Mariana Chilton
Datos Biográficos
| ID | 229127 |
|---|---|
| NOMBRE | Mariana Chilton |
| NOMBRES | Mariana |
| APELLIDO | Chilton |
| FIRMA | CHILTON M |
| AFILIACIONES | Drexel University |
| ORCID | 0000-0003-3047-7136 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAS | 145 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2006 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 7 |
Earth Rights for the Advancement of a Planetary Health Agenda
This article discusses Earth’s Rights as an environmental justice mechanism of reparation, protection, and justice for indigenous communities, environmental defenders, and other populations in Latin America. We argue that Earth’s rights encompass and include the right to health and can be integrated into international human rights frameworks to protect all forms of life, responding to colonial legacies of discrimination and violence. We respond t…
Food security definition, measures and advocacy priorities in high-income countries
Objective: To establish an international consensus on the definition of food security, measures and advocacy priorities in high-income countries. Design: A two-round online Delphi survey with closing in March 2020 and December 2021. Consensus was set a priori at 75 %. Qualitative data were synthesised and priorities were ranked. Setting: High-income countries. Participants: Household food security experts in academia, government and non-governmen…
‘It’s common sense that an individual must eat’
BACKGROUND: People with SMI have often been excluded in advocacy efforts focused on physical health, health care and health and social policy. OBJECTIVE: Following a Photovoice project focused on barriers to healthy eating and physical activity in urban neighbourhoods, participant-researchers were invited to present their insights in community advocacy settings. The purpose of this study was to explore the feasibility and participant-researchers'…
Colonial Neglect and the Right to Health in Puerto Rico After Hurricane Maria
The humanitarian crisis revealed as a result of Hurricane Maria in Puerto Rico demonstrates a long history of US colonial neglect and human rights violations. This reality has made it especially difficult for the people of Puerto Rico to achieve their right to the highest attainable standard of health. The impacts are pervasive, resulting in disparities in Puerto Rican health, including water access and quality; wealth, including economic loss an…
The Rights of Nature and the Future of Public Health
Effects of a trauma-informed curriculum on depression, self-efficacy, economic security, and substance use among Tanf participants
These findings suggest that trauma-informed peer support programming improves economic security and self-efficacy and reduces the co-occurrence of depressive symptoms and alcohol use
Experiences of Racial and Ethnic Discrimination Are Associated with Food Insecurity and Poor Health
This study examines the associations of mothers' experiences of discrimination (EODs) with household food insecurity (HFI), physical health, and depressive symptoms, while taking into account the influence of mothers' Adverse Childhood Experiences (ACEs) and public assistance participation. Mothers (N = 1372) of young children under age 4 who self-identified as Latinx, Non-Latinx Black/African American and Non-Latinx white answered questions for …
Re-Evaluating Expertise
Drawing on examples from Australia and the United States, we outline the benefits of sharing expertise to identify new approaches to food and nutrition security. While there are many challenges to sharing expertise such as discrimination, academic expectations, siloed thinking, and cultural differences, we identify principles and values that can help food insecurity researchers to improve solutions. These principles are critical consciousness, un…
Transnational Violence Against Asylum-Seeking Women and Children
Corrupt political institutions, lack of resources, and gang violence in Central America fuel the influx of asylum-seeking women and children to the United States (US). Yet, immigrant women and children are still at risk for poor health and violence in the US due to the lack of protection and support. Through a case study of a teenage girl from Honduras living in the US who was murdered by her ex-boyfriend who followed her to the US, we elucidate …
Realizing the Truth to Help Others
Reaching for a Healthier Lifestyle:A Photovoice Investigation of Barriers to Healthy Living in People with Serious Mental Illness Lara Carson Weinstein, MD, MPH, DrPH, Mariana Chilton, PhD, MPH, Renee Turchi, MD, MPH, Ann Klassen, PhD, Marianna LaNoue, PhD, Stephan Lamar, Sandra Yorgey, Lois Kramer, Irwin Smith, and Leopoldo Cabassa, MSW, PhD What Is the Purpose of this Study? • To investigate social and structural factors that affect weight loss…
Reaching for a Healthier Lifestyle
Co-researchers highlighted structural barriers that were a cause or consequence of food insecurity and situations that threaten the right to healthy food and opportunities for a healthy life. Co-researchers reported examples of knowledge and skills they learned through participation in the project that were used to overcome structural barriers to healthy eating and physical activity, and likely contributed to weight loss
Recommendations From SNAP Participants to Improve Wages and End Stigma
We present views of the Supplemental Nutrition Assistance Program (SNAP) from the perspective of participants. We are SNAP participants and academic researchers who have worked together for 11 years to understand, explain, and address food insecurity. SNAP is ensnared in much larger problems in US society related to the stigmatization of people who are poor and a lack of appreciation for the value and skills of their work. We encourage the public…
Unstable Housing and Caregiver and Child Health in Renter Families
OBJECTIVES: To evaluate how 3 forms of housing instability relate to caregiver and child health among low-income renter households. METHODS: Caregivers of children 0 to 48 months of age were interviewed in 5 urban medical centers from May 2009 to December 2015. Caregivers reported on the following: caregiver health, maternal depressive symptoms, child's health, lifetime hospitalizations, developmental risk, and 3 housing circumstances, which were…
Does Employment-Related Resilience Affect the Relationship between Childhood Adversity, Community Violence, and Depression
The Building Wealth and Health Network
This study is retrospectively registered with ClinicalTrials.gov. The Identifier is: NCT02577705 The Registration date is October 13, 2015
Witnesses to Hunger
Food insecurity is an under-recognized public health crisis in the United States affecting 19.5 percent of households with children and 35.4 percent of female-headed households with children. In 2013, approximately 15.8 million children (21.4%) lived in households that reported food insecurity, and 8.5 million children (23.7%) under age six lived in food insecure households. Lack of public attention and recent decisions by policymakers to cut nut…
Do You Wanna Breathe or Eat?”
Parents in food insecure households recognize that trade-offs between food and other basic necessities are associated with their personal stress and poor mental health that, in turn, affects their children's health and development. Partnerships between healthcare providers, policymakers, and parents are essential to successfully address and prevent the poor child health outcomes of toxic stress associated with food insecurity and poverty
The relationship between childhood adversity and food insecurity
Objective Adverse childhood experiences, including abuse, neglect and household instability, affect lifelong health and economic potential. The present study investigates how adverse childhood experiences are associated with food insecurity by exploring caregivers’ perceptions of the impact of their childhood adversity on educational attainment, employment and mental health. Design Semi-structured audio-recorded in-person interviews that included…
Homelessness During Pregnancy
Very low food security in the USA is linked with exposure to violence
Objective To investigate characteristics of exposure to violence in relation to food security status among female-headed households. Design Ongoing mixed-method participatory action study. Questions addressed food insecurity, public assistance, and maternal and child health. Grounded theory analysis of qualitative themes related to violence was performed. These themes were then categorized by food security status. Setting Homes of low-income fami…
Are Food Insecurity's Health Impacts Underestimated in the U.S. Population? Marginal Food Security Also Predicts Adverse Health Outcomes in Young U.S. Children and Mothers
Barriers and facilitators of consumer use of nutrition labels at sit-down restaurant chains
Objective Numerous localities have mandated that chain restaurants post nutrition information at the point of purchase. However, some studies suggest that consumers are not highly responsive to menu labelling. The present qualitative study explored influences on full-service restaurant customers’ noticing and using menu labelling. Design Five focus groups were conducted with thirty-six consumers. A semi-structured script elicited barriers and fac…
How Far Do Low-Income Parents Travel to Shop for Food? Empirical Evidence from Two Urban Neighborhoods
Research on the impact of the built environment on obesity and access to healthful foods often fails to incorporate information about how individuals interact with their environment. A sample of 198 low-income WIC recipients from two urban neighborhoods were interviewed about where they do their food shopping and surveys were conducted of food stores in their neighborhoods to assess the availability of healthful foods. Results indicate that parti…
US Housing Insecurity and the Health of Very Young Children
Objectives. We investigated the association between housing insecurity and the health of very young children. Methods. Between 1998 and 2007, we interviewed 22 069 low-income caregivers with children younger than 3 years who were seen in 7 US urban medical centers. We assessed food insecurity, child health status, developmental risk, weight, and housing insecurity for each child's household. Our indicators for housing insecurity were crowding (> …
Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity
OBJECTIVES: To develop a brief screen to identify families at risk for food insecurity (FI) and to evaluate the sensitivity, specificity, and convergent validity of the screen. PATIENTS AND METHODS: Caregivers of children (age: birth through 3 years) from 7 urban medical centers completed the US Department of Agriculture 18-item Household Food Security Survey (HFSS), reports of child health, hospitalizations in their lifetime, and developmental r…
How Far Do Low-Income Parents Travel to Shop for Food? Empirical Evidence from Two Urban Neighborhoods
Research on the impact of the built environment on obesity and access to healthful foods often fails to incorporate information about how individuals interact with their environment. A sample of 198 low-income WIC recipients from two urban neighborhoods were interviewed about where they do their food shopping and surveys were conducted of food stores in their neighborhoods to assess the availability of healthful foods. Results indicate that parti…
US Housing Insecurity and the Health of Very Young Children
Objectives. We investigated the association between housing insecurity and the health of very young children. Methods. Between 1998 and 2007, we interviewed 22 069 low-income caregivers with children younger than 3 years who were seen in 7 US urban medical centers. We assessed food insecurity, child health status, developmental risk, weight, and housing insecurity for each child's household. Our indicators for housing insecurity were crowding (> …
Food Insecurity and Risk of Poor Health Among US-Born Children of Immigrants
Objectives. We investigated the risk of household food insecurity and reported fair or poor health among very young children who were US citizens and whose mothers were immigrants compared with those whose mothers had been born in the United States. Methods. Data were obtained from 19 275 mothers (7216 of whom were immigrants) who were interviewed in hospital-based settings between 1998 and 2005 as part of the Children's Sentinel Nutrition Assess…
A Rights-Based Approach to Food Insecurity in the United States
Food insecurity is a serious public health problem associated with poor cognitive and emotional development in children and with depression and poor health in adults. Despite sizable continued investments in federal food assistance, food insecurity still affects 11.1% of US households—almost the same rate as in 1995, when annual measurement began. As a fresh approach to solving the problem of food insecurity, we suggest adoption of a human rights…
Witnesses to Hunger
Currently 30.2% of female-headed households with children in the United States experience food insecurity, defined as the lack of access to enough food for an active and healthy life. In 2007, approximately 12.4 million children were at risk for hunger. When female-headed households and households with children have the highest prevalence of food insecurity and hunger in the US, the participation of low-income mothers in the development and admin…
Recommendations From SNAP Participants to Improve Wages and End Stigma
We present views of the Supplemental Nutrition Assistance Program (SNAP) from the perspective of participants. We are SNAP participants and academic researchers who have worked together for 11 years to understand, explain, and address food insecurity. SNAP is ensnared in much larger problems in US society related to the stigmatization of people who are poor and a lack of appreciation for the value and skills of their work. We encourage the public…
Colonial Neglect and the Right to Health in Puerto Rico After Hurricane Maria
The humanitarian crisis revealed as a result of Hurricane Maria in Puerto Rico demonstrates a long history of US colonial neglect and human rights violations. This reality has made it especially difficult for the people of Puerto Rico to achieve their right to the highest attainable standard of health. The impacts are pervasive, resulting in disparities in Puerto Rican health, including water access and quality; wealth, including economic loss an…
Transnational Violence Against Asylum-Seeking Women and Children
Corrupt political institutions, lack of resources, and gang violence in Central America fuel the influx of asylum-seeking women and children to the United States (US). Yet, immigrant women and children are still at risk for poor health and violence in the US due to the lack of protection and support. Through a case study of a teenage girl from Honduras living in the US who was murdered by her ex-boyfriend who followed her to the US, we elucidate …
Developing a Measure of Dignity for Stress-Related Health Outcomes
Jonathan Mann asserted that violations of dignity serve as underlying factors that negatively impact the health of individuals. He called for the public health community to develop an empirical understanding of ill health through the fundamental concept of dignity. This article explores definitions of dignity and presents a model to demonstrate how violations of dignity may cause chronic stress and, therefore, poor health. By combining human righ…
Reaching for a Healthier Lifestyle
Co-researchers highlighted structural barriers that were a cause or consequence of food insecurity and situations that threaten the right to healthy food and opportunities for a healthy life. Co-researchers reported examples of knowledge and skills they learned through participation in the project that were used to overcome structural barriers to healthy eating and physical activity, and likely contributed to weight loss
Effects of a trauma-informed curriculum on depression, self-efficacy, economic security, and substance use among Tanf participants
These findings suggest that trauma-informed peer support programming improves economic security and self-efficacy and reduces the co-occurrence of depressive symptoms and alcohol use
Child Food Insecurity Increases Risks Posed by Household Food Insecurity to Young Children’s Health
Developing a Measure of Dignity for Stress-Related Health Outcomes
Jonathan Mann asserted that violations of dignity serve as underlying factors that negatively impact the health of individuals. He called for the public health community to develop an empirical understanding of ill health through the fundamental concept of dignity. This article explores definitions of dignity and presents a model to demonstrate how violations of dignity may cause chronic stress and, therefore, poor health. By combining human righ…
Identifying the Links between Violence against Women and HIV/Aids
While US government-sponsored HIV prevention initiatives have achieved notable successes, challenges remain to serving women effectively. Intimate partner violence hinders women's efforts to decrease their HIV risk behaviors. The global HIV/AIDS epidemic is often viewed as a human rights crisis. An analysis of US HIV prevention strategies based on ecosocial and health and human rights frameworks clarifies women's HIV risk practices and suggests o…
Household Food Insecurity
OBJECTIVES. In this study, we evaluated the relationship between household food security status and developmental risk in young children, after controlling for potential confounding variables. METHODS. The Children's Sentinel Nutritional Assessment Program interviewed (in English, Spanish, or Somali) 2010 caregivers from low-income households with children 4 to 36 months of age, at 5 pediatric clinic/emergency department sites (in Arkansas, Massa…
A Brief Indicator of Household Energy Security
OBJECTIVE. Household energy security has not been measured empirically or related to child health and development but is an emerging concern for clinicians and researchers as energy costs increase. The objectives of this study were to develop a clinical indicator of household energy security and assess associations with food security, health, and developmental risk in children <36 months of age. METHODS. A cross-sectional study that used househol…
Witnesses to Hunger
Currently 30.2% of female-headed households with children in the United States experience food insecurity, defined as the lack of access to enough food for an active and healthy life. In 2007, approximately 12.4 million children were at risk for hunger. When female-headed households and households with children have the highest prevalence of food insecurity and hunger in the US, the participation of low-income mothers in the development and admin…
A Rights-Based Approach to Food Insecurity in the United States
Food insecurity is a serious public health problem associated with poor cognitive and emotional development in children and with depression and poor health in adults. Despite sizable continued investments in federal food assistance, food insecurity still affects 11.1% of US households—almost the same rate as in 1995, when annual measurement began. As a fresh approach to solving the problem of food insecurity, we suggest adoption of a human rights…
Food Insecurity and Risk of Poor Health Among US-Born Children of Immigrants
Objectives. We investigated the risk of household food insecurity and reported fair or poor health among very young children who were US citizens and whose mothers were immigrants compared with those whose mothers had been born in the United States. Methods. Data were obtained from 19 275 mothers (7216 of whom were immigrants) who were interviewed in hospital-based settings between 1998 and 2005 as part of the Children's Sentinel Nutrition Assess…
Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity
OBJECTIVES: To develop a brief screen to identify families at risk for food insecurity (FI) and to evaluate the sensitivity, specificity, and convergent validity of the screen. PATIENTS AND METHODS: Caregivers of children (age: birth through 3 years) from 7 urban medical centers completed the US Department of Agriculture 18-item Household Food Security Survey (HFSS), reports of child health, hospitalizations in their lifetime, and developmental r…
How Far Do Low-Income Parents Travel to Shop for Food? Empirical Evidence from Two Urban Neighborhoods
Research on the impact of the built environment on obesity and access to healthful foods often fails to incorporate information about how individuals interact with their environment. A sample of 198 low-income WIC recipients from two urban neighborhoods were interviewed about where they do their food shopping and surveys were conducted of food stores in their neighborhoods to assess the availability of healthful foods. Results indicate that parti…
US Housing Insecurity and the Health of Very Young Children
Objectives. We investigated the association between housing insecurity and the health of very young children. Methods. Between 1998 and 2007, we interviewed 22 069 low-income caregivers with children younger than 3 years who were seen in 7 US urban medical centers. We assessed food insecurity, child health status, developmental risk, weight, and housing insecurity for each child's household. Our indicators for housing insecurity were crowding (> …
Are Food Insecurity's Health Impacts Underestimated in the U.S. Population? Marginal Food Security Also Predicts Adverse Health Outcomes in Young U.S. Children and Mothers
Barriers and facilitators of consumer use of nutrition labels at sit-down restaurant chains
Objective Numerous localities have mandated that chain restaurants post nutrition information at the point of purchase. However, some studies suggest that consumers are not highly responsive to menu labelling. The present qualitative study explored influences on full-service restaurant customers’ noticing and using menu labelling. Design Five focus groups were conducted with thirty-six consumers. A semi-structured script elicited barriers and fac…
Homelessness During Pregnancy
Very low food security in the USA is linked with exposure to violence
Objective To investigate characteristics of exposure to violence in relation to food security status among female-headed households. Design Ongoing mixed-method participatory action study. Questions addressed food insecurity, public assistance, and maternal and child health. Grounded theory analysis of qualitative themes related to violence was performed. These themes were then categorized by food security status. Setting Homes of low-income fami…
Witnesses to Hunger
Food insecurity is an under-recognized public health crisis in the United States affecting 19.5 percent of households with children and 35.4 percent of female-headed households with children. In 2013, approximately 15.8 million children (21.4%) lived in households that reported food insecurity, and 8.5 million children (23.7%) under age six lived in food insecure households. Lack of public attention and recent decisions by policymakers to cut nut…
Do You Wanna Breathe or Eat?”
Parents in food insecure households recognize that trade-offs between food and other basic necessities are associated with their personal stress and poor mental health that, in turn, affects their children's health and development. Partnerships between healthcare providers, policymakers, and parents are essential to successfully address and prevent the poor child health outcomes of toxic stress associated with food insecurity and poverty
The relationship between childhood adversity and food insecurity
Objective Adverse childhood experiences, including abuse, neglect and household instability, affect lifelong health and economic potential. The present study investigates how adverse childhood experiences are associated with food insecurity by exploring caregivers’ perceptions of the impact of their childhood adversity on educational attainment, employment and mental health. Design Semi-structured audio-recorded in-person interviews that included…
The Building Wealth and Health Network
This study is retrospectively registered with ClinicalTrials.gov. The Identifier is: NCT02577705 The Registration date is October 13, 2015
Does Employment-Related Resilience Affect the Relationship between Childhood Adversity, Community Violence, and Depression
Unstable Housing and Caregiver and Child Health in Renter Families
OBJECTIVES: To evaluate how 3 forms of housing instability relate to caregiver and child health among low-income renter households. METHODS: Caregivers of children 0 to 48 months of age were interviewed in 5 urban medical centers from May 2009 to December 2015. Caregivers reported on the following: caregiver health, maternal depressive symptoms, child's health, lifetime hospitalizations, developmental risk, and 3 housing circumstances, which were…
Experiences of Racial and Ethnic Discrimination Are Associated with Food Insecurity and Poor Health
This study examines the associations of mothers' experiences of discrimination (EODs) with household food insecurity (HFI), physical health, and depressive symptoms, while taking into account the influence of mothers' Adverse Childhood Experiences (ACEs) and public assistance participation. Mothers (N = 1372) of young children under age 4 who self-identified as Latinx, Non-Latinx Black/African American and Non-Latinx white answered questions for …
Re-Evaluating Expertise
Drawing on examples from Australia and the United States, we outline the benefits of sharing expertise to identify new approaches to food and nutrition security. While there are many challenges to sharing expertise such as discrimination, academic expectations, siloed thinking, and cultural differences, we identify principles and values that can help food insecurity researchers to improve solutions. These principles are critical consciousness, un…
Transnational Violence Against Asylum-Seeking Women and Children
Corrupt political institutions, lack of resources, and gang violence in Central America fuel the influx of asylum-seeking women and children to the United States (US). Yet, immigrant women and children are still at risk for poor health and violence in the US due to the lack of protection and support. Through a case study of a teenage girl from Honduras living in the US who was murdered by her ex-boyfriend who followed her to the US, we elucidate …
Realizing the Truth to Help Others
Reaching for a Healthier Lifestyle:A Photovoice Investigation of Barriers to Healthy Living in People with Serious Mental Illness Lara Carson Weinstein, MD, MPH, DrPH, Mariana Chilton, PhD, MPH, Renee Turchi, MD, MPH, Ann Klassen, PhD, Marianna LaNoue, PhD, Stephan Lamar, Sandra Yorgey, Lois Kramer, Irwin Smith, and Leopoldo Cabassa, MSW, PhD What Is the Purpose of this Study? • To investigate social and structural factors that affect weight loss…
Medicine (27 obras) · Environmental health (23 obras) · Food Security and Health in Diverse Populations (20 obras) · Psychology (18 obras) · Food security (17 obras) · Geography (15 obras) · Food insecurity (14 obras) · Homelessness and Social Issues (14 obras) · Public health (14 obras) · Political science (13 obras)