Owen J. Furuseth

Who's on the greenway : socioeconomic, demographic, and locational characteristics of greenway users

In response to continued public concern sparked by the loss of open space and greenbelts around American cities, greenways have gained nationwide popularity as a land conservation strategy. This study examines the socioeconomic, demographic, and locational characteristics of greenway users. Three hundred twenty users on four trails of the Capital Area Greenway System in Raleigh, North Carolina, were surveyed. The Raleigh system is extensive, providing 43.7 km (27 mi) of trails, thus allowing examination of greenway use in a variety of settings. The survey findings indicated that most patrons were drawn from within an 8.05-km (5-mi) radius of the greenway. The typical Capital Area Greenway user is a white female between the age of 16 and 34 with no children. Socioeconomically, greenway users are employed, well-educated, and have above average incomes. A disproportionate share of greenway visitors belong to an environmental group.

Restructuring of Hog Farming in North Carolina: Explosion and Implosion

Over the past six years hog farming in North Carolina has undergone a significant restructuring. For most of this century raising hogs was a casual farm activity found throughout the state. During the past decade hog farming has been transformed along industrial-corporate lines. In the process, the swine population has expanded rapidly (exploded) and simultaneously collapsed in geographical bounds (imploded). This paper examines the linkage between the development of the industrial-corporate hog farming regime, the rapid growth in hog populations, and the geographical concentration of hog production in a newly emerging high-density hog production district in the south central area of the Coastal Plain region.

Using Geographic Information Systems (GIS) to Understand a Community's Primary Care Needs

Introduction: A key element for reducing health care costs and improving community health is increased access to primary care and preventative health services. Geographic information systems (GIS) have the potential to assess patterns of health care utilization and community-level attributes to identify geographic regions most in need of primary care access. Methods: GIS, analytical hierarchy process, and multiattribute assessment and evaluation techniques were used to examine attributes describing primary care need and identify areas that would benefit from increased access to primary care services. Attributes were identified by a collaborative partnership working within a practice-based research network using tenets of community-based participatory research. Maps were created based on socioeconomic status, population density, insurance status, and emergency department and primary care safety-net utilization. Results: Individual and composite maps identified areas in our community with the greatest need for increased access to primary care services. Conclusions: Applying GIS to commonly available community- and patient-level data can rapidly identify areas most in need of increased access to primary care services. We have termed this a Multiple Attribute Primary Care Targeting Strategy. This model can be used to plan health services delivery as well as to target and evaluate interventions designed to improve health care access.

Neotraditional planning: A new strategy for building neighborhoods?

Abstract Neotraditional planning is an increasingly discussed strategy for building neighborhoods in the United States. To its proponents this urban design-based planning model corrects the flaws inherent in the conventional low density suburban planning that has dominated land use in the United States in the post-World War II era. Neotraditional planning proposes to foster neighborliness and community life through the re-creation of idealized small towns from the early twentieth century. Borrowing design and site planning standards, pedestrianism is encouraged and automobile travel discouraged. This paper presents an assessment of the neotraditional planning model and its effectiveness in creating functioning neighborhoods. The analysis finds serious deficiencies with the community building capacity of this planning paradigm. The progressive rhetoric of neotraditionalism does not match empirical application of the approach. Reasons for this failure are presented.

Community response to a municipal waste incinerator: NIMBY or neighbor?

Abstract The USA generates an average of 362 800 mt of municipal waste a day. Presently, most solid waste is sent to sanitary landfills, but landfill disposal has become a less preferred disposal option. Increasingly, local jurisdictions are turning to waste incineration as a disposal option; one of the most serious impediments to waste incineration is citizen opposition. This study examines pre-operational attitudes toward a municipal waste incinerator located in Charlotte, NC, USA. We found that respondents have a more positive reaction to incineration than landfilling, although despite this positive reaction to incineration the respondents were still wary of living near a waste incinerator. We also found that almost two-thirds of the respondents did not know that an incinerator was being built in the area. Furthermore, it was discovered that the respondents had a surprisingly low level of opposition to the location of the incinerator.

Trajectories of Multidimensional Neighbourhood Quality of Life Change

This paper provides an empirical analysis of the multidimensional, spatio-temporal quality of life (QoL) trends followed by neighbourhoods in Charlotte, NC, between 2000 and 2010. Employing a combined geocomputational and visual technique based on the self-organising map, the study addresses which types of neighbourhood experienced the most change or stability, where (in attribute and geographical spaces) did neighbourhoods that began the decade with a particular set of characteristics evolve to, and where did neighbourhoods that concluded the decade transition from? Results indicate that the highest QoL neighbourhoods were most stable, while those with lower homeownership, closer to the city centre, exhibited the sharpest longitudinal trajectories. Lower-income neighbourhoods are found to be heterogeneous in terms of their social problems, dividing between high crime concentrations and youth-related social problems. An exchange of these social issues over time is observed as well as a geographical spread of crime to middle-ring suburbs.

Geographic Information Systems (GIS) Demonstrating Primary Care Needs for a Transitioning Hispanic Community

Background: Hispanics are the largest and fastest growing minority group in the United States. Charlotte, NC, had the 4th fastest growing Hispanic community in the nation between 1990 to 2000. Gaining understanding of the patterns of health care use for this changing population is a key step toward designing improved primary care access and community health. Methods: The Multiple Attribute Primary Care Targeting Strategy process was applied to key patient- and community-level attributes describing the Charlotte Hispanic community. Maps were created based on socioeconomic status, population density, insurance status, and use of the emergency department as a primary care safety net. Each of these variables was weighed and added to create a single composite map. Results: Individual attribute maps and the composite map identified geographic locations where Hispanic community members would most benefit from increased access to primary care services. Conclusions: Using the Multiple Attribute Primary Care Targeting Strategy process we were able to identify geographic areas within our community where many Hispanic immigrants face barriers to accessing appropriate primary care services. These areas can subsequently be targeted for interventions that improve access to primary care and reduce emergency department use. The geospatial model created through this process can be monitored over time to determine the effectiveness of these interventions.

A trans-disciplinary approach to the evaluation of social determinants of health in a hispanic population

BackgroundIndividual and community health are adversely impacted by disparities in health outcomes among disadvantaged and vulnerable populations. Understanding the underlying causes for variations in health outcomes is an essential step towards developing effective interventions to ameliorate inequalities and subsequently improve overall community health. Working at the neighborhood scale, this study examines multiple social determinates that can cause health disparities including low neighborhood wealth, weak social networks, inadequate public infrastructure, the presence of hazardous materials in or near a neighborhood, and the lack of access to primary care services. The goal of this research is to develop innovative and replicable strategies to improve community health in disadvantaged communities such as newly arrived Hispanic immigrants.Methods/designThis project is taking place within a primary care practice-based research network (PBRN) using key principles of community-based participatory research (CBPR). Associations between social determinants and rates of hospitalizations, emergency department (ED) use, and ED use for primary care treatable or preventable conditions are being examined. Geospatial models are in development using both hospital and community level data to identify local areas where interventions to improve disparities would have the greatest impact. The developed associations between social determinants and health outcomes as well as the geospatial models will be validated using community surveys and qualitative methods. A rapidly growing and underserved Hispanic immigrant population will be the target of an intervention informed by the research process to impact utilization of primary care services and designed, deployed, and evaluated using the geospatial tools and qualitative research findings. The purpose of this intervention will be to reduce health disparities by improving access to, and utilization of, primary care and preventative services.DiscussionThe results of this study will demonstrate the importance of several novel approaches to ameliorating health disparities, including the use of CBPR, the effectiveness of community-based interventions to influence health outcomes by leveraging social networks, and the importance of primary care access in ameliorating health disparities.

A community based participatory approach to improving health in a Hispanic population

BackgroundThe Charlotte-Mecklenburg region has one of the fastest growing Hispanic communities in the country. This population has experienced disparities in health outcomes and diminished ability to access healthcare services. This city is home to an established practice-based research network (PBRN) that includes community representatives, health services researchers, and primary care providers. The aims of this project are: to use key principles of community-based participatory research (CBPR) within a practice-based research network (PBRN) to identify a single disease or condition that negatively affects the Charlotte Hispanic community; to develop a community-based intervention that positively impacts the chosen condition and improves overall community health; and to disseminate findings to all stakeholders.Methods/designThis project is designed as CBPR. The CBPR process creates new social networks and connections between participants that can potentially alter patterns of healthcare utilization and other health-related behaviors. The first step is the development of equitable partnerships between community representatives, providers, and researchers. This process is central to the CBPR process and will occur at three levels -- community members trained as researchers and outreach workers, a community advisory board (CAB), and a community forum. Qualitative data on health issues facing the community -- and possible solutions -- will be collected at all three levels through focus groups, key informant interviews and surveys. The CAB will meet monthly to guide the project and oversee data collection, data analysis, participant recruitment, implementation of the community forum, and intervention deployment. The selection of the health condition and framework for the intervention will occur at the level of a community-wide forum. Outcomes of the study will be measured using indicators developed by the participants as well as geospatial modeling.On completion, this study will: determine the feasibility of the CBPR process to design interventions; demonstrate the feasibility of geographic models to monitor CBPR-derived interventions; and further establish mechanisms for implementation of the CBPR framework within a PBRN.

Neighbourhood attitudes towards a sanitary landfill: a North Carolina study

Abstract Although locational conflict surrounding the siting and operation of sanitary landfills has dramatically increased in the USA, research on community response to LULUs (locally unwanted land uses) remains meagre. This paper reports on the attitudes of neighbours living within 4800m (3 miles) of a publicly operated landfill in Charlotte, North Carolina. The study findings indicate a strong measure of satisfaction with the operation of the facility, but show some concerns over the specific effects of the facility. Among the impacts transportation, economic and some in situ consequences produce the greatest anxiety. As with other LULUs, a spatial externality field surrounds the landfill for certain types of impacts. The paper concludes with a discussion of the potential application of the research findings for landfill site planning.