TY - JOUR
PY - 2015//
TI - Community-engaged public health research to inform hospital campus planning in a low socioeconomic status urban neighborhood
JO - Health environments research and design journal
A1 - Brittin, Jeri
A1 - Elijah-Barnwell, Sheila
A1 - Nam, Yunwoo
A1 - Araz, Ozgur
A1 - Friedow, Bethany
A1 - Jameton, Andrew
A1 - Drummond, Wayne
A1 - Huang, Terry T-K
SP - 12
EP - 24
VL - 8
IS - 4
N2 - OBJECTIVE: To compare sociodemographic and motivational factors for healthcare use and identify desirable health-promoting resources among groups in a low socioeconomic status (SES) community in Chicago, IL.
BACKGROUND: Disparities in health services and outcomes are well established in low SES urban neighborhoods in the United States and many factors beyond service availability and quality impact community health. Yet there is no clear process for engaging communities in building resources to improve population-level health in such locales.
METHODS: A hospital building project led to a partnership of public health researchers, architects, and planners who conducted community-engaged research. We collected resident data and compared factors for healthcare use and choice and likelihood of engaging new health-promoting services.
RESULTS: Neighborhood areas were strongly associated with ethnic groupings, and there were differences between groups in healthcare choice and service needs, such as, proximity to home was more important to Latinos than African Americans in choice of healthcare facility ( padj =.001). Latinos expressed higher likelihood to use a fitness facility ( padj =.001). Despite differences in vehicle ownership, >75% of all respondents indicated that nearby public transportation was important in choosing healthcare.
CONCLUSION: Knowledge of community needs and heterogeneity is essential to decision makers of facility and community development plans. Partnerships between public health, urban planning, architecture, and local constituents should be cultivated toward focus on reducing health disparities. Further work to integrate community perspectives through the planning and design process and to evaluate the long-term impact of such efforts is needed.
Language: en
LA - en SN - 1937-5867 UR - http://dx.doi.org/10.1177/1937586715575908 ID - ref1 ER -