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Start Over Author "Kvit, Anton" Publisher escholarship, university of california
3 results on '"Kvit, Anton"'

1. Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort

Author

Martenies, Sheena E, Zhang, Mingyu, Corrigan, Anne E, Kvit, Anton, Shields, Timothy, Wheaton, William, Him, Deana Around, Aschner, Judy, Talavera-Barber, Maria M, Barrett, Emily S, Bastain, Theresa M, Bendixsen, Casper, Breton, Carrie V, Bush, Nicole R, Cacho, Ferdinand, Camargo, Carlos A, Carroll, Kecia N, Carter, Brian S, Cassidy-Bushrow, Andrea E, Cowell, Whitney, Croen, Lisa A, Dabelea, Dana, Duarte, Cristiane S, Dunlop, Anne L, Everson, Todd M, Habre, Rima, Hartert, Tina V, Helderman, Jennifer B, Hipwell, Alison E, Karagas, Margaret R, Lester, Barry M, LeWinn, Kaja Z, Magzamen, Sheryl, Morello-Frosch, Rachel, O’Connor, Thomas G, Padula, Amy M, Petriello, Michael, Sathyanarayana, Sheela, Stanford, Joseph B, Woodruff, Tracey J, Wright, Rosalind J, and Kress, Amii M

Subjects
Epidemiology, Public Health, Health Sciences, Human Society, Prevention, Basic Behavioral and Social Science, Pediatric Research Initiative, Behavioral and Social Science, Perinatal Period - Conditions Originating in Perinatal Period, Climate-Related Exposures and Conditions, Pediatric, Patient Safety, Clinical Research, 2.2 Factors relating to the physical environment, Aetiology, Generic health relevance, Good Health and Well Being, Female, Humans, Pregnancy, Air Pollutants, Cohort Studies, Environmental Exposure, Environmental Health, Hispanic or Latino, Outcome Assessment, Health Care, White, Black or African American, Program Collaborators for Environmental Influences on Child Health Outcomes, environmental hazards, health disparities, neighborhoods, social stressors, Toxicology
Abstract

Tools for assessing multiple exposures across several domains (e.g., physical, chemical, and social) are of growing importance in social and environmental epidemiology because of their value in uncovering disparities and their impact on health outcomes. Here we describe work done within the Environmental influences on Child Health Outcomes (ECHO)-wide Cohort Study to build a combined exposure index. Our index considered both environmental hazards and social stressors simultaneously with national coverage for a 10-year period. Our goal was to build this index and demonstrate its utility for assessing differences in exposure for pregnancies enrolled in the ECHO-wide Cohort Study. Our unitless combined exposure index, which collapses census-tract level data into a single relative measure of exposure ranging from 0-1 (where higher values indicate higher exposure to hazards), includes indicators for major air pollutants and air toxics, features of the built environment, traffic exposures, and social determinants of health (e.g., lower educational attainment) drawn from existing data sources. We observed temporal and geographic variations in index values, with exposures being highest among participants living in the West and Northeast regions. Pregnant people who identified as Black or Hispanic (of any race) were at higher risk of living in a "high" exposure census tract (defined as an index value above 0.5) relative to those who identified as White or non-Hispanic. Index values were also higher for pregnant people with lower educational attainment. Several recommendations follow from our work, including that environmental and social stressor datasets with higher spatial and temporal resolutions are needed to ensure index-based tools fully capture the total environmental context.

Published
2023

2. Associations between combined exposure to environmental hazards and social stressors at the neighborhood level and individual perinatal outcomes in the ECHO-wide cohort

Author

Martenies, Sheena E, Zhang, Mingyu, Corrigan, Anne E, Kvit, Anton, Shields, Timothy, Wheaton, William, Bastain, Theresa M, Breton, Carrie V, Dabelea, Dana, Habre, Rima, Magzamen, Sheryl, Padula, Amy M, Him, Deana Around, Camargo, Carlos A, Cowell, Whitney, Croen, Lisa A, Deoni, Sean, Everson, Todd M, Hartert, Tina V, Hipwell, Alison E, McEvoy, Cindy T, Morello-Frosch, Rachel, O'Connor, Thomas G, Petriello, Michael, Sathyanarayana, Sheela, Stanford, Joseph B, Woodruff, Tracey J, Wright, Rosalind J, Kress, Amii M, and Outcomes, on behalf of program collaborators for Environmental influences on Child Health

Subjects
Human Geography, Health Sciences, Human Society, Women's Health, Pediatric, Behavioral and Social Science, Prevention, Preterm, Low Birth Weight and Health of the Newborn, Conditions Affecting the Embryonic and Fetal Periods, Clinical Research, Maternal Health, Minority Health, Health Disparities, Perinatal Period - Conditions Originating in Perinatal Period, Pregnancy, 2.3 Psychological, social and economic factors, Generic health relevance, Reproductive health and childbirth, Good Health and Well Being, Birth Weight, Cohort Studies, Female, Gestational Age, Humans, Infant, Infant, Newborn, Premature Birth, Neighborhoods, Environmental hazards, Social stressors, Prenatal, Perinatal health, program collaborators for Environmental influences on Child Health Outcomes, Public Health and Health Services, Public Health, Health sciences, Human society
Abstract

Limited studies examine how prenatal environmental and social exposures jointly impact perinatal health. Here we investigated relationships between a neighborhood-level combined exposure (CE) index assessed during pregnancy and perinatal outcomes, including birthweight, gestational age, and preterm birth. Across all participants, higher CE index scores were associated with small decreases in birthweight and gestational age. We also observed effect modification by race; infants born to Black pregnant people had a greater risk of preterm birth for higher CE values compared to White infants. Overall, our results suggest that neighborhood social and environmental exposures have a small but measurable joint effect on neonatal indicators of health.

Published
2022

3. Developing a National-Scale Exposure Index for Combined Environmental Hazards and Social Stressors and Applications to the Environmental Influences on Child Health Outcomes (ECHO) Cohort.

Author

Martenies, Sheena, Martenies, Sheena, Zhang, Mingyu, Corrigan, Anne, Kvit, Anton, Shields, Timothy, Wheaton, William, Around Him, Deana, Aschner, Judy, Talavera-Barber, Maria, Barrett, Emily, Bastain, Theresa, Bendixsen, Casper, Breton, Carrie, Cacho, Ferdinand, Camargo, Carlos, Carroll, Kecia, Carter, Brian, Cassidy-Bushrow, Andrea, Cowell, Whitney, Croen, Lisa, Dabelea, Dana, Duarte, Cristiane, Dunlop, Anne, Everson, Todd, Habre, Rima, Hartert, Tina, Helderman, Jennifer, Hipwell, Alison, Karagas, Margaret, Lester, Barry, LeWinn, Kaja, Magzamen, Sheryl, Petriello, Michael, Sathyanarayana, Sheela, Stanford, Joseph, Wright, Rosalind, Kress, Amii, OConnor, Thomas, Woodruff, Tracey, Morello-Frosch, Rachel, Bush, Nicole, Padula, Amy, Martenies, Sheena, Martenies, Sheena, Zhang, Mingyu, Corrigan, Anne, Kvit, Anton, Shields, Timothy, Wheaton, William, Around Him, Deana, Aschner, Judy, Talavera-Barber, Maria, Barrett, Emily, Bastain, Theresa, Bendixsen, Casper, Breton, Carrie, Cacho, Ferdinand, Camargo, Carlos, Carroll, Kecia, Carter, Brian, Cassidy-Bushrow, Andrea, Cowell, Whitney, Croen, Lisa, Dabelea, Dana, Duarte, Cristiane, Dunlop, Anne, Everson, Todd, Habre, Rima, Hartert, Tina, Helderman, Jennifer, Hipwell, Alison, Karagas, Margaret, Lester, Barry, LeWinn, Kaja, Magzamen, Sheryl, Petriello, Michael, Sathyanarayana, Sheela, Stanford, Joseph, Wright, Rosalind, Kress, Amii, OConnor, Thomas, Woodruff, Tracey, Morello-Frosch, Rachel, Bush, Nicole, and Padula, Amy

Abstract

Tools for assessing multiple exposures across several domains (e.g., physical, chemical, and social) are of growing importance in social and environmental epidemiology because of their value in uncovering disparities and their impact on health outcomes. Here we describe work done within the Environmental influences on Child Health Outcomes (ECHO)-wide Cohort Study to build a combined exposure index. Our index considered both environmental hazards and social stressors simultaneously with national coverage for a 10-year period. Our goal was to build this index and demonstrate its utility for assessing differences in exposure for pregnancies enrolled in the ECHO-wide Cohort Study. Our unitless combined exposure index, which collapses census-tract level data into a single relative measure of exposure ranging from 0-1 (where higher values indicate higher exposure to hazards), includes indicators for major air pollutants and air toxics, features of the built environment, traffic exposures, and social determinants of health (e.g., lower educational attainment) drawn from existing data sources. We observed temporal and geographic variations in index values, with exposures being highest among participants living in the West and Northeast regions. Pregnant people who identified as Black or Hispanic (of any race) were at higher risk of living in a high exposure census tract (defined as an index value above 0.5) relative to those who identified as White or non-Hispanic. Index values were also higher for pregnant people with lower educational attainment. Several recommendations follow from our work, including that environmental and social stressor datasets with higher spatial and temporal resolutions are needed to ensure index-based tools fully capture the total environmental context.

Published
2023

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