Health & Place最新文献

{"title":"Mental wellbeing and aging in place: The role of the built environment in promoting healthy aging","authors":"Antonio Zumelzu ,&nbsp;Marta Moya Fierro ,&nbsp;Marie Geraldine Herrmann-Lunecke","doi":"10.1016/j.healthplace.2025.103471","DOIUrl":"10.1016/j.healthplace.2025.103471","url":null,"abstract":"<div><div>We analyze the built environment and its impacts on senior citizens’ mental wellbeing. Through \"Go-Along\" method, 50 walking interviews were made to analyze the emotional experiences of elderly individuals in relation to the built environment. Results indicate that a highly walkable environment with local shops can generate a greater connection with the community, increasing individual tranquility and trust in public space. Natural elements like well-maintained gardens, consistent trees on sidewalks, varied tree leaf colors, and lush grass on streets positively influence seniors' mental wellbeing. These findings are crucial for urban design, offering valuable guidance to create inclusive environments that support healthy aging.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103471"},"PeriodicalIF":3.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874294","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":"On the Modifiable Areal Unit Problem (MAUP) in healthcare accessibility measurement via the two-step floating catchment area (2SFCA) method","authors":"Zhuolin Tao,&nbsp;Rui Zhang,&nbsp;Cheng Liu,&nbsp;Qianyu Zhong","doi":"10.1016/j.healthplace.2025.103468","DOIUrl":"10.1016/j.healthplace.2025.103468","url":null,"abstract":"<div><div>The widely used two-step floating catchment area (2SFCA) method for healthcare accessibility measurement might be biased due to the Modifiable Areal Unit Problem (MAUP), which remains unknown. This study calculates and compares healthcare accessibility via the Gaussian-based 2SFCA method at various spatial scales to identify the scale effects. We also compare various spatial aggregation approaches at the township scale to examine the zoning effects, including geometric centroids, population centroids, government residences and a hybrid population-weighted average travel time approach. Taking Lhasa city as the study area, the grid-based travel time estimation method is adopted to reflect the influence of the physical environment. The results reveal significant scale effects in the application of the 2SFCA method. Using population centroids to represent the spatial distribution of population within townships can yield more accurate accessibility results, while the accessibility measured based on geometric centroids might be considerably biased. The population-weighted average travel time approach, which aggregates grid-scale travel times to the township scale, also ensures high accuracy of accessibility measurement. The population-weighted average travel time approach and the population centroid approach are more effective in mitigating potential scale effects on accessibility results with limited population data. These findings are valuable for researchers to apply accessibility methods properly and support reliable policy implications based on accessibility results.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103468"},"PeriodicalIF":3.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869686","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":"Neighbourhood, school and home food environment associations with dietary behaviours in Hong Kong adolescents: the iHealth study","authors":"Maria V. Soloveva ,&nbsp;Anthony Barnett ,&nbsp;Robin Mellecker ,&nbsp;Cindy Sit ,&nbsp;Poh-chin Lai ,&nbsp;Casper J.P. Zhang ,&nbsp;James F. Sallis ,&nbsp;Ester Cerin","doi":"10.1016/j.healthplace.2025.103472","DOIUrl":"10.1016/j.healthplace.2025.103472","url":null,"abstract":"<div><div>This study is the first to examine whether neighbourhood, school and home food environments were associated with dietary behaviours in Hong Kong adolescents; and whether off-campus lunch school policy, bringing lunch from home and parental rules for eating behaviours moderated the associations. We used data from the <strong>i</strong>nternational <strong>H</strong>ealthy <strong>e</strong>nvironments and <strong>a</strong>ctive <strong>l</strong>iving in <strong>t</strong>eenagers – (<strong>H</strong>ong Kong) [iHealt(<strong>H</strong>)] study. Participants were healthy adolescents aged 11–18 years (N = 1299; <em>M</em>_age = 14.7 years; 57 % girls) and their parent/primary caregivers. Participants completed <strong>surveys with validated scales to</strong> assess dietary behaviours and perceived food environments. The Microscale Audit of Pedestrian Streetscapes and Geographic Information Systems data and software were used to objectively assess food environments. A higher number of bakeries, coffee shops, cafes and convenience stores in the neighbourhood was associated with higher consumption of vegetables and lower consumption of sugar-sweetened drinks in adolescents. Adolescents who frequently brought lunch from home to school consumed fatty foods and sugar-sweetened drinks less frequently and were more likely to eat fruits and vegetables. Greater availability of unhealthy food outlets at the school was associated with higher consumption of sugar-sweetened drinks, whereas more restaurants around the school was associated with higher consumption of fruits and vegetables. Home-made lunches and restrictive parental eating rules moderated the effects of food environments on adolescents’ dietary behaviours.</div><div>All food environmental contexts were associated with Hong Kong adolescents’ dietary behaviours; however, the home and school environment appeared to be the most influential and should be targeted in public health interventions.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103472"},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865036","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":"Australian allied health professionals' perspectives on current practice, benefits, challenges, and opportunities in nature-based approaches","authors":"Jessica Stanhope ,&nbsp;Kristen Foley ,&nbsp;Mary Butler ,&nbsp;Jennifer Boddy ,&nbsp;Kelly Clanchy ,&nbsp;Emma George ,&nbsp;Rachel Roberts ,&nbsp;Paul Rothmore ,&nbsp;Amy Salter ,&nbsp;Patricia Serocki ,&nbsp;Abirami Thirumanickam ,&nbsp;Philip Weinstein","doi":"10.1016/j.healthplace.2025.103430","DOIUrl":"10.1016/j.healthplace.2025.103430","url":null,"abstract":"<div><h3>Purpose</h3><div>To guide the effective use of nature-based approaches (NBAs), we aimed to determine current practice, challenges and proposed solutions concerning the use of these approaches by allied health professionals (AHPs). We also investigated the signs, symptoms and conditions AHPs believe NBAs may prevent and/or manage, as well as the perceived impact of the COVID-19 pandemic.</div></div><div><h3>Materials and methods</h3><div>Allied health professionals (physiotherapists, occupational therapists, exercise physiologists, psychologists, social workers and speech pathologists) who used or wanted to use NBAs in Australia were invited to complete an online questionnaire. Qualitative data were analysed through inductive coding and categorisation, and paired with descriptive statistics for the quantitative data to develop our understandings.</div></div><div><h3>Results</h3><div>Allied health professionals indicated that exposure to nature could prevent and/or manage a range of physical and mental health, social and developmental outcomes. In addition to using NBAs with patients/clients, AHPs were also engaged with advocacy for or involvement in the provision of natural spaces indicating the broader roles in which AHPs work and utilise NBAs. Perceived challenges were identified, which related to the patients/clients, AHPs themselves, and external factors. Recommended solutions included increasing education for AHPs and the general public about NBAs, advancing related research, implementing relevant governance changes, and legitimising the role(s) of these approaches to allied health practice.</div></div><div><h3>Conclusions</h3><div>Increasing awareness of and evidence about NBAs among AHPs across sectors – particularly those involving policy, education, funding, and health management – will support their legitimacy and potential benefit of NBAs across a range of populations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103430"},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865037","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 housing precariousness with depressive symptoms and suicidal ideation: Findings from a nationwide survey of young adults in South Korea","authors":"Seong-Uk Baek ,&nbsp;Jin-Ha Yoon","doi":"10.1016/j.healthplace.2025.103466","DOIUrl":"10.1016/j.healthplace.2025.103466","url":null,"abstract":"<div><div>Adequate housing quality is fundamental to wellbeing. This study examined the associations between housing precariousness (HP), depressive symptoms, and suicidal ideation among young adults. A nationally representative sample of 14,800 Korean adults aged 19–34 years was analyzed. HP was measured across five dimensions: housing affordability, housing tenure, housing satisfaction, neighborhood quality, and community cohesion. An overall HP score (ranging from 0 to 10) was categorized into four levels: lowest, low, high, and highest. Depressive symptoms were determined based on the Patient Health Questionnaire-9, and suicidal ideation in the past year was evaluated. Logistic regression models calculated odds ratios (ORs) and 95 % confidence intervals (CIs). Among participants, 5.8 % reported depressive symptoms, and 2.4 % reported suicidal ideation. Compared with individuals with the lowest HP levels, individuals with high HP levels (OR: 1.45; 95 % CI: 1.07–1.96) and the highest HP level (OR: 3.22; 95 % CI: 2.37–4.37) were more likely to experience depressive symptoms. Similarly, the odds of suicidal ideation were higher among those with the highest HP level (OR: 3.38; 95 % CI: 2.21–5.19). Each 1-point increase in the HP score was associated with a 1.44-fold increase in the odds of experiencing depressive symptoms (95 % CI: 1.34–1.55) and a 1.46-fold increase in the odds of reporting suicidal ideation (95 % CI: 1.31–1.62). HP is associated with both depressive symptoms and suicidal ideation among young adults in South Korea. Therefore, multifaceted policy efforts are required to enhance housing quality of young adults.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103466"},"PeriodicalIF":3.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858986","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":"‘I care for my grandma because she's one of my best friends': Intergenerational caregiving and the everyday geographies of aging in Palm Beach County, Florida","authors":"Leiha Edmonds,&nbsp;Elizabeth Olson","doi":"10.1016/j.healthplace.2025.103464","DOIUrl":"10.1016/j.healthplace.2025.103464","url":null,"abstract":"<div><div>In this article, we examine the intricate dynamics of caregiving arrangements where individuals under the age of 18 and older adults care for each other and share caregiving responsibilities for other household members experiencing chronic illness, disability, or medical needs. Drawing on a subset of geospatial maps, sketch mapping, and interview data collected from a two-year research project with caregiving youth, the article explores how caregiving shapes the lived experiences of both young people and older adults in peri-urban Florida, and the spaces and places available to them in their everyday care routines. The analysis provides valuable insights into the broader societal implications of intergenerational caregiving, remaining sensitive to the varieties of care arrangements that support the health and well-being of families with aging adults.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103464"},"PeriodicalIF":3.8,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828437","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":"Mapping outdoor alcohol advertising around waterways in an exploration of where and what the advertisements feature","authors":"Justine E. Leavy ,&nbsp;Paula Hooper ,&nbsp;Gina Trapp ,&nbsp;Renee N. Carey ,&nbsp;Gemma Crawford","doi":"10.1016/j.healthplace.2025.103463","DOIUrl":"10.1016/j.healthplace.2025.103463","url":null,"abstract":"<div><h3>Background</h3><div>In Western Australia (WA) social activities occur in aquatic environments where alcohol promotion and consumption may be prevalent creating an aquatic alcogenic environment. This poses a challenge for drowning prevention efforts. Restrictions on alcohol advertising placement near aquatic environments require an evidence-base of how prevalent alcohol outlet availability and promotion is in aquatic environments. We aimed to quantify the presence and content of outdoor alcohol advertising in metropolitan WA and map liquor outlet density and licensed venue proximity.</div></div><div><h3>Methods</h3><div>An exploratory, cross-sectional, observational study investigated the geospatial characteristics of five WA coastal precincts. Digitised navigation maps were produced in ArcGIS. A modified online data collection application for outdoor advertising was used.</div></div><div><h3>Results</h3><div>Across five precincts 520 advertisements were identified. Two-thirds (66.2 %, n = 344) included alcohol in the advertisements; of those, 13.4 % (n = 46) featured an aquatic location, most commonly the beach (89.1 %, n = 41). In three precincts, advertisements were on windows or building walls of on and off-licensed premises. One precinct featured no alcohol-based advertisements and on-licensed premises only (i.e., restaurants).</div></div><div><h3>Discussion</h3><div>This is the first study to quantify the volume and content of alcohol advertisements specific to aquatic locations. It provides insights to inform future advocacy and policy efforts to tackle alcohol advertising and availability in and around aquatic environments.</div></div><div><h3>Conclusion</h3><div>Comprehensive and robust alcohol advertising regulation that effectively minimises community exposure to alcohol marketing in aquatic locations is vital, specifically: (i) restricting advertising of alcohol near waterways; and (ii) restricting advertisements that feature alcohol and aquatic locations/activities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103463"},"PeriodicalIF":3.8,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834257","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":"Period poverty: Menstrual information, product selection, and disposal among urban female nursing students in Bangladesh","authors":"Md Nahid Uz Zaman ,&nbsp;Risa Takashima ,&nbsp;Akira Sai ,&nbsp;Taro Yamauchi","doi":"10.1016/j.healthplace.2025.103467","DOIUrl":"10.1016/j.healthplace.2025.103467","url":null,"abstract":"<div><div>Period poverty, the lack of access to menstrual hygiene products, sanitation facilities, and education, remains a pressing issue in low- and middle-income countries. This study explored the emotional and practical challenges faced by nursing students, focusing on menstrual education, product accessibility, and disposal practices. A qualitative approach was adopted, involving 35 female nursing students (aged 26 ± 3.3 years) from seven government nursing colleges across three regions of Bangladesh. Data was collected from June to July 2023 through Focus Group Discussions (FGDs) and In-Depth Interviews (IDIs). Purposive sampling was employed for FGDs, while convenience was sampling used for IDIs. Thematic analysis, facilitated by MAXQDA2023 software, identified key themes and subthemes related to menstrual experiences. Three major themes emerged: (1) fear and confusion during first menstruation, (2) barriers to menstrual product accessibility, and (3) challenges in menstrual hygiene management. Many students reported fear and confusion during their first menstruation, largely due to inadequate information from female family members, especially mothers. Sanitary pads were the preferred menstrual product, but the embarrassment of buying products in front of men often made purchasing them difficult and they used old clothes. Additionally, a lack of proper disposal facilities and embarrassment in managing menstruation in public were significant concerns. This study underscores the need for comprehensive menstrual education and improved Water, Sanitation and Hygiene (WASH) infrastructure in educational institutions. Addressing these issues is critical to promoting safe and dignified menstrual management, reducing stigma, and enhancing health outcomes for menstruators.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103467"},"PeriodicalIF":3.8,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823576","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":"‘Clean and safe’?: Swimming ethically in compromised times and polluted places","authors":"Kate Moles ,&nbsp;Rebecca Olive","doi":"10.1016/j.healthplace.2025.103457","DOIUrl":"10.1016/j.healthplace.2025.103457","url":null,"abstract":"<div><div>In this article we explore emergent and enduring tensions that exist in thinking about outdoor swimming and what these can tell us about the expectations swimmers have for the possibilities in the world today and the world becoming. We will explore and describe encounters that let us see the complexities between the desire for encounters with nature, and the desire to maintain ‘clean and safe’ swimming experiences. Thinking in dialogue with Clifton Evers (2019, 2021, 2023) work on ‘polluted leisure’ and Alexis Shotwell’s (2016) concerns ‘about the evocations of purity and cleanliness’ (p.2), we are interested in how swimming spaces create barriers of access to healthy encounters by limiting the vulnerability swimmers feel in relation to various risks. Like Shotwell, we aim to challenge the privilege afforded to some groups of people to ‘perceive things how they should be, rather than how they are’ (p.7). By exploring the politics of maintaining ‘safe and clean’ swimming spaces, we aim to engage with how ‘Purity politics arise not only in our response to potential physical contamination but are also an issue for our ethical and political situation in the world’ (p.6). Maintaining purity, safety and cleanliness for ourselves and our communities of practice is an impossible task, and one that ensures we remain complicit in ongoing social and environmental injustices as well as re-producing social and cultural hierarchies related to nature, wellbeing, place, and health.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103457"},"PeriodicalIF":3.8,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823567","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":"Effects of urban greenspace on time to major adverse cardiovascular events among women with breast cancer in the US: Insights from the Greater Milwaukee, WI Area","authors":"Jean C. Bikomeye ,&nbsp;Sergey Tarima ,&nbsp;Yuhong Zhou ,&nbsp;Jamila L. Kwarteng ,&nbsp;Andreas M. Beyer ,&nbsp;Tina W.F. Yen ,&nbsp;Aaron N. Winn ,&nbsp;Kirsten M.M. Beyer","doi":"10.1016/j.healthplace.2025.103460","DOIUrl":"10.1016/j.healthplace.2025.103460","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Cardiovascular (CV) disease (CVD) remains a significant concern among breast cancer (BC) survivors, particularly following potentially cardiotoxic treatments, such as anthracyclines and anti-HER2 drugs, which increase the risk of major adverse CV events (MACE). Social determinants of health (SDOH) and environmental factors influence health outcomes, including those related to CVD. Urban greenspace has been associated with CV and cancer-related health benefits, yet its specific impact on MACE among BC survivors remains unknown.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aims to investigate the association between urban greenspace and time to first MACE incidence among individuals with BC after being treated with cardiotoxic therapies in the greater Milwaukee, WI area.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A retrospective cohort study was conducted using electronic medical records from the Froedtert Health System, linked to the National Death Index. Cox proportional hazards regression models were used to assess the association between percent tree canopy cover and MACE-specific hazards, adjusting for sociodemographic, clinical, and neighborhood-level factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Among the 849 women included, 44.6 % experienced a MACE. Adjusted models indicated an 18 % reduction in MACE-specific hazard (HR: 0.82, 95 % CI: 0.70, 0.96) and a 20 % reduction in MACE-specific hazard (HR: 0.80, 95 % CI: 0.67, 0.97) for women in the second and third quartiles of percent tree canopy cover, respectively, compared to the women in the first (lowest) quartile. However, we did not observe a risk difference for women living in the fourth quartile of tree canopy. Racial/ethnic disparities in greenspace exposure and MACE incidence were evident, with Non-Hispanic Black (NHB) women having a lower proportion living in areas with the highest tree canopy cover and a higher MACE incidence (61.9 %) compared to Non-Hispanic White (NHW) women (41.6 %), who had the highest proportion residing in areas within the 4th quartile of tree canopy cover.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Our findings suggest that urban tree canopy is associated with time to incident MACE among BC survivors receiving cardiotoxic treatments. These results underscore the importance of considering socioenvironmental factors in CardioOncology care and highlight the benefits of greenspace in mitigating CV complications among individuals with BC. Future research should delve into individual lifestyle and behavioral factors, environmental factors, and biological mechanisms that may underlie these associations. Additionally, longitudinal studies should be conducted to evaluate greenspace-based interventions for BC survivors, aiming to advance precision CardioOncology interventions. Observed racial/ethnic disparities in MACE incidence underscore the urgent need for equity-focused interventions addressing greenspace access and MACE-related disparities.&lt;","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"93 ","pages":"Article 103460"},"PeriodicalIF":3.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789463","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}