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Navigating water, sanitation and hygiene (WaSH) access at the intersections of poverty, substance use, sex work and gender: A qualitative analysis of Vancouver, Canada's washroom trailer program 在贫困、物质使用、性工作和性别的交叉点导航水、环境卫生和个人卫生(WaSH):对加拿大温哥华洗手间拖车项目的定性分析
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-22 DOI: 10.1016/j.healthplace.2025.103514
Melody Wise , Echo Vieira , Tyne Baynton Cairns , Andrea Cornborough , Jaeten Gosal , Andrea Krüsi
{"title":"Navigating water, sanitation and hygiene (WaSH) access at the intersections of poverty, substance use, sex work and gender: A qualitative analysis of Vancouver, Canada's washroom trailer program","authors":"Melody Wise ,&nbsp;Echo Vieira ,&nbsp;Tyne Baynton Cairns ,&nbsp;Andrea Cornborough ,&nbsp;Jaeten Gosal ,&nbsp;Andrea Krüsi","doi":"10.1016/j.healthplace.2025.103514","DOIUrl":"10.1016/j.healthplace.2025.103514","url":null,"abstract":"<div><div>Although substantial disparities in access to Water, Sanitation and Hygiene (WaSH) facilities persist in high-income countries (HICs), few studies have explored the WaSH experiences of marginalized and criminalized communities in HICs. Our study assessed how the Washroom Trailer Program (WTP), a municipal response to large-scale closures of public washrooms during the COVID-19 pandemic, shaped experiences of health (in)equity among unhoused/precariously housed people, sex workers and people who use substances in Vancouver, Canada. Specifically, we examined how WTP interventions shaped access to WaSH services, overdose prevention, risks of gender-based violence (GBV), and connections to health care and social services. We analyzed 47 semi-structured interviews (2023–2024) with WTP users, peer staff and site operators and drew on a structural determinants of health framework and an intersectional feminist lens to delineate how structural inequities intersect and compound to shape access to and engagement with WaSH infrastructure. Our results indicate that unhoused/precariously housed women, sex workers and people who use substances face heightened gender safety concerns in their attempts to carry out regular WaSH activities, with unique gendered vulnerabilities to physical and sexual violence. We found that WTP interventions have the potential to reduce health and drug-related vulnerabilities, including risks of GBV, primarily through the integration of low-barrier gender-responsive anti-violence and harm-reduction supports alongside WaSH infrastructure. The findings of this study highlight the potential benefits of scaling and evaluating similar WaSH interventions in other urban settings in HICs as a pragmatic means of improving overall safety, health and well-being among marginalized and criminalized populations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103514"},"PeriodicalIF":3.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686004","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}
引用次数: 0
“It's not something that can wait”: Defining and promoting gender-inclusive standards for WaSH access for Californians without housing “这不是可以等待的事情”:为没有住房的加州人制定和促进性别包容性标准
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-21 DOI: 10.1016/j.healthplace.2025.103505
Megan Welsh Carroll
{"title":"“It's not something that can wait”: Defining and promoting gender-inclusive standards for WaSH access for Californians without housing","authors":"Megan Welsh Carroll","doi":"10.1016/j.healthplace.2025.103505","DOIUrl":"10.1016/j.healthplace.2025.103505","url":null,"abstract":"<div><div>This paper stems from a first known attempt to specify basic standards of care for water, sanitation, and hygiene resources (“WaSH”) for people who lack permanent, stable housing. The project's scope was the U.S. state of California, which is home to half of all people in the U.S. who are living outdoors without housing. Recommendations presented here focus on: 1) defining and specifying gender-inclusive minimum standards for WaSH access and 2) identifying effective ways to promote the urgent importance of WaSH access within a current social-political context that is increasingly hostile toward unhoused people across the United States and in California specifically.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103505"},"PeriodicalIF":3.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680047","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}
引用次数: 0
The association between women's decision-making roles in sanitation and mental well-being in urban Bangladesh 孟加拉国城市妇女在卫生方面的决策作用与心理健康之间的关系
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-19 DOI: 10.1016/j.healthplace.2025.103515
Nicole Stephan , Sheela S. Sinharoy , Rachel Waford , Madeleine Patrick , Thea Mink , Tanushree Bhan , Tanvir Ahmed , Alauddin Ahmed , Bethany A. Caruso
{"title":"The association between women's decision-making roles in sanitation and mental well-being in urban Bangladesh","authors":"Nicole Stephan ,&nbsp;Sheela S. Sinharoy ,&nbsp;Rachel Waford ,&nbsp;Madeleine Patrick ,&nbsp;Thea Mink ,&nbsp;Tanushree Bhan ,&nbsp;Tanvir Ahmed ,&nbsp;Alauddin Ahmed ,&nbsp;Bethany A. Caruso","doi":"10.1016/j.healthplace.2025.103515","DOIUrl":"10.1016/j.healthplace.2025.103515","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Research indicates that women and girls face gender-specific stressors related to sanitation that affect their mental health, and women's decision-making agency may play a role in this relationship. This study aimed to quantitatively assess the association between women's sanitation-related decision-making – overall, within the household, and within the community – and well-being in two urban municipalities in Bangladesh. This paper is a secondary analysis of cross-sectional survey data collected from 1449 women in Meherpur and Saidpur, Bangladesh from March–April 2022. We measured well-being using the World Health Organization Well-being Index [WHO-5] and primary exposures included women's sanitation-related decision-making and access to an unshared latrine. Decision-making was measured using the Agency, Resources, and Institutional Structures for Sanitation-related Empowerment (ARISE) scale; the full-scale score was utilized in the first analysis and the five individual factor scores were used in the second. Linear regression models were employed to assess the associations between decision-making and well-being scores, controlling for life stage, socioeconomic level, perceived social support and self-reported physical health. Analyses were conducted with city as a fixed effect and also stratified by city. Mean well-being scores were moderate in both cities, with approximately 20 % of respondents reporting poor well-being. On average, women generally agreed that they had a role in sanitation-related decision making (mean score = 2.66 on a 1–4 scale, with higher scores indicating stronger agreement that they had the ability to make sanitation-related decisions). In the full models using the full decision-making scale score, results indicated a positive association between the overall decision-making scale score and well-being (β = 0.73, p = 0.02). In full models using decision-making factor scores, we observed a positive association between well-being and individual decision-making factor scores for the ability to influence community-level sanitation decisions (β = 1.10, p = 0.0002) and to make small household sanitation decisions (β = 1.07, p = 0.006). Conversely, the ability to participate in community-level sanitation decisions was negatively associated with well-being (β = −0.68, p = 0.02). The ability to participate in household sanitation decisions and make large household sanitation decisions were not associated with well-being. Access to an unshared latrine was not associated with well-being in fully adjusted models. The relationships between decision-making factors and well-being varied in analyses stratified by city. Women's involvement in sanitation-related decision-making likely varies based on the extent of their participation, the nature of the decisions, and a range of contextual and household- or individual-level factors (e.g., socioeconomic level, age, education). To effectively improve women's well-being, sanitation pr","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103515"},"PeriodicalIF":3.8,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665844","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}
引用次数: 0
Does nature make us less lonely? Analysis in Bulgaria's five largest cities 大自然让我们不那么孤独了吗?保加利亚五大城市的分析
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-10 DOI: 10.1016/j.healthplace.2025.103509
Iana Markevych , Clemens Baumbach , Marco Helbich , Angel Burov , Donka Dimitrova , Mark J. Nieuwenhuijsen , Angel M. Dzhambov
{"title":"Does nature make us less lonely? Analysis in Bulgaria's five largest cities","authors":"Iana Markevych ,&nbsp;Clemens Baumbach ,&nbsp;Marco Helbich ,&nbsp;Angel Burov ,&nbsp;Donka Dimitrova ,&nbsp;Mark J. Nieuwenhuijsen ,&nbsp;Angel M. Dzhambov","doi":"10.1016/j.healthplace.2025.103509","DOIUrl":"10.1016/j.healthplace.2025.103509","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness is prevalent and increases risks of disease and premature death. We aimed to investigate whether greater exposure to nature is associated with less loneliness in urban Bulgarian adults, and whether the association was modified by sociodemographic factors.</div></div><div><h3>Methods</h3><div>The analytic sample comprised 3604 adults from a cross-sectional population-based survey conducted in 2023 in the five largest Bulgarian cities. Loneliness was self-reported with a single item on a seven-point Likert scale. Availability of nature was assessed by several GIS-derived indicators: normalised difference vegetation index (NDVI), tree cover density, urban green space, all in a 300 m buffer around home, and distance to blue space. Self-reported nature indicators included domestic garden, green space and blue space quality, green space and blue space window view, and time spent in green and blue space. Adjusted negative binomial regressions with random intercept for city district were used to assess associations with loneliness. We further checked effect modification by city type, sex, age, relationship, employment status and education.</div></div><div><h3>Results</h3><div>Residing in areas with more urban green space, higher green space quality, and green space window view and spending more time in green and blue space were associated with lower loneliness scores. Living in low or high compared to medium level NDVI settings or in areas with higher tree cover density was associated with higher loneliness scores. Sociodemographic factors modified some of these associations.</div></div><div><h3>Conclusions</h3><div>Our findings underscore the importance of extending and improving structured urban green spaces in Bulgarian cities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103509"},"PeriodicalIF":3.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587903","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}
引用次数: 0
Risk of diagnosed and undiagnosed mental distress in coastal and inland English residents: A pooled cross-sectional analysis of adult UKHLS respondents 沿海和内陆英国居民确诊和未确诊精神困扰的风险:对成年UKHLS受访者的汇总横断面分析
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-08 DOI: 10.1016/j.healthplace.2025.103501
Claire Wicks , Susan McPherson , Cara Booker , Antonella Trotta , Meena Kumari , Emily T Murray
{"title":"Risk of diagnosed and undiagnosed mental distress in coastal and inland English residents: A pooled cross-sectional analysis of adult UKHLS respondents","authors":"Claire Wicks ,&nbsp;Susan McPherson ,&nbsp;Cara Booker ,&nbsp;Antonella Trotta ,&nbsp;Meena Kumari ,&nbsp;Emily T Murray","doi":"10.1016/j.healthplace.2025.103501","DOIUrl":"10.1016/j.healthplace.2025.103501","url":null,"abstract":"<div><div>Recent research in the United Kingdom (UK) has highlighted a potential ‘coastal effect’, whereby residents of coastal areas may be subject to poorer health outcomes, including mental health. This study sought to investigate the coastal effect by comparing the risk of experiencing diagnosed and undiagnosed mental distress in both coastal and inland English adult residents. Data from waves 10–13 (2018–2023) of Understanding Society, a nationally representative population study, were extracted for analysis. Respondents were categorised by residential area (coastal or inland), mental health status (no mental distress, diagnosed mental distress, and undiagnosed mental distress), and age category (young adult (16–24 years) (n = 3,615), working age adult (25–65 years) (n = 18,011) and older adult (66+ years) (n = 6,923)). The results of multinomial regression revealed that after adjusting for sex, ethnicity, tenure and household income, young adults residing in the most deprived coastal areas had three times the risk of experiencing undiagnosed mental distress compared to young adults from equally deprived inland areas (RRR: 3.42, 95%CI: 1.24, 9.36). In contrast, older adults in the most deprived coastal areas had approximately one-third of the risk of experiencing undiagnosed mental distress compared with their inland peers (RRR: 0.13, 95%CI: 0.13, 0.95). This research highlights the striking mental health inequality in coastal young adults and calls for investment in both short-term interventions to support mental health and long-term investment in coastal infrastructure and youth mental health services to prevent future generations from experiencing similar mental health disparities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103501"},"PeriodicalIF":3.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572687","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}
引用次数: 0
Labour will progress where māmā feel safe: Constructing birth-place decision making in primary birth centres 在māmā感到安全的地方,劳动将取得进展:在初级生育中心建立出生地决策
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-05 DOI: 10.1016/j.healthplace.2025.103510
Sarah A. Lovell , Christina Ergler , Mary Kensington
{"title":"Labour will progress where māmā feel safe: Constructing birth-place decision making in primary birth centres","authors":"Sarah A. Lovell ,&nbsp;Christina Ergler ,&nbsp;Mary Kensington","doi":"10.1016/j.healthplace.2025.103510","DOIUrl":"10.1016/j.healthplace.2025.103510","url":null,"abstract":"<div><div>High rates of intervention in birth is a significant health issue. Primary birth centres are midwife-led sites for care with lower rates of intervention in birth than hospitals. Yet hospital births dominate birthplace decision-making in New Zealand. In-depth interviews with 24 health workers associated with four primary birth centres aim to identify how confidence in a primary centre birth is built. Thematic analysis demonstrates how midwives discursively and visually re-centred birth as a normal physiological process challenging hospital as the taken-for-granted place for care. We conclude that midwives’ neurohormonal understandings of birth builds responsiveness to the birth-place ontologies of clients.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103510"},"PeriodicalIF":3.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556585","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}
引用次数: 0
Structural drivers of health among transgender women in the United States: A nationwide study 美国跨性别女性健康的结构性驱动因素:一项全国性研究
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-05 DOI: 10.1016/j.healthplace.2025.103511
Tonia C. Poteat , Sabriya L. Linton , Andrea L. Wirtz , Carmen Gutierrez , Darya Adams , Carter Brown , Marissa Miller , Denise N. Mitchell , Reed DeAngelis , Wiley Kornbluh , Sari L. Reisner
{"title":"Structural drivers of health among transgender women in the United States: A nationwide study","authors":"Tonia C. Poteat ,&nbsp;Sabriya L. Linton ,&nbsp;Andrea L. Wirtz ,&nbsp;Carmen Gutierrez ,&nbsp;Darya Adams ,&nbsp;Carter Brown ,&nbsp;Marissa Miller ,&nbsp;Denise N. Mitchell ,&nbsp;Reed DeAngelis ,&nbsp;Wiley Kornbluh ,&nbsp;Sari L. Reisner","doi":"10.1016/j.healthplace.2025.103511","DOIUrl":"10.1016/j.healthplace.2025.103511","url":null,"abstract":"<div><h3>Introduction</h3><div>Residential segregation and gentrification are associated with a variety of health outcomes. However, few studies in this area have included transgender women, who experience well-documented health inequities. This analysis sought to assess the effects of racialized economic segregation and gentrification on psychological distress and self-rated health (SRH).</div></div><div><h3>Methods</h3><div>398 transgender women in the United States completed a baseline survey between June 14, 2021 and May 1, 2022 and a follow-up survey 12 months later. Neighborhood-level racialized economic advantage and gentrification were measured at the ZIP code level and categorized into tertiles. The first tertile reflected the lowest levels of these measures. Multilevel modified Poisson regression models with individual-level random intercepts and robust variance estimation, were used to estimate unadjusted and adjusted associations of racialized economic residential advantage and gentrification with serious psychological distress (Kessler-6 ≥ 13) and SRH (poor/fair vs good/very good/excellent).</div></div><div><h3>Results</h3><div>Ethnoracial identities included 57 % White, 19 % Black, and 9 % Latine (of any race). The highest tertile of racialized economic advantage (vs the lowest) was associated with increased risk of serious psychological distress (RR = 1.28; 95 %CI = 1.02, 1.61) and higher risk of poor-to-fair SRH (RR = 1.51; 95 % CI = 1.10,2.08) in multivariable models, while gentrification showed no significant association with either outcome.</div></div><div><h3>Discussion</h3><div>These findings are consistent with prior research indicating that minoritized populations may not derive health benefits from residing in more socially and economically advantaged neighborhoods. Future research is needed to better understand the experiences of transgender women who may be exposed to transphobia in both advantaged and disadvantaged neighborhoods.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103511"},"PeriodicalIF":3.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556679","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}
引用次数: 0
Characterizing household food security status, perceived neighborhood food environment, and food shopping behaviors among caregivers of children in the Hispanic Community Health Study/Study of Latinos Youth ancillary study (SOL Youth) 西班牙裔社区健康研究/拉丁裔青少年研究辅助研究(SOL Youth)中儿童照顾者的家庭食品安全状况、感知邻里食品环境和食品购物行为特征
IF 3.8 2区 医学
Health & Place Pub Date : 2025-07-04 DOI: 10.1016/j.healthplace.2025.103503
Amanda C. McClain , Robert J. Castro , Jonathan L. Helm , Carmen R. Isasi , Krista M. Perreira , Josiemer Mattei , Guadalupe X. Ayala , Yasmin Mossavar-Rahmani , Daniela Sotres-Alvarez , Martha Daviglus , Linda Van Horn , Greg A. Talavera , Linda C. Gallo
{"title":"Characterizing household food security status, perceived neighborhood food environment, and food shopping behaviors among caregivers of children in the Hispanic Community Health Study/Study of Latinos Youth ancillary study (SOL Youth)","authors":"Amanda C. McClain ,&nbsp;Robert J. Castro ,&nbsp;Jonathan L. Helm ,&nbsp;Carmen R. Isasi ,&nbsp;Krista M. Perreira ,&nbsp;Josiemer Mattei ,&nbsp;Guadalupe X. Ayala ,&nbsp;Yasmin Mossavar-Rahmani ,&nbsp;Daniela Sotres-Alvarez ,&nbsp;Martha Daviglus ,&nbsp;Linda Van Horn ,&nbsp;Greg A. Talavera ,&nbsp;Linda C. Gallo","doi":"10.1016/j.healthplace.2025.103503","DOIUrl":"10.1016/j.healthplace.2025.103503","url":null,"abstract":"<div><div>U.S. Hispanic/Latino households disproportionally experience food insecurity, which may intersect with their food environments and food shopping behaviors to shape diet and health, but more representative findings are needed. We identified latent classes related to household food security (HFS), food environments, and food shopping behaviors among U.S. Hispanic/Latino households, and investigated their relationships with sociodemographic characteristics. We used cross-sectional data from 983 adult caregivers residing with youth (8-16 y) and participating in the multisite Study of Latino Youth. Caregivers completed the USDA HFS Survey Module (high, marginal, low, very low FS), a 5-item perceived neighborhood food environment (healthy food availability, quality, cost) questionnaire, and a 5-item food outlet shopping frequency questionnaire. We identified the best-fitting solution of latent classes by examining standard fit criteria and determined the relationship of latent classes to distal sociodemographic characteristics. We identified a 5-class solution. The <em>“average quality, somewhat costly food environment”</em> class (19.7 %) had low and high HFS and shopped at a variety of food stores; this class had the highest proportion of participants who were foreign-born (96 %) and reporting Spanish as their preferred language (90 %). The <em>“high quality, high-cost food environment, food-insecure household”</em> class (22.6 %) shopped at supermarkets and had the highest proportion of participants with a household income of ≤$20,000 (68 %). The <em>“poor quality, high-cost food environment”</em> class (16.8 %) had low and high HFS and shopped at supermarkets and convenience stores; this class had the highest proportion of participants who were single (33 %), without a vehicle (53 %), and reporting English as their preferred language (39 %). The <em>“high quality, somewhat costly food environment, food-secure household”</em> class (15.0 %) shopped at a variety of food stores and had the highest proportion (65 %) of participants with a household income of &gt;$20,000. The <em>“high quality, affordable food environment, food-secure household”</em> class (25.9 %) shopped at supermarkets and had the highest proportion of participants who were US-born (25 %). U.S. Hispanic/Latino adults living with youth reported distinct combinations of HFS status, perceived neighborhood food environments, and food shopping behaviors, which underscores the complexity of factors defining adequate food access.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103503"},"PeriodicalIF":3.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550002","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}
引用次数: 0
Food retail environments around rural Victorian primary Schools: Associations with student diet and weight outcomes 维多利亚州农村小学周围的食品零售环境:与学生饮食和体重结果的关系
IF 3.8 2区 医学
Health & Place Pub Date : 2025-06-30 DOI: 10.1016/j.healthplace.2025.103506
J. Jacobs , C. Strugnell , L. Orellana , S. Allender , A. Horta , G. Sacks , M. Blake , K.A. Bolton , P. Fraser , A. Brown , H. Le , C. Needham
{"title":"Food retail environments around rural Victorian primary Schools: Associations with student diet and weight outcomes","authors":"J. Jacobs ,&nbsp;C. Strugnell ,&nbsp;L. Orellana ,&nbsp;S. Allender ,&nbsp;A. Horta ,&nbsp;G. Sacks ,&nbsp;M. Blake ,&nbsp;K.A. Bolton ,&nbsp;P. Fraser ,&nbsp;A. Brown ,&nbsp;H. Le ,&nbsp;C. Needham","doi":"10.1016/j.healthplace.2025.103506","DOIUrl":"10.1016/j.healthplace.2025.103506","url":null,"abstract":"<div><div>Few studies examine the influence on population diets of the healthiness of food retail outlets in the areas surrounding rural schools in Australia. This exploratory cross-sectional study examined associations between food retail environments within 500m and 1 km of 106 primary schools in rural Victoria, Australia, and self-reported diet and measured weight status of grade 4(9-10yo) and grade 6(12-13yo) students (n = 3236). Few significant results were found with a 500m network buffer. At 1 km, there were reduced odds of meeting sugar sweetened beverage (SSB) recommendations with more unhealthy (OR: 0.51, 95 %CI 0.26, 0.98) or takeaway outlets (OR: 0.58, 95 % CI 0.37, 0.89), compared to none of these outlets. Compared to having no supermarkets, the presence of more supermarkets was associated with higher odds of meeting unhealthy snack recommendations (OR: 2.19 95 %CI 1.28, 3.76), SSB recommendations (OR: 1.96 95 % CI 1.23, 3.13) and reduced odds of having overweight or obesity (OR: 0.75 95 %CI 0.57, 0.99). Further investigation into the impact of the food outlet placement on children's dietary behaviours is warranted, in order to inform policy regarding the placement of outlets in proximity of schools.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103506"},"PeriodicalIF":3.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517474","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}
引用次数: 0
I speak to the trees because nature is my friend: Conceptualization and assessment of connection to nature in solitude 我和树说话,因为自然是我的朋友:在独处中对与自然的联系进行概念化和评估
IF 3.8 2区 医学
Health & Place Pub Date : 2025-06-28 DOI: 10.1016/j.healthplace.2025.103499
Anna Stone , Tiffany Cheng , Robert J Coplan
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