NC Institute for Public Health, UNC School of Public Health

26th Annual Minority Health Conference

Health and the Built Environment: The Effects of Where We Live, Work and Play

The William and Ida Friday Continuing Education Center, The University of North Carolina at Chapel Hill

February 25, 2005

Featuring the 7th Annual William T. Small, Jr. Keynote Lecture by Henry Louis Taylor, Jr., PhD


Overview

The built environment has powerful ramifications for public health because it literally surrounds us. Housing, land use patterns, transportation infrastructure, industrial/business corridors and other elements are part of the intricate system in which we all live, work and play. Increased rates of cancer, asthma, diabetes and other environmentally sensitive conditions are the readily apparent effects of the built environment on human health. However, other issues such as environmental justice, access to quality food and occupational health concerns are also elements of the built environment that affect minority populations, but are not always explored. This year's conference will bring together community members, public health practitioners,public health researchers, educators, land use planners and industry officials to better understand and address man-made threats to public health.


Agenda

8:00 am
Registration/Continental Breakfast
Central Atrium

9:00 am
Introductions & Welcome
Grumman Auditorium

Margaret Dardess, PhD, JD
Interim Dean, School of Public Health
University of North Carolina at Chapel Hill

Archie Ervin, PhD
Assistant to the Chancellor
Director, Office of Minority Affairs
University of North Carolina at Chapel Hill

Richard Williams
Vice President of Diversity & Employee Development
Duke Power
Chairman of the Board of Trustees
University of North Carolina at Chapel Hill

Presider: Danielle Spurlock, Master’s student
Conference Co-Chair
Department of Health Behavior and Health Education
School of Public Health
Department of City and Regional Planning
University of North Carolina at Chapel Hill


9:30 am
William T. Small, Jr. Keynote Address (introduction)
Grumman Auditorium

Henry Louis Taylor, Jr., PhD
Professor, Department of Urban and Regional Planning
School of Architecture and Planning
Director, Center for Urban Studies
University of Buffalo, New York

Presider: Victor Schoenbach, PhD
Associate Professor
Department of Epidemiology
School of Public Health
University of North Carolina at Chapel Hill

Co-Presider: Christopher Heaney, MS, Doctoral student
Conference Co-Chair
Department of Epidemiology
School of Public Health
University of North Carolina at Chapel Hill

[2:00pm EST broadcast with live question and answer session]
Moderator: Sacoby Wilson, M.S., Doctoral candidate
Department of Environmental Sciences and Engineering
School of Public Health
University of North Carolina at Chapel Hill


10:30 am
MORNING CONCURRENT SESSIONS

(A1) Chemical Exposure and Farmworker Health - Azalea AB

Harsh working conditions make farmworkers particularly susceptible to heath-related illnesses, pesticide exposure, repetitive motion and muscle strain injuries, injuries from falls and equipment, contact dermatitis and green tobacco sickness. Farmworkers suffer from the highest rate of toxic chemical exposure and injury of any worker in the U.S. This session will address the health risks of chemical exposure among farmworkers and their families in the workplace and home.

Thomas A. Arcury, Ph.D.
Professor and Research Director
Dept. of Family and Community Medicine
Wake Forest University School of Medicine
Winston-Salem, NC

Elizabeth Freeman Lambar, MSW, MPH
Director
NC Farmworker Health Program
Raleigh, NC

Presider: Baddriyah Al-Islam
Health Policy and Administration
School of Public Health
UNC at Chapel Hill

(A2) The Health Implications of Geographically-Bounded Communities - Sunflower

Populations of color who live in geographically-bounded communities are exposed to conditions that have a negative effect on their health. This condition may be an exposure to an environmental hazard. In other cases, public health, economic, transportation and educational infrastructures which have eroded create conditions that decrease the quality of life and vitality of these communities. This session will discuss the health status of populations that are restricted to these environments.

Yolanda Banks-Anderson, Ph.D.
Professor and Director
Environmental Science Program
College of Arts and Sciences
North Carolina Central University

Gary Grant
Executive Director
Concerned Citizens of Tillery
Tillery, NC
Durham, NC

Presider: Mayra Alvarez
Health Policy and Administration
School of Public Health
UNC at Chapel Hill

(A3) Neighborhood Quality: Access & Quality of Life - Dogwood

Our living environment has a great impact on our physical and mental wellbeing. Access to grocery stores, schools, banks, and other services also contribute to our sense of wellbeing. This session will explore how neighborhood quality issues affecting predominately minority neighborhoods contribute to health disparities.

Kimberly Morland, Ph.D.
Assistant Professor
Dept of Community & Preventive Medicine
Mount Sinai School of Medicine

Omega Wilson
President
West End Revitalization Association-CDC
Mebane, NC
New York, NY

Presider: Dara Hall
Maternal and Child Health
School of Public Health
UNC at Chapel Hill

(A4) Obesity, Physical Activity and the Built Environment - Redbud AB

Regular physical activity is associated with decreased risks of heart disease, cancer, and diabetes. The establishment of programs in nutrition and the existence of recreational facilities can play an important role in promoting physical activity. This session will discuss the characteristics of low income and minority neighborhoods, and the changes thereof, which could decrease obesity among low-income and minority populations.

Penny Gordon-Larsen, Ph.D.
Assistant Professor
Dept. of Nutrition
University of North Carolina at Chapel Hill
Chapel Hill, NC

Amy Schulz, Ph.D.
Associate Director
Center for Research on Ethnicity, Culture and Health
University of Michigan
Ann Arbor, MI

Presider: Lara Vaz, S.M.
Health Behavior and Health Education
School of Public Health
UNC at Chapel Hill

(A5) Transportation Corridors and the Spread of Disease - Mountain Laurel AB

Transportation corridors can contribute to the occurrence of several health problems such as the transmission of STDs and cancer. Sexual networks along transportation corridors are highly intertwined and can result in the increased spread of STDs. The concentration of industrial facilities along transportation corridors increases the exposure of neighboring communities to harmful pollutants. This session will discuss the relationship between transportation corridors and disease prevalence.

Kimberly Boyd-Johnson, Ph.D.
Assistant Professor
Center for Pediatric Research
Eastern Virginia Medical School
Norfolk, VA

Ernestine Duncan, Ph.D.
Assistant Professor
Dept. of Psychology
Norfolk State University
Norfolk, VA

Presider: Kristin Hoeft
Health Behavior and Health Education
School of Public Health
UNC at Chapel Hill

11:45
Networking Session & Poster Preview
Central Atrium

12:15 pm
Lunch
Trillium Room


1:30 pm
AFTERNOON CONCURRENT SESSIONS

(B1) Children and Exposure to Indoor Pollutants - Azalea AB

Numerous studies have identified childhood exposures to pesticides, industrial byproducts, lead, and allergens as four of the most important environmental health problems facing children today. Recent reports indicate dramatic rises in asthma and allergy prevalence. This session will focus on these specific topics in children's environmental health including the special vulnerabilities of children, environmental justice, and ways to address issues of indoor air quality.

Marie Miranda, Ph.D.
Professor and Director
Children's Environmental Health Initiative
Duke University
Durham, NC

Ed Norman, MPH
Manager
Children’s Environmental Health Branch
NC Dept of Environment and Natural Resources
Raleigh, NC

Presider: Angela Baker
Environmental Sciences and Engineering
School of Public Health
UNC at Chapel Hill


(B2)
Disability and the Built Environment - Dogwood AB

The built environment poses a number of physical challenges to persons with physical disabilities, an often-overlooked minority population. This session will address the concept of Universal Design-conforming the physical environment to the needs of people rather than people conforming to the restrictions of the environment, and improving the accessibility of service delivery systems, such as mammography clinics, medical clinics and domestic violence shelters.

Rene Cummins
Director
Alliance of Disability Advocates
Raleigh, NC

Leslie Young
Director of Design
Center for Universal Design Director
Raleigh, NC

Presider: Ashely Hammarth
Health Behavior and Health Education
School of Public Health
UNC at Chapel Hill


(B3) The Health Implications of Affordable Housing and Housing Segregation - Redbud AB

The lack of affordable housing forces many households to divert resources from health-related expenditures such as food and preventive care to pay from shelter. Further, the segregation of households by income, race and ethnicity can isolate populations into neighborhoods with limited economic, social and physical resources. This session will examine the contributions of housing to health and health disparities.

Laura Harris, Ph.D.
Research Associate
Metropolitan Housing and Communities Policy Center
The Urban Institute
Washington, D.C.

Diane Levy, MA, MRP
Research Associate
Metropolitan Housing and Communities Policy Center
The Urban Institute
Washington, D.C.

Presider: Erik Apinis
City and Regional Planning
College of Arts and Science
UNC at Chapel Hill

(B4) Mobility and Health - Sunflower

Many physical barriers limit the ability of populations to access services located inside and outside their communities and enjoy their community resources. Inadequate public transportation creates a problem for residents in low-income neighborhoods trying to access jobs and healthcare services. Infrastructure such as debilitated sidewalks and uneven pavement limit the opportunities for activities like walking. This session will discuss the impact of mobility, or a lack thereof, on health status.

Claude W. Barnes, Ph.D.
Associate Professor Political Science
Associate Dean for Operations, Assessment and Research
North Carolina A&T State University
Greensboro, NC

James E. Emery, MPH
Social Research Associate
Dept. of Health Behavior and Health Education
Chapel Hill, NC

Presider: Kristal Vardaman
Health Policy and Administration
School of Public Health
UNC at Chapel Hill

(B5) Occupational Health and Social Justice - Mountain Laurel AB

In 2001, the Occupational Safety and Health Administration reported 5.2 million injuries and illnesses among workers in the United States. People of color are disproportionately affected by occupation related diseases such as lung cancer as well as fatal work injuries. This session will provide an overview of occupational health concerns impacting workers of color and discuss advocacy efforts to increase workplace safety in North Carolina.

Naeema Muhammad
Community Organizer
Black Workers for Justice
Rocky Mount, NC

Saladin Muhammad
Director
Black Workers for Justice
Rocky Mount, NC

Steven Wing, Ph.D.
Professor
Dept. of Epidemiology
University of North Carolina at Chapel Hill
Chapel Hill, NC

Presider: Iguehi Esoimeme
Health Behavior and Health Education
School of Public Health
UNC at Chapel Hill

2:45 pm
Poster Session and Break

3:00 pm
Panel Discussion
The Built Environment: Challenges and Pathways towards Building a Healthier Future
Grumman Auditorium

In this panel discussion all conference participants and guest speakers will bring questions to expert panelists. Questions derived from the breakout sessions can be addressed in addition to questions related to a particular field of interest, as they relate to health disparities and the built environment. Come ready to share.

Gary Grant
Executive Director
Concerned Citizens of Tillery
Tillery, NC

Marie Miranda, Ph.D.
Professor and Director
Children's Environmental Health Initiative
Duke University
Durham, NC

Deborah Norton, MD
Medical Director
NC Farmworker Health Program
Office of Research, Demonstration and Rural Health Development
Raleigh, NC

Leslie Young
Director of Design
Center for Universal Design Director
Raleigh, NC

Presider: Anissa Vines, Ph.D.
Research Assistant Professor
Dept. of Epidemiology
Associate Director
Program on Ethnicity, Culture and Health Outcomes
School of Public Health
UNC at Chapel Hill

Co-Presider: Christopher Heaney, MS
Conference Co-Chair
Doctoral Student
Department of Epidemiology
UNC at Chapel Hill

4:30 pm
Conference Wrap-Up
Grumman Auditorium

Aundra Shields, JD
Associate Dean for Student Affairs
School of Public Health
University of North Carolina at Chapel Hill

4:45 pm
Conference Adjourns


Speaker Bios

Thomas A. Arcury is Professor and Research Director in the Department of Family and Community Medicine, Wake Forest University School of Medicine. Dr. Arcury holds appointments as Adjunct Professor in the Department of Anthropology, Wake Forest University, and Adjunct Professor in the Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill. His research interests include the examination of health beliefs and behaviors in rural and minority communities, and health in underserved populations and of health disparities. He is the principal investigator of three NIEHS and NIOSH funded projects focused on North Carolina farmworkers, two are interventions to reduce the exposure of farmworker families to pesticides and the other is an epidemiological study of occupational skin disease.

Yolanda Banks Anderson is Director and Associate Professor in the Environmental Science Program at North Carolina Central University in Durham, NC. Her research interests are in the areas of environmental justice, environmental exposure, and environmental/science education. Currently, she is the Principal Investigator of an EPA-funded multi-year cooperative research agreement to study environmental contamination in communities of color and economically disadvantaged communities.

Claude W. Barnes, Jr. received a B.A. degree in Political Science from North Carolina A & T State University. He received both the M.A. and Ph.D. in Political Science from Clark Atlanta University. Dr. Barnes has taught at Spelman College, Georgia Institute of Technology, Georgia State University and South Carolina State University before accepting a teaching position at North Carolina A&T State University in 1993.Currently he is an Associate Professor of Political Science and Associate Dean for Operations, Assessment and Research for the College of Arts and Sciences at NCA&TSU. His research interests include African American politics, urban transportation policy, survey research methods and the use of geographic information systems (GIS) in the social sciences.

Kimberly P. Boyd-Johnson earned her B.A. from Spellman College in Atlanta, Georgia, and a M.S. and Ph.D. in social psychology from Virginia Commonwealth University in Richmond, Virgina. Dr. Boyd-Johnson holds a faculty position at the Center for Disease Control and Prevention, Institute for HIV Prevention Leadership (IHPL).Dr. Boyd-Johnson also serves as an assistant research professor at Eastern Virginia Medical School in Norfolk, VA, and adjunct professor at Hampton University in Hampton, VA. Dr. Boyd-Johnson has conducted extensive research on HIV/AIDS prevention, health promotion and substance abuse among adolescents.

Rene Cummins is the Executive Director of Alliance of Disability Advocates, Center for Independent Living, which is a federally-funded advocacy agency to serve people of all ages and abilities. Previously, she was a consultant with the North Carolina Office on Disability and Health, and the two agencies now have a collaborative relationship. Rene is a trainer with the Southeast Disability and Business Technical Assistance Center in Atlanta. She is also active on various boards and commissions including the Statewide Independent Living Council, the Raleigh Mayor’s committee for Persons with Disabilities, and Arts Access, Inc.

Ernestine A.W. Duncan earned her B.A. from Oberlin College, Ohio, and a M.A. and Ph.D. from Georgia State University. Dr. Duncan currently holds the position of Assistant Professor of Psychology at Norfolk State University. She has previously taught at Hampton University in Virginia, Spelman College and Georgia State University in Atlanta, Georgia. Dr. Duncan has conducted research in the area of HIV/AIDS prevention in the African American community through assessment and intervention development, group facilitation, and data collection and analysis. Her current research interests include the identification of individual personality characteristics that impact risk for HIV and AIDS.

James E. Emery is a Social Research Associate in the Department of Health Behavior and Health Education at the UNC School of Public Health where he is also a doctoral student. His primary interests are: identifying and studying the social determinants of health behavior, developing methods for auditing the built environment in communities, and increasing community capacity to improve policies and environments that support active lifestyles. He is currently co-investigator on an environmental justice research and education grant funded by the National Institute of Environmental Health Sciences.

Elizabeth Freeman Lambar received a bachelor’s degree in Human Development and Social Relations from Earlham College in Richmond, Indiana and received her M.S.W and M.P.H from UNC-Chapel Hill. Ms. Freeman Lambar has worked extensively throughout the country to increase medical care access among farmworkers. Ms. Freeman Lambar has been with the North Carolina Farmworker Health Program first as a program associate and then as director of the program since June of 2002. The NC Farmworker Health Program

Penny Gordon-Larsen is an Assistant Professor of Nutrition at the University of North Carolina School of Public Health. Dr. Gordon-Larsen is a specialist in human nutrition epidemiology. Her work has focused on the important role of the physical environment in shaping obesity and obesity-related behaviors. Her National Institutes of Health-funded research looks at relationships between environmental factors (such as availability of parks, playgrounds, recreation centers, and community design) and physical activity levels. Other major areas of interest include acculturation, minority health, and obesity intervention research.

Gary Grant is the Executive Director of Concerned Citizens of Tillery (CCT), an organization whose purpose is to promote cultural awareness and improve the social, economic and educational welfare of the citizens in Tillery, North Carolina. CCT provides necessary services such as transportation and health care and workshops on issues such as land ownership and debt control. Mr. Grant is also the founding president of the National Black Farmers and Agriculturalists Association (BFAA) and the director of the National Land Loss Fund (LLF).

Laura E. Harris is a Research Associate in the Metropolitan Housing and Communities Policy Center at The Urban Institute in Washington, D.C. Dr. Harris' research examines the transformation of public housing in the U.S., with a focus on health issues. She is Director of Quantitative Analysis on a three-wave panel study addressing relocation issues for residents of five public housing developments that are being demolished and revitalized as part of HUD's HOPE VI program.

Diane K. Levy is a Research Associate in the Metropolitan Housing and Communities Policy Center at the Urban Institute. Currently, she is researching HUD’s HOPE VI public housing program and the impact it is having on original residents. This study is being conducted in five sites across the U.S. over five years and involves tracking residents who are relocated from the public housing sites prior to site redevelopment. Ms. Levy leads the qualitative component of the study and serves as the Deputy Project Director.

Marie Miranda's primary research is in resource and environmental economics, environmental health sciences, and environmental justice, with an emphasis on interdisciplinary, policy-oriented perspectives. Dr. Miranda serves as the Director of the Children's Environmental Health Initiative (CEHI) within the Nicholas School of the Environment and Earth Sciences at Duke University. CEHI supports a series of environmental research projects emphasizing the special vulnerabilities of children. CEHI projects focus on incorporating innovative spatial analysis into children's environmental health research.

Kimberly Morland is an epidemiologist who received her Ph.D. at the University of North Carolina School of Public Health after earning a M.P.H. at the University of California at Berkeley. She is currently Assistant Professor of Epidemiology in the Department of Community and Preventive Medicine at the Mount Sinai School of Medicine in New York City. Dr. Morland’s research pertains to issues of social and environmental justice by documenting the structural effects of segregation on the well-being of residents, particularly how these effects constrain individual change. Some of her empirical work has focused on the examination of the association between the physical availability of healthy foods and reported intake by residents.

Saladin Muhammad is the Chair of Black Workers for Justice and lead organizer of UE Local 150. Naemma Muhammad is a founding member and organizer for Black Workers for Justice. Black Workers For Justice (BWFJ) was born in a struggle at a Kmart store in the city of Rocky Mount, North Carolina in late 1981. The organization is dedicated to achieving for racial justice, political rights, and labor rights for African Americans in the South. In its nearly 24 years of existence, BWFJ has established a monthly newspaper named Justice Speaks, workplace committees, workers' schools, a workers' center, and North Carolina's first statewide public workers union. Most recently, it formed the African American/Latino Alliance, together with the Farm Labor Organizing Committee and others.

Edward H. Norman is the Children’s Environmental Health Branch Manager for the North Carolina Department of Environment and Natural Resources, Division of Environmental Health. He has developed and implemented policies, guidelines, rules and legislation for all aspects of the childhood lead poisoning prevention and child care sanitation programs. Mr. Edward has also written extensively on environmental health issues such as childhood lead poisoning.

Deborah Norton earned her Bachelor’s degree in biology from Wheaton College, and a medical degree from Illinois Medical School in Chicago. After a family medicine residency in Minneapolis, she worked as a family physician in Minnesota and in Prospect Hill, North Carolina. She then pursued an MPH in maternal and child health along with a residency in preventive medicine, in the community and migrant health track. She has worked at Wake County Human Services in the Women’s Health and Migrant Health programs since 1996, and has been medical director of the North Carolina Farmworker Health Program since June 2000.

Amy Schulz received her Ph.D. in Sociology and M.P.H. from the University of Michigan. She is Associate Director of the Center for Research on Ethnicity, Culture and Health, and Co-Director for the NIH funded "Promoting Ethnic Diversity in Public Health". Her research focuses on social factors and aspects of the built environment that contribute to health with a particular focus on racial disparities in health. Current research efforts focus on understanding social determinants of women's health in urban communities; the contributions of social and environmental factors to racial and socioeconomic disparities in cardiovascular disease, social aspects of community and their relationship to health, and interventions designed to increase access to healthy foods in urban areas.

Omega Wilson is the president of the West End Revitalization Association (WERA), and was a founding member in 1994. WERA is the first community development corporation in Alamance County with training and funding from the North Carolina Rural Economic Development Center, and the first area USEPA Community-Based Environmental Protection organization with funding and training from the USEPA. Mr. Wilson has given presentations at a variety of national conferences and has received numerous awards, including a Community Achievement Award for Pioneering work in Environmental Justice in 2000 from the North Carolina Association for Community Development Corporations and the 2002 Florenza Moore Grant Environmental Justice Award at the Fifth Annual North Carolina Environmental Justice Summit.

Steven Wing is on the faculty at UNC-SPH and works in the area of occupational and environmental epidemiology. His current research focuses on the epidemiology of environmental injustice, occupational exposures to ionizing radiation, and community health impacts of industrial swine production. He has collaborated on epidemiologic research with communities and workers impacted by the nuclear industry, industrial animal production, and other environmental and occupational threats.

Leslie Young is the Director of Design at the Center for Universal Design. Ms. Young is a recognized national expert on architectural accessibility, with 20 years experience in design for people with disabilities. She has in-depth knowledge of the accessibility requirements in most federal legislation mandating accessibility including the Americans with Disabilities Act of 1990, the Fair Housing Act of 1988, and Section 504 of the Rehabilitation Act of 1973. Ms. Young has either developed or participated in the development of a vast number of publications, slide shows, and films on accessibility to the built environment. She co-authored the Fair Housing Act Design Manual for HUD.


Hotel Information

A limited number of rooms have been reserved at several local hotels. Please mention the Minority Health Conference when making reservations (by 1/30/04) at the following hotels:

Sheraton Hotel, 919-968-4900

Holiday Inn Express 888-452-5765

Hampton Inn 800-426-7866

Courtyard by Marriott 919-883-0700


Tuition and Registration Information

  Registration Fee Lunch*
All students who register by 2/14/05 $15 Included
UNC (all 16 campuses) faculty and staff $50 Included
Working professionals who register by 2/14/05 $65 Included
Working professionals who register after 2/14/05 $75 Not included

* Lunch is available to those who pre-register and pay by 2/14/05. Participants who do not pre-register and pay by 2/14/05 may purchase lunch at nearby restaurants.

Registration fees are due prior to the conference. Make checks payable to NCIPH.

If you have special needs for learning aids, and/or facility accessibility information, please call us at 919/966-4032.

Cancellations/Refunds
Full refunds will be issued to individuals who cancel by 2/14/05.
Substitutions from the same agency are allowed at any time with prior notification to the registrar (919-966-4032).

Click here to register for the conference



02/23/05 raj, 2/24/2005 vic