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Biomedical subjects

Michael R Greenberg

Publications and source records attributed to Michael R Greenberg.

11 recordsLinked to original sources

Government risk management priorities: a comparison of the preferences of Asian Indian Americans and other Americans.

A survey was conducted of approximately 200 Asian Indian Americans and 200 other residents of New Jersey in order to understand the risk management priorities that they want government to have. We found that Asian Indian Americans, especially younger women, focused on personal/family risks, such as alcohol and drug abuse, sexual abuse, and domestic violence. The New Jersey comparison group, in contrast, placed war/terrorism and loss of health care services and insurance at the top of their priorities for government. These results suggest stressful acculturation-related issues within the Asian Indian community. Both populations want more risk management from government than they believe government is currently providing. Respondents who wanted more from government tended to dread the risk, be fearful of the consequences, trust government, and have a feeling of personal efficacy. Within the Asian Indian American sample, wide variations were observed by language spoken at home and religious affiliation. Notably, Muslims and Hindi language speakers tended not to trust government and hence wanted less government involvement. This study supports our call for studies of recent migrant populations and Johnson's for testing ethnic identity and acculturation as factors in risk judgments.

Adolescent↗

The Environmental Protection Agency's brownfields pilot program.

OBJECTIVE: We studied the diffusion of the US Environmental Protection Agency's national brownfields pilot innovation to more than 300 local governments between 1993 through 2002 to determine why some local governments received grants very early in the process while other awardees received funding later. METHODS: We did an ordinal regression analysis of the characteristics of all local government award recipients, and we conducted interviews with early-award recipients. RESULTS: The first set of local government awardees had lost much of their manufacturing base, had large concentrations of economically disadvantaged minority residents, and had local capacity to compete for funding. Federal and state officials catalyzed the diffusion of the innovation by working with local governments. CONCLUSIONS: The widely praised program was diffused selectively at first and then more widely later on the basis of local need, local capacity to compete, and networks of contacts among entrepreneurs and local governments. The economic, social, political, and public health impacts must be monitored and reviewed.

Environmental Health↗

Where does walkability matter the most? An environmental justice interpretation of New Jersey data.

Physical inactivity contributes to a growing proportion of premature mortality and morbidity in the United States, and the last decade has been the focus of calls for action. Analysis of 340 residents of New Jersey found that 15%-20% reported multiple problems with using their immediate neighborhoods for physical activity. These respondents were disproportionately African Americans living in neighborhoods that they regard as only of fair or poor quality. Neighborhood walkability is a second-wave environmental justice issue meriting carefully designed research and ameliorative actions in concert with other neighborhood-level redevelopment activities.

Adolescent↗

Using integrated geospatial mapping and conceptual site models to guide risk-based environmental clean-up decisions.

Government and private sector organizations are increasingly turning to the use of maps and other visual models to provide a depiction of environmental hazards and the potential risks they represent to humans and ecosystems. Frequently, the graphic presentation is tailored to address a specific contaminant, its location and possible exposure pathways, and potential receptors. Its format is usually driven by the data available, choice of graphics technology, and the audience being served. A format that is effective for displaying one contaminant at one scale at one site, however, may be ineffective in accurately portraying the circumstances surrounding a different contaminant at the same site, or the same contaminant at a different site, because of limitations in available data or the graphics technology being used. This is the daunting challenge facing the U.S. Department of Energy (DOE), which is responsible for the nation's legacy wastes from nuclear weapons research, testing, and production at over 100 sites in the United States. In this article, we discuss the development and use of integrated geospatial mapping and conceptual site models to identify hazards and evaluate alternative long-term environmental clean-up strategies at DOE sites located across the United States. While the DOE probably has the greatest need for such information, the Department of Defense and other public and private responsible parties for many large and controversial National Priority List or Superfund sites would benefit from a similar approach.

Conservation of Natural Resources↗

Concern about environmental pollution: how much difference do race and ethnicity make? A New Jersey case study.

A survey conducted among 1,513 residents of New Jersey during March-May 2004 showed that non-Hispanic black, non-Hispanic white, and English-speaking Hispanic Americans were significantly more concerned about environmental pollution problems than were Asian Americans and Spanish-language Hispanic Americans. For example, an average of > 40% of the first three groups was very concerned about New Jersey's environmental problems, compared with 15% of the last two populations. There were also racial/ethnic differences among these groups in their desire for government action to protect the environment and in their personal support of the environmental movement. Regression analyses suggest that the 1970s and 1980s model of core support for environmental protection from white, female, young, educated, and politically liberal people has largely, but not completely, continued among non-Hispanic white, non-Hispanic black, and English-language Hispanic populations. But these demographic pointers do not hold for Asian and Spanish-language Hispanic Americans, except indicating more support among the more formally educated. The last two groups are the two fastest-growing subpopulations in the United States, and although acculturation may slowly increase their concern about environmental pollution, it is more prudent for proponents of environmental protection not to wait and instead to try to better understand the environmental perceptions of these groups.

Adult↗

Is public support for environmental protection decreasing? An analysis of U.S. and New Jersey data.

Telephone surveys made of 800-1,000 randomly selected residents of the United States and New Jersey in 2003 show a sharp decline in support for antipollution regulations, although pollution remains a major concern. This drop in support is associated with slowing of the economy, fear of terrorism, and other competing priorities. The leading proponents of maintaining strong environmental regulations are relatively affluent mainstream white Americans. Despite this recent drop in support, overt attempts to weaken the basic regulations are likely to face stiff opposition unless there is an obvious economic downturn or increasing terrorism that causes a larger proportion of the public to feel that weakening environmental regulations will increase jobs and security. Key words: age, environmental laws and regulations, perception, polls, public support, race/ethnicity, trends.

Adolescent↗

Reversing urban decay: brownfield redevelopment and environmental health.

While the United States government concentrates more of its political and financial resources on fighting terrorism, the continuing decay of older cities and industrial suburbs has fallen far down on the national political priority agenda. An exception is the redevelopment of so-called brownfields, which are abandoned, idled, or underutilized factories, railroad yards, bus stations, garages, electricity-generating stations, and other commercial facilities. A modest national government program to identify, clean up, and redevelop brownfields into job fields began during the administration of Bill Clinton and has continued into the George W. Bush administration (Powers et al. 2000; Simons 1998; Van Horn et al. 1999). The political reasons are apparent: Developing brownfields is a politically acceptable method of stimulating private enterprise, local government, and community groups into building new businesses, housing, and community facilities. Also, brownfields projects have a beginning and an end; the national government does not have an indefinite responsibility. In contrast, social assistance programs that grew during the 1960s and proliferated for more than three decades have been politically portrayed by some as give-away programs that build dependency with no ending. Whether this characterization of social programs is morally or empirically justified, the reality is that in today's political environment brownfields redevelopment is a politically acceptable way of helping distressed urban areas.

Cities↗

Public health, law, and local control: destruction of the US chemical weapons stockpile.

Destruction of US chemical weapons has begun at one of the 8 sites in the continental United States, was completed on Johnston Island in the Pacific Ocean, and is scheduled to begin in at least 3 other locations during the upcoming year. About 25% of the stockpile and 38% of the munitions had been destroyed as of December 31, 2002. However, the program has become controversial with regard to choice of technology, emergency management, and cost. This controversy is in large part due to efforts by some state and local governments and activist groups to play a more central role in a decision making process that was once fully controlled by the US Army.

Chemical Warfare Agents↗

Pharmacists' perceptions of Healthy People goals in economically stressed cities.

The objectives of the study were: (a) to determine pharmacists' perceptions of the importance of Healthy People (HP) 2000 objectives for their patients and community; and (b) to analyze pharmacists' perceived perceptions about recent trends in the characteristics of patients. Three hundred one useful questionnaire were collected from pharmacists who either own or manage a pharmacy located in New Jersey's 67 cities eligible for financial assistance. Pharmacists consider health objectives which are directly linked to health care such as preventing, detecting, and controlling hypertension, heart disease, stroke, cancer, diabetes, and disabling conditions, to be very important. Pharmacists agree to some extent that their patients are now more willing to accept pharmacy counseling services with their prescriptions than before. In conclusion, pharmacists considered objectives related to preventive services to be the most important for HP 2000 objectives, and health promotion and health protection to be less important. The findings of this study will enhance the understanding of pharmacists' perceptions of community health issues and will be beneficial to attain the objectives of HP 2010.

Adult↗