Doctor of Philosophy, Case Western Reserve University, 2024, Sociology
Sociologists have long investigated the enduring link between place and health. Despite prolific research in this field, health issues remain obscured in the sociology literature. This dissertation examines the spatial-health relationship(s) between place of residence and burn injuries using fundamental cause theory, intersectionality, and social vulnerability. Fundamental cause theory asserts that one's ability to either avoid health risks or minimize the consequence of those risks requires access to flexible resources (i.e., knowledge, money, freedom, power, prestige, and social networks) that are differently distributed across populations according to social categories like age, race-ethnicity, socioeconomic status, and neighborhood structure. Intersectionality theory is used alongside fundamental causes to analyze the distribution of flexible resources at the contextual- or community-level, emphasizing the cumulative health effects of discrimination as carried out through spatial development practices. Lastly, social vulnerability measures are employed to quantitatively measure the distribution of health resources within and between communities.
Using geographic information systems (GIS) software, this single-site, retrospective registry review explores the social and geographic relationships between accidental, at-home burn (i.e., those treated in a burn unit) injury and fundamental causes between 2014-2021 using measures from the Center for Disease Control's Social Vulnerability Index (SVI) as a proxy for the distribution of flexible resources under fundamental causes. Patient-level characteristics and burn injury outcomes including race, ethnicity, sex, total body surface area (TBSA), mortality, and discharge disposition were collected from a burn registry at a Mid-West county hospital.
Findings from this dissertation show that people experiencing burn injury in this region are more likely to live in more vulnerable neighborhoods. These findings are par (open full item for complete abstract)
Committee: Susan Hinze (Committee Chair); Casey Kohler (Committee Member); Brian Gran (Committee Member); Jessica Kelley (Committee Member)
Subjects: Sociology