles, CA. InterventionThe intervention is the opening of a new supermarket in the Jordan Downs community. The primary exposure measure is an indicator for whether residents lived in Jordan Downs vs in the comparison sites. The secondary exposure measure is residents’ driving distance to the new supermarket. Main outcome measuresSelf-reports of daily consumption of whole grains, dairy, fruits and vegetables, added sugar, red meat, processed meat, and overall healthiness of diet were obtained from surveys administered at baseline and follow-up. Statistical analyses performedDescriptive analyses examined households’ grocery shopping patterns after the new supermarket’s introduction. Analysis of covariance linear regressions models estimated the association between residents’ dietary outcomes at follow-up and the exposure measures, conditional on dietary outcomes at baseline and other covariates. ResultsProximity to the new supermarket was associated with a significantly higher probability of shopping there, particularly for households that reported an access or cost barrier at baseline. Overall, there were no statistically significant or practically meaningful differences observed in dietary outcomes between Jordan Downs residents and those in comparison sites, or between residents who lived at varying distances from the supermarket. Exploratory moderation analyses suggested some meaningful dietary benefits for those who had a frequent access barrier at baseline, but not for those without such a barrier, but there was mostly no evidence of moderation by price barrier at baseline. ConclusionsSupermarket opening in an urban, low-income, and racial and ethnic minority community was not found to be associated with improvements in dietary outcomes for most residents in the first year after its opening. Improving dietary outcomes in such communities may require a broader and nuanced approach that addresses varied barriers faced by residents.

Enactment, Evaluation, and Expansion of a Healthy Living Club in an Out of School Setting: A Community-Academic Partnership.

Interventions in community settings, where children spend substantial out of school time, may enhance access to evidence-based lifestyle interventions. The Boys and Girls Club of Lawrence (BGCL) and New Balance Foundation Obesity Prevention Center at Boston Children's Hospital partnered to revise, enact, and evaluate BGCL's existing Healthy Living Club and then flexibly expand the program to increase access. The BGCL is within walking distance of three public housing communities and easily accessible to members, of whom 90% identify as Hispanic. The interventions comprised nutrition sessions and either fitness activity sessions (N+FA Cycle 1, n = 63, 26 hours; N+FA Cycle 2, n = 94, 27 hours) or academic basketball practices (N+AB Cycle 2, n = 99, 72-80 hours), leveraging time already in the schedule where fitness could be intentionally promoted by coaches. Among children aged 8-15 years, mean [95% confidence interval (CI)] changes (beginning to end) in percentage above the BMI median were significant [N+FA Cycle 1: -2.4 (-4.1, -0.8); N+FA Cycle 2: -4.3 (-5.4, -3.1); N+AB Cycle 2: -5.5 (-6.9, -4.1)]. Lifestyle interventions, implemented with flexibility in existing programs, had beneficial impact, indicating potential of community-academic partnerships.

Public assistance, living environments, and food insecurity: A comparative community case study

Food insecurity continues to affect certain seg­ments of the U.S. population at the household and individual levels even when the economy is experi­encing growth. This recognition has led to the design and implementation of food assistance programs, such as the Supplemental Nutrition Assistance Program, targeting food hardship in low-income families. This is in addition to other types of government assistance, such as housing subsidies and public housing, as low-income households and individuals face similar challenges in housing security. Concern over “concentrated poverty” in traditional public housing environment has contributed to a shift toward mixed-income developments, envisaged to improve the living conditions and economic opportunities of public-housing residents. This paper provides a compara­tive assessment of food insecurity in traditional and mixed-income public housing communities. It also examines the effect of nonhousing public assis­tance on food insecurity and the temporal relation­ship between the timing of food hardship and the receipt of assistance. Administering a modified version of the U.S. Department of Agriculture (USDA)’s Household Food Security Module to the majority of residents in the two communities, the researchers found negligible differences in food insecurity between recipients and nonrecipients of government assistance. Nevertheless, government assistance appeared to improve the probability of being food secure as it interacted with living envi­ronments, suggestive of greater beneficial effect in the environment of mixed-income housing. The results show that the number of households experi­encing reduced food intake was lowest in the first two weeks and highest during the fourth week of the month.

Evaluating a peer-to-peer health education program in Australian public housing communities during the COVID-19 pandemic

BackgroundThe cohealth Health Concierge program operated in Melbourne, Australia from July 2020 to 30 June 2022. It provided peer-to-peer support to culturally and linguistically diverse residents of high-rise public housing. During this time, the COVID-19 public health response changed frequently and included movement restriction, testing and vaccination. We conducted a mixed-methods evaluation to determine the Health Concierge program’s impact on residents’ engagement with health services and public health activities.MethodsThe evaluation, informed by a Project Reference Group, used the RE-AIM framework. We analysed data from 20,901 routinely collected forms describing interactions between Concierges and residents from August 2021 to May 2022. Additional evaluation-specific data were collected between March and May 2022 in four housing estates; we surveyed 301 residents and conducted 32 interviews with residents, Concierges and program stakeholders.ResultsConcierges promoted COVID-safe behaviours; linked residents with support, testing and vaccination services; and disseminated up-to-date information. Of the 20,901 recorded interactions, 8,872 (42%) included Concierges providing support around COVID-19 vaccination. Most surveyed residents (191/301, 63%) reported speaking with a Concierge in the previous six months. The self-reported two-dose COVID-19 vaccine uptake was 94% (283/301). Some residents described having meaningful, appreciated conversations with Concierges, and some described superficial interactions. While residents initially welcomed the program, many felt it failed to evolve. Poorly defined management and hiring criteria led to variable program implementation. A need for bicultural workers to continue linking residents with services was discussed.ConclusionsConcierges’ impact on residents may have contributed to high community uptake of COVID-19 testing and vaccination, and had benefits beyond the COVID-19 remit. We recommend the program be revised and continued to inform further preparedness planning and support service access generally. Program models such as this have potential to inform and reassure high-risk communities during a pandemic. In addition, such programs can help overcome vaccine hesitancy and promote protective health behaviours, regardless of whether a pandemic is currently occurring. Ensuring these programs remain responsive to the changing needs of end-users needs over time is imperative.

A natural experiment: The opening of a supermarket in a public housing community and impacts on children’s dietary patterns

ObjectiveThe aim of the present study is to utilize a natural experiment and examine changes in dietary patterns of predominantly low-income, racial and ethnic minority children who live in a public housing community following the opening of a new supermarket. MethodsData comes from the Watts Neighborhood Health Study (WNHS), an ongoing study in South Los Angeles, United States, that follows residents of Jordan Downs, a public housing community undergoing redevelopment. Surveys were administered to children aged 9–17 years (n = 297), as well as an adult in the household. The second baseline data collection was conducted June-December 2019, and follow-up was conducted June 2020-April 2021, shortly after the introduction of the new supermarket in January 2020. ANCOVA linear regression models were estimated to examine the association between children’s proximity to the new supermarket with dietary outcomes at follow-up. Interactions with barriers to food access were also explored. ResultsLiving close to the new supermarket was not significantly associated with dietary outcomes at follow-up. However, for children who lived in households with no vehicle access, living close to the new supermarket was associated with increased fruit and vegetable consumption, compared to children in the comparison group. ConclusionProximity to the new supermarket was not associated with improved dietary outcomes among children unless they had transportation barriers. This adds to the growing body of literature that suggests that the effects of neighborhood food environments may be modified by individuals’ mobility, and that comprehensive interventions are needed.

Assessing the equity and evolution of urban visual perceptual quality with time series street view imagery

The well-being of residents is considerably influenced by the quality of their environment. However, due to the lack of large-scale quantitative and longitudinal evaluation methods, it has been challenging to assess residents' satisfaction and achieve social inclusion goals in neighborhoods. We develop a novel cost-effective method that utilizes time series street view imagery for evaluating and monitoring visual environmental quality in neighborhoods. Unlike most research that relies on site visits or surveys, this study trains a deep learning model with a large-scale dataset to analyze six perception indicators' scores in neighborhoods in different geographies and does so longitudinally thanks to imagery taken over a period of a decade, a novelty in the body of knowledge. Implementing the approach, we examine public housing neighborhoods in Singapore and New York City as case studies. The results demonstrated that temporal imagery can effectively assess spatial equity and monitor the visual environmental qualities of neighborhoods over time, providing a new, comprehensive, and scalable workflow. It can help governments improve policies and make informed decisions on enhancing the design and living standards of urban residential areas, including public housing communities, which may be affected by social stigmatization, and monitor the effectiveness of their policies and actions.

Microclimate impacts of neighborhood redesign in a desert community using ENVI-met and MaRTy

Municipalities often consider heat mitigation strategies to address urban overheating, but the location of implementation rarely is co-located with the communities that are carrying the majority of the heat burden in the city. The City of Phoenix, is redeveloping a public housing community with a focus on urban cooling as a desired outcome. This research uses in situ measurements (including the mobile micro-meteorological measurement cart, MaRTy) and ENVI-met microscale modeling of the neighborhood to assess air temperature (Tair) cooling capabilities of the planned redesigns to the neighborhood. After validating the ENVI-met model of the current neighborhood with fixed and mobile measurements with an index of agreement d > 0.9 and d > 0.8, respectively, analysis of the planned urban design shows some cool spots connected to new shade and vegetated corridors with Tair cooling magnitudes as high as 3 °C. Yet, some exposed and building-adjacent areas were identified as potential hot spots in the planned neighborhood. These hotspots underscore the importance of continued collaboration among the City, researchers, and the community to address the needs of the community for the creation of healthier urban environments.

Confronting misconceptions of public housing communities: A qualitative report of community-informed narratives by community members and partners.

Objectives were (a) to understand a community-informed narrative, as told by community members (CMs) and community partners (CPs), about the strengths, experiences, and perspectives of public housing communities; and (b) to analyze similarities and differences between CMs' and CPs' experiences and perspectives. Qualitative interviews were conducted with 22 CMs of public housing (ages 26-58, 100% female caregivers, 96% Black, 4% multiethnic) and 43 CPs (ages 28-78, 67.4% female, 81.4% Black and African American). Four themes were derived from the CM and CP interviews: (1) counters to public narratives, (2) disinvestment begets disinvestment, (3) community conditions should be better, and (4) community cohesion and connection. Findings from this study present community-centered narratives and experiences that were counter to stereotyped public narratives and could influence public perceptions and behavior to inform policy changes related to improving living conditions and supporting CMs in public and low-income housing communities.

Housing publics: Situated resistance to public housing redevelopment in New York City under racial capitalism

In this paper, I describe resistance to a public housing redevelopment process in New York City. I describe the story within a theoretical approach of pragmatism, as I focus on both means and ends in planning while considering the experience and contestations of the various “publics” involved in deliberations surrounding a pilot site for mixed-income infill development. While pragmatism is helpful in reflecting on planning processes, I also simultaneously acknowledge the context of how racial capitalism has shaped and continues to impact the geography of the city, including public housing communities. As such, I propose that residents engaged in “situated resistance” as plans to radically transform the largest housing authority in the United States unfolded around them. I find that while the housing authority and residents had the same objective of preserving existing public housing, their desired paths to achieving that goal dramatically differed. I conclude by proposing that robust democratic engagement requires reparative approaches rooted in racial and economic justice that substantively and procedurally center African American communities such as those living in public housing. By introducing pragmatism alongside racial capitalism through the case of public housing redevelopment, I ultimately highlight the importance of fusing theories of democratic and structural change in urban redevelopment.

Under lockdown: Remaking “home” through infrastructures of care during COVID-19

This paper examines how poor urban residents in the Sun Valley public housing community in Denver, CO (US) experienced the pandemic during the first few months of the crisis. Employing a framework that focuses on people, community, housing and home as potential spaces and possibilities of “infrastructures of care”, this research examines the strategies and practices that emerged during the pandemic to address the immediate needs and concerns of the Sun Valley residents. We consider how these practices and the pandemic itself have potentially led to new imaginings and understandings of home and community, both at the intimate and collective scales. Using qualitative methods and photo-voice techniques, we documented residents’ experience during lockdown. Their narratives reveal the many ways the COVID-19 pandemic has affected people’s lives and highlight how community support, services and home are necessary for ensuring that residents can develop resilient infrastructures of care that allow them to overcome public health crises.

Developing a peer-led intervention to promote COVID-19 testing in low-income housing settings.

The Housing Collaborative project at Eastern Virginia Medical School has developed a method of adapting public health guidance from public housing communities, which face tremendous health challenges in cardiometabolic health, cancer, and other major health conditions. In this paper, we describe how academic and community partners in the Housing Collaborative came together to do this work with a focus on COVID-19 testing in the context of the emerging pandemic. The academic team used virtual community engagement methods to interact with the Housing Collaborative Community Advisory Board (HCCAB) and a separate cohort of research participants (N = 102) recruited into a study of distrust in COVID-19 guidance. We conducted a series of 44 focus group interviews with participants on related topics. Results from these interviews were discussed with the HCCAB. We used the collaborative intervention planning framework to inform adaptation of public health guidance on COVID-19 testing delivered in low-income housing settings by including all relevant perspectives. Participants reported several important barriers to COVID-19 testing related to distrust in the tests and those administering them. Distrust in housing authorities and how they might misuse positive test results seemed to further undermine decision making about COVID-19 testing. Pain associated with testing was also a concern. To address these concerns, a peer-led testing intervention was proposed by the Housing Collaborative. A second round of focus group interviews was then conducted, in which participants reported their approval of the proposed intervention. Although the COVID-19 pandemic was not our initial focus, we were able to identify a number of barriers to COVID-19 testing in low-income housing settings that can be addressed with adapted public health guidance. We struck a balance between community input and scientific rigor and obtained high quality, honest feedback to inform evidence-based recommendations to guide decisions about health.

Placemaking and public housing: the state of knowledge and research priorities

This article examines the international literature on placemaking – practices or initiatives that encourage a sense of place – in public housing communities. Placemaking is likely to be particularly beneficial to public housing tenants, and is a current priority for public housing providers; yet reviews of placemaking research have failed to consider public housing. Our systematic quantitative review of 63 English-language journal articles reveals that the field is dominated by qualitative cross-sectional studies conducted in the United States, the United Kingdom, and Australia, in the context of regeneration, and published in social science journals. Our thematic analysis of this literature shows that placemaking is supported by forming relationships and participating in community activities, by access to quality public space and amenities, and by spending time and forming memories in a place. The review therefore provides guidance to public housing providers and reveals the need for particular research, including longitudinal studies, and studies conducted in both redeveloped and existing communities.

Recruitment and Enrollment of Low-income, Minority Residents of Urban Public Housing into Research.

Research participation among vulnerable populations is often limited by the same socioeconomic factors that contribute to poor health. Identifying best practices for inclusion is critical to addressing health disparities. Urban public housing communities bear a disproportionate burden of chronic disease and may represent an opportunity to directly engage historically vulnerable populations in research designed to ultimately reduce that burden. We used mixed-method data to analyze recruitment effectiveness among a random sample of households (N = 380) across two public housing developments in Boston, MA who were approached for participation in a pre-COVID oral health study. Quantitative data from detailed recruitment tracking methods was analyzed to assess the relative efficiency of the methods employed. Field journals of study staff were qualitatively analyzed to identify community-specific recruitment barriers and facilitators. The participation rate among randomly sampled households was 28.6% (N = 131), with participation from primarily Hispanic (59.5%) or Black (26%) residents. Door-to-door knocking with response yielded the highest participation (44.8%), followed by responses to informational study flyers (31%). Primary barriers to enrollment included references to unemployment and employment variations, shift work, childcare responsibilities, time demands, and managing multiple appointments and social services. This study finds active, door-to-door knocking and return visits resolved barriers to participation, and reduced safety concerns and historic distrust. It's time to consider how best to adapt effective pre-COVID recruitment practices for utilization under current and future exposure conditions as effective recruitment of populations such as urban public housing residents into research is only becoming more important.

Understanding drivers of micro-level disparities in childhood body mass index, overweight, and obesity within low-income, minority communities

The focus of childhood obesity disparities has been mainly on macro-level disparities, such as, between lower versus higher socioeconomic groups. But, less is known about micro-level disparities, that is disparities within minority and low-income populations. The present study examines individual and family level predictors of micro-level obesity disparities. We analyze data on 497 parent–child dyads living in public housing communities in Watts, Los Angeles. Cross-sectional multivariable linear and logistic regression models were estimated to examine whether individual and family level factors predict children’s BMI z-scores, overweight, and obesity in the sample overall and separately by child’s gender and age group. Child characteristics of our study sample included mean age 10.9 years, 74.3% Hispanic, 25.7% Non-Hispanic Black, 53.1% female, 47.5% with household income below $10,000, 53.3% with overweight or obesity, and 34.6% with obesity. Parental BMI was the strongest and most consistent predictor of child zBMI, overweight, and obesity, even after controlling for parent’s diet and activity behaviors and home environment. The parenting practice of limiting children’s screentime was also protective of unhealthy BMI in younger children and females. Home environment, parental diet and activity behaviors, and parenting practices related to food and bedtime routines were not significant predictors. Overall, our findings show that there is considerable heterogeneity in child BMI, overweight, and obesity even within low-income communities with similar socioeconomic and built environments in their neighborhoods. Parental factors play an important role in explaining micro-level disparities and should be an integral part of obesity prevention strategies in low-income minority communities.

Abstract B034: Cancer Health Awareness through Screening and Education (CHANGE): Community health engagement

Abstract Purpose The goal of the CHANGE project is to provide a sustainable model of evidence-based cancer awareness through education – with an emphasis on prevention and early detection behaviors. Methods: Residents of a public housing community were invited to participate in a 4-week education program on breast, prostate, and colorectal cancer, including modifiable risk factors of obesity and tobacco use, screening eligibility, and participation in clinical trials. Each session was led by trained research staff, and lasted approximately one hour. A community site survey was also conducted among 20% of the residents to evaluate community cancer knowledge and screening behaviors. A community advisory board was established to support program implementation and advise on choosing a cancer risk-reducing environmental change. Results: 14 adult participants (7 men and 7 women, 86% African American) completed baseline measurements. 10 participants received a relevant health history notification, which means they were positive for one of the following which put them in the "higher risk" category: Due for one of the following screenings Breast, Colorectal or Prostate; Had family history of cancer; Tobacco use; Overweight/obese - 1 male was referred to the GCC Tobacco Cessation Program. All eligible participants were navigated to local cancer screening providers and will be followed up at 3 months.Community site survey results indicated a need for improved access to fresh fruits and vegetable access. Community advisory board participants and community resources collaborated to provide locally grown fresh fruits and vegetables to the public housing community's internal market. 1 Discussion: This sample represents those most at risk for cancer in the Augusta, GA area. This project will impact health equity by emphasizing a comprehensive approach to care through community environmental change and individual changes in knowledge and risk-reducing behaviors. Additional sites will be enrolled in the program through the end of 2022. Citation Format: Marlo M. Vernon, Samantha Jones, Steven Coughlin, Justin X. Moore, Vahe Heboyan, Martha Tingen. Cancer Health Awareness through Screening and Education (CHANGE): Community health engagement [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B034.

Heterogeneity in grocery shopping patterns among low-income minority women in public housing

BackgroundPublic housing residents, who tend to be predominantly female and racial/ethnic minorities, are at a particularly high risk for chronic health conditions. Prior studies have suggested that a lack of access to healthy and affordable food may be an important barrier in public housing communities, but evidence is mixed on the association between the neighborhood food environment and dietary quality, suggesting the need to examine food access patterns in low-income, minority communities more deeply. The purpose of this study was to examine the variability in grocery shopping patterns, and the factors that predict them, among low-income minority women in public housing.MethodsInterviewer-administered surveys and body composition measurements were collected in the Watts Neighborhood Health Study, an ongoing longitudinal cohort study of low-income urban public housing residents located in South Los Angeles. Descriptive analyses were conducted to understand the variation in grocery shopping patterns among women. Logistic and ordered logistic regression models were estimated to examine the association between resident characteristics and grocery shopping patterns.ResultsThere was considerable variability in grocery shopping patterns, including the types of grocery stores accessed, distance travelled, frequency of shopping, and reasons behind grocery store choice. Grocery shopping patterns were associated with several participant characteristics, including race/ethnicity, working status, access to a car, income, and education. Hispanic participants were less likely to shop at a supermarket, travel further distances to shop, shop more frequently, and were more likely to prioritize price in their choice of primary grocery store than non-Hispanic Black women participants.ConclusionsThere was considerable variability in grocery shopping patterns, even within this low-income, minority community despite access to the same neighborhood food environment. Convenience and quality, in addition to price, were priorities for choice of primary grocery store, and differences by race/ethnicity suggest that initiatives to improve the neighborhood food environment should consider quality of food, cultural factors, and availability of foods desired by the surrounding community, in addition to price and proximity of grocery stores.

Structural Barriers to HIV Prevention and Services: Perspectives of African American Women in Low-Income Communities.

BackgroundAfrican American women are at a disproportionate HIV risk compared with other U.S. women. Studies show that complex structural and social determinants, rather than individual behaviors, place African American women at greater risk of HIV infection; however, little is known about women’s views of what puts them at risk.AimsThis study sought to comprehend the perceptions of African American women living in low-income housing regarding the factors that influence both their personal sexual health behaviors and use of HIV prevention services.MethodsWe conducted seven focus groups with 48 African American women from 10 public housing communities in a small city in the southeastern United States. We analyzed the focus group transcripts using thematic data analysis to identify salient themes and points of interest related to the study aim.ResultsWomen identified factors related to the health care system (trustworthiness of the health care system), the external environment (racism, classism, patriarchal structures, and violence/crime), as well as predisposing (health beliefs, stigma, and gender norms), enabling (agency to negotiate gendered power), and need (perceived HIV risk and perceptions of partner characteristics) features of individuals in the population.ConclusionAfrican American women living in public housing are especially vulnerable to HIV infection due to intersectional discrimination based on racism, classism, gender power dynamics, and community conditions. Our findings confirm the need to develop HIV intervention programming addressing intersectional identities of those making up the communities they plan to address, and being informed by those living in the communities they plan to act on.

Exploring Transiency in Four Urban Forest Patch Neighborhoods: Atlanta, Georgia, USA

This exploratory study begins to unpack the association between involuntary neighborhood transiency (i.e., forced household moves) and civic environmental stewardship, focusing on four neighborhoods adjacent to urban forest patches in the City of Atlanta, Georgia, USA. The patches emerged on the sites of former public housing communities after the city razed housing projects in the first decade of the 2000s. Given intense competition for city land, e.g., affordable housing needs versus greenspace preservation, we might expect neighborhood-level inquiry regarding plans for these properties; however, there is no indication of popular interest in the sites. We suggest that such engagement is inhibited, in part, by involuntary neighborhood transiency as the neighborhoods surrounding the patches are inhabited mostly by low-income African American renters, a highly transient population. This is the first phase of a study that will eventually examine the association between transiency and greenspace civic engagement. In this exploratory step, we examine involuntary neighborhood transiency as an a priori social condition that necessarily influences people’s engagement with urban greenspaces. Building on input from community members, research by Stephanie DeLuca and colleagues, and Matthew Desmond’s work on evictions in Milwaukee, Wisconsin, we operationalize transiency in terms of Housing Choice Voucher units and eviction rate to assess the extent to which these indicators localize in the four urban patch neighborhoods. A geospatial cluster analysis indicated that both measures concentrate in the neighborhoods adjacent to the forest patches, and they are positively associated. Given these associations, we recommend further research examining how various forms of involuntary moving may ultimately inhibit civic environmental stewardship.

Assessing impacts of redeveloping public housing communities on obesity in low-income minority residents: Rationale, study design, and baseline data from the Watts Neighborhood Health Study

IntroductionObesogenic built- and social-environments in low-income and minority communities are often blamed for the higher rates of obesity in this population, but existing evidence is based largely on observational studies. This study leverages a natural experiment created by the redevelopment of a public housing community to examine the impact of major improvements to the housing, built, and social environments on obesity among residents. Methods/designThe study design is a natural experiment where residents from the redeveloped community (treatment group) will be compared to those from a similar community (control group) in terms of their pre/post changes in primary outcomes using annual longitudinal data on a cohort of residents. Quasi-experimental variation in the timing of exposure to various redevelopment components within the treated community will be further leveraged within a stepped-wedge research design to assess the impact of the redevelopment components. Primary outcome measures include body mass index, overweight, and obese status. ResultsA cohort of 868 adults and 704 children (ages 2–17 years) was recruited during 2018–2019 with up to two waves of baseline data. At baseline, the prevalence of obesity (overweight or obesity) was 57.2% (81.3%) in adults and 33.1% (52.4%) among children, with no significant differences by treatment status. No differential trends in primary outcomes were observed by treatment status during the two years of baseline. DiscussionThis natural experiment study offers a unique opportunity to assess whether improvements to housing, built, and social environment in low-income minority communities can lead to reductions in obesity.