Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the...
Transcript of Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the...
![Page 1: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/1.jpg)
Anita Zuberi
Postdoctoral Associate
School of Social Work
University of Pittsburgh
![Page 2: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/2.jpg)
Waverly Duck Assistant Professor Sociology Department University of Pittsburgh
Bob Gradeck UCSUR / Pittsburgh Neighborhood & Community Information System (PNCIS)
Ricky Hopkinson Urban Studies Research Assistant
![Page 3: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/3.jpg)
We need to incorporate the neighborhood context
AND social policies & programs into our discussion of racial disparities in health.
![Page 4: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/4.jpg)
White Black
Infant Mortality Rate
5.2
11.6
Low birth weight
7.1%
13.5%
Preterm birth
10.8%
17.1%
Source: National Vital Statistics Report, CDC, 2010 data
![Page 5: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/5.jpg)
ACS 2006-10 and O’hare & Mather, 2003
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
High (>30%)
Poverty
Neighborhods
Severly
Distressed
Neighborhoods
Poor Kids in
Severly
Distressed
Neighborhoods
Black
White
![Page 6: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/6.jpg)
Racial
Inequality in
Neighborhood
Distress
Exposure to
Social &
Physical
Stressors
Chronic
Stress &
Risky
Coping
Behaviors
Adverse
Maternal
Health
Outcomes
Social Policy & Programs
![Page 7: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/7.jpg)
Photos provided by Samantha Teixeira
![Page 8: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/8.jpg)
◦ Gain a deeper understanding of the relationship between place and racial disparities in health
◦ Target service delivery to neighborhoods in need
◦ Inform place-based social policies
![Page 9: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/9.jpg)
Health Outcomes (Allegheny Co. Health Dept) ◦ Birth Records (2006-10)
◦ Death Records (2006-10)
Neighborhood Disadvantage (ACS 2005-09) ◦ Poverty
◦ Unemployment
◦ High School Dropout
◦ Single-mother families
![Page 10: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/10.jpg)
Crime (Pittsburgh Police Dept.; 2006-10)
Physical Abandonment ◦ Vacant Parcels (Allegheny Co. Assessment; 2008-12)
Fiscal Abandonment ◦ Tax delinquency (City of Pittsburgh Finance; 2004-10)
◦ Fires in Vacant Parcels
Housing Market Conditions ◦ Housing transactions (County Assessment; 2008-11)
![Page 11: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/11.jpg)
Total Population: 313,327
• 22% Poverty • 68% White • 25% Black
![Page 12: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/12.jpg)
Birth Outcome by Race Black White
Infant Mortality Rate 17.72 4.25
Preterm Birth 15.8% 9.2%
Low Birth Weight 15.2% 7.1%
Notes: Data from the Allegheny County Health Department (2006-2010)
Total Population: 313,327
• 22% Poverty • 68% White • 25% Black
![Page 13: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/13.jpg)
City of Pittsburgh
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
High (>30%) Poverty
Neighborhood
Black
White
![Page 14: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/14.jpg)
How are adverse birth outcomes spatially distributed across neighborhoods in the city of Pittsburgh?
![Page 15: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/15.jpg)
![Page 16: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/16.jpg)
![Page 17: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/17.jpg)
Are adverse birth outcomes spatially clustered in distressed neighborhoods? Does it vary by different measures of distress?
1. Percent Poverty
2. Neighborhood Disadvantage Index
3. Built and Social Environment Measures
a. Crime
b. Vacancy
c. Tax Delinquency
![Page 18: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/18.jpg)
![Page 19: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/19.jpg)
![Page 20: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/20.jpg)
![Page 21: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/21.jpg)
Understanding the role of tax delinquency ◦ A lack of wealth?
◦ A symbol of hopelessness?
Looking at measures of “abandonment”
![Page 22: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/22.jpg)
Focusing Upstream: Aiming at distress to reduce racial disparities in health ◦ Improve housing conditions
◦ Anti-violence and safety programs
◦ Community-building efforts
Targeting programs
![Page 23: Anita Zuberi Postdoctoral Associate School of Social Work ... · Gain a deeper understanding of the relationship between place and racial disparities in health Target service delivery](https://reader033.fdocuments.in/reader033/viewer/2022041804/5e531ee84fec900cb97060a9/html5/thumbnails/23.jpg)
Thanks!