Dr. Brown is a general internist seeking further training in multilevel modeling, geographic information systems methods, and community-based interventions in order to better assess and reduce socioeconomic and racial disparities in health for older adults. Her main area of interest is in the relationship between the neighborhood or community context and health, whether these associations vary for persons with chronic conditions and with aging, and ways to systematically incorporate the community context into evidence based interventions to improve outcomes among older persons with chronic conditions. Her project proposes to study these relationships in a representative sample of neighborhoods in Los Angeles County and to use these findings in combination with prior research to develop an intervention that integrates evidence-based clinical and behavioral strategies with an understanding of the ways in which neighborhood context may influence the ability to adhere to recommended treatments and implement behavior change for persons with chronic conditions. The study's aims are to: 1) assess the relationship between the neighborhood environment and current health behaviors and clinical outcomes in a longitudinal cohort of English-and Spanish-speaking persons in the Los Angeles Family and Neighborhood Study and to determine whether these relationships differ by age and chronic condition; 2) evaluate psychosocial mediators and moderators of the relationship between the socioeconomic, resource, and physical environments and health related behaviors and outcomes; and 3) develop a practice-based intervention that uses clinic and community partners to increase access to information about neighborhood resources that can be used to enhance self-management strategies, mitigate the negative influences of the physical and social environment on health, and ultimately improve clinical outcomes among middle-aged and older adults with chronic conditions.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Mentored Patient-Oriented Research Career Development Award (K23)
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Special Emphasis Panel (ZAG1-ZIJ-9 (M3))
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Haaga, John G
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University of California Los Angeles
Internal Medicine/Medicine
Schools of Medicine
Los Angeles
United States
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Bharmal, Nazleen; Lucas-Wright, Anna Aziza; Vassar, Stefanie D et al. (2016) A Community Engagement Symposium to Prevent and Improve Stroke Outcomes in Diverse Communities. Prog Community Health Partnersh 10:149-58
Bharmal, Nazleen; Kennedy, David; Jones, Loretta et al. (2012) Through our eyes: exploring African-American men's perspective on factors affecting transition to manhood. J Gen Intern Med 27:153-9
Walker, Kara Odom; Leng, Mei; Liang, Li-Jung et al. (2011) Increased patient delays in care after the closure of Martin Luther King Hospital: implications for monitoring health system changes. Ethn Dis 21:356-60
Walker, Kara Odom; Clarke, Robin; Ryan, Gery et al. (2011) Effect of closure of a local safety-net hospital on primary care physicians' perceptions of their role in patient care. Ann Fam Med 9:496-503
Odom Walker, Kara; Ryan, Gery; Ramey, Robin et al. (2010) Recruiting and retaining primary care physicians in urban underserved communities: the importance of having a mission to serve. Am J Public Health 100:2168-75
Walker, Kara Odom; Steers, Neil; Liang, Li-Jung et al. (2010) The vulnerability of middle-aged and older adults in a multiethnic, low-income area: contributions of age, ethnicity, and health insurance. J Am Geriatr Soc 58:2416-22
Fish, Jason S; Ettner, Susan; Ang, Alfonso et al. (2010) Association of perceived neighborhood safety with [corrected] body mass index. Am J Public Health 100:2296-303
Brown, Arleen F; Vargas, Roberto B; Ang, Alfonso et al. (2008) The neighborhood food resource environment and the health of residents with chronic conditions: the food resource environment and the health of residents. J Gen Intern Med 23:1137-44
Berg, Karina M; Gill, Thomas M; Brown, Arleen F et al. (2007) Demystifying the NIH grant application process. J Gen Intern Med 22:1587-95
Brown, Arleen F; Ang, Alfonso; Pebley, Anne R (2007) The relationship between neighborhood characteristics and self-rated health for adults with chronic conditions. Am J Public Health 97:926-32