Lead Emissions and Population Vulnerability in the Detroit Metropolitan Area, 2006–2013: Impact of Pollution, Housing Age and Neighborhood Racial Isolation and Poverty on Blood Lead in Children

This research investigates the relationships between airborne and depositional industrial lead emission concentrations modeled using Environmental Protection Agency’s (EPA’s) American Meteorological Society/Environmental Protection Agency Regulatory Model (AERMOD) and childhood blood lead levels (BLL) in the Detroit Metropolitan Area (DMA) 2006–2013. Linear and mediation interaction regression models estimated the effects of older housing and airborne and depositional lead emission concentrations on black and white childhood BLLs, controlling for neighborhood levels of racial isolation and poverty—important social structures in the DMA. The results showed a direct relationship between airborne and depositional lead emissions and higher childhood BLL, after controlling for median housing age. Lead emissions also exacerbated the effect of older housing on black and white children’s BLLs (indirect relationship), after controlling for social structures. Findings from this research indicate that black and white children exposed to lead-based paint/pipes in older housing are further impacted by industrial lead pollution that may lead to permanent neurological damage.

Residential Racial and Socioeconomic Segregation as Predictors of Housing Discrimination in Detroit Metropolitan Area

This study examined neighborhood racial and socioeconomic characteristics associated with housing discrimination (HD) in the Detroit Metropolitan Area, Michigan. Using novel neighborhood level data from the Fair Housing Center of Metropolitan Detroit in combination with the American Community Survey, incidence rate ratios (IRRs) were derived to examine associations between HD cases and percentage of homeowners, non-Hispanic White (NHW) residents, and median income. Models were stratified to examine these associations for race-, disability- and rent-related HD outcomes. Between 2008–2017, 988 HD incidents were reported. Independently, neighborhood proportion NHW, income, and homeownership were inversely associated with all-types of HD. Jointly, the neighborhood predictors remained significant indicators. Similar patterns were observed in race-, disability- and rent-related HD when neighborhood predictors were examined independently. In the joint models, household income no longer predicted race-related HD, while proportion NHW no longer predicted disability- and rent-related HD. Results suggest HD may be more frequent in neighborhoods with greater proportions of NHB or Hispanic residents, those with lower incomes, and greater proportion of rental households. These findings have great social and health implications and warrant further exploration of how HD contributes to social and health inequities in lower income, predominantly NHB and Hispanic neighborhoods and those with more renters.

Urban vs Suburban: Is the Door-to-Balloon Time Affected by Geographic, Socioeconomic, or Racial Differences? A Tale of Two Campuses

Background. In 2004, the ACC/AHA released guidelines in the treatment of ST-segment elevation myocardial infarction (STEMI) within a time window from the time a patient physically enters the hospital to the time of percutaneous coronary intervention (PCI). This time window is defined as the door-to-balloon time (DTB) and is recommended to be under 90 minutes to improve patient mortality. To add another layer of complexity, patients with varying socioeconomic status and racial differences experience large disparities in health. Our institution provides care for patients in two locations separated by approximately 30 miles within the Detroit metropolitan area. We aimed this study to investigate any differences between DTB times of our two campuses (urban versus suburban population) as well as any differences in the components that comprise DTB times. Methods. We retrospectively collected data on all patients who presented to either Campus 1 or Campus 2 with a STEMI from 2016 to 17. DTB times, demographical, temporal, and anatomical data were collected and analyzed. Our search included 169 patients who met the full inclusion criteria. Results. The combined average of the overall DTB time for both campuses was 81 minutes, 15 seconds (95% CI: 78:05, 84:25). The average DTB time in Campus 1 was 78 minutes and 41 seconds (95% CI: 73:05, 84:18) versus 82 minutes and 46 seconds (95% CI: 78:55, 86:38) for Campus 2 (p=0.24). There were no statistically significant differences between either campuses within the separate metrics that comprise DTB times. Conclusions. Our study demonstrated that we have been able to provide high-quality care to all of our patients presenting with STEMI at either campus, regardless of socioeconomic differences in the populations they serve. Additionally, each campus has demonstrated DTB well below the nationally recommended guidelines.

Birth of the New Afrikan Independence Movement

Chapter 1 provides a historical overview of the NAIM from its inception into the 1980s. It explains how two brothers from South Philadelphia helped organize a Black Government Convention in 1968. Tracing the birth and early development of the NAIM clarifies how political geography, historical context, and personal circumstance helped shape activism. After relocating to the Detroit metropolitan area in the 1950s, brothers Milton and Richard Henry became community activists and political leaders. Working through the Group on Advanced Leadership and the Freedom Now Party, political struggle taught them the limits of seeking full entry into a nation that circumscribed their political power. At the same time, the Henry brothers witnessed decolonization in Africa, especially Ghana, which challenged them to reconsider the meaning of black liberation. Under the tutelage of people like Malcolm X and “Queen Mother” Audley Moore, they shifted their politics from reform and inclusion to revolution and self-determination. Changing their names to Gaidi and Imari Abubakari Obadele, they called for the 1968 convention. Convention participants declared black people’s right to independence from the United States of America, formed a provisional government with Robert F. Williams as the nominal president, and demanded reparations.

A hyper differential counterpublic: Muslim social media users and Islamophobia during the 2016 US presidential election

We interviewed 61 Muslims in 15 focus groups from the most visible Muslim population in the United States: the Detroit Metropolitan Area. Participants shared their experiences of and responses to Islamophobia on social media and face-to-face during the 2016 US presidential election campaign and aftermath. Applying Fraser’s and Squires’ theories of counterpublics, we developed an adapted understanding of counterpublics in collapsed contexts of online and face-to-face spaces. We argue that everyday Muslim internet users in the United States are an example of a hyper differential counterpublic. They face the pressures of near ubiquitous and ever evolving Islamophobic attacks, while needing to engage with the internet for personal and professional purposes. We suggest that hyper differential counterpublics operate in collapsed contexts of mixed, unimaginable publics, switch between group and individual responses, and craft hyper situational responses to discriminations case by case.

OVERCOMING THE CHALLENGES OF TECHNOLOGY IN GERONTOLOGICAL RESEARCH

Many older adults express a lack of confidence in using technology and this can become a barrier to participating in technology heavy research. This presentation will introduce the face-to-face digital communication, electronic medication adherence tracking, and online recruitment technology used in the I-CONECT study (ClinicalTrials.gov: NCT02871921). In particular, we will demonstrate how the project has simplified enterprise video conferencing for in-home use, removed obstacles related to remote hardware troubleshooting, and further discuss how it has been received by older adults who have participated thus far. Finally we will cover particular hurdles related to I-CONECT (e.g., targeting social isolated older adults, aiming to recruit 50% of participants being African American older subjects living in the Detroit Metropolitan area). Our experience indicates that such high tech gerontological research is feasible given a creative and solution-focused research approaches and multi-disciplinary team.