As America's most dysfunctional big city, Detroit faces urban decay, population losses, fractured neighborhoods with impoverished households, an uneducated, unskilled workforce, too few jobs, a shrinking tax base, budgetary shortfalls, and inadequate public schools. Looking to the city's future, Lewis D. Solomon focuses on pathways to revitalizing Detroit, while offering a cautiously optimistic viewpoint. Solomon urges an economic development strategy, one anchored in Detroit balancing its municipal and public school district's budgets, improving the academic performance of its public schools, rebuilding its tax base, and looking to the private sector to create jobs. He advocates an overlapping, tripartite political economy, one that builds on the foundation of an appropriately sized public sector and a for-profit private sector, with the latter fueling economic growth. Although he acknowledges that Detroit faces a long road to implementation, Solomon sketches a vision of a revitalized economic sector based on two key assets: vacant land and an unskilled labor force. The book is divided into four distinct parts. The first provides background and context, with a brief overview of the city's numerous challenges. The second examines Detroit's immediate efforts to overcome its fiscal crisis. It proposes ways Detroit can be put on the path to financial stability and sustainability. The third considers how Detroit can implement a new approach to job creation, one focused on the for-profit private sector, not the public sector. In the fourth and final part, Solomon argues that residents should pursue a strategy based on the actions of individuals and community groups rather than looking to large-scale projects.

Local Food Environments: Food Access in America provides information on the complex nature of food delivery systems as well as the historical and political trends that have shaped them over time. The book presents the empirical evidence demonstrating disparities in access to healthy affordable foods across the United States and how these disparities may explain food consumption patterns for some Americans as well as potential risks for diet-related illness. The book describes the current body of research surrounding these associations and presents the methodological issues pertinent to this area of public health. Evidence from these studies is placed in context of current and past American food policies that have supported the existing food retail market including the production and retailing of foods and ways in which the consolidation of the food system has affected Americans. Research conducted regarding local food environments in Canada has also been included as a point of comparison. Methods are discussed as well as the current state of knowledge regarding factors associated with disparities between local food environments, the effect of these disparities on the diets of residents within those communities, and the impact that local food environments have on diet-related health outcomes, such as obesity. Also described are solutions garnered to minimize local food environment inequalities currently being conducted by federal, state, and local government agencies. Although this book focuses on US local food environments, similar issues regarding access to food are concurrently taking place outside of the US. In all chapters, readers are encouraged to critically consider the current research methods as well as recent programs and policies that aim to address local food environments.

While interest in the relations of power and identity in food explodes, a hesitancy remains about calling these racial. What difference does race make in the fields where food is grown, the places it is sold and the manner in which it is eaten? How do we understand farming and provisioning, tasting and picking, eating and being eaten, hunger and gardening better by paying attention to race? This collection argues there is an unacknowledged racial dimension to the production and consumption of food under globalization. Building on case studies from across the world, it advances the conceptualization of race by emphasizing embodiment, circulation and materiality, while adding to food advocacy an antiracist perspective it often lacks. Within the three socio-physical spatialities of food - fields, bodies and markets - the collection reveals how race and food are intricately linked. An international and multidisciplinary team of scholars complements each other to shed light on how human groups become entrenched in myriad hierarchies through food, at scales from the dining room and market stall to the slave trade and empire. Following foodways as they constitute racial formations in often surprising ways, the chapters achieve a novel approach to the process of race as one that cannot be reduced to biology, culture or capitalism.

The Food, Conservation, and Energy Act of 2008 directed the U.S. Dept. of Agr. to conduct a 1-year study to assess the extent of areas with limited access to affordable and nutritious food, identify characteristics and causes of such areas, consider how limited access affects local populations, and outline recommend. to address the problem. This report presents the findings of the study, which include results from two conferences of national and internat. authorities on food deserts and a set of research studies. It also includes reviews of existing literature, a national-level assessment of access to large grocery stores and supermarkets, analysis of the economic and public health effects of limited access, and a discussion of existing policy interventions. Illus.

Race, Ethnicity and Health, Second Edition, is a critical selection of hallmark articles that address health disparities in America. It effectively documents the need for equal treatment and equal health status for minorities. Intended as a resource for faculty and students in public health as well as the social sciences, it will be also be valuable to public health administrators and frontline staff who serve diverse racial and ethnic populations. The book brings together the best peer reviewed research literature from the leading scholars and faculty in this growing field, providing a historical and political context for the study of health, race, and ethnicity, with key findings on disparities in access, use, and quality. This volume also examines the role of health care providers in health disparities and discusses the issue of matching patients and doctors by race. New chapters cover: reflections on demographic changes in the US based on the current census; metrics and nomenclature for disparities; theories of genetic basis for disparities; the built environment; residential segregation; environmental health; occupational health; health disparities in integrated communities; Latino health; Asian populations; stress and health; physician/patient relationships; hospital treatment of minorities; the slavery hypertension hypothesis; geographic disparities; and intervention design.

Over the past two decades, rates of adult and childhood obesity in the developed world have risen sharply. By the year 2000, 65% of the United States population were overweight, 30% of these obese. Whilst medical treatment has tended to focus on individual habits of diet and exercise, this approach does little to account for globally increasing levels of obesity, and the external, environmental factors that may be responsible. This in-depth study assembles the evidence for a geographical explanation of current obesity trends, and is the first work to examine the ways in which environment and living conditions promote an imbalance of energy intake over energy expenditure. The book calls upon the expertise of geographers, nutritionists, epidemiologists, sociologists and public health researchers, resulting in a broad, multidisciplinary analysis of this important health issue. Cover graphic designed by Georgia Witten-Sage.

This book examines the social inequalities relating to food insecurity in the UK, as well as drawing parallels with the US. Access to food in the UK, and especially access to healthy food, is a constant source of worry for many in this wealthy country. Crises, such as the COVID-19 pandemic, have coincided with a steep rise in the cost of living, meaning household food insecurity has become a reality for many more households. This book introduces a new framework to examine the many influences on local-level food inequalities, whether they result from individual circumstances or where a person lives. The framework will allow researchers new to the field to consider the many influences on food security, and to support emerging research around different sub-topics of food access and food security. Providing a thorough background to two key concepts, food deserts and food insecurity, the book documents the transition from area-based framing of food resources, to approaches which focus on household food poverty and the rise of food banks. The book invites researchers to acknowledge and explore the ever changing range of place-based factors that shape experiences of food insecurity: from transport and employment to rural isolation and local politics. By proposing a new framework for food insecurity research and by drawing on real-world examples, this book will support academic and applied researchers as they work to understand and mitigate the impacts of food insecurity in local communities. This book will be of great interest to students and scholars of food and nutrition security, public health, and sociology. It will also appeal to food policy professionals and policymakers who are working to address social inequalities and improve access to healthy and nutritious food for all.

A ground breaking text in the developing field of public health nutrition.' from the foreword by Basil S. Hetzel At last! A book that approaches public health nutrition in a scholarly, scientific and evidence based manner that at the same time delivers the practical competencies and skills required by the professional Public Health Nutritionist.' Elizabeth Belton, Senior Lecturer, School of Life Sciences, The Robert Gordon University. How can the nutritional health of populations be improved through action at local, national and global levels? The work of public health nutritionists is to bring population-wide perspectives to the relationship between food and health. Systematically drawing on international research, in Public Health Nutrition leading international practitioners present both the theoretical underpinnings and applied nature of the field of public health nutrition. The book is peer reviewed and divided into four sections: * Principles - presents conceptual frameworks, solutions, responsibilities and outcome measures, philosophical and evidential dimensions, standards and dietary guidelines. * Populations - explores groups for whom nutrition is especially relevant, providing analysis of the food and health relationship from physiological, social, cultural, political and economic perspectives. * Priorities - examines key issues including vulnerable populations, obesity, indigenous nutrition, international nutrition, the nutritional transition, food system trends and sustainability. * Practices - covers professional skills for public health practitioners including monitoring the food and nutrition situation of populations, physical activity, research skills, project management, professional practice, health promotion and communication, policy and politics. Public Health Nutrition is an essential resource for public health practitioners, researchers and administrators, as well as students of nutrition, dietetics and public health wishing to obtain advanced and specialised competencies.

Now in its second edition, Public Health: An Introduction to the Science and Practice of Population Health is expanded in both scope and depth of content to better aid students who are launching their public health studies and preparing for professions in the field. This edition features a greater emphasis on the social determinants of health, health equity, prevention of disease and disability, and the practice of public health. Public Health explores both historical public health issues and contemporary public health challenges—including environmental justice, food deserts, climate change, and COVID-19—through the social ecological lens and with a life course perspective. In addition to establishing a solid knowledge base on the foundations, functions, and core values of public health, the book presents an engaging survey of the social ecological framework and of the demographic factors affecting health at different life stages. The methods of public health, including analytic approaches, systems thinking, implementation science, community engagement, and advocacy are examined, helping students understand the structural underpinnings of population health. Written by leading public health educators, and containing engaging case studies including unique Case Study Podcasts, illustrations, real-world examples, and discussion questions, every chapter analyzes systemic public health issues and the workforce roles driving and implementing public health initiatives and programs in practice. Key Features: New chapters on The Origins of Public Health and The Practice of Public Health provide increased emphasis on the functions and organization of public health and the roles of the workforce New case studies provide real-world examples of historical and contemporary public health challenges that have affected population health 19 Case Study Podcasts highlight current public health issues and initiatives Covers the latest developments affecting population health including infectious disease, chronic disease, mental health, environmental exposures, gun violence, addiction, health policy and many more Expanded coverage of the social determinants of health and health equity COVID-19 and its effects on the public health field are explored, including health communication, public trust, and health inequities Qualified instructors have access to a full set of instructor resources, including a detailed Instructor Manual, PowerPoints, Test Bank, podcasts, and transition guides through an LMS course cartridge