Sustainable Built Environments Senior Capstone Project- Report and Final Document / The purpose of this study is to create a spatial decision support system for sustainable landscape design in an urban setting. As more and more of the worlds population concentrates in cites, the design of these spaces becomes critical to global sustainability. The built environment exhibits different environmental conditions than its rural or natural counterparts— the following study focuses on building a GIS model of unique sun exposure conditions at a site, and using this model in a spatial decision support system. The system will compare the exposure needs of just over 150 native or near native plants with the exposure availability of Tucson’s Historic Y Building, and provide tailored list for each area. This will allow for design flexibility within sustainable parameters.

Ultraviolet radiation (UVR) has been associated with various health outcomes, including skin cancers, vitamin D insufficiency, and multiple sclerosis. Measurement of UVR has been difficult, traditionally relying on subject recall. We investigated trends in satellite-derived UVB from 1978 to 2014 within the continental United States (US) to inform UVR exposure assessment and determine the potential magnitude of misclassification bias created by ignoring these trends. Monthly UVB data remotely sensed from various NASA satellites were used to investigate changes over time in the United States using linear regression with a harmonic function. Linear regression models for local geographic areas were used to make inferences across the entire study area using a global field significance test. Temporal trends were investigated across all years and separately for each satellite type due to documented differences in UVB estimation. UVB increased from 1978 to 2014 in 48% of local tests. The largest UVB increase was found in Western Nevada (0.145 kJ/m(2) per five-year increment), a total 30-year increase of 0.87 kJ/m(2). This largest change only represented 17% of total ambient exposure for an average January and 2% of an average July in Western Nevada. The observed trends represent cumulative UVB changes of less than a month, which are not relevant when attempting to estimate human exposure. The observation of small trends should be interpreted with caution due to measurement of satellite parameter inputs (ozone and climatological factors) that may impact derived satellite UVR nearly 20% compared to ground level sources. If the observed trends hold, satellite-derived UVB data may reasonably estimate ambient UVB exposures even for outcomes with long latency phases that predate the satellite record.

No description available.

Vitamin D is important to the health of college students. The objective of our study was to measure sun exposure, skin pigmentation, vitamin D intake, and serum 25-hydroxyvitamin D (25[OH]D) in a subset of participants from The Following the Longitudinal Aspects of Student Health (FLASH) Study to determine the best predictors of 25(OH)D status. Participants were college-aged freshman who had their blood drawn in spring (Visit 1) and fall 2010 (Visit 2) at California Polytechnic State University (Cal Poly), San Luis Obispo, CA. (35.3°N). Vitamin D intake was measured using a 28-day food frequency recall questionnaire (specific to vitamin D foods and supplements) while questions specific to the frequency of milk and fish intake were accessed from the FLASH questionnaire. Sun exposure was measured using a 28-day recall questionnaire (time in sun and sun exposure index [SEI]) and questions (frequency of weekday/ weekend exposure) from the FLASH questionnaire. Skin pigmentation was measured using a reflectance spectrophotometer. Serum 25(OH)D was measured at a local pathology lab as measured by an IDS-iSYS. Means (SD) were as follows (n= 40): reflectance of the forehead was 61 (3.5) L* (Lightness) for Visit 1 and 61 (4.3) L* for Visit 2. Vitamin D intake was 308 (234) IU for Visit 1 and 316 (257) IU for Visit 2. Time outside was 81 (44) mins for Visit 1 and 76 (39) mins for Visit 2. Serum 25(OH)D was 85 (24) nmol/L for Visit 1 and 113 (28) nmol/L in Visit 2 which was significantly higher (p < 0.0001). The SEI was 53 (38) body surface area (BSA) exposed (m2) x mins for Visit 1 and 55 (34) m2 x mins Visit 2. Although 90% of participants in Visit 1 and 88% in Visit 2 were below the RDA guidelines for vitamin D intake (600 IU/day), 5% of participants in Visit 1 and none in Visit 2 had serum 25(OH)D serum levels < 50 nmol/L (the recommended level of sufficiency for bone health), demonstrating the importance of sun exposure to vitamin D status in these college students. To determine the strongest predictors of status we used regression analysis to predict serum 25(OH)D with skin reflectance, vitamin D intake, and sun exposure. We found that weekend sun exposure, fish intake, and forehead skin reflectance were the strongest predictors of serum 25(OH)D (R2= 0.50, p= 0.0010) demonstrating that simple questionnaires can help to predict serum 25(OH)D status.

Intermittent sun exposure and sun sensitivity factors are the most well described risk factors for the development of cutaneous melanoma (CM). Other potential environmental risks for CM, such as arsenic, are rarely examined. Total sun exposure has not been a consistent risk factor for CM, but recall bias in self-reporting sun exposure throughout life may limit the ability to detect a true association. Objective measures of sun exposure including remotely sensed ambient ultra-violet radiation (UVR) may allow for better capture of total sun exposure. In three chapters, spatially derived factors (ambient UVR, environmental soil arsenic, drinking water arsenic) were observed to determine their relevance in exposure assessment and subsequent risk for CM.UVR trends were investigated using available satellite data (1978-2014) to generate inferences for UVB changes over time in the United States. We found that UVB changed across the study area, but these changes lack biological relevance based on the magnitude of changes observed. Thus, a more objective measure of lifetime ambient sun exposure may be estimated using 30-year average UVR by month in future studies. The spatial correlation between environmental soil arsenic and drinking water across the state of Iowa was investigated. Arsenic concentrations in soil were not significantly spatially correlated with either municipal public water source or non-municipal water source arsenic concentrations. Based on these findings, soil arsenic may not serve as a valid surrogate marker for arsenic in drinking water.In Chapter 5, we assessed the relationship of spatially derived estimates of lifetime ambient UVR, environmental arsenic exposure from soil and drinking water, and CM in a population-based case-control study. Our findings suggest that total sun exposure is positively associated with CM, while arsenic concentration in environmental soil and drinking water were not associated. Sun exposure measured through ambient UVR exposure may allow for better understanding of the association between cumulative or total sun exposure and CM. Additionally, more studies need to be completed to estimate the potential risks for CM in regions where high arsenic concentrations may not be endemic.

Background: Determinants of vitamin D status are of interest when studying the epidemiology of disease in population groups because vitamin D is now recognized to decrease the risk of diseases such as osteoporosis, cancer, and cardiovascular disease. Understanding modifiable determinants of vitamin D status are important for managing vitamin D deficiency at the individual level and for addressing this issue at population level. Objective: The objective of this study was to evaluate the associations between serum vitamin D status (deficiency and insufficiency) and distinct demographic, dietary, and lifestyle characteristics of adults in the United States using a large, nationally representative sample survey, the National Health and Nutrition Examination Survey (NHANES) 2005-2006. Methods: The study sample consisted of 2340 adults aged 20-59 who had serum 25(OH)D measured and who had completed various questionnaires concerning dietary intake of vitamin D and other lifestyle factors. Multivariate logistic regression was used to estimate the odds ratio (OR) of vitamin D deficiency, insufficiency, and sufficiency in adults based on distinct demographic, dietary, and lifestyle characteristics. Statistical significance was set at α < 0.05. Results: The prevalence of vitamin D deficiency was higher in obese adults than in underweight to normal weight adults (50.9% ± 4.57 vs. 29.3% ± 3.57), higher in adults who reported no sunburns than in adults who reported ≥ 3 sunburns (49.9% ± 3.82 vs. 18.0% ± 3.07), and higher in adults who use sun protective measures regularly than in adults who do not (48.4% ± 3.93 vs. 27.0% ± 3.75). The prevalence of vitamin D deficiency increased as dietary intake of vitamin D decreased. Non-Hispanic black adults were significantly more likely to be vitamin D deficient (OR = 45.27, 95% CI = 17.27-118.64) and insufficient (OR = 9.37, 95% CI = 3.43-25.61) than non-Hispanic white adults. Significant positive associations were found between vitamin D deficiency and several characteristics, namely obesity (OR = 7.43, 95% CI = 4.33-12.77), physical inactivity (OR = 1.63, 95% CI = 1.03-2.58) poor dietary vitamin D intake (OR = 2.34, 95% CI = 1.44-3.81), non-supplement use or supplement use with a low amount of vitamin D (OR = 1.75, 95% CI = 1.05-2.89), and activities that decrease exposure to sunlight (from OR = 2.97, 95% CI = 2.14-4.13 to OR = 5.30, 95% CI = 3.17-8.85). Conclusion: The results of this nationally representative study demonstrate that obesity, physical inactivity, poor dietary intake of vitamin D, and low sunlight exposure increases the risk for vitamin D deficiency in U.S adults. Future studies are needed to investigate whether vitamin D supplementation, sunlight exposure, and vitamin D-fortified foods are efficient in correcting vitamin D deficiency and insufficiency among these groups.

No description available.

Background: Sun exposure is strongly associated with skin cancer. Sun protection to reduce harmful effects of sun exposure, including skin cancer, is encouraged. However, sun sensitivity, a possible confounder of the association between sun exposure and sun protection, is often overlooked. Objectives: This study examined how sun exposure and sun protection behaviors among indoor workers vary between sun sensitive and less sun sensitive individuals. Methods: Diaries over 45 days (August and September of 2009) from indoor workers in the Midwest were examined. Diaries included daily sun exposure, sun protection, and sun sensitivity. Sun sensitivity was measured by determination of fair and non-fair complexion, categorized based on inability to tan and tendency to sunburn. Sun exposure was compared between fair and non-fair complexion. Total exposure (sunrise to sunset) was examined, along with exposure between 10 am and 4 pm, and long exposure between 10 am and 4 pm (at least 60 minutes). Percentages of time in the sun spent practicing sun protection were reported by study participants with fair and non-fair complexion. Logistic regression was used to determine odds ratios between fair complexion and mean sun exposure and mean sun protection times. Results: Fair complexioned individuals spent less time in the sun than non-fair complexioned individuals. In addition, fair complexioned individuals spent greater percentages of time practicing sun protection behaviors while they were in the sun. They were more likely to practice sun protection behaviors related to sunscreen application and protective clothing, notably, wearing a long-sleeved shirt.Conclusion: Fair complexioned individuals spend less time in the sun and practice more sun protective behaviors than non-fair complexioned individuals. These interrelations between sun sensitivity, sun protection and amount of sun exposure suggest that controlling for potential confounding when examining one of these factors and skin cancer may be challenging.

The purpose of this exploratory study was to identify the key predictors of prostate cancer; such study may lead to the development of appropriate interventions and prevention. Previous epidemiological studies have found these following factors to be key predictors for being diagnosed with hormone-associated carcinoma such as prostate cancer: age, ethnicity, physical activity, family history, diet, sleep amount, marital status, and having another form of carcinoma. Many studies have included results only for men over the age of 65, however, prostate cancer is claiming the lives of many African American, Hispanic and White American men over the age of 35, and younger men are more likely to battle it if they are genetically predisposed. The sample population (N =21,646) was selected because men aged 35 or over have the highest prevalence of prostate cancer. Of this sample, 619 reported having prostate cancer, and 1,401 reported having some other type of cancer. This study employs a logistic regression model using SAS® and utilizes the National Health Interview Survey data set and a multivariate analysis of the years 2006, 2007, and 2008. To improve the quality of future research the methods need modification, the subpopulation being studied should be larger, and the studies should be longitudinal. This particular study found the aforementioned factors to be critical in predicting prostate cancer. Maximum sun exposure was found to be also related to having prostate cancer. Key predictors for prostate cancer diagnosis are age, ethnicity, having some other cancer and maximum sun exposure, and education. Though previous studies have found physical activity, sleep amount, and occupation to be beneficial in reducing the risk for prostate cancer, it was not confirmed in this particular study.

The present study examined theoretical mediators of a parent-based intervention on sunbathing tendencies and sunburn frequencies based on the work of Turrisi et al. [Turrisi, R., Hillhouse, J., Heavin, S., Robinson, J., Adams, M., & Berry, J. (2004). Journal of Behavioral Medicine, 27, 393-412.]. Three hundred and forty parents in two regions of the United States were educated about the dangers of risky sun behavior and how to convey information about skin cancer prevention to their children. Attitudes toward sunbathing, health beliefs, appearance beliefs, and social normative beliefs were examined and found to be significant mediators of program effects on sunbathing tendencies and sunburn frequencies. The findings are discussed with respect to maximizing the effectiveness of future skin cancer interventions with children.