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Integrating the Built and Social Environment into Health Assessments for Maternal and Child Health: Creating a Planning-Friendly Index

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Listed:
  • Xi Wang

    (PolicyLab at Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA)

  • Jennifer Whittaker

    (PolicyLab at Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA)

  • Katherine Kellom

    (PolicyLab at Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA)

  • Stephanie Garcia

    (PolicyLab at Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA)

  • Deanna Marshall

    (PolicyLab at Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA)

  • Tara Dechert

    (PolicyLab at Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA)

  • Meredith Matone

    (PolicyLab at Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA)

Abstract

Environmental and community context earliest in the life course have a profound effect on life-long health outcomes. Yet, standard needs assessments for maternal and child health (MCH) programs often overlook the full range of influences affecting health in-utero and early childhood. To address this, we developed a methodology for assessing community risk in MCH based on six domains integrating 66 indicators across community, environment, socioeconomic indicators, and MCH outcomes. We pilot this methodology in Pennsylvania, and share examples of how local governments, planners, and public health officials across the geographic spectrum can integrate this data into community planning for improved maternal and child health.

Suggested Citation

  • Xi Wang & Jennifer Whittaker & Katherine Kellom & Stephanie Garcia & Deanna Marshall & Tara Dechert & Meredith Matone, 2020. "Integrating the Built and Social Environment into Health Assessments for Maternal and Child Health: Creating a Planning-Friendly Index," IJERPH, MDPI, vol. 17(24), pages 1-18, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9224-:d:459607
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    References listed on IDEAS

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    1. O'Campo, P. & Xue, X. & Wang, M.-C. & Brien Caughy, M.O., 1997. "Neighborhood risk factors for low birthweight in Baltimore: A multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1113-1118.
    2. Megan M. Shannon & Jane E. Clougherty & Clare McCarthy & Michal A. Elovitz & Max Jordan Nguemeni Tiako & Steven J. Melly & Heather H. Burris, 2020. "Neighborhood Violent Crime and Perceived Stress in Pregnancy," IJERPH, MDPI, vol. 17(15), pages 1-11, August.
    3. Roberts, E.M., 1997. "Neighborhood social environments and the distribution of low birthweight in Chicago," American Journal of Public Health, American Public Health Association, vol. 87(4), pages 597-603.
    4. Corburn, J., 2004. "Confronting the Challenges in Reconnecting Urban Planning and Public Health," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 541-546.
    5. Pearl, M. & Braveman, P. & Abrams, B., 2001. "The relationship of neighborhood socioeconomic characteristics to birthweight among 5 ethnic groups in California," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1808-1814.
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    Cited by:

    1. Mildred E. Warner & Xue Zhang, 2020. "Healthy Places for Children: The Critical Role of Engagement, Common Vision, and Collaboration," IJERPH, MDPI, vol. 17(24), pages 1-14, December.

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