Health & Place最新文献

{"title":"Exploring the impact of neighbourhood social fragmentation on early childhood developmental vulnerability","authors":"Susan Hartono,&nbsp;Antonia Kish,&nbsp;Nasser Bagheri,&nbsp;Rachel Davey","doi":"10.1016/j.healthplace.2025.103492","DOIUrl":"10.1016/j.healthplace.2025.103492","url":null,"abstract":"<div><h3>Background</h3><div>The role of the neighbourhood social context in early childhood development is less understood despite the apparent disparities in early childhood developmental vulnerability in Australia. This research investigated the influence of neighbourhood social fragmentation on developmental vulnerability in young children.</div></div><div><h3>Method</h3><div>Data were from the 2021 Australian Early Development Census. We applied logistic multilevel models to investigate the relationship between the area-level social fragmentation index and children's developmental vulnerability. The outcome variable was developmental vulnerability on one or more domains (physical health and wellbeing, social competence, emotional maturity, language and cognitive skills (school-based), and communication skills and general knowledge). The predictor was the Australian Neighbourhood Social Fragmentation Index, constructed using the principal component analysis.</div></div><div><h3>Results</h3><div>The sample was 287,135 children in their first year of full-time schooling in 2330 Statistical Area Level 2 (SA2). Our analyses showed a 4% increased risk of developmental vulnerability on one or more domains (OR 1.04; 95% CI 1.00–1.08) if children lived in high compared with low socially fragmented neighbourhoods after adjusting for child, family, and neighbourhood characteristics.</div></div><div><h3>Conclusion</h3><div>Maintaining social cohesion in the community decreases the chance of developmental vulnerability in children during their first year of full-time schooling. Social initiatives, such as horticulture classes, volunteering programs, and Neighbour Day events, may foster social cohesion in socially fragmented neighbourhoods, supporting children's development during their early years. Additionally, certain physical aspects of the neighbourhood (e.g., availability and walkability to public amenities and services) encourage accidental social interactions between neighbours.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103492"},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169053","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":"Iowa spatial accessibility to screening mammography is improving, but utilization among privately insured women remains stable, 2016–2022","authors":"Caitlyn S. Wiener ,&nbsp;Margaret Carrel ,&nbsp;Whitney E. Zahnd","doi":"10.1016/j.healthplace.2025.103488","DOIUrl":"10.1016/j.healthplace.2025.103488","url":null,"abstract":"<div><div>This study explores the spatial accessibility and utilization of mammography screening services in Iowa from 2016 to 2022. Breast cancer continues to be the most incident cancer in Iowa, with early detection through mammography being critical for reducing mortality. Spatial accessibility considers both geographic accessibility and capacity as appointment availability simultaneously. Using optimization models, we evaluated the potential spatial accessibility to mammography screening for women aged 40–84. We found that while access to mammograms improved over time, particularly in rural areas, the theoretical capacity of mammography facilities was insufficient to meet the demand, particularly in suburban and rural areas where driving times posed significant barriers. Additionally, despite improvements in accessibility, utilization rates among privately insured women remained stable, with the highest mammography uptake among urban and suburban women and women of older ages. Discrepancies between the accessibility models and the utilization patterns indicate that additional decisions are being made by patients independent of driving distance, such as appointment availability, provider preference, or wait times, that may influence patients to receive mammograms at farther locations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103488"},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169040","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":"Environmental influences on mental health: eight-year longitudinal data show a bi-directional association between residential mobility and mental health outcomes","authors":"M. Hobbs ,&nbsp;E. Moltchanova ,&nbsp;L. Marek ,&nbsp;K. Yogeeswaran ,&nbsp;T.L. Milfont ,&nbsp;B. Deng ,&nbsp;C.G. Sibley","doi":"10.1016/j.healthplace.2025.103487","DOIUrl":"10.1016/j.healthplace.2025.103487","url":null,"abstract":"<div><div>Evidence on the environmental determinants of mental health is often cross-sectional. This pre-registered longitudinal study examines the environmental determinants of mental health using eight years of data from the New Zealand Attitudes and Values Study. Among 44,051 adults, findings reveal age, body mass index, and exercise as key individual-level factors impacting mental health, while residential mobility and area-level deprivation emerged as key environmental-level determinants. Increased probability of moving correlates with higher prevalence of depression and anxiety, with subsequent moves worsening area-level deprivation for those with persistent mental health issues. Our findings underscore the significance of environmental factors for mental health, offering insights for population-level interventions.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103487"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168614","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":"Investigating the impacts of alcohol outlet zoning policy on alcohol consumption and access to non-alcoholic services: A spatial agent-based simulation","authors":"Tingting Ji ,&nbsp;Ivana Stankov ,&nbsp;Niles Sherman Egan ,&nbsp;Kristen Hassmiller Lich ,&nbsp;Rachel L.J. Thornton ,&nbsp;Qi Wang ,&nbsp;Takeru Igusa ,&nbsp;Hsi-Hsien Wei ,&nbsp;Pamela A. Matson","doi":"10.1016/j.healthplace.2025.103489","DOIUrl":"10.1016/j.healthplace.2025.103489","url":null,"abstract":"<div><div>Debates continue over the effectiveness of limiting alcohol outlet density in reducing alcohol consumption, and its broader impacts on access to non-alcoholic services in low-income urban communities remain underexplored. This study addresses this gap by investigating the impacts of alcohol outlet zoning policies on alcohol consumption and walkable access to non-alcoholic services in low-income urban communities with different baseline densities of liquor and grocery stores. We developed a spatial agent-based model of Baltimore City neighborhoods, simulating the closure of non-conforming liquor stores following the city's zoning code rewrite. The model was calibrated using national survey data and empirical research on alcohol consumption and walkable access to alcohol, food, lottery, and ATM outlets by subgroups. We observed non-linear relationships and differences by gender and employment status in the effects of liquor store closures on heavy drinking, with policies showing limited effectiveness in neighborhoods with high baseline liquor store density. While the policies had minimal impact on access to food and ATMs due to high prevalence of grocery stores, they reduced access to lottery services. Our modeling approach serves as a valuable decision-making tool for policymakers to explore hypothetical scenarios, identify tipping points of policy impacts, and provide actionable insights into the complex interactions between zoning policies and neighborhood dynamics concerning alcohol consumption and access to essential goods and services.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103489"},"PeriodicalIF":3.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123165","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":"Local descriptive norms, smoking and body mass index in the Netherlands: Population-based study between 2012 and 2020","authors":"Dorien T. Beeres ,&nbsp;Joost Oude Groeniger ,&nbsp;Lili L. Kókai ,&nbsp;Frank J. van Lenthe","doi":"10.1016/j.healthplace.2025.103481","DOIUrl":"10.1016/j.healthplace.2025.103481","url":null,"abstract":"<div><div>Understanding the relationship between local health norms and individual behaviors can inform policies to reduce neighbourhood health inequalities. This study examines how local descriptive norms, measured as the prevalence of smoking and overweight in neighbourhoods, relate to individual smoking and body mass index (BMI) over time.</div><div>We used data from the Dutch Lifelines cohort and an existing policy instrument, SMall Area estimates for Policymakers (SMAPs), to estimate neighbourhood smoking and overweight prevalence in the Northern Netherlands (2012, 2016) and changes between these years. These estimates were linked to individual smoking and BMI in 2020 and to changes from 2016 to 2020. Generalized Linear Models were used to estimate the probability of individual smoking and overweight related to (changes) in the neighbourhood prevalence of smoking and overweight, controlling for prior health (behaviors) and socio-demographic factors. Generalized Additive Models were fitted to assess non-linearity.</div><div>The sample included 31,753 individuals across 957 neighbourhoods. A five percent higher prevalence of neighbourhood smoking in 2016 was associated with an increased relative risk of individual smoking in 2020 (RR = 1.13, 95 %CI 1.04–1.23). A five percent higher prevalence of overweight in 2016 was related to a nearly half-point higher individual BMI in 2020 (B = 0.47, 95 %CI 0.40–0.55). Non-linear associations were observed between neighbourhood overweight prevalence (2012, 2016) and individual BMI (2020), with steeper BMI increases in neighbourhoods where around half of the residents were overweight. For smoking the relationship was linear. Neighbourhood prevalence was not related to individual changes in smoking and BMI from 2016 to 2020.</div><div>Considering local descriptive norms might offer opportunities to tackle neighbourhood inequalities in health more effectively.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103481"},"PeriodicalIF":3.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071839","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":"Nature contact and health risk Behaviours: Results from an 18 country study","authors":"Leanne Martin ,&nbsp;Mathew P. White ,&nbsp;Sabine Pahl ,&nbsp;Jon May ,&nbsp;John N. Newton ,&nbsp;Lewis R. Elliott ,&nbsp;Marta Cirach ,&nbsp;James Grellier ,&nbsp;Gregory N. Bratman ,&nbsp;Mireia Gascon ,&nbsp;Maria L. Lima ,&nbsp;Mark Nieuwenhuijsen ,&nbsp;Ann Ojala ,&nbsp;Anne Roiko ,&nbsp;Matilda van den Bosch ,&nbsp;Lora E. Fleming","doi":"10.1016/j.healthplace.2025.103479","DOIUrl":"10.1016/j.healthplace.2025.103479","url":null,"abstract":"<div><div>Emerging evidence suggests that residential greenspace is associated with a lower prevalence of health risk behaviours, but it remains unclear whether these effects are generalizable across countries or different types of nature contact. Using representative cross-sectional samples from 18 countries/regions, we examined the associations between two types of nature contact (greenspace, nature visits), current smoking and everyday drinking. After controlling for a range of covariates, greenspace was inversely associated with current smoking and everyday drinking. Visiting natural spaces at least once a week was linked to a lower prevalence of current smoking, but unrelated to everyday drinking. Increasing residential greenspace could be a promising strategy for reducing multiple health risk behaviours, whilst visit-based interventions may be a more appropriate target for smoking cessation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103479"},"PeriodicalIF":3.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941526","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":"Changes in activity spaces, life spaces, and exposures to physical activity-promoting environments among women with overweight or obesity","authors":"Nana Luo ,&nbsp;Jiue-An Yang ,&nbsp;Calvin P. Tribby ,&nbsp;Sheri J. Hartman ,&nbsp;Loki Natarajan ,&nbsp;Cheryl Rock ,&nbsp;Dorothy D. Sears ,&nbsp;Tarik Benmarhnia ,&nbsp;Marta M. Jankowska","doi":"10.1016/j.healthplace.2025.103483","DOIUrl":"10.1016/j.healthplace.2025.103483","url":null,"abstract":"<div><div>Understanding factors associated with successful adherence and maintenance of weight loss interventions is important to potentially increase efficacy. Activity spaces and environmental exposures are two understudied factors that may be associated with intervention adherence and outcomes. Women with overweight or obesity (n = 498) from two weight loss intervention studies, Reach for Health and Metabolic, Exercise, and Nutrition at University of California San Diego, wore accelerometer and Global Positioning System (GPS) devices for 1 week at baseline and at 6-month follow up. Changes in activity spaces and time spent in three life space domains (<em>Home</em>, <em>Neighborhood</em>, and <em>Beyond Neighborhood</em>) were assessed at the two timepoints for total time and the subset of time in physical activity (PA). Relationships between repeated GPS-measured exposure to PA promoting environments (walkability; recreation; and greenness) were assessed with linear mixed effects models with an interaction between intervention and timepoint. There was no significant change in the average total or PA-related activity space size. There was no significant change in the amount of total time spent in life space domains by intervention group. However, for PA time in life spaces, the Intervention group increased percent of PA time in the <em>Neighborhood</em> (1.49 %–1.71 %; p = 0.011) and <em>Beyond Neighborhood</em> domains (from 5.85 %–6.60 %; p &lt; 0.0001), whereas PA time at <em>Home</em> was not significantly different (p = 0.755). For the mixed effects models with PA-related time, being in the Intervention group was associated with (−0.06, 95 % CI: −0.19, −0.07; p &lt; 0.01) less exposure to walkability and this was attenuated at time 2, compared to controls. Results suggest that PA-focused interventions did not increase the size of participants’ total and PA-related activity spaces but were associated with a higher percent of PA-related time outside of the home. There were not consistent associations between the Intervention group and increased exposure to PA-supportive environments.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927538","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":"Public space and loneliness in young adults in the Netherlands: An experiment with virtual environments","authors":"Yuwen Zhao ,&nbsp;Pauline van den Berg ,&nbsp;Bregje Schulten ,&nbsp;Astrid Kemperman","doi":"10.1016/j.healthplace.2025.103480","DOIUrl":"10.1016/j.healthplace.2025.103480","url":null,"abstract":"<div><div>As levels of loneliness in young adults are increasing, it is important to design loneliness reducing interventions for this age group. In this study, we specifically focus on built environment interventions that could alleviate young adults’ momentary feelings of emotional loneliness. We used an online survey incorporating a stated preference experiment with virtual public spaces in which seven attributes (presence of people, grass, water, benches, trees, vertical greenery, and traffic volume) were varied systematically. Respondents reported their momentary emotions (safe, relaxed, excited) and feelings of emotional loneliness after each video. The data were analyzed with regression models to determine the separate effects of these seven public space attributes on momentary loneliness and emotions. The results indicate that state loneliness is affected by the presence of other people in public space, as well as by the presence of trees and grass. Trees and other green elements (grass, water, vertical green), but also the presence of people have positive effects on feelings of safety, relaxation, and excitement. Public spaces with well-designed green elements and spaces that encourage liveliness can therefore contribute to reduced state loneliness, positive emotions and enhanced well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103480"},"PeriodicalIF":3.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928766","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":"Scenescape and youth tobacco use in China: a symbolic study of expressive and volatile scenes","authors":"Chengzhe C. Xu,&nbsp;Xiaozhao Y. Yang","doi":"10.1016/j.healthplace.2025.103485","DOIUrl":"10.1016/j.healthplace.2025.103485","url":null,"abstract":"<div><div>Previous research often measured sites and venues as proxies for place, but the place effect on health also comes from the symbolic value emanating from a place—namely the scenescape. This study investigates how scenescapes affected adolescent tobacco use by combining the number of venues and the symbolic meanings of each venue measured via separate surveys. We sampled 2800 adolescents and youths (age 15–25) from 33 schools from 4 major Sinitic cultural regions and tested whether exposure to highly expressive and volatile scenescapes increases the likelihood of tobacco use. We assessed and calculated the scores of expressiveness and volatility of the neighbourhood within the 3 km radius of the respondent's household. Then, we conducted hierarchical logistic regression on tobacco use and the scene scores, adjusted for random effects and covariates. The results indicate that adolescents living in volatile scenes were more likely to smoke combustible cigarettes (3.66, p &lt; 0.05), whereas expressive scenes were negatively associated with smoking (−3.58, p &lt; 0.01). Vaping e-cigarettes showed no significant association with either expressiveness or volatility. These findings highlight the importance of the symbolic scenes in understanding youth substance use.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103485"},"PeriodicalIF":3.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923396","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":"Evaluating the effectiveness of the global position system beaded bracelets to improve the uptake of antenatal care, health facility delivery, and post-natal care services among pastoralist women in Kenya","authors":"Dahabo Adi Galgalo ,&nbsp;Patrick Nyamemba Nyakundi ,&nbsp;Ákos Várnagy ,&nbsp;Viktória Prémusz","doi":"10.1016/j.healthplace.2025.103484","DOIUrl":"10.1016/j.healthplace.2025.103484","url":null,"abstract":"<div><h3>Background</h3><div>Antenatal Care (ANC), Health Facility Delivery (HFD), and Postnatal Care (PNC) are the leading indicators of improving maternal and child healthcare globally. This study investigated the effectiveness of a prototyped Global Position System (GPS) beaded bracelet intervention in enhancing maternal healthcare services uptake among pastoralist communities.</div></div><div><h3>Methods</h3><div>In this Randomized Control Trial (RCT), one hundred and seven pregnant women in their first trimester were randomly allocated to the intervention group (n = 52) and control group (n = 55). A GPS-beaded bracelet was given to the intervention group for the study duration of 16 months (6 months before delivery and 10 months after delivery). Meanwhile, the non-intervention group received routine ante- and postnatal care. The Pearson X² test and multivariate logistic regression analysis were conducted using IBM SPSS version 27.0, following the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Model fit was assessed using, the Omnibus test of model Co-efficient, classification table, Nagelkerke R Square, and the Hosmer-Lemeshow test. The significance level was set at p &lt; 0.05. RCT was registered (ISRCTN15438206), and the GPS beaded bracelet was patented by Kenya Industrial Property Institutes (KIPI) NO: KE/UM/19/1211.</div></div><div><h3>Results</h3><div>Women in the intervention group have nine-fold higher likelihood of having more than four ANC visits (AOR 9.13, 95 % CI 1.75–47.54), three-fold higher likelihood of having postnatal care (AOR 2.71, 95 % CI 0.74–9.96), and a fourfold higher of giving live birth (AOR 3.56, 95 % CI 0.47–27.07) compared to women in the control group. No significant differences were noted between groups when it comes to place of delivery, indicating that while GPS may facilitate access to health facilities, it did not markedly change delivery outcomes based on location, but there is likelihood of delivering in a health facility (OR 2.0, 95 % CI 0.39–8.21). Other variables like age group, literacy level, and distance from health facility didn't exhibit a statistically significant association. All three methods of model fit assessment indicated good model fit.</div></div><div><h3>Conclusion</h3><div>The study result showed the effectiveness of GPS-beaded bracelets by significantly improving ANC, HFD, and PNC attendance and reducing infant mortality. Future studies should focus on refining these technologies to explore the long-term impacts and scalability of such interventions across diverse pastoralist populations to improve maternal and child healthcare.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103484"},"PeriodicalIF":3.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923397","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}