Publications by authors named "Zev Ross"

Introduction: Air pollution poses serious health risks to humans, with particular harm to children.

Objectives: To address the gap in understanding the efficacy of policies to reduce exposure to air pollution, we sought to assess the temporal relationship between the enactment of major air pollution and climate policies in NYC and trends in air quality during the period 1998-2021. We used previously available data from citywide monitoring and new data from the Columbia Center for Children's Environmental Health (CCCEH) longitudinal cohort studies of mothers and children living in communities in Northern Manhattan and the South Bronx.

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Background: A large body of data shows that fetal brain development is vulnerable to disruption by air pollution experienced by the mother during pregnancy, adversely affecting cognitive and psychomotor capabilities during childhood (De Asis-Cruz et al., Biol Psychiatry 7:480-90, 2022; Morgan ZEM et al., Environ Health 22:11, 2023).

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  • Obstetrical complications, particularly placental abruption, can significantly impact the long-term health of mothers and children, potentially leading to increased rates of chronic diseases, especially cardiovascular issues.
  • The PACER cohort study links extensive vital records data from over 1.8 million birthing individuals in New Jersey between 1993 and 2020, utilizing a robust probabilistic algorithm to track health outcomes throughout their lives.
  • Preliminary findings show a notable prevalence of abruption (1.1%) and high linkage rates for health events, indicating that studying these connections may provide valuable insights into the links between pregnancy complications and cardiovascular disease risk.
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The purpose of this study is to test, for the first time, the association between spatial social polarization and incarceration among people who inject drugs (PWID) in 19 large U.S. metropolitan statistical areas (MSAs) in 2015.

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Background: The Sustainable Development Goals have helped to focus attention on the importance of reducing inequality and 'leaving no one behind'. Monitoring health inequalities is essential for providing evidence to inform policies, programmes and practices that can close existing gaps and achieve health equity. The Health Equity Assessment Toolkit (HEAT and HEAT Plus) software was developed by the World Health Organization to facilitate the assessment of within-country health inequalities.

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Background: The 2008 Recession was a global event that led to funding cuts for programs and services in the United States; though this recession officially ended in 2009, its aftershocks continued through 2012. We evaluated the relationship between the severity of the Great Recession's aftermath and spatial access to combined prevention services (i.e.

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  • * Agent-based models (ABM) were used to simulate changes in HIV partnership patterns among PWID based on varying rates of incarceration and treatment access.
  • * Findings suggest that decreasing incarceration rates can temporarily increase sero-discordance (partners with differing HIV statuses) among certain racial/ethnic groups of PWID, emphasizing the need for enhanced HIV testing and care post-release.
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This study examined overall and gender-specific associations between place-based characteristics and opposite-sex exchange sex among people who inject drugs (PWID) in the U.S. PWID were recruited from 19 metropolitan statistical areas (MSAs) for the Centers for Disease Control and Prevention's 2012 National HIV Behavioral Surveillance.

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Studies on health effects of air pollution from local sources require exposure assessments that capture spatial and temporal trends. To facilitate intraurban studies in Denver, Colorado, we developed a spatiotemporal prediction model for black carbon (BC). To inform our model, we collected more than 700 weekly BC samples using personal air samplers from 2018 to 2020.

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A barrier in the children's environmental health field has been the lack of early-warning systems to identify risks of childhood illness and developmental disorders. We aimed to develop a methodology to identify an accessible biomarker measured in a small amount of blood to distinguish newborns at elevated risk from a toxic prenatal exposure, using air pollutants as a case study. Because air pollutants are associated with altered DNA methylation, we developed a pipeline using DNA methylation signatures measured in umbilical cord blood, which could be used as predictors of prenatal exposure.

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  • A study assessed how exposure to fine particulate matter (PM2.5) and nitrogen dioxide (NO2) affects the risk of placental abruption in almost 686,000 pregnancies in New York from 2008 to 2014.
  • The results showed that women exposed to higher levels of PM2.5 (≥15 μg/m3) during the third trimester had a significantly increased risk of placental abruption (HR = 1.68).
  • Additionally, higher NO2 levels (≥30 ppb) in the first trimester were also linked to increased rates of abruption, indicating that these pollutants might trigger premature placental separation through different mechanisms.
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New York City (NYC) experienced a sharp decline in air pollution during the COVID-19 shutdown period (March 15, 2020 to May 15, 2020)-albeit at high social and economic costs. It provided a unique opportunity to simulate a scenario in which the city-wide air quality improvement during the shutdown were sustained over the five-year period, 2021 through 2025, allowing us to estimate the potential public health benefits to children and adults and their associated economic benefits. We focused on fine particulate matter (PM) and modeled potential future health benefits to children and adults.

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Racial/ethnic homophily in sexual partnerships (partners share the same race/ethnicity) has been associated with racial/ethnic disparities in HIV. Structural racism may partly determine racial/ethnic homophily in sexual partnerships. This study estimated associations of racial/ethnic concentration and mortgage discrimination against Black and Latino residents with racial/ethnic homophily in sexual partnerships among 7847 people who inject drugs (PWID) recruited from 19 US cities to participate in CDC's National HIV Behavioral Surveillance.

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Aims: To identify geographic "hotspots" for potential transmission of HIV and HCV and for drug overdose among persons who use heroin and cocaine in New York City and to examine historical continuities in problem drug use hotspots in the city.

Methods: A total of 2714 study participants were recruited among persons entering Beth Israel substance use treatment programs. A structured questionnaire was administered and blood samples for HIV and HCV testing were collected.

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  • The study investigates the accessibility of cooling centers in New York State, focusing on their proximity to heat-vulnerable populations and the various modes of transportation that can be used to reach them.
  • Results show that only about a third of the NYS population can walk to a cooling center, with an average distance of 2.4 miles for heat-vulnerable areas, although public transportation often makes these centers more accessible in urban settings.
  • In contrast, rural areas face greater challenges, with average driving distances to cooling centers around 18 miles, highlighting the need for improved accessibility for vulnerable populations during extreme heat events.
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As a key step in advancing the sustainable development goals, the World Health Organisation (WHO) has placed emphasis on building capacity for measuring and monitoring health inequalities. A number of resources have been developed, including the Health Equity Assessment Toolkit (HEAT), a software application that facilitates the assessment of within-country health inequalities. Following user demand, an Upload Database Edition of HEAT, HEAT Plus, was developed.

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This exploratory analysis investigates relationships of place characteristics to HIV testing among people who inject drugs (PWID). We used CDC's 2012 National HIV Behavioral Surveillance (NHBS) data among PWID from 19 US metropolitan statistical areas (MSAs); we restricted the analytic sample to PWID self-reporting being HIV negative (N = 7477). Administrative data were analyzed to describe the 1.

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Background: Despite abruption's elusive etiology, knowledge of triggers that precede it by just a few days prior to delivery may help to understand the underpinnings of this acute obstetrical complication. We examine whether air pollution exposures immediately preceding delivery are associated with acute-onset abruptions.

Methods: We applied a bidirectional, time-stratified, case-crossover design to births with an abruption diagnosis in New York City, 2008-2014.

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  • - This study analyzed how social and physical neighborhood factors affect sexual network characteristics in HIV-seropositive and seronegative women in the U.S. South using data from 734 participants in the Women's Interagency HIV Study.
  • - Findings revealed that women living in socioeconomically disadvantaged areas perceived higher sex partner risk if they were HIV-positive, while HIV-negative women reported less non-monogamy in similar contexts.
  • - Additionally, greater neighborhood trust and cohesion lowered partner risk for both groups, although the number of alcohol outlets and non-profits showed no significant correlation with partner risk factors. Future research should focus on exploring the causal pathways linking neighborhood characteristics to partner selection and risks.
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  • The study examines the link between local housing and economic factors and homelessness among people who inject drugs (PWID) in 19 large U.S. cities, highlighting that housing instability can lead to poor health outcomes.
  • A significant finding is that 60% of participants reported experiencing homelessness in the past year, and higher levels of gentrification in their neighborhoods were associated with increased odds of homelessness.
  • The authors call for further research to understand how gentrification impacts homelessness among PWID to develop effective community interventions.
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Theories of social causation and social influence, which posit that neighborhood and social network characteristics are distal causes of substance use, are frequently used to interpret associations among neighborhood characteristics, social network characteristics and substance use. These associations are also hypothesized to result from selection processes, in which substance use determines where people live and who they interact with. The potential for these competing selection mechanisms to co-occur has been underexplored among adults.

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Purpose: Neighborhood characteristics shape sexual risk in HIV-uninfected adults in the United States (US). We assess relationships between census tract characteristics and sexual risk behaviors in a predominantly HIV-infected cohort of women living in the Southern US.

Methods: This cross-sectional multilevel analysis included data from 737 HIV-infected and HIV-uninfected women enrolled in the Women's Interagency HIV Study.

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Objectives: Neighbourhood characteristics (eg, high poverty rates) are associated with STIs among HIV-uninfected women in the USA. However, no multilevel analyses investigating the associations between neighbourhood exposures and STIs have explored these relationships among women living with HIV infection. The objectives of this study were to: (1) examine relationships between neighbourhood characteristics and current STI status and (2) investigate whether the magnitudes and directions of these relationships varied by HIV status in a predominantly HIV-infected cohort of women living in the Southern USA.

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Introduction: Cross-sectional research suggests that neighborhood characteristics and transportation access shape unmet need for medical care. This longitudinal analysis explores relationships of changes in neighborhood socioeconomic disadvantage and trans- portation access to unmet need for medical care.

Methods: We analyzed seven waves of data from African American adults (N = 172) relocating from severely distressed public housing complexes in Atlanta, Georgia.

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Background: It is widely recognised that the pursuit of sustainable development cannot be accomplished without addressing inequality, or observed differences between subgroups of a population. Monitoring health inequalities allows for the identification of health topics where major group differences exist, dimensions of inequality that must be prioritised to effect improvements in multiple health domains, and also population subgroups that are multiply disadvantaged. While availability of data to monitor health inequalities is gradually improving, there is a commensurate need to increase, within countries, the technical capacity for analysis of these data and interpretation of results for decision-making.

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