Alexis A Merdjanoff
Clinical Assistant Professor of Social and Behavioral Sciences
Dr. Alexis Merdjanoff is a Clinical Assistant Professor in Social and Behavioral Sciences at New York University’s School of Global Public Health. She is a public health sociologist who explores how population health is affected by exposure to natural hazards, including hurricanes, floods, extreme heat and wildfires. Dr. Merdjanoff is particularly interested in how social inequalities shape the impact of hazards on health, recovery, and resilience for vulnerable populations. To do so, she collects and analyzes survey and interview data to form a holistic understanding of how individuals and communities are affected by these events. While disasters have traditionally been thought of as finite phenomena—with a majority of research focused on the immediate consequences—her research reveals how environmental stressors can lead to economic, emotional, and health burdens long after an event has passed. By focusing on the long-term effects of disasters, she has been able to determine why some survivors are able to recover quickly while others remain mired for months or years.
As Director of Research for the Population Impact, Recovery and Resilience (PiR2) research program, she is currently working on several studies, including the longitudinal Katrina@10 Program, the Sandy Child and Family Health (S-CAFH) Study, and SCALE-UP East Boston to answer questions related to improving the health and well-being of populations exposed to disasters and climate change. More recently, her work has explored the post-disaster resilience of older adults and how older adults can successfully age in high-risk coastal areas. Using in-depth interviews, she aims to identify the resources that older adults need to be resilient, including the social and physical infrastructures needed to successfully prepare for and recover from acute and chronic natural hazards. Her goal is to understand how older adults can successfully adapt to and prepare for coastal erosion, frequent flooding, heatwaves, and disasters.
Dr. Merdjanoff frequently engages in mixed-methods research, including semi-structured in-depth interviewing, focus groups, and survey analysis. Trained as a sociologist, she believes in a holistic approach to answering questions surrounding health, disaster exposure, and recovery. Dr. Merdjanoff teaches several public health courses including, “Qualitative & Field Methods in Global Public Health,” and “Global Issues in Social & Behavioral Health.”
BS, Sociology (Magna Cum Laude), New York University, New York, NYMA, Sociology, Rutgers University, New Brunswick, NJPhD, Sociology, Rutgers University, New Brunswick, NJ
Innovator Program Fellow, National Center for Atmospheric Research (2019)Butler-Williams Scholar, National Institute on Aging, National Institutes of Health (2019)Aging and Rural Health Research Award, American Public Health Association, Aging and Public Health Section (2017)Best Dissertation in Mental Health, American Sociological Association, Sociology of Mental Health section (2016)Anne Foner Dissertation Prize, Department of Sociology, Rutgers University (2016)Matilda White Riley Published Article Award for Outstanding Journal Article, Department of Sociology, Rutgers University (2013)Weather & Society Integrated Studies (WAS*IS) Fellow (2011)Graduate School Special Study Award, Rutgers University (2011)
Aging and the Life CourseDisaster Impact and RecoveryHousing StabilityMental HealthMixed-Methods ResearchSocial BehaviorsSocial Determinants of Health
Identifying Barriers and Facilitators of Success for Female Radiology Researchers: An Analysis of In-Depth Interviews With Nationally Recognized Leaders of the FieldPiltch-Loeb, R., Rosenkrantz, A. B., & Merdjanoff, A. A.
Journal titleJournal of the American College of Radiology
Page(s)1344-1351AbstractObjective: Women are highly underrepresented among leadership positions within radiology research, disproportionate to their underrepresentation in radiology overall. We sought to identify the causes and solutions of such disparity at the personal, organizational, and institutional levels among female radiology researchers who are leaders in the field. Subjects and methods: We used purposive sampling to identify nationally recognized female leaders in radiology research. We developed a semistructured interview guide and conducted in-depth one-on-one telephone interviews with participants (n = 16) that ranged from 36 to 65 min. All interviews were recorded and transcribed. Data were analyzed by two researchers trained in qualitative methods using Saldana's first- and second-cycle coding method. Themes were identified using a grounded theory approach to identify meaningful patterns that addressed the research question. Results: Participants identified barriers to their professional development and success, including personal and professional obstacles often associated with work-life balance and the nonlinear nature of women's careers because of caregiving responsibilities. Participants also identified facilitators of success that operated at the individual, organizational, and institutional level, such as purposeful networking, having an advocate, and participating in leadership events. Conclusion: This study represents the first effort to qualitatively capture the facilitators of success for nationally recognized female radiology researchers. Findings suggest that synergistic efforts can be undertaken by early-career female radiologists and their colleagues, national radiology organizations, and academic institutions to systematically enable the inclusion and participation of women. The field of radiology should consider how to work dynamically at multiple levels to implement the identified potential changes.
Housing Transitions and Recovery of Older Adults following Hurricane SandyMerdjanoff, A. A., Piltch-Loeb, R., Friedman, S., & Abramson, D. M.
Journal titleJournals of Gerontology - Series B Psychological Sciences and Social Sciences
Page(s)1041-1052AbstractObjectives: This study explores the effects of social and environmental disruption on emergency housing transitions among older adults following Hurricane Sandy. It is based upon the Sandy Child and Family Health (S-CAFH) Study, an observational cohort of 1,000 randomly sampled New Jersey residents living in the nine counties most affected by Sandy. Methods: This analysis examines the post-Sandy housing transitions and recovery of the young-old (55-64), mid-old (65-74), and old-old (75+) compared with younger adults (19-54). We consider length of displacement, number of places stayed after Sandy, the housing host (i.e., family only, friends only, or multi-host), and self-reported recovery. Results: Among all age groups, the old-old (75+) reported the highest rates of housing damage and were more likely to stay in one place besides their home, as well as stay with family rather than by themselves after the storm. Despite this disruption, the old-old were most likely to have recovered from Hurricane Sandy. Discussion: Findings suggest that the old-old were more resilient to Hurricane Sandy than younger age groups. Understanding the unique post-disaster housing needs of older adults can help identify critical points of intervention for their post-disaster recovery.
Support for vector control strategies in the United States during the Zika outbreak in 2016: The role of risk perception, knowledge, and confidence in governmentPiltch-Loeb, R., Merdjanoff, A. A., Bhanja, A., & Abramson, D. M.
Journal titlePreventive Medicine
Page(s)52-57AbstractLimiting the spread and impact of Zika was a major global priority in 2016, which required a variety of vector control measures. The success of vector control campaigns is varied and often dependent on public or political will. This paper examines the change over time in the United States population's support for vector control and the factors that predicted support for three vector control strategies (i.e., indoor spraying, outdoor spraying, and use of larvacide tablets) during the 2016 Zika outbreak in the United States. Data is from a nationally representative random digit dial sample conducted at three time points in 2016. Bivariate and multivariate regression analyses were used, treating data as a pooled cross-sectional sample. Results show public support for vector control strategies depends on both perceived risk for disease and knowledge of disease characteristics, as well is confidence in government to prevent the threat. Support varied based on vector control method: indoor spraying, aerial spraying, and use of larvacide tables. Results can aide public health officials in implementing effective vector control campaigns depending on the vector control strategy of choice. Results have implications for ways to design effective prevention campaigns in future emerging infectious disease threats.
How the US Population Engaged with and Prioritized Sources of Information about the Emerging Zika Virus in 2016Piltch-Loeb, R., Merdjanoff, A. A., & Abramson, D. M.
Journal titleHealth Security
Page(s)165-177AbstractEmerging disease threats like Zika pose a risk to naïve populations. In comparison to chronic diseases, there is scientific uncertainty surrounding emerging diseases because of the lack of medical and public health information available as the threat emerges. Further complicating this are the multiple, diverse channels through which people get information. This article used bivariate and multivariate analysis to first describe the breadth of information sources individuals accessed about the Zika virus, and then describe individuals' primary sources of information for Zika using a nationally representative pooled cross-sectional data set collected at 3 time points in 2016 (N = 3,698). The analysis also highlights how 3 subgroups - high-education, high-income adults; Hispanic women of childbearing age; and retirees over the age of 65 with less than a high school education - varied in their use of information. Results suggest individuals accessed multiple sources, but TV and radio were the primary sources of Zika information for the public, followed by print news. Demographic variation in primary source of information means public health officials should consider alternative channels to reach target groups in an emerging event. Without an understanding of how information has reached people, and who individuals engaged with regarding that information, public health practitioners are missing a key piece of the puzzle to improving public health campaigns during a future event like Zika. This analysis aims to inform the public health community about the message channels the US population uses during an emerging disease event and the most prevalent channels for different demographic groups, who can be targeted with particular messaging.
The Fight for Affordable Rental Housing in 1980s New York: A Tenants’ Association’s Anticonversion StanceMerdjanoff, A. A.
Journal titleJournal of Urban HistoryAbstractThis article examines an historical case study of a moderate-income rental complex’s condominium conversion in New York City during the 1980s. Despite research suggesting that tenants desire homeownership, residents of Park West Village (PWV) waged a five-year battle against management and remained tenants in overwhelming numbers when two buildings were converted to condominiums in 1987. Using historical documents, I examine why tenants fought against local growth and rejected the opportunity to accumulate personal capital through homeownership. I posit that the Park West Village Tenants’ Association (PWVTA) garnered considerable resident support by engaging in three economically driven frames against conversion at the individual, community, and state level. Despite the clear link between urban growth and conversions, the process and local opposition to conversion has yet to be examined. This historical case contributes to research on tenants’ associations, affordable rental housing, and considers how widespread condominium conversion contributed to inequality.
Risk salience of a novel virus: US population risk perception, knowledge, and receptivity to public health interventions regarding the Zika virus prior to local transmissionPiltch-Loeb, R., Abramson, D. M., & Merdjanoff, A. A.
Journal titlePloS one
Issue12AbstractBackground As the incidence of Zika infection accelerated in Central and South American countries from November 2015 through April 2016, U.S. public health officials developed vector control and risk communication strategies to address mosquito-borne and sexual modes of transmission. This study reports upon U.S. perceptions of the Zika virus prior to domestic transmission, and analyzes the association of socio-economic, political, knowledge and risk factors with population receptivity to selected behavioral, environmental, and clinical intervention strategies. Methods A representative sample of 1,233 U.S. residents was drawn from address-based telephone and mobile phone lists, including an oversample of 208 women of child-bearing age living in five U.S. southern states. Data were collected between April and June, 2016, and weighted to represent U.S. population distributions. Results Overall, 78% of the U.S. population was aware of Zika prior to domestic transmission. Those unaware of the novel virus were more likely to be younger, lower income, and of Hispanic ethnicity. Among those aware of Zika, over half would delay pregnancy for a year or more in response to public health warnings; approximately one third agreed with a possible vector-control strategy of targeted indoor spraying by the government; and nearly two-thirds agreed that the government should make pregnancy-termination services available to women who learn their fetus had a Zika-related birth defect. Receptivity to these public health interventions varied by age, risk perception, and knowledge of the virus. Conclusion Risk salience and population receptivity to public health interventions targeting a novel virus can be conditioned on pre-existing characteristics in the event of an emerging infectious disease. Risk communicators should consider targeted strategies to encourage adoption of behavioral, environmental, and clinical interventions.
Disaster planning for vulnerable populations: Leveraging community human service organizations direct service delivery personnelLevin, K. L., Berliner, M., & Merdjanoff, A.
Journal titleJournal of Public Health Management and Practice
Page(s)S79-S82AbstractIntroduction: Given the variability, complexities, and available resources for local vulnerable populations, it is clear that preparing effectively for catastrophic events cannot be accomplished with a single, simple template. Inclusion of Community Human Service Organizations' (CHSO's) direct service delivery personnel ensures that emergency disaster planning efforts for vulnerable populations are effective and responsive to unique needs and constraints. By leveraging existing local resources, it extends the preparedness system's reach to the whole community. Background: CHSO personnel already perform community-based services and directly engage with vulnerable and special needs populations; typically they are on the front lines during an emergency event. Generally, however, the CHSOs, staff, and clients are neither adequately prepared for disasters nor well integrated into emergency systems. To address preparedness gaps identified during Hurricane Sandy, regional CHSO and local health department partners requested that the Columbia Regional Learning Center provide preparedness trainings for their agencies and staff responsible for vulnerable clients. Methods: Evaluation of this initiative was begun with a mixed-methods approach consisting of collaborative learning activities, a function-based assessment tool, and a 5 Steps to Preparedness module. Results: Results from a survey were inclusive because of a low response rate but suggested satisfaction with the training format and content; increases in awareness of a client preparedness role; and steps toward improved personal, agency, and client preparedness. Discussion: Direct service delivery personnel can leverage routine client interactions for preparedness planning and thus can contribute significantly to vulnerable population and community disaster readiness. Trainings that provide preparedness tools can help support this role. Lessons Learned: CHSO personnel are knowledgeable and have the expertise to assist clients in personal preparedness planning; yet, there are challenges around their ability and willingness to take on additional responsibilities.
There's no place like home: Examining the emotional consequences of Hurricane Katrina on the displaced residents of New OrleansMerdjanoff, A. A.
Journal titleSocial Science Research
Page(s)1222-1235AbstractUsing survey data from the Displaced New Orleans Residents Pilot Study (DNORPS), I examine the emotional consequences of Hurricane Katrina on the displaced residents of New Orleans. First, I employ an established framework within disaster research to investigate whether the stress level of displaced residents varies by race, income, and gender. As the residents in this dataset remained uprooted from their homes, I also examine three housing variables, including homeownership status, house type, and four levels of home damage. Contrary to previous research, home damage and homeownership status are significant predictors of displaced residents' emotional distress while the effect of race disappears. These findings suggest that future research on the mental health of disaster survivors, especially for displaced residents, expand the traditional analytical framework to consistently include housing variables, especially different categories of home damage, in addition to race, income, and gender.