Browsing by Author "Horney, Jennifer A."
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Item Calculating the Environmental Impacts of Low-Impact Development Using Long-Term Hydrologic Impact Assessment: A Review of Model Applications(Land, 2023-03-04) Cai, Zhenhang; Zhu, Rui; Ruggiero, Emma; Newman, Galen; Horney, Jennifer A.Low-impact development (LID) is a planning and design strategy that addresses water quality and quantity while providing co-benefits in the urban and suburban landscape. The Long-Term Hydrologic Impact Assessment (L-THIA) model estimates runoff and pollutant loadings using simple inputs of land use, soil type, and climatic data for the watershed-scale analysis of average annual runoff based on curve number analysis. Using Scopus, Web of Science, and Google Scholar, we screened 303 articles that included the search term “L-THIA”, identifying 47 where L-THIA was used as the primary research method. After review, articles were categorized on the basis of the primary purpose of the use of L-THIA, including site screening, future scenarios and long-term impacts, site planning and design, economic impacts, model verification and calibration, and broader applications including policy development or flood mitigation. A growing body of research documents the use of L-THIA models across landscapes in applications such as the simulations of pollutant loadings for land use change scenarios and the evaluation of designs and cost-effectiveness. While the existing literature demonstrates that L-THIA models are a useful tool, future directions should include more innovative applications such as intentional community engagement and a focus on equity, climate change impacts, and the return on investment and performance of LID practices to address gaps in knowledge.Item Changes in anxiety and depression among public health workers during the COVID-19 pandemic response(International Archives of Occupational and Environmental Health, 2023-07-20) Stone, Kahler W.; Jagger, Meredith A.; Horney, Jennifer A.; Kintziger, Kristina W.Objectives The COVID-19 pandemic has negatively impacted mental health indicators, leading to an increase in symptoms of anxiety and depression in both the general population of adults and children and many occupational groups. This study aims to examine changes in anxiety and depression among a cohort of public health workers in the U.S. during the first year of the COVID-19 pandemic and identify potential risk factors. Methods Longitudinal data were collected from a sub-sample (N = 85) of public health workers in 23 U.S. states who completed two surveys in 2020 and 2021. Information on background characteristics, personal well-being, and work environment as well as validated scales to assess generalized anxiety disorder (GAD), depressive disorder, and burnout was collected. Data were analyzed using Stata Version 17, and significant differences were determined using Pearson’s Chi2 and Fisher’s Exact tests. Results The proportion of those reporting GAD (46.3% to 23.2%) or depression (37.8% to 26.8%) improved from Survey 1 to Survey 2 overall; symptoms of anxiety saw the largest improvement. Persistent depression was associated with sustained burnout, changes in social support, and days worked per week. Conclusion Public health workers experienced elevated levels of anxiety and depression during the initial pandemic response, but a reduction in these symptoms was observed in the subsequent year after vaccines had become widely available. However, unmet needs remain for ongoing workplace mental health supports to address burnout, as well as for additional emotional supports outside of work for public health professionals.Item Characterizing the impacts of public health control measures on domestic violence services: qualitative interviews with domestic violence coalition leaders(BMC Public Health, 2023-09-05) Horney, Jennifer A.; Fleury‑Steiner, Ruth; Camphausen, Lauren C.; Wells, Sarah A.; Miller, Susan L.Background Prior to the availability of pharmaceutical control measures, non-pharmaceutical control measures, including travel restrictions, physical distancing, isolation and quarantine, closure of schools and workplaces, and the use of personal protective equipment were the only tools available to public health authorities to control the spread of COVID-19. The implementation of these non-pharmaceutical control measures had unintended impacts on the ability of state and territorial domestic violence coalitions to provide services to victims. Methods A semi-structured interview guide to assess how the COVID-19 pandemic impacted service provision and advocacy generally, and how COVID-19 control measures specifically, created barriers to services and advocacy, was developed, pilot tested, and revised based on feedback. Interviews with state and territorial domestic violence coalition executive directors were conducted between November 2021 and March 2022. Transcripts were inductively and deductively coded using both hand-coding and qualitative software. Results Forty-five percent (25 of 56) of state and territorial domestic violence coalition executive directors representing all 8 National Network to End Domestic Violence (NNEDV) regions were interviewed. Five themes related to the use of non-pharmaceutical pandemic control measures with impacts on the provision of services and advocacy were identified. Conclusions The use of non-pharmaceutical control measures early in the COVID-19 pandemic had negative impacts on the health and safety of some vulnerable groups, including domestic violence victims. Organizations that provide services and advocacy to victims faced many unique challenges in carrying out their missions while adhering to required public health control measures. Policy and preparedness plan changes are needed to prevent unintended consequences of control measure implementation among vulnerable groups as well as to identify lessons learned that should be applied in future disasters and emergencies.Item Chickenpox Outbreaks in Three Refugee Camps on Mainland Greece, 2016-2017: A Retrospective Study(Prehospital and Disaster Medicine, 2023-12-18) Scales, Sarah Elizabeth; Park, Jee Won; Nixon, Rebecca; Guha-Sapir, Debarati; Horney, Jennifer A.Introduction: Displaced populations face disproportionately high risk of communicable disease outbreaks given the strains of travel, health care circumstances in their country of origin, and limited access to health care in receiving countries. Study Objective: Understanding the role of demographic characteristics in outbreaks is important for timely and efficient control measures. Accordingly, this study assesses chickenpox outbreaks in three large refugee camps on mainland Greece from 2016 – 2017, using clinical line-list data from Médecins du Monde (MdM) clinics. Methods: Clinical line-list data from MdM clinics operating in Elliniko, Malakasa, and Raidestos camps in mainland Greece were used to characterize chickenpox outbreaks in these camps. Logistic regression was used to compare the odds of chickenpox by sex, camp, and yearly increase in age. Incidences were calculated for age categories and for sex for each camp outbreak. Results: Across camps, the median age was 19 years (IQR: 7.00 - 30.00 years) for all individuals and five years (IQR: 2.00 - 8.00 years) for cases. Males were 55.94% of the total population and 51.32% of all cases. There were four outbreaks of chickenpox across Elliniko (n = 1), Malakasa (n = 2), and Raidestos (n = 1) camps. The odds of chickenpox when controlling for age and sex was lower for Malakasa (OR = 0.46; 95% CI, 0.38 - 0.78) and Raidestos (OR = 0.36; 95% CI, 0.24 - 0.56) when compared Elliniko. Odds of chickenpox were comparable between Malakasa and Raidestos (OR = 1.49; 95% CI, 0.92 - 2.42). Across all camps, the highest incidence was among children zero-to-five years of age. The sex-specific incidence chickenpox was higher for males than females in Elliniko and Malakasa, while the incidence was higher among females in Raidestos. Conclusion: As expected, individuals five years of age and under made up the majority of chickenpox cases. However, 12% of cases were teenagers or older, highlighting the need to consider atypical age groups in vaccination strategies and control measures. To support both host and displaced populations, it is important to consider risk-reduction needs for both groups. Including host communities in vaccination campaigns and activities can help reduce the population burden of disease for both communities.Item Disruption, adaptation, and maintenance of domestic violence services during the COVID-19 pandemic(Critical Public Health, 2024-04-18) Horney, Jennifer A.; Pena, Annaliese; Scales, Sarah E.; Fleury-Steiner, Ruth E.; Camphausen, Lauren C.; Miller, Susan L.COVID-19 disrupted many aspects of domestic violence services including sheltering, in-person advocacy, and access to mental health, visitation, and legal services. Increased demand for services occurred concurrent with the highest levels of pandemic disruptions. Adaptations to many systems and services were made to address survivor’s changing needs. To understand how various aspects of service provision were disrupted during the pandemic, we surveyed a national census of U.S. based domestic violence direct service agencies. Email addresses were collected from online directories and each agency received a link to complete a survey using the online platform Qualtrics. The survey included five sections: services provided; work environment during COVID-19; disruptions caused by COVID-19; personal and organizational disaster preparedness; and demographics. Twenty-two percent of 1,341 agencies responded to the survey. At the start of the pandemic, the most disrupted services were legal and court, sheltering, and mental health/counselling services. Hazard pay, flexible scheduling, and additional information technology support were most frequently mentioned supports provided to mitigate disruptions and support providers and advocates. Disruptions and supports changed over the course of the pandemic. The COVID-19 pandemic disrupted the provision of services and advocacy to victims and survivors of domestic violence. Adaptations were made as new control measures were available (e.g. vaccines) and lessons learned were identified (e.g. successful implementation of virtual legal and court services). Maintaining supportive measures post-pandemic will require continued investment in this chronically underfunded, yet critical, sector and applying lessons learned from COVID-19 related disruptions and adaptations.Item A Framework for Evaluating the Effects of Green Infrastructure in Mitigating Pollutant Transferal and Flood Events in Sunnyside, Houston, TX(Sustainability, 2022) Newman, Galen; Sansom, Garett T.; Yu, Siyu; Kirsch, Katie R.; Li, Dongying; Kim, Youjung; Horney, Jennifer A.; Kim, Gunwoo; Musharrat, SaimaThere is a growing and critical need to develop solutions for communities that are at particular risk of the impacts of the nexus of hazardous substances and natural disasters. In urban areas at high risk for flooding and lacking proper land-use controls, communities are vulnerable to environmental contamination from industrial land uses during flood events. This research uniquely applied a series of landscape pzerformance models to evaluate such associations including (1) the Green Values National Stormwater Calculator, (2) the Value of Green Infrastructure Tool, and (3) the Long-Term Hydrologic Impact Assessment Model. This paper presents a framework for combining landscape performance models, which are often only individually applied, to evaluate green infrastructure impacts on flood mitigation and pollutant transfer during flooding events using the Sunnyside neighborhood in Houston, Texas, USA, as a case site. The results showed that the plan reduced the risk of flooding, decreased stormwater runoff contaminants, and provided a possible direction to protect vulnerable communities.Item ‘Inspired to Action’: Immigrants’ Faith-Based Organizations’ Responses across Two Pandemics(Journal of Immigrant and Refugee Studies, 2022-02-12) Maduka-Ezeh, Awele; Bagozzi, Benjamin E.; Gardesey, Mawuna; Ezeh, Ikwesilotuto T.; Nibbs, Farrah; Nwegbu, Somawina; Mai, Ryan; Horney, Jennifer A.; Trainor, JosephSources of disaster resilience represent important (but understudied) dimensions of the interplay between immigrants and disasters, as do immigrants’ disaster response activities. Using key informant interviews, we examine immigrant faith-based organizations’ (FBO) responses to two contemporary pandemics. Additionally, we assess for the presence of disaster-relevant social capital in immigrant FBOs. FBOs were found to possess key components of social capital and to actively engage in pandemic response activities, including provision of health risk communication, education, leadership, infection control measures, cash and in-kind contributions, advocacy, and psychosocial support. For immigrant communities, FBO-based social capital contributes to effective disaster and pandemic responses.Item Lessons Learned From the Public Health Workforce's Experiences With the COVID-19 Response(Health Security, 2022-10-17) Scales, Sarah E.; Patrick, Elizabeth; Stone, Kahler W.; Kintziger, Kristina W.; Jagger, Meredith A.; Horney, Jennifer A.Limited research is available on the COVID-19 response experiences of local, state, and federal public health workers in the United States. Although the response to COVID-19 is still presenting challenges to the public health workforce, public health systems must also begin to consider lessons learned that can be applied to future disasters. During July and August 2021, a random sample of participants from a cross-sectional study of the public health workforce was invited to participate in interviews to obtain information on the current state of public health operations, the ongoing response to the COVID-19 crisis, and takeaways for improving future preparedness and response planning. Interviews were transcribed and inductively coded to identify themes. Twenty-four initial interview invitations were sent, and random substitutions were made until thematic saturation was reached when 17 interviews were completed. Four thematic categories were identified, including challenges related to (1) ongoing lack of political support or policy guidance; (2) fluctuations in, and uncertainty about, future funding and associated requirements; (3) job expectations, including remote work and data-sharing capabilities; and (4) the mental health toll of sustained response and related burnout. As the public health response to the COVID-19 pandemic continues in its third year, it is crucial to identify lessons learned that can inform future investment in order to sustain a public health workforce and a public health preparedness and response system that is resilient to future disasters.Item A Qualitative Study of the COVID-19 Response Experiences of Public Health Workers in the United States(Health Security, 2021-12-17) Scales, Sarah E.; Patrick, Elizabeth; Stone, Kahler W.; Kintziger, Kristina W.; Jagger, Meredith A.; Horney, Jennifer A.The mental health impacts of the COVID-19 pandemic on frontline, patient-facing healthcare staff have been described in several studies, but the effects of the COVID-19 response on the US public health workforce have not been well characterized. In early 2021, we conducted interviews with a subset of public health practitioners in the United States who participated in a cross-sectional survey and indicated their willingness to participate in a follow-up interview. An interview guide was developed to collect information about professional roles since the start of the pandemic, aspects of the individual COVID-19 response that impacted mental health, and aspects of the organizational/institutional COVID-19 response that impacted mental health, as well as the strengths and weaknesses of, opportunities for, and threats to public health professionals and organizations going forward. Interviews were transcribed and inductively coded to identify themes. Of the 48 people invited to participate, 24 completed an interview between January 28 and February 23, 2021. Five key themes were identified through inductive coding of interview transcripts: (1) teamwork and workplace camaraderie, (2) potential for growth in the field of public health, (3) considerations for adaptive work environments (eg, remote work, work out of jurisdiction, transition to telework), (4) politicization of response, and (5) constrained hiring capacity and burnout. After more than a year of public health emergency response to the COVID-19 pandemic, it is critically important to understand the detrimental and supportive factors of good mental health among the public health workforce.Item School nurses: Researcher and clinician collaborations to address paediatric health inequities(Journal of Advanced Nursing, 2023-08-02) Covington, Lauren B.; Hildick, Heidi; Robinson, Anastasia; Pennington, Mandy; Mansi, Suzanne; Ji, Xiaopeng; Strang, Abigail; Rani, Seema; Robson, Shannon; Lobo, Michele A.; Cuffee, Yendelela; Selekman, Janice; Taherzadeh, Sanaz; Carroll, Jill; Covey, Ann; Murray, Kenna; Zimmerman, Chriss; Horney, Jennifer A.; Sowinski, Christine; Patterson, FredaSchool nurses are front-line paediatric public health providers who are eager and poised to address paediatric health inequities. They are tasked with remaining informed about current health issues (i.e. immunization updates, surges in emerging and reemerging illnesses, novel medications and side effects, etc.), but also the disparities that arise within different populations of students (Willgerodt et al., 2018). Further, school nurses are well-positioned to be advocates for the most vulnerable students at risk for health disparities and inequities. For example, school nurses are able to identify and advocate for students who experience food and housing insecurity, lack access to medical or dental care, and/or those who live in unstable or insecure environments (Gratz et al., 2021). School nurses bridge gaps that address lack of healthcare access for their students by making referrals to social workers, public health departments or statewide agencies. School nurses are truly community engaged—sharing with community members the top issues plaguing their students, as well as listening to and addressing priority health issues afflicting the community (Gratz et al., 2021; Willgerodt et al., 2018).Item Threats to public health workers(Public Health in Practice, 2023-12) Horney, Jennifer A.; Harjivan, Akash; Stone, Kahler W.; Jagger, Meredith A.; Kintziger, Kristina W.Media reports and data from public health professional membership organizations have demonstrated high levels of harassment experienced by public health workers throughout the COVID-19 response. We documented personal and political threats to public health workers across the first 12 months of pandemic response through a longitudinal survey completed in Fall 2020 and Summer 2021. The web-based survey was distributed to respondents using the Qualtrics survey platform. Survey items measured domains including demographic information, public health roles and training, mental and physical health, and work-life balance. Respondents were also asked if they had received any personal or political threats, from whom these threats were received, and completed an open-ended question describing the nature of the threats. Among the 85 public health workers completing both surveys, threats from members of the public and from elected and appointed leaders were most prevalent at both timepoints; however, as the pandemic response progressed, the nature of threats to public health workers changed. While those remaining in the public health workforce may be more resilient to these threats, increased prevalence of personal and political threats has the potential to deter new graduates from entering the field, impacting the public health system's future response capacity.