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Researchers from Simmonsâ Reverend Jesse Louis Jackson, Sr. Center for Racial Justice and UofLâs Christina Lee Brown Envirome Institute, along with urban studies expert Michael Emerson of Rice University and legal scholar Shavonnie Carthens of the University of Kentucky, will survey residents of two Louisville neighborhoods, review existing data on environmental factors that affect health and consider legal aspects of neighborhood development, all to define a âuniversal basic neighborhoodâ (UBN). A universal basic neighborhood has all the necessary community assets that help residents thrive in their place.
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The most recent Health Equity Report from the Louisville Metro Department of Public Health and Wellness, published in 2017, highlights stark differences in morbidity and mortality of those living in different neighborhoods across the city. For example, in Louisvilleâs predominantly Black communities, life expectancy is as much as 12.6 years less than in the most affluent, predominantly white communities. Black babies born from 2011-2015 have a death rate 1.95 times higher than the Louisville Metro average and 2.31 times higher than white babies. Diabetes, heart disease and cancer rates vary by location, race and income.
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âWe live in one of the wealthiest countries in the world, and we still have places where living conditions contribute to diseases that are entirely preventable,â said Ted Smith, director of the UofL Center for Healthy Air, Water and Soil, part of the Envirome Institute. âThis work is about diagnosing and treating places so that the health benefits are shared by many.â
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Most existing efforts to address health inequities focus on providing health resources to eligible individuals. This study instead looks for ways to improve health at the neighborhood level by providing resources that make it easier for residents to make healthy choices.
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âNeighborhoods, no matter where they are, are not inherently bad or good. They’re just neighborhoods. However, one thing that makes neighborhoods different is access to health-supportive resources,â said Nancy Seay, chair of the James R. L. Diggs Department of Sociology at Simmons. âWe know that every neighborhood has a rich fabric of local resources that residents access, and we want to uncover these and promote their utilization. Everyone, no matter where they live, wants and deserves to enjoy good health and long life. This project can be a game changer for how we think about designing and supporting neighborhoods and their residents.â
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The scope of the research
The research team, led by Seay and Smith, will assemble evidence for place-based factors that are associated with good health, identify and map assets in two demographically distinct Louisville neighborhoods, examine the history of civic investment in Louisville and determine how to develop and implement city policy that supports health.
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In the same vein as historic efforts to ensure clean drinking water and waste removal for entire communities, the UBN project will assess and rank factors that contribute to longer, healthier lives, such as opportunities for exercise and recreation, greenness and access to healthy food and transportation. This project approaches health equity with the idea that investing in resources that benefit the health of all residents of underserved neighborhoods is more efficient than in health interventions for individuals.
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In the project’s first stage, set to start in September, Seay will lead work to map assets of Louisvilleâs Crescent Hill and California neighborhoods. Students in her Participatory Action Research class at Simmons will conduct door-to-door surveys, interviews and focus groups in those neighborhoods to reveal how residents of those communities find good health, what aspects of their environment they believe contribute to health and how empowered they feel to make changes. They also hope to identify important assets related to the specific interests and culture of those living in the neighborhoods that have not been studied previously. UofL students also may take the class through a reciprocal agreement with Simmons.
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At UofL, Smith will lead a review of published studies that can help justify components of a UBN and provide criteria for weighing those components. Factors evaluated will include those that contribute to disease and those that promote health, such as access to parks, forms of transit and the variety of educational, recreational and entertainment venues.
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Carthens, a legal scholar at the UKâs J. David Rosenberg College of Law and formerly at UofLâs Brandeis School of Law, will delve into the deep drivers of policies that must be reformed in order to achieve an optimal neighborhood environment. She will identify the legal framework required to support the public provision of a UBN and sectors of society best positioned to provide these resources.
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