title: Using a Health in All Policies approach to address social determinants of sexually transmitted disease inequities in the context of community change and redevelopment.
abstract: OBJECTIVE
  We used a Health in All Policies (HiAP) framework to determine what data, policy, and community efficacy opportunities exist for improving sexual health and reducing sexually transmitted diseases (STDs) in an area surrounding an Army base undergoing redevelopment in Atlanta, Georgia.
  
  
  METHODS
  We conducted a literature review, consulted with experts, mapped social determinants in the community, conducted key informant interviews with community leaders to explore policy solutions, used Photovoice with community members to identify neighborhood assets, and shared data with all stakeholder groups to solicit engagement for next steps.
  
  
  RESULTS
  We identified the following HiAP-relevant determinants of STD inequities in the literature: education, employment, male incarceration, drug and alcohol marketing, and social capital. Quantitative data confirmed challenges in education, employment, and male incarceration in the area. Interviews identified policy opportunities such as educational funding ratios, Community Hire Agreements, code and law enforcement, addiction and mental health resources, lighting for safety, and a nonemergency public safety number. Photovoice participants identified community assets to protect including family-owned businesses, green spaces, gathering places, public transportation resources, historical sites, and architectural elements. Stakeholder feedback provided numerous opportunities for next steps.
  
  
  CONCLUSIONS
  This study contributes to the HiAP literature by providing an innovative mixed-methods design that locates social determinants of STDs within a geographic context, identifies policy solutions from local leaders, highlights community assets through the lens of place attachment, and engages stakeholders in identifying next steps. Findings from this study could inform other redevelopments, community-based studies of STDs, and HiAP efforts.
authors.affiliation: Human Impact Partners, Oakland, CA.
authors.forename: Holly
authors.initials: H
authors.lastname: Avey
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Fuller
authors.forename: Jane
authors.initials: J
authors.lastname: Branscomb
authors.forename: Karen
authors.initials: K
authors.lastname: Cheung
authors.forename: Phillip Jackson
authors.initials: PJ
authors.lastname: Reed
authors.forename: Naima
authors.initials: N
authors.lastname: Wong
authors.forename: Michael
authors.initials: M
authors.lastname: Henderson
authors.forename: Samantha
authors.initials: S
authors.lastname: Williams
mesh_terms: D055812:Community-Based Participatory Research; D005260:Female; D005845:Georgia; D006291:Health Policy; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D012111:Residence Characteristics; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D064890:Social Determinants of Health