Objective: Researchers have developed numerous indices to identify vulnerable sub-populations. The Centers for Disease Control and Prevention (CDC) Social Vulnerability Index (SVI) is the most common and highly serviceable, but it has some temporal limitations considering that some variables used in calculating the CDC-SVI were not available before 1980. Changes in societal composition over time can impact social vulnerability. This study defines an alternate, but similar, index that could serve as a surrogate for the CDC-SVI without the temporal limitations.
Methods: An inventory analysis of the historical census data (1960-2018) was used to develop a Modified SVI that allows for historic analyses. To consider the chronic effect of social vulnerabilities, a longitudinal SVI was introduced to elucidate how a community's multidimensional experiences exacerbate vulnerability to disaster events, such as the COVID-19 pandemic. We use Harris County, Texas, in this case study to examine how the Modified SVI performs against the original CDC-SVI.
Results: This Modified SVI was used to generate historical maps, find temporal patterns, and inform a longitudinal SVI measure. The results showed a good agreement among the developed indices and the CDC-SVI. We also observed satisfactory performance in identifying the areas that are most vulnerable to the COVID-19 pandemic.
Conclusions: The Modified SVI overcomes temporal limitations associated with the CDC-SVI, and the longitudinal SVI captures a community's multidimensional experiences that exacerbate a community's vulnerability to disaster events over time.
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http://dx.doi.org/10.1017/dmp.2023.29 | DOI Listing |
J Adolesc Health
January 2025
Social and Behavioral Sciences, School of Public Health, West Virginia University, Morgantown, West Virginia.
Purpose: Recent research suggests that caffeine use may promote a range of adjustment difficulties among adolescents, particularly during the middle school years. The effects of caffeine are particularly concerning given the increased use of high-dosage caffeine products, such as energy drinks, among youth. We investigated the influence of caffeine use on trajectories of conduct problems among early adolescents.
View Article and Find Full Text PDFJ Clin Med
January 2025
Northwell, New Hyde Park, NY 11042, USA.
: According to the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, pregnant people facing periviable delivery should be counseled on expected neonatal outcomes and available pregnancy options. The objective of this study is to evaluate if rates of neonatology consultation and pregnancy option counseling for those facing periviable delivery differ based on social vulnerability factors or Social Vulnerability Index (SVI). : This was a retrospective cohort study of patients who delivered at 22 0/7 weeks to 25 6/7 weeks of gestation at two academic medical centers with level III or IV neonatal intensive care units from 2019 to 2022.
View Article and Find Full Text PDFInt J Environ Res Public Health
January 2025
Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 117, SE-221 00 Lund, Sweden.
Older adults with intellectual disabilities are not adequately prepared for ageing and show anxiety and uncertainty regarding the future. Therefore, the two-year educational intervention "Good Life in Old Age" was implemented to improve their understanding of ageing and enhance their well-being. This study aimed to explore the meaning of ageing during and after the intervention from the perspective of older adults with mild intellectual disability.
View Article and Find Full Text PDFBMC Nurs
January 2025
Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Balearic Islands, Spain.
Background: Since the declaration of the COVID-19 pandemic in March 2020 and throughout the health crisis, health authorities recommended restriction measures to minimize the risk of contagion and avoid the collapse of health centers. The restrictive health and safety measures conditioned the way in which patients were cared for, as well as their social and family life. The purpose of the study was to explore patients and caregivers' perception of family care and support during hospitalization in the context of the COVID-19 pandemic in a Manacor hospital.
View Article and Find Full Text PDFPediatr Res
January 2025
Department of Gynaecology and Obstetrics, University of British Columbia (UBC), Vancouver, BC, 590-828 W 10th Ave, Vancouver, BC, V5Z 1M9, Canada.
Background: Prenatal depression is a potentially important fetal exposure as it may alter fetal development and have lasting effects.
Methods: We examined all live births from 2001 to 2012 in British Columbia with follow-up data on the Early Development Instrument (EDI) in Kindergarten. The odds of developmental vulnerability on EDI domains among those with and without depression during pregnancy were estimated.
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