Darcy A Freedman
Datos Biográficos
| ID | 181284 |
|---|---|
| NOMBRE | Darcy A Freedman |
| NOMBRES | Darcy A |
| APELLIDO | Freedman |
| FIRMA | FREEDMAN D A |
| AFILIACIONES | Case Western Reserve University |
| ORCID | 0000-0002-0521-9621 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAS | 115 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1984 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 6 |
Redlining, Urban Heat, and Climate Hazards
Structural inequities, including historical redlining, have created compounding climate-related vulnerabilities in marginalized communities, with potential implications for pediatric cardiometabolic diseases (CMD). However, the joint effects of redlining, climate risk, and urban heat on pediatric CMD remain poorly understood. Using New York State hospital administrative data (2018–2022), we examined associations between neighborhood redlining, cl…
A Qualitative Study of Health Equity’s Role in Community Coalition Development
Opioid overdose deaths are dramatically increasing in the United States and disproportionately affecting minority communities, with the increasing presence of fentanyl exacerbating this crisis. Developing community coalitions is a long-standing strategy used to address public health issues. However, there is a limited understanding of how coalitions operate amid a serious public health crisis. To address this gap, we leveraged data from the HEALi…
Navigating community engagement in participatory modeling of food systems
This paper describes the participatory modeling experiences of five discrete teams across the U.S. working to develop models of food systems to identify leverage points and policies to induce food system transformation. Collaboration between academic and community partners within these individual modeling processes enables teams to address food systems complexity, integrate scientific evidence and local knowledge into models, while improving a mo…
Spatial availability of federally qualified health centers and disparities in health services utilization in medically underserved areas
Understanding SNAP Recipient Characteristics to Guide Equitable Expansion of Nutrition Incentive Programs in Diverse Food Retail Settings
Structural barriers, such as food costs, reduce access to healthy foods for populations with limited income, including those benefitting from the Supplemental Nutrition Assistance Program (SNAP). Nutrition incentive programs seek to address this barrier. Evaluations of SNAP-based incentive programming often focus on one setting (i.e., either farmers’ markets or grocery stores). We examined use patterns, characteristics, and preferences among 253 …
Improving Surveillance and Epidemic Response in Ohio Childcare Settings
At the start of the Coronavirus Disease of 2019 (COVID-19) pandemic, the risk of cases in childcare programs was unknown. Thus, a rapid-response research approach was launched in Ohio childcare settings. Passive surveillance data from a state-operated incident reporting system were evaluated to estimate the number of COVID-19 cases from 15 August 2020 to 1 January 2021. Additionally, active surveillance with self-administered reverse transcriptas…
Health outcomes in redlined versus non-redlined neighborhoods
A win-win for all of us
Small Improvements in an Urban Food Environment Resulted in No Changes in Diet Among Residents
Identification of factors related to food insecurity and the implications for social determinants of health screenings
Along with referrals to SNAP, clinicians can further address screening-identified food insecurity through provision of transportation supports and linkages to other social services while collaborating on community initiatives to promote convenient and easy access to healthy foods. The needs and behaviors associated with screens indicating food insecurity also have implications for impacting other SDH, and thus, health outcomes
Food security moderates relationship between perceived food environment and diet quality among adults in communities with low access to healthy food retail
Objective: To examine the relationship between food security status, diet quality measured using Healthy Eating Index-2010 (HEI-2010) scores, demographics and the following factors: perceptions of healthy food availability, healthy eating identity and perceived control of healthy eating. Design: A cross-sectional study in 2016–2017 using three 24-h dietary recalls and one psychosocial survey. Setting: Two urban communities in Cleveland and Columb…
A relational approach to evaluate food environments finds that the proximate food environment matters for those who use it
Fixes that Fail
Access to fresh and healthy food within a neighborhood has been identified as a social mechanism contributing to community health. Grounded in the understanding that challenges related to equity within a food system are both structural and systemic, our research demonstrates how systems thinking can further understandings of food system complexity. Within systems thinking, we provide an illustration of how system archetypes offer an analytic tool…
How Cultural Frames Guide Strategies to Eliminate Child Hunger
Cultural frames, or myths we use to communicate, shape how we understand social problems, such as child hunger. In 48 interviews, we identified metaphors and myths, such as “the poor will always be with you,” “meat product,” and “butterfly effects” that point to cultural frames of child hunger. Three different frames were identified – the welfare state, the free market, and the resilience and resistance frame. Speakers used frames to communicate …
A Team-based Approach to Open Coding
In this article, we discuss methodological opportunities related to using a team-based approach for iterative-inductive analysis of qualitative data involving detailed open coding of semistructured interviews and focus groups. Iterative-inductive methods generate rich thematic analyses useful in sociology, anthropology, public health, and many other applied fields. A team-based approach to analyzing qualitative data increases confidence in depend…
Trends and determinants of stunting among under-5s
Objective To describe trends of childhood stunting among under-5s in Uganda and to assess the impact of maternal education, wealth and residence on stunting. Design Serial and pooled cross-sectional analyses of data from Uganda Demographic and Health Surveys (UDHS) of 1995, 2001, 2006 and 2011. Prevalence of stunting and mean height-for-age Z -score were computed by maternal education, wealth index, region and other sociodemographic characteristi…
People and places shaping food procurement among recipients of Supplemental Nutrition Assistance Program (SNAP)
Predictors of Farmers’ Market Shopping among People Receiving Supplemental Nutrition Assistance Program Benefits
Promoting use of farmers’ markets ( FM s) is a promising community‐level strategy to increase access to nutritious foods such as fruits and vegetables. Yet, FM shopping among people with Supplemental Nutrition Assistance Program ( SNAP ) benefits remains low. This research examined predictors of FM shopping among SNAP recipients living within 1 mile of a FM . A cross‐sectional survey of SNAP participants ( N = 270) was conducted in 2015 in Clevel…
Food Melt in Consumer Food Environments in Low-income Urban Neighborhoods
Food melt differentially affects individuals in neighborhoods without grocery stores. Findings reveal composition of food environments is dynamic rather than static, influencing food-purchasing choices among lowincome consumers
Developing multidimensional measures of healthy food access among low-income adults in Cleveland, Ohio, USA
Objective Access to nutritious foods is key to achieving health promotion goals. While there is evidence that nutritious food access is complex, measures assessing multiple domains of access, including spatial-temporal, economic, social, service delivery and personal, are lacking. The current study evaluates psychometric properties of scales designed to measure perceptions of multiple domains of nutritious food access among low-income populations…
Geographic measures of retail food outlets and perceived availability of healthy foods in neighbourhoods
Objective To examine associations between geographic measures of retail food outlets and perceived availability of healthy foods. Design Cross-sectional. Setting A predominantly rural, eight-county region of South Carolina, USA. Subjects Data from 705 household shoppers were analysed using ordinary least-squares regression to examine relationships between geographic measures (presence and distance) of food outlets obtained via a geographic inform…
Planting Healthy Roots
Documentary filmmaking approaches incorporating community engagement and awareness raising strategies may be a promising approach to evaluate community-based participatory research. The study purpose was 2-fold: (1) to evaluate a documentary film featuring the formation and implementation of a farmers' market and (2) to assess whether the film affected awareness regarding food access issues in a food-desert community with high rates of obesity. T…
Severity of household food insecurity and lifetime racial discrimination among African-American households in South Carolina
Severity of household food insecurity is associated with lifetime racial discrimination among African-American households in South Carolina
A Participatory Model for Evaluating a Multilevel Farmers’ Market Intervention
The evaluation framework presented may be used to promote community engagement and rigor for evaluation of future FMs
Spatial Dimensions of Social Capital
The neighborhood context affects social capital, yet scholars do not adequately account for the dynamic nature of the social spaces people occupy in measuring social capital. Research has focused on neighborhood effects as though the neighborhood space is fixed across all inhabitants without regard for the ways individuals define their neighborhoods considering their own spatial location and social interactions. Using a neighborhood–level social …
A Team-based Approach to Open Coding
In this article, we discuss methodological opportunities related to using a team-based approach for iterative-inductive analysis of qualitative data involving detailed open coding of semistructured interviews and focus groups. Iterative-inductive methods generate rich thematic analyses useful in sociology, anthropology, public health, and many other applied fields. A team-based approach to analyzing qualitative data increases confidence in depend…
Severity of household food insecurity and lifetime racial discrimination among African-American households in South Carolina
Severity of household food insecurity is associated with lifetime racial discrimination among African-American households in South Carolina
Using Photovoice to Develop a Grounded Theory of Socio-Environmental Attributes Influencing the Health of Community Environments
In this study, we used a community-based participatory research (CBPR) method, ‘photovoice’, to engage eighteen residents living in public housing in an examination of person-in-environment factors perceived to facilitate or hinder health and well-being. Five socio-environmental constructs emerged as key factors that contribute to the health and well-being of public-housing community environments: (i) place attachment, (ii) collective efficacy, (…
Access to Healthful Foods among an Urban Food Insecure Population
A relational approach to evaluate food environments finds that the proximate food environment matters for those who use it
Food Systems Change and the Environment
Making changes to the way food is produced, distributed, and processed is one strategy for addressing global climate change. In this case study, we examine the "forming" stage of an emergent and locally-based coalition that is both participatory and focused on promoting food security by creating food systems change. Social network analysis is used to compare network density, centrality, and centralization among coalition partners before the forma…
Spatial Dimensions of Social Capital
The neighborhood context affects social capital, yet scholars do not adequately account for the dynamic nature of the social spaces people occupy in measuring social capital. Research has focused on neighborhood effects as though the neighborhood space is fixed across all inhabitants without regard for the ways individuals define their neighborhoods considering their own spatial location and social interactions. Using a neighborhood–level social …
Developing a Multicomponent Model of Nutritious Food Access and Related Implications for Community and Policy Practice
Access to nutritious foods is limited in disenfranchised communities in the United States. Policies are beginning to focus on improving nutritious food access in these contexts; yet, few theories are available to guide this work. We developed a conceptual model of nutritious food access based on the qualitative responses of food consumers in 2 different regions of the American South. Five domains (economic, service delivery, spatial-temporal, soc…
Local Food Environments
The obesity epidemic has widened the aims of prevention research to include the influence of local food environments on health outcomes. This mixed methods study extends existing research focused on local food environments by examining whether community members' find food accessible. Data from food store audits and one‐on‐one interviews were analyzed. Results reveal that most of the food stores surrounding the three research sites were convenienc…
Spatial availability of federally qualified health centers and disparities in health services utilization in medically underserved areas
Fixes that Fail
Access to fresh and healthy food within a neighborhood has been identified as a social mechanism contributing to community health. Grounded in the understanding that challenges related to equity within a food system are both structural and systemic, our research demonstrates how systems thinking can further understandings of food system complexity. Within systems thinking, we provide an illustration of how system archetypes offer an analytic tool…
Test–retest reliability of a questionnaire measuring perceptions of neighborhood food environment
Identifying Emergent Social Networks at a Federally Qualified Health Center‐Based Farmers’ Market
Identifying potential mechanisms connecting farmers’ market interventions with health, economic, and community outcomes could inform strategies for addressing health disparities. The present study used social network theory to guide the in‐depth examination of naturally occurring social interactions at a farmers’ market located at a federally qualified health center located in a rural, low‐income community. Trained observers recorded 61 observati…
Predictors of Farmers’ Market Shopping among People Receiving Supplemental Nutrition Assistance Program Benefits
Promoting use of farmers’ markets ( FM s) is a promising community‐level strategy to increase access to nutritious foods such as fruits and vegetables. Yet, FM shopping among people with Supplemental Nutrition Assistance Program ( SNAP ) benefits remains low. This research examined predictors of FM shopping among SNAP recipients living within 1 mile of a FM . A cross‐sectional survey of SNAP participants ( N = 270) was conducted in 2015 in Clevel…
Navigating community engagement in participatory modeling of food systems
This paper describes the participatory modeling experiences of five discrete teams across the U.S. working to develop models of food systems to identify leverage points and policies to induce food system transformation. Collaboration between academic and community partners within these individual modeling processes enables teams to address food systems complexity, integrate scientific evidence and local knowledge into models, while improving a mo…
How Cultural Frames Guide Strategies to Eliminate Child Hunger
Cultural frames, or myths we use to communicate, shape how we understand social problems, such as child hunger. In 48 interviews, we identified metaphors and myths, such as “the poor will always be with you,” “meat product,” and “butterfly effects” that point to cultural frames of child hunger. Three different frames were identified – the welfare state, the free market, and the resilience and resistance frame. Speakers used frames to communicate …
Some Notes on the Bootstrap in Regression Problems
Editor's Note: A new Short Communications section has been added to JBES. This section will include short papers and notes on topics of interest to readers, including measurement problems, revisions of major business and economic time series, forecasting experiments, computer programs, experience with applications of new methods, and comments on previously published papers. To submit papers to be considered for Short Communications, send four cop…
The Mean Versus the Median
In a recent case brought under the “4-R Act,” the railroads argued that their effective property tax rate should be equalized to the median of the rates for other taxpayers. The language of the statute, however, compels the use of a weighted mean. The choice between the two measures of location is dictated not by their technical properties or by the nature of the data, but by the statute that defines the objectives of the statistical operations. …
[An Alternative Interpretation of Freedman's Nonresponse Case Study]
Experiences in a Trans-Disciplinary Social Science Doctoral Program
Public Health Literacy Defined
Access to Healthful Foods among an Urban Food Insecure Population
Local Food Environments
The obesity epidemic has widened the aims of prevention research to include the influence of local food environments on health outcomes. This mixed methods study extends existing research focused on local food environments by examining whether community members' find food accessible. Data from food store audits and one‐on‐one interviews were analyzed. Results reveal that most of the food stores surrounding the three research sites were convenienc…
The Veggie Project
Food Systems Change and the Environment
Making changes to the way food is produced, distributed, and processed is one strategy for addressing global climate change. In this case study, we examine the "forming" stage of an emergent and locally-based coalition that is both participatory and focused on promoting food security by creating food systems change. Social network analysis is used to compare network density, centrality, and centralization among coalition partners before the forma…
Test–retest reliability of a questionnaire measuring perceptions of neighborhood food environment
Developing a Multicomponent Model of Nutritious Food Access and Related Implications for Community and Policy Practice
Access to nutritious foods is limited in disenfranchised communities in the United States. Policies are beginning to focus on improving nutritious food access in these contexts; yet, few theories are available to guide this work. We developed a conceptual model of nutritious food access based on the qualitative responses of food consumers in 2 different regions of the American South. Five domains (economic, service delivery, spatial-temporal, soc…
Environmental influences on fruit and vegetable intake
Objective Fruit and vegetable (F&V) intake is influenced by behavioural and environmental factors, but these have rarely been assessed simultaneously. We aimed to quantify the relative influence of supermarket availability, perceptions of the food environment and shopping behaviour on F&V intake. Design A cross-sectional study. Setting Eight counties in South Carolina, USA, with verified locations of all supermarkets. Subjects A telephone survey …
Identifying Emergent Social Networks at a Federally Qualified Health Center‐Based Farmers’ Market
Identifying potential mechanisms connecting farmers’ market interventions with health, economic, and community outcomes could inform strategies for addressing health disparities. The present study used social network theory to guide the in‐depth examination of naturally occurring social interactions at a farmers’ market located at a federally qualified health center located in a rural, low‐income community. Trained observers recorded 61 observati…
Using Photovoice to Develop a Grounded Theory of Socio-Environmental Attributes Influencing the Health of Community Environments
In this study, we used a community-based participatory research (CBPR) method, ‘photovoice’, to engage eighteen residents living in public housing in an examination of person-in-environment factors perceived to facilitate or hinder health and well-being. Five socio-environmental constructs emerged as key factors that contribute to the health and well-being of public-housing community environments: (i) place attachment, (ii) collective efficacy, (…
A Participatory Model for Evaluating a Multilevel Farmers’ Market Intervention
The evaluation framework presented may be used to promote community engagement and rigor for evaluation of future FMs
Spatial Dimensions of Social Capital
The neighborhood context affects social capital, yet scholars do not adequately account for the dynamic nature of the social spaces people occupy in measuring social capital. Research has focused on neighborhood effects as though the neighborhood space is fixed across all inhabitants without regard for the ways individuals define their neighborhoods considering their own spatial location and social interactions. Using a neighborhood–level social …
Geographic measures of retail food outlets and perceived availability of healthy foods in neighbourhoods
Objective To examine associations between geographic measures of retail food outlets and perceived availability of healthy foods. Design Cross-sectional. Setting A predominantly rural, eight-county region of South Carolina, USA. Subjects Data from 705 household shoppers were analysed using ordinary least-squares regression to examine relationships between geographic measures (presence and distance) of food outlets obtained via a geographic inform…
Planting Healthy Roots
Documentary filmmaking approaches incorporating community engagement and awareness raising strategies may be a promising approach to evaluate community-based participatory research. The study purpose was 2-fold: (1) to evaluate a documentary film featuring the formation and implementation of a farmers' market and (2) to assess whether the film affected awareness regarding food access issues in a food-desert community with high rates of obesity. T…
Severity of household food insecurity and lifetime racial discrimination among African-American households in South Carolina
Severity of household food insecurity is associated with lifetime racial discrimination among African-American households in South Carolina
Food Melt in Consumer Food Environments in Low-income Urban Neighborhoods
Food melt differentially affects individuals in neighborhoods without grocery stores. Findings reveal composition of food environments is dynamic rather than static, influencing food-purchasing choices among lowincome consumers
Developing multidimensional measures of healthy food access among low-income adults in Cleveland, Ohio, USA
Objective Access to nutritious foods is key to achieving health promotion goals. While there is evidence that nutritious food access is complex, measures assessing multiple domains of access, including spatial-temporal, economic, social, service delivery and personal, are lacking. The current study evaluates psychometric properties of scales designed to measure perceptions of multiple domains of nutritious food access among low-income populations…
Trends and determinants of stunting among under-5s
Objective To describe trends of childhood stunting among under-5s in Uganda and to assess the impact of maternal education, wealth and residence on stunting. Design Serial and pooled cross-sectional analyses of data from Uganda Demographic and Health Surveys (UDHS) of 1995, 2001, 2006 and 2011. Prevalence of stunting and mean height-for-age Z -score were computed by maternal education, wealth index, region and other sociodemographic characteristi…
People and places shaping food procurement among recipients of Supplemental Nutrition Assistance Program (SNAP)
Predictors of Farmers’ Market Shopping among People Receiving Supplemental Nutrition Assistance Program Benefits
Promoting use of farmers’ markets ( FM s) is a promising community‐level strategy to increase access to nutritious foods such as fruits and vegetables. Yet, FM shopping among people with Supplemental Nutrition Assistance Program ( SNAP ) benefits remains low. This research examined predictors of FM shopping among SNAP recipients living within 1 mile of a FM . A cross‐sectional survey of SNAP participants ( N = 270) was conducted in 2015 in Clevel…
How Cultural Frames Guide Strategies to Eliminate Child Hunger
Cultural frames, or myths we use to communicate, shape how we understand social problems, such as child hunger. In 48 interviews, we identified metaphors and myths, such as “the poor will always be with you,” “meat product,” and “butterfly effects” that point to cultural frames of child hunger. Three different frames were identified – the welfare state, the free market, and the resilience and resistance frame. Speakers used frames to communicate …
Medicine (25 obras) · Environmental health (18 obras) · Business (17 obras) · Food Security and Health in Diverse Populations (17 obras) · Geography (17 obras) · Economics (16 obras) · Obesity, Physical Activity, Diet (15 obras) · Sociology (14 obras) · Political science (13 obras) · Food security (12 obras)