Child Environmental Health Disparities: Looking at the Present and Facing the Future

I. Leslie Rubin, MD (Editor)
Department of Pediatrics, Morehouse School of Medicine and President, Institute for the Study of Disadvantage and Disability, Atlanta, GA, USA

Joav Merrick, MD, MMedSci, DMSc, (Editor)
National Institute of Child Health and Human Development, Jerusalem, Israel
Division of Pediatrics, Hadassah Hebrew University Medical Centers, Mt Scopus Campus, Jerusalem, Israel
Division of Adolescent Medicine, KY Children’s Hospital, Department of Pediatrics, Lexington, Kentucky, USA
School of Public Health, Georgia State University, Atlanta, Georgia, USA

Series: Public Health: Practices, Methods and Policies
BISAC: MED078000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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Break the Cycle of Children’s Environmental Health Disparities (BTC) is an annual collaborative interdisciplinary research and training program involving university students in academic tracks that focus on the impact of adverse social, economic and environmental factors on children’s health, development and education. The target populations are communities where environmental hazards are related to circumstances of social and economic disadvantage. Each student develops a project that focuses on preventing or reducing adverse environmental factors to benefit the children who live in these communities. At the end of the project, the students present their studies and findings at a national conference and write papers which are then published. The papers in this publication represent the work of students who participated in the 14th Annual Break the Cycle program. The phrase “Break the Cycle” in this context uses the ecological construct of the cycle of environmental health disparities and represents a framework for reducing health disparities and promoting health equity among children who are vulnerable as a consequence of adverse social, economic, environmental and political factors. The student projects are intended to break the cycle and liberate children from the intergenerational cycle of health disparities, so they can grow and develop to their full potential. Through this academic process, the students gain knowledge, insight and skills to enable them to advance in their careers and become future leaders.
(Imprint: Nova Medicine and Health)



Chapter 1. Break the Cycle of Children’s Environmental Health Disparities: 14th Annual Review of Program and Student Projects
(I. Leslie Rubin, MD, Robert J. Geller, MD, Claire D. Coles, PhD, Victoria Green, MD, Abby Mutic, PhD, Nathan Mutic, Wayne Garfinkel, Benjamin A. Gitterman, MD, and Joav Merrick, MD, DMSc, Department of Pediatrics, Morehouse School of Medicine, Atlanta, Georgia, US, and others)

Section One: A Commentary

Chapter 2. Natural Disasters and Vulnerable Populations: A Commentary
(I. Leslie Rubin, MD, Robert J. Geller, MD, Claire D. Coles, PhD, Victoria Green, MD, Abby Mutic, PhD, Nathan Mutic, Wayne Garfinkel, Benjamin A. Gitterman, MD, and Joav Merrick, MD, DMSc, Department of Pediatrics, Morehouse School of Medicine, Atlanta, Georgia, US, and others)

Section Two: Break the Cycle Projects

Chapter 3. Barriers and Opportunities for Young Caregivers to Provide Nurturing Care in Low-Income Communities of Paraguay
(Jimena Vallejos, Cassie Landers, EdD, and Renata Schiavo, PhD, Columbia University School of International and Public Affair, New York, US, and others)

Chapter 4. The Development of a Prenatal Care Health Literacy Instrument for American Indian Mothers
(Jordyn A. Gunville, and Jessica Williams, PhD, Center for American Indian Community Health, Kansas City, Kansas, US, and others)

Chapter 5. Breaking the Cycle of Childhood Adversity through Pediatric Primary Care Screening and Interventions: A Pilot Study
(Cristian Quizhpi, MD, Karen Schetzina, MD, Gayatri Jaishankar, MD, Robert Matthew Tolliver, PhD, Deborah Thibeault, Hakyong Gloria Kwak, Olushola Fapo, MD, Jennifer Gibson, MD, Katie Duvall and David Wood, MD, Department of Pediatrics, East Tennessee State University, Johnson City, Tennessee, US, and others)

Chapter 6. Educating Clinic Support Staff to Enhance Early Learning Environments through Pediatric Well-Child Visits
(Cori Walker, Asher Liu, Snigdha Gupta, Fuad Baroody, MD, and Dana Suskind, MD, TMW Center for Early Learning and Public Health, University of Chicago, Chicago, Illinois, US)

Chapter 7. Contextualizing the Social and Structural Constraints of Accessing Autism Services among Single Black Female Caregivers
(Alice Hong and Jennifer S. Singh, MPH, PhD, Georgia Institute of Technology, School of History and Sociology, Atlanta, Georgia, US)

Chapter 8. Engaging Parents of Children with Autism Spectrum Disorder to Identify Rural Health Disparities and Factors Related to Delayed Diagnosis and Treatment
(Amy A. Blumling, Susan Brasher, PhD, and Jennifer Stapel-Wax, PsyD, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, US, and others)

Chapter 9. Evaluation of Health Literacy in Childhood-Onset Systemic Lupus Erythematosus Patients and Its Effect on Healthcare Utilization
(Catherine Park, MD, Traci Leong, PhD, Alexandria Wilkerson, Christy Kang, Margret Kamel, PhD, Kelly Rouster-Stevens, MD, and Roshan George, MD, Division of Pediatric Nephrology, Emory University, Atlanta, Georgia, US, and others)

Chapter 10. Did Medicaid Expansion Decrease Disparities for Receipt of Preventive Medical Care among Vulnerable Children?
(Patricia Daniel, PhD, Audrey Leroux, PhD, and Brian Barger, Center for Leadership in Disability, Georgia State University and 2Department of Educational Policy Studies, Georgia State University, Atlanta, Georgia, US, and others)

Chapter 11. Self-Perceived Neighborhood Quality and Children’s Depression Symptoms in a Gentrifying Northern Manhattan
(Teresa Durham, Amy Margolis, PhD, David Pagliaccio, PhD, Wanda Garcia, Kylie Wheelock Riley, Jia Guo, Shuang Wang, PhD, Bradley S. Peterson, MD, Virginia Rauh, ScD, and Julie B. Herbstman, PhD, Columbia Center for Children’s Environmental Health, Columbia University Mailman School of Public Health, New York City, New York, US, and others)

Chapter 12. Water Infrastructure and Childhood Blood Lead Levels: Characterizing the Effects of Exclusion from Municipal Services in Wake County (NC, USA)
(Allison C. Clonch, Michael Fisher, PhD, and Jacqueline MacDonald Gibson, PhD, Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, US, and others)

Chapter 13. The Impact of Childhood Exercise and Household Income on Resilience in College Students
(Leah Postilnik, and Maeve Howett, PhD, College of Nursing, University of Massachusetts Amherst, Amherst, Massachusetts, US, and others)

Section Three: Acknowledgements

Chapter 14. About the Editors

Chapter 15. About Break the Cycle of Health Disparities, Inc.

Chapter 16. About the Pediatric Environmental Health Specialty Unit (PEHSU)

Chapter 17. About the National Institute of Child Health and Human Development in Israel

Section Four: Index


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