Neighborhoods and Health:
Building Evidence for Local Policy

By:
Kathryn L.S. Pettit, G. Thomas Kingsley, and Claudia J. Coulton
With Jessica Cigna

Submitted to:
The Office of the Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services

Submitted by:
The Urban Institute

May 2003

This report is available on the Internet at:
http://aspe.hhs.gov/hsp/neighborhoods-health03

How to Obtain a Printed Copy

Contents

Acknowledgments

Executive Summary

Section 1 - Introduction: the Project and the Report

PART 1 - SITE-SPECIFIC ANALYSIS

PART 2 - CROSS-SITE ANALYSIS

PART 3 - ISSUES AND RECOMMENDATIONS

References

ANNEXES


Acknowledgments

This project was unusual in the degree to which it attempted to integrate quantitative research at the national level with local data assembly and real community processes in several different cities. As such, it required contributions from a sizeable number of professionals.

Most important were the staffs of the five local data intermediaries (partners in the National Neighborhood Indicators Partnership) who both prepared site-specific analyses (which entailed collecting new datasets, analyzing the data, and working to apply the results in their communities) and contributed data and advice to the Urban Institute in the cross-site analysis.

They included Claudia J. Coulton, Kristen Mikelbank, Lisa Nelson, Katherine Offutt, Engel Polousky, and Siran Koroukian of the Center on Urban Poverty and Social Change, Case Western University (Cleveland); Matthew Hamilton and Terri J. Bailey of the Piton Foundation (Denver); Sharon Kandris, Cynthia Cunningham, and Dale Drake of the Polis Center at Indiana University-Purdue University at Indianapolis and Gilbert Liu of the Children's Health Services Research Program in the Department of Pediatrics at Indiana University (Indianapolis); Junious Williams, Matthew Beyers, Yung Ouyang and Keith Prior of the Urban Strategies Council (Oakland); and Katie Murray of the Providence Plan and Peter Simon of the Rhode Island Department of Health (Providence).

At the Urban Institute, Katheryn L.S. Pettit and G. Thomas Kingsley served as co-directors for all aspects of the work. In preparing this report, Pettit developed the analyses of neighborhood health trends and the relationships between health and contextual variables, Kingsley took the lead on the context analysis and in summarizing the site-specific studies, and the two collaborated on all other sections. Claudia J. Coulton contributed all research and writing related to health disparities indices. Jessica Cigna provided superb research support in data assembly, analysis, Geographic Information System work, and report preparation.

The authors are indebted to two other Urban Institute colleagues, Embry Howell and Tim Waidmann, who both reviewed plans and products and provided much valuable advice along the way; and to Tim Ware, who did an outstanding job of formatting and assembling the final report.

Finally, we give considerable credit and thanks to Peggy Halpern, who served as task order monitor for this project at the Department of Health and Human Services. Her diligent oversight and valuable guidance throughout had a substantial impact on the result.


How to Obtain a Printed Copy

To obtain a printed copy of this report, send the title and your mailing information to:

Human Services Policy, Room 404E
Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services
200 Independence Av, SW
Washington, DC 20201

Fax:  (202) 690-6562

You may print a copy of the report using the "printer friendly" version in PDF format.


Where to?

Top of Page

Contents of Report

Home Pages:
Assessing the Field of Post-Adoption Services, project main page
Human Services Policy (HSP)
Assistant Secretary for Planning and Evaluation (ASPE)
U.S. Department of Health and Human Services (HHS)

Updated: 10/28/03