Social, economic, and political processes that create built environment inequities: perspectives from urban African Americans in Atlanta.
Growing evidence suggests that the built environment features found in many high-poverty urban areas contribute to negative health outcomes. Both built environment hazards and negative health outcomes disproportionately affect poor people of color. We used community-based participatory research and Photovoice in inner-city Atlanta to elicit African Americans' perspectives on their health priorities. The built environment emerged as a critical factor, impacting physical and mental health outcomes. We offer a conceptual model, informed by residents' perspectives, linking social, economic, and political processes to built environment and health inequities. Research, practice, and policy implications are discussed within an environmental justice framework.
Redwood
Yanique
Y
Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA. yar5@cdc.gov
Schulz
Amy J
AJ
Israel
Barbara A
BA
Yoshihama
Mieko
M
Wang
Caroline C
CC
Kreuter
Marshall
M
D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D001294:Attitude to Health; D018672:Community Health Planning; D055812:Community-Based Participatory Research / Q000379:methods* / Q000706:statistics & numerical data; D003299:Cooperative Behavior; D005260:Female; D005845:Georgia; D006292:Health Priorities; D054625:Healthcare Disparities; D006798:Housing; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011057:Politics; D011788:Quality of Life / Q000523:psychology; D012111:Residence Characteristics; D012923:Social Class; D012931:Social Environment; D014505:Urban Population / Q000706:statistics & numerical data*