Health & Place最新文献

{"title":"Protest, withdrawal, and change: Practices of resistance and emancipation in healthcare work","authors":"Sarah Hartmann ,&nbsp;Susan Thieme ,&nbsp;Christine Bigler ,&nbsp;K.C. Sony","doi":"10.1016/j.healthplace.2026.103670","DOIUrl":"10.1016/j.healthplace.2026.103670","url":null,"abstract":"<div><div>Amid intensifying global crises in healthcare, healthcare workers are facing deep contradictions between institutional demands and the relational, ethical core of their profession due to the intensifying economisation and commodification of healthcare. These dynamics raise important questions about healthcare professionals’ agency in shaping their work lives. This article explores resistance among healthcare workers based on empirical studies in Nepal and Romania, where similar and global issues around healthcare work manifest. Drawing on conceptual frameworks of emancipation and resistance, we examine how healthcare professionals respond to systemic pressures in their everyday working environments. Our findings reveal three partly interrelated forms of resistance: (1) protest—collective action for structural change; (2) withdrawal—migration as a means of escape; and (3) change—the creation of alternative practices and institutions. These responses emerge from shared experiences of alienation, devaluation, and a desire for recognition, autonomy, and professional fulfilment. By analysing these expressions of resistance across distinct yet comparable contexts, this study highlights shared experiences and strategies, emphasising the emancipatory potential of healthcare workers and underscoring the value of cross-national perspectives in understanding current negotiations of work in healthcare and its international relevance.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103670"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147798059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatial dynamics of biodiversity and cycling behaviour: A geographical analysis using crowdsourced data from Strava metro","authors":"Philip Home ,&nbsp;Sabrina L. Li ,&nbsp;Doreen S. Boyd","doi":"10.1016/j.healthplace.2026.103672","DOIUrl":"10.1016/j.healthplace.2026.103672","url":null,"abstract":"<div><div>Active travel infrastructure is widely acknowledged for promoting healthy behaviours in cities, yet participation is sparse. Being exposed to biodiversity during active travel may facilitate physical activity but has yet to be explored within the context of urban active travel networks. Existing research lacks spatial granularity, meaning the effect of local benefits of biodiversity on active travel networks is unknown. By analysing over 6 million cycling activities, we investigate the relationship between biodiversity and cycling in Newcastle Upon Tyne, a city in the Northeast of the United Kingdom at the street level. We use spatial error models adjusting for covariates representing street features and environmental characteristics to understand the associations between species richness with cycling for recreation and commuting. Results show that higher levels of bird diversity, are positively associated with recreational and commuting cycling behaviours, while higher levels of mammal diversity are negatively associated with recreational and commuting behaviours. This may reflect the beneficial ecosystem services afforded by bird species, while also acknowledging the impact of human-wildlife conflict in active travel networks. These findings indicate that the relationship between biodiversity and cycling may require further investigation. While access to green space supports public health, biodiversity conservation and cycling infrastructure should be aligned to ensure mutually supportive outcomes for urban sustainability.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103672"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ageing in which place? Spatial analytical framework for evaluating ageing-in-place practices","authors":"Yong Tu ,&nbsp;Yaopei Wang ,&nbsp;Yumeng Yang ,&nbsp;Yi Fan","doi":"10.1016/j.healthplace.2026.103674","DOIUrl":"10.1016/j.healthplace.2026.103674","url":null,"abstract":"<div><div>Over the past decade, governments around the world have made significant investments in creating elderly-friendly urban environments within local neighborhoods. However, the lack of a standardized evaluation framework for Ageing-in-Place (AIP) practices makes it challenging to generalize these experiences. First, we compare the AIP models of the U.S.-San Francisco, Japan-Tokyo, and Singapore using a cost-benefit analysis, demonstrating the comparative advantage of the Singapore model in terms of low cost and high accessibility for the independent ageing population. Second, we propose a spatial analytics framework to visualize and quantify the degree of alignment between a basket of ageing facilities and the active ageing population, enabling a data-driven, timely evaluation of the effectiveness of Singapore's AIP policies. Singapore's AIP model, either in its entirety or as a hybrid with other models, can be generalized to other global cities, providing valuable insights for optimal elderly-friendly urban planning.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103674"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing equity of access: a needs index for digital health stations in Queensland, Australia","authors":"Leah Flitcroft ,&nbsp;Won Sun Chen ,&nbsp;Loredana Tirlea ,&nbsp;Denny Meyer","doi":"10.1016/j.healthplace.2026.103671","DOIUrl":"10.1016/j.healthplace.2026.103671","url":null,"abstract":"<div><div>Digital health stations provide free health checks for users in public settings such as retail environments, enabling self-service measurement of cardiometabolic health risk factors including blood pressure, body mass index (BMI) and Type 2 diabetes risk. This study aimed to develop a method of quantifying need for health stations, and to measure equity of access to stations across geographical areas in Queensland, Australia. Using Bradshaw's Taxonomy of Need, variables representing multiple dimensions of need were identified and combined using Principal Components Analysis to derive a Health Station Needs Index. This index was used to assess equity of access to stations in Queensland, using equity ratios, logistic regression, Gini Coefficients and concentration curves.</div><div>The Gini coefficients for number of health stations (0.599), per capita health stations (0.695), distance to the closest health station (0.788), and number of health checks per capita (0.395) across needs index deciles highlight inequitable distribution of health stations in Queensland. When considering distance to the closest health station, inequity disadvantaging higher need regions was supported by a high equity ratio (20.82), a positive significant relationship between need and distance (β = 0.529) and a concentration index with a high negative value (−0.690).</div><div>By adopting a systematic data-driven approach, this research reveals a clear gap in geographic access based on distance to health stations in areas with the greatest health need. It underscores the importance of considering need as a major criterion in future planning for health station locations and provides a measure of need for this purpose.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103671"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147850353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unequal gains from artificial intelligence: Smart elderly health care, mental health of the elderly, and inequality","authors":"Hongkun Zhao ,&nbsp;Qingrui Liu ,&nbsp;Zhuo Chen","doi":"10.1016/j.healthplace.2026.103676","DOIUrl":"10.1016/j.healthplace.2026.103676","url":null,"abstract":"<div><div>As artificial intelligence becomes increasingly integrated into elderly healthcare systems, smart elderly health care (SEHC) has been promoted as a promising policy enhancing mental health and well-being among the elderly in China. This study examines the impact of SEHC on mental health and inequality among the elderly, with a particular focus on its unequal selection effect and the expansion of individual adaptability. Drawing on longitudinal data from China Health and Retirement Longitudinal Study, we adopt staggered difference-in-difference method to estimate the effects of SEHC policy implementation on elderly mental health and inequality, conduct robustness checks, heterogeneity tests, and mechanism analyses. SEHC significantly improves the mental health of the elderly (<em>β</em> = −1.391, <em>P</em> &lt; 0.01) while simultaneously intensifying mental health inequality (<em>β</em> = 0.278, <em>P</em> &lt; 0.01). However, these gains are disproportionately concentrated among individuals with higher income, lower hospitalization cost, higher educational attainment, and urban residency. Mechanism analysis reveals that SEHC improves mental health primarily by enhancing social participation and reducing hospitalization cost, with these adaptive benefits concentrated among higher-income individuals. While SEHC demonstrates significant potential to enhancing mental well-being among the elderly, it also generates disparities in mental health outcomes across different socioeconomic groups. To address this inequality, policymakers should implement inclusive intervention strategies that guarantee equitable and sustainable access to artificial intelligence-driven mental health benefits in elderly healthcare.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103676"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147798058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of childhood residential environment and family socioeconomic status with physical activity in early adulthood - a population-based Northern Finland Birth Cohort 1986 study","authors":"Ulla-Maija Luoma ,&nbsp;Soile Puhakka ,&nbsp;Pyky Riitta ,&nbsp;Anna-Maiju Leinonen ,&nbsp;Maisa Niemelä ,&nbsp;Raija Korpelainen ,&nbsp;Tiina Lankila","doi":"10.1016/j.healthplace.2026.103673","DOIUrl":"10.1016/j.healthplace.2026.103673","url":null,"abstract":"<div><h3>Background</h3><div>Higher socioeconomic status is associated with more physical activity in both childhood and adulthood. There is conflicting evidence about the importance of the urban and rural residential environment on children's physical activity. The family socioeconomic status and urban-rural residential area may have combined associations with children's physical activity, but the evidence so far is scarce, and has mainly come from cross-sectional studies.</div></div><div><h3>Methods</h3><div>We used population-based cohort data from the Northern Finland Birth Cohort 1986 (NFBC1986). Participants (n = 9432) parents reported the family's urban or rural residential environment and family socioeconomic status (SES) was based on the parents’ employment status and education level in years 1992 or 1993 when the participants were 7 years old. In 2019-2020, at around 35 years old, participants underwent clinical examinations and answered questionnaires regarding their health, health behaviour and SES. Physical activity data, including time spent in light and moderate-to-vigorous physical activity, were collected with the Ōura ring. We used linear regression and two-way ANCOVA to study the associations of the childhoods rural and urban residential environment and socioeconomic status with different physical activity intensity levels in adulthood.</div></div><div><h3>Results</h3><div>High family SES children who lived in a rural area during childhood were more physically active in adulthood than those high family SES children who lived in an urban area during childhood. Statistically significant associations were found in total physical activity (TPA) and light physical activity (LPA) only in men. According to linear regression analyses the difference in TPA was in the unadjusted model 50 min per day greater in those high family SES men who lived in rural area in childhood (95 % CI = 19, 63, <em>p</em> &lt; 0.001) compared with their urban counterparts. When model was adjusted with BMI, work strenuousness and adulthood residential environment (urban/rural) the difference was 27 min (95 % CI = 1, 53, <em>p</em> = 0.043). For LPA, in the unadjusted model, the difference was 40 min more per day for high family SES men who lived in rural areas during childhood (95 % CI = 20, 61, p &lt; 0.001) and in the adjusted model 28 min (95 % CI = 4, 51, <em>p</em> = 0.023) more per day compared with high childhood family SES men in urban area.</div></div><div><h3>Conclusions</h3><div>In promoting an active lifestyle, it is important to consider both the household and parental socioeconomic situation and the residential environment individuals are exposed to from an early age.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103673"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A spatial analysis of the associations between housing eviction and alcohol-related hospitalizations in Pennsylvania","authors":"Michelle Dougherty ,&nbsp;Robert W.S. Coulter ,&nbsp;Sarah L. Pedersen ,&nbsp;Maya I. Ragavan ,&nbsp;Sara E. Baumann ,&nbsp;Christina Mair","doi":"10.1016/j.healthplace.2026.103632","DOIUrl":"10.1016/j.healthplace.2026.103632","url":null,"abstract":"<div><h3>Purpose</h3><div>Alcohol consumption has substantial negative health consequences and those who experience homelessness bear a disproportionate burden of these consequences. Housing eviction is a widespread, modifiable cause of homelessness and housing insecurity more broadly. Understanding the associations between eviction and alcohol-related harms could reveal important prevention opportunities.</div></div><div><h3>Methods</h3><div>We examined spatial patterns of inpatient hospitalizations for alcohol use disorder (AUD) and harms that are partially attributable to alcohol assumption, including assault, intimate partner violence (IPV), and self-harm at the ZIP code level in Pennsylvania. Using Bayesian hierarchical space-time misalignment models, we examined the associations between ZIP code-level eviction filing rates and hospitalizations for these conditions, reporting relative rates (RR) and 95% credible intervals (CIs). We stratified our analyses across two time periods, 2018-2019 (n = 2901 ZIP code-years) and 2020-2022 (n = 4356 ZIP code-years).</div></div><div><h3>Results</h3><div>Eviction filings were associated with increased hospitalizations for AUD; a one percentage point increase in the eviction filing rate was associated with a 1.4% (95% CI: 1.011 - 1.018) and 1.1% (95% CI:1.007-1.014) increase in AUD hospitalizations in 2018-2019 and 2020-2022, respectively. The associations between eviction filings and hospitalizations for IPV (RR: 1.018, 95% CI: 1.005-1.031) and hospitalizations for assault (RR: 1.033, 95% CI: 1.002, 1.065) were only well-supported during 2020-2022.</div></div><div><h3>Conclusions</h3><div>This study highlights the potential for leveraging housing eviction interventions for the prevention of alcohol-related harms, especially AUD. Future research should examine the mechanisms linking eviction, alcohol consumption, and related harms, and measure the alcohol-related impacts of eviction prevention interventions.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103632"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic differences in the relationship between greenspace deprivation and emotional, behavioural, and cognitive development in early-to-middle childhood","authors":"Georgia Cronshaw,&nbsp;Emily Midouhas,&nbsp;Eirini Flouri","doi":"10.1016/j.healthplace.2026.103615","DOIUrl":"10.1016/j.healthplace.2026.103615","url":null,"abstract":"<div><div>Greenspace deprivation has been increasingly recognised as a factor contributing to children's emotional, behavioural, and cognitive difficulties. However, limited attention has been given to individual-level factors , such as ethnicity, that may moderate this relationship. This study investigated whether area (ward)-level greenspace deprivation (defined as &lt; 20 % greenspace coverage in the residential area) differentially impacts children's psychological outcomes across ethnic groups. Using longitudinal data from the UK's Millennium Cohort Study, we employed multilevel growth curve models to examine how greenspace deprivation in urban England influences children's emotional and behavioural difficulties and cognitive abilities from ages 3–11 years, specifically considering ethnicit y as a moderator. Results revealed potential ethnic differences in the association between greenspace deprivation and various outcomes, particularly for South Asian (Indian and Pakistani/Bangladeshi) children. Here, greenspace deprivation appeared to have a small yet more pronounced negative impact on emotional/behavioural and cognitive functioning of South Asian children compared to White children. Ethnic differences persisted after adjusting for socio-economic and educational factors, with some disparities in behavioural and cognitive outcomes becoming more evident after controlling for fee-paying school status, suggesting that socio-educational factors may mask the effects of greenspace deprivation. Further research is needed to replicate these findings and explore the mechanisms driving these potential differences to help inform targeted policies that support children most vulnerable to the impact of greenspace deprivation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103615"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does urban environment at birth and adolescence affect cardiometabolic morbidity in adolescents? Results from the PARIS birth cohort study","authors":"Léa Lefebvre ,&nbsp;Emmanuel Marion ,&nbsp;Frédérique Prédali ,&nbsp;Malika Viola ,&nbsp;Thierry Feuillet ,&nbsp;Céline Roda ,&nbsp;Isabelle Momas","doi":"10.1016/j.healthplace.2026.103622","DOIUrl":"10.1016/j.healthplace.2026.103622","url":null,"abstract":"<div><div>This study aims to examine the association between urban environment characteristics at birth and at adolescence and cardiometabolic health in adolescents from the PARIS birth cohort.</div><div>Body mass index z-scores (BMIz) trajectories from birth to adolescence, weight status and two cardiometabolic profiles at adolescence were determined. Traffic-related air pollution (TRAP) exposure was estimated by a nitrogen oxides air dispersion model. The French Deprivation Index, walkability percentage, and the use of green spaces were considered. Built environment typologies were identified by a cluster analysis. Associations were assessed using multivariable (multinomial) logistic regression models and potential modifier effects were examined.</div><div>Among 617 adolescents who participated in the health checkup, around one in ten were living with overweight/obesity. Five BMIz trajectories were identified. After adjustment, walkability and the use of green spaces at adolescence were negatively associated with overweight/obesity. Early TRAP exposure showed a positive association with overweight/obesity and with each BMIz trajectory compared to the low stable trajectory, with a higher level of association observed for the two ascending trajectories. TRAP exposure, parental overweight, use of green spaces, and sedentary behavior modified the associations between the urban environment and overweight.</div><div>These findings show the beneficial effects of neighborhood walkability and using green spaces on overweight/obesity in adolescents. They also demonstrate that early TRAP exposure increases the risk of overweight. These results highlight the necessity of effective urban planning to contribute to a healthy environment.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103622"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal air pollution exposure patterns by neighbourhood-level socioeconomic position and urbanicity","authors":"N. Hlubek ,&nbsp;Y. Koop ,&nbsp;A. Wagtendonk ,&nbsp;I. Vaartjes","doi":"10.1016/j.healthplace.2026.103633","DOIUrl":"10.1016/j.healthplace.2026.103633","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103633"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146204396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}