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How Public Parks Can Better Serve Diverse Users

New research released by the Luskin Center for Innovation (LCI) at UCLA Luskin finds that the users of the Santa Monica Mountains National Recreation Area come from a broad swath of the surrounding region but tend to be less ethnically diverse than Los Angeles County as a whole. The report resulted from a partnership with the National Park Service during which LCI surveyed over 4,000 people at dozens of trailheads and park entrances spread throughout the vast area covered by the country’s largest urban national park. The findings have broad implications for officials working to implement the provisions of a 2016 ballot initiative in Los Angeles County (Measure A) that is providing funds to support local parks, beaches, open space and water resources. In the survey, diversity of park users had increased since a study conducted in 2002, although two-thirds (63%) of respondents in the 2018 study were white (compared to 26.1% of L.A. County residents). On the other hand, 74% of all ZIP codes in Los Angeles and Ventura counties had at least one survey respondent, and about one-third traveled from areas that have been identified as having a very high need for park access. The researchers’ suggestions to improve park equity include finding ways to reduce travel costs for people of color and expanding outreach efforts such as the Every Kid in a Park program.

View an album of photos taken during the research effort:

Luskin Center Santa Monica Mountains Trail Use Survey

Despite Ongoing Meningitis Outbreak, Vaccination Among Gay Men Remains Low Limited 2-dose completion among HIV-positive men puts them at particular risk, new study shows

Despite a yearlong outbreak of invasive meningococcal disease in Southern California primarily affecting gay and bisexual men, less than 27 percent of men who have sex with men (MSM) in Los Angeles County have been vaccinated for meningitis.

The findings released Thursday, March 30, 2017, by the California HIV/AIDS Policy Research Centers in collaboration with the UCLA Luskin School of Public Affairs, the Los Angeles LGBT Center and APLA Health call for more education about the disease and more places offering immunization throughout Southern California at venues where gay and bisexual men socialize.

More than 500 men were interviewed about their knowledge of the meningitis outbreak by UCLA Luskin’s Ian Holloway, an assistant professor in the Department of Social Welfare, and teams of researchers who visited venues throughout Los Angeles County. Most of the canvassers were current UCLA students or recent graduates.

“Our rapid-response research suggests that coordinated efforts to standardize data collection about sexual practices in conjunction with immunization will enable better tracking of meningitis vaccination among gay and bisexual men,” said Holloway, who is also the director of the Southern California HIV/AIDS Policy Research Center.

Meningococcal disease is often characterized with sudden onset of high fever, headache, nausea, vomiting, rash, stiff neck and confusion, which can lead to rapid septic shock and death if not treated quickly. Vaccination is highly effective and can prevent the disease. The current outbreak in Southern California is the second in the area in recent history. A 2014 meningitis outbreak led to the deaths of three gay men in their 20s.

Despite the outbreak and vaccination recommendations from the California Department of Public Health, the majority of respondents interviewed by the UCLA team were not protected against meningitis.

Holloway noted that HIV-positive people are at particular risk for developing serious health issues if infected with meningitis and are recommended to receive a two-dose primary series of meningitis vaccination. Few HIV-positive men surveyed by Holloway’s team had received two doses of the vaccination.

“Primary care doctors who treat gay and bisexual men and HIV-positive people should talk to their patients about the ongoing outbreak and make sure they receive the full recommended dosing,” said Phil Curtis, director of government affairs at APLA Health.

The study praises the efforts of the Los Angeles County Department of Public Health Immunization Program, which distributed free vaccines, and of participating community-based organizations such as AIDS Healthcare Foundation and the LA LGBT Center, but researchers concluded that more needs to be done.

In addition to Holloway, study authors include Elizabeth Wu and Jennifer Gildner from the Southern California HIV/AIDS Policy Research Center, and Vincent Fenimore and Paula Frew from Emory University.

Learn more about Ian Holloway and the meningitis study in this video: