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Childhood Exposure to Urban Public Spending on Family-Focused Community Resources: Mediators, Moderators, and Long-Term Health Implications
Childhood Exposure to Urban Public Spending on Family-Focused Community Resources: Mediators, Moderators, and Long-Term Health Implications
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202103548
- ISBN
- 9798315757207
- DDC
- 614
- 서명/저자
- Childhood Exposure to Urban Public Spending on Family-Focused Community Resources: Mediators, Moderators, and Long-Term Health Implications
- 발행사항
- [Sl] : University of California, Los Angeles, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 197 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
- 주기사항
- Advisor: Choi, Kristen;Zimmerman, Frederick J.
- 학위논문주기
- Thesis (Ph.D.)--University of California, Los Angeles, 2025.
- 초록/해제
- 요약Background: Social and physical environments are believed to influence health, yet the policy levers that shape environments to be health-promoting for children, their effect on health trajectories, and the populations that benefit most remain insufficiently explored. One underexamined, modifiable policy intervention is urban public investment in family-focused community resources-including public primary and secondary education, libraries, parks, recreation, community development, and housing.Methods: This dissertation conducts observational longitudinal analyses of merged national secondary data to investigate the relationships between childhood exposure to local (city, county, school district) public spending on these community resources in medium to large urban settings and adult health outcomes - overall health, cardiovascular disease (CVD), and anxiety or depression. Subsequent analyses explored moderators (childhood household income, race, ethnicity) and mediators (socioeconomic status, health behaviors, metabolic status, health insurance) of the significant associations, focusing on public education spending. Lastly, we examined the link between community resource spending and the likelihood of adverse (ACEs) and positive childhood experiences (PCEs).Results: Greater childhood exposure to community resource spending, particularly in education, was associated with improved adult overall and cardiovascular health, but not with anxiety or depression diagnoses. Subgroup analyses suggested a stronger protective association between public education spending and adult overall health and CVD among Black individuals compared to White individuals, and among individuals from childhood households with incomes below 100% of the federal poverty level (for overall health) compared to individuals above this threshold. Socioeconomic, health behavior, metabolic, and health insurance factors did not mediate the associations between public education spending and adult overall health and cardiovascular disease. Higher childhood exposure to community resource spending was linked to lower reported crime and bullying victimization among Black individuals, but community resource spending did not reduce ACE levels or increase PCEs.Conclusion: Public health professionals and policymakers should consider the role of local public financial investments in explaining variations in health outcomes across diverse urban communities. Equitable investment in family-focused community resources may improve population health and reduce health disparities. Future research is needed to identify the most effective strategies for translating such investments into health gains and understanding mediation pathways.
- 일반주제명
- Public health
- 일반주제명
- Health sciences
- 일반주제명
- Public policy
- 키워드
- Public budget
- 키워드
- Public education
- 기타저자
- University of California, Los Angeles Health Policy and Management 007I
- 기본자료저록
- Dissertations Abstracts International. 86-11B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017357700
■00520260202103548
■006m o d
■007cr#unu||||||||
■020 ▼a9798315757207
■035 ▼a(MiAaPQ)AAI32041568
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aLa Charite, Jaime Michelle.
■24510▼aChildhood Exposure to Urban Public Spending on Family-Focused Community Resources: Mediators, Moderators, and Long-Term Health Implications
■260 ▼a[Sl]▼bUniversity of California, Los Angeles▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a197 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-11, Section: B.
■500 ▼aAdvisor: Choi, Kristen;Zimmerman, Frederick J.
■5021 ▼aThesis (Ph.D.)--University of California, Los Angeles, 2025.
■520 ▼aBackground: Social and physical environments are believed to influence health, yet the policy levers that shape environments to be health-promoting for children, their effect on health trajectories, and the populations that benefit most remain insufficiently explored. One underexamined, modifiable policy intervention is urban public investment in family-focused community resources-including public primary and secondary education, libraries, parks, recreation, community development, and housing.Methods: This dissertation conducts observational longitudinal analyses of merged national secondary data to investigate the relationships between childhood exposure to local (city, county, school district) public spending on these community resources in medium to large urban settings and adult health outcomes - overall health, cardiovascular disease (CVD), and anxiety or depression. Subsequent analyses explored moderators (childhood household income, race, ethnicity) and mediators (socioeconomic status, health behaviors, metabolic status, health insurance) of the significant associations, focusing on public education spending. Lastly, we examined the link between community resource spending and the likelihood of adverse (ACEs) and positive childhood experiences (PCEs).Results: Greater childhood exposure to community resource spending, particularly in education, was associated with improved adult overall and cardiovascular health, but not with anxiety or depression diagnoses. Subgroup analyses suggested a stronger protective association between public education spending and adult overall health and CVD among Black individuals compared to White individuals, and among individuals from childhood households with incomes below 100% of the federal poverty level (for overall health) compared to individuals above this threshold. Socioeconomic, health behavior, metabolic, and health insurance factors did not mediate the associations between public education spending and adult overall health and cardiovascular disease. Higher childhood exposure to community resource spending was linked to lower reported crime and bullying victimization among Black individuals, but community resource spending did not reduce ACE levels or increase PCEs.Conclusion: Public health professionals and policymakers should consider the role of local public financial investments in explaining variations in health outcomes across diverse urban communities. Equitable investment in family-focused community resources may improve population health and reduce health disparities. Future research is needed to identify the most effective strategies for translating such investments into health gains and understanding mediation pathways.
■590 ▼aSchool code: 0031.
■650 4▼aPublic health
■650 4▼aHealth sciences
■650 4▼aPublic policy
■653 ▼aAdverse childhood experiences
■653 ▼aCardiovascular disease
■653 ▼aCommunity resources
■653 ▼aCommunity violence bullying
■653 ▼aPublic budget
■653 ▼aPublic education
■690 ▼a0573
■690 ▼a0566
■690 ▼a0630
■71020▼aUniversity of California, Los Angeles▼bHealth Policy and Management 007I.
■7730 ▼tDissertations Abstracts International▼g86-11B.
■790 ▼a0031
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357700▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
