Neighborhoods

Traditional lawn care for suburban American households merits examination from both ecological and social perspectives. Such practices have potentially detrimental consequences on human and natural systems that will continue to grow with urbanization. Consequently, further characterization of the complex, multiscale processes in which lawn management decisions are rooted could enhance methods for encouraging the adoption of alternatives to industrialized lawn care. This study conceptualizes mesoscale, or neighborhood-level, influences on watering, fertilizing, and mowing practices in Baltimore city, through a modified grounded theory analysis of key informant interviews in Mount Washington, Westfield, and Park Circle. This study finds that mesoscale processes play a significant role in the residential lawn care of these neighborhoods. The applicable processes vary by the community’s social cohesion and tenets. As socioeconomic status and social cohesion increases within the study area, the influence of informal authority in residential lawn care increases. Results demonstrate potential policy implications.

Stroke continues to plague the United States, affecting 795,000 people annually. Although stroke mortality has decreased, the overall incidence of stroke appears essentially unchanged. With a population that is projected to increase in age and stroke risk over the next 10-15 years, this is concerning. Current stroke prevention education may not be adequately tailored to community learning needs. Analyzing existing demographic data within electronic medical records may allow healthcare systems to identify high-risk neighborhoods by geocoding stroke diagnoses and then completing a qualitative analysis within the target community of specific stroke knowledge deficits. That information may then inform stroke prevention education for that neighborhood. A descriptive, exploratory approach was used to identify a community with a high incidence of stroke using geocoded demographic data from patients coding out with a stroke diagnosis. Qualitative interviews conducted within the community yielded the following themes: fragmented knowledge of stroke causes and risk factors, unawareness of hypertension and diabetes as significant risk factors for stroke, knowing but experiencing challenges to engaging in healthy practices—specifically, diet and exercise, and financial barriers to healthcare resources. While most of the participants had adequate healthcare coverage and reported regular interactions with a primary healthcare provider, this community continued to experience a higher incidence of stroke than surrounding neighborhoods. The findings of this study highlighted specific challenges to stroke prevention that may inform future stroke prevention initiatives. Future research in other communities using this approach may provide additional insights into the specific knowledge deficits unique to communities, as well as revealing patterns and trends in stroke prevention knowledge. Approaching stroke prevention education using only data obtained from large registries may provide a broad overview of knowledge deficits, but lack the specificity necessary to effectively address stroke knowledge needs at the community level. Recognizing the challenges inherent with behavior modification for implementing lifestyle changes should also be considered when designing future stroke education. Harnessing technology in the form of web applications, text messaging, and email for maintaining communication with patients may improve effectiveness of stroke prevention interventions. Implementing a comprehensive health promotion program that addresses specific community needs with tailored health education and behavioral support may lead to decreased incidence of cerebrovascular disease in this community and provide a model for managing other preventable diseases.

This thesis examines the importance of a CDC in the revitalization efforts for the neighborhood. The thesis also examines various elements in the political, social, and economic climate, that can have an affect on the successful establishment of the community development corporation (CDC) as the agent for revitalization in the neighborhood. CDC presidents, neighborhood residents, presidents from private lending institutions, and government officials from various levels were interviewed in an attempt to gauge the climate in which CDCs in Palm Beach County operate in. This analysis was used to predict the likelihood that the CDC will successfully be established as the agent for neighborhood revitalization in three neighborhoods in Palm Beach County.