Health & Place最新文献

{"title":"How did labelling provision on menus for online food delivery change after implementation of England's calorie labelling regulations?","authors":"Alexandra Kalbus ,&nbsp;Oana-Adelina Tanasache ,&nbsp;Cherry Law ,&nbsp;Jean Adams ,&nbsp;Penny Breeze ,&nbsp;Alan Brennan ,&nbsp;Kerry Ann Brown ,&nbsp;Steven Cummins ,&nbsp;Dalya Marks ,&nbsp;Stephen O'Neill ,&nbsp;Richard Smith ,&nbsp;Laura Cornelsen","doi":"10.1016/j.healthplace.2026.103635","DOIUrl":"10.1016/j.healthplace.2026.103635","url":null,"abstract":"<div><div>This study describes the provision of calorie labelling in the digital out-of-home food sector after the implementation of mandatory calorie labelling for large businesses in England in April 2022. Using online menu data from two major food delivery services between June 2022 and October 2023, the number of restaurants available for delivery and the share of restaurants displaying calories was determined for every neighbourhood (Lower layer Super Output Area/Data Zone) in Great Britain. Among restaurants that display calories, we determined the share of labelled menu items and these items’ calorie content. We assessed differences by area deprivation and restaurant type. Online food delivery was available in ∼89% of Great Britain, with more restaurants available in more deprived neighbourhoods. The share of restaurants that display calories was overall low and decreasing over time (median 14% in June 2022 to 12% in October 2023), and was lowest in most deprived (9%) compared with 14% in the least deprived neighbourhoods in October 2023. Among restaurants displaying calories, the share of labelled items was high (79%–76%), while calorie content decreased slightly (by 14 kcal/food item and 5 kcal/drink item). Changes by deprivation were limited and heterogenous by restaurant type. The observed, small reduction in median calorie content may suggest positive, structural change and warrants further investigation. However, the coverage of calorie labelling is limited, and the lower provision in more deprived neighbourhoods may widen dietary health inequalities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103635"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286709","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":"Socioeconomic status and suicidal behaviour in the UK Biobank: prospective cohort study on effect modifiers","authors":"Chinmoy Sarkar ,&nbsp;Ka Yan Lai ,&nbsp;Chris Webster ,&nbsp;John Gallacher","doi":"10.1016/j.healthplace.2026.103638","DOIUrl":"10.1016/j.healthplace.2026.103638","url":null,"abstract":"<div><div>Socioeconomic status (SES) is a risk factor of suicidal behaviour. Little is however known if such association varies across strata of loneliness, social isolation, and area-level deprivation. We examined the association between SES and suicidal behaviour, and its modification by loneliness, social isolation and neighbourhood deprivation. We used a large prospective cohort from the UK Biobank comprising participants aged 38-73 years and followed-up between December 19, 2006 and March 31, 2021. Suicidal behaviour was defined as suicide death or incident non-fatal self-harm obtained through linkage to death and hospital records. Composite individual SES was derived from latent class analysis using household income, employment status and education. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox regression models. The analytic sample comprised 316,676 participants with 1,093 suicidal events over 3,815,232 person-years of follow-up. Compared with participants in the least-exposed strata of high SES-least lonely, high SES-least isolated and high SES- residing in least deprived neighbourhoods, those in the double-exposed strata of low SES-highly lonely, low SES–highly isolated, and low SES–highly deprived neighbourhoods had 3.16 (95% CI 2.35 to 4.24), 2.72 (2.08 to 3.57) and 2.92 (2.11 to 4.04) times higher risks of suicidal behaviour, respectively. There was evidence of synergistic interactions between low SES and loneliness, and low SES and social isolation upon higher risk of suicidal behaviour. Tailor-made preventive interventions promoting social engagement and provisioning resources and services in deprived neighbourhoods may reduce burdens of suicidal behaviours among at-risk subgroups.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103638"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357990","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":"Associations of built environmental characteristics and physical activity in neighbourhoods of Accra, Ghana","authors":"Emmanuel Sintim Effah ,&nbsp;Abraham Nai ,&nbsp;Helga Bárdos","doi":"10.1016/j.healthplace.2026.103645","DOIUrl":"10.1016/j.healthplace.2026.103645","url":null,"abstract":"<div><h3>Background</h3><div>There is increasing evidence from observations in Western countries that the characteristics of the built environment can influence the physical activity levels of residents, but little data is available from low and middle-income countries. The aim of this study is to explore the association between neighborhood types, built environment characteristics and the physical activity in Accra, Ghana.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in Accra, with 12 neighborhoods randomly selected on the basis of high and low values of residential density and socioeconomic status. Sociodemographic, household and neighborhood information was collected with Neighborhood Environment Walkability Scale questionnaire adapted for Africa (NEWS-A). Physical activity was assessed with the modified WHO Global Physical Activity Questionnaire and social cohesion with the Perceived Neighborhood Social Cohesion Questionnaire. Generalized linear model was performed to determine the association between neighborhood characteristics and residents’ physical activity.</div></div><div><h3>Results</h3><div>There were significant differences in the built environment characteristics and physical activity of residents in different neighborhood types. Residents of high residential density and high socioeconomic status neighborhoods had the highest levels of physical activity, mainly due to work-related physical activity. Closer proximity of destinations and recreational facilities, greater street connectivity, better aesthetics, greater safety when walking and cycling and safety from crime were associated with increased physical activity levels among residents. Conversely, social cohesion demonstrated no significant association with physical activity.</div></div><div><h3>Conclusion</h3><div>The built environment of neighborhoods has been demonstrated to be strongly associated with the physical activity levels of residents of Accra, Ghana.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103645"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448798","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":"Erratum to “Exploring placemaking in Boston's low-threshold transitional housing locations” [Health Place 98C (2026) 103634]","authors":"Joseph Silcox ,&nbsp;Charlie Summers ,&nbsp;Sofia Zaragoza ,&nbsp;Patricia Case ,&nbsp;Avik Chatterjee ,&nbsp;Sarah Porter ,&nbsp;Traci C. Green","doi":"10.1016/j.healthplace.2026.103650","DOIUrl":"10.1016/j.healthplace.2026.103650","url":null,"abstract":"<div><div>As the intersecting opioid and housing crises continue to compound, it is important to explore the ways that unhoused people who use drugs utilize the resources available to them to assert their rights and identities. As members of communities which are often construed as outside threats to the greater community, unhoused people who use drugs must contend with many forces that reject their rights to permanency (e.g., housing). This research focuses on people residing in Boston's low-threshold transitional housing (LTTH) programs, which co-located harm reduction services and other health and social supports, and where abstinence is not a requirement for entry. In our study, we aimed to capture resident experiences within LTTH environments. Through field observations and photo-ethnography, we observed the ways in which LTTH residents engaged in placemaking, a process through which individuals shape public or private space to reflect their desires, identities, and values. Analyses indicated that residents modified the existing infrastructure of the site to maximize their privacy and construct their own security systems. Residents leveraged their placement in these transitional sites as opportunities to personalize their space and develop independent living skills, demonstrating their individual identities. Residents also engaged in practices of resistance towards establishing a right to permanency and legitimacy within the context of these housing spaces. The way in which residents at LTTH sites engaged with site infrastructure facilitates the development of community and identity asserts its importance as a valuable and stabilizing resource for people experiencing homelessness.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103650"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461470","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 local perspectives on specialized healthcare: Insights from five global cities","authors":"Saeedeh Moayedfar ,&nbsp;Saba Akhavansadr ,&nbsp;Paria Taheri ,&nbsp;Safiyeh Tayebi ,&nbsp;Ayyoob Sharifi","doi":"10.1016/j.healthplace.2026.103637","DOIUrl":"10.1016/j.healthplace.2026.103637","url":null,"abstract":"<div><div>Cities that specialize in healthcare are reshaping the global urban landscape, offering advanced medical services while facing challenges of equity and inclusion. This study examines how residents, healthcare professionals, and policymakers perceive these transformations across five internationally recognized medical hubs, Vancouver, Seoul, Yazd, London, and Bangalore. By using a comparative qualitative design supported by computational text analysis, we explored how people describe and evaluate the changing role of healthcare in their cities. A total of 100 semi-structured interviews were analyzed through sentiment analysis and topic modeling to identify emotional orientations and recurring themes. Findings reveal a dual narrative. participants expressed strong satisfaction with care quality, specialization, and global recognition, yet voiced concerns about infrastructural strain, unequal access, and cultural displacement. Thematic clusters highlighted four key areas shaping these perceptions. economic development, governance, cultural identity, and operational challenges. Overall, public trust and perceived fairness emerged as central to how specialized healthcare cities are experienced and legitimized. The study concludes that successful health city planning must integrate technical excellence with equity, transparency, and cultural sensitivity to ensure socially sustainable urban healthcare futures.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103637"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146777119","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":"The interplay between the market food environment and barriers to healthy diets for women in rural Bihar, India","authors":"Martin Watts ,&nbsp;Gregory S. Cooper ,&nbsp;Anjali Purushotham ,&nbsp;Bhavani Shankar ,&nbsp;Santhi Bhogadi ,&nbsp;Helen Harris-Fry ,&nbsp;Suneetha Kadiyala ,&nbsp;Aakriti Gupta ,&nbsp;Fanny Sandalinas ,&nbsp;Shriya Bajaj ,&nbsp;Navin Bhushan ,&nbsp;Vikash Kumar ,&nbsp;Ashwini Chhatre ,&nbsp;Raja Sriswan Mamidi ,&nbsp;Emily Fivian","doi":"10.1016/j.healthplace.2026.103618","DOIUrl":"10.1016/j.healthplace.2026.103618","url":null,"abstract":"<div><div>Understanding the barriers that women in rural, low-income settings face in acquiring nutrient-dense foods (NDFs) is fundamental to improving health. Most existing evidence comes from quantitative studies. However, complementary qualitative insights can deepen understanding of individuals' lived realities and inform contextually relevant strategies to address these barriers. We qualitatively examined how gender norms and other socioeconomic inequalities shape women's interactions with their market food environment for acquiring NDFs in rural Bihar, India's poorest and most undernourished state. We also considered men's experiences to understand gender differences in barriers. We sampled 12 villages across two districts (Bhojpur and Samastipur) and conducted 12 focus groups with women and 76 interviews with women and their spouses. A complementary survey was also conducted to contextualise our qualitative findings.</div><div>The unaffordability of NDFs, caused by low income and high prices, was the main barrier to acquisition. This barrier was most pronounced for the poorest and was greatest during seasonal price spikes. Women faced unique affordability challenges due to their exclusion from markets, driven by restrictive gender norms that stigmatise their participation and view markets as unsafe spaces. Consequently, women relied on expensive local sources or travelled longer distances to more distant markets, diminishing food budgets. Affordability barriers for the poorest and lower-caste women were compounded by pay discrimination and gender norms that restricted women's livelihood opportunities. Our insights suggest that providing women with cash transfers, alongside the development of safer, more inclusive markets, could improve women's acquisition of NDFs and their nutritional health.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103618"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024913","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":"Towards a socio-ecological perspective of the “biopsychosocial model of pain”: Delineation of pathways between perceived pain intensity, community capital and mental distress among community-dwelling individuals","authors":"Yuchang Bao ,&nbsp;Chi Wai Cheung ,&nbsp;Wentao Bai ,&nbsp;Hung Chak Ho","doi":"10.1016/j.healthplace.2026.103614","DOIUrl":"10.1016/j.healthplace.2026.103614","url":null,"abstract":"<div><div>According to the “biopsychosocial model of pain”, pain can lead to significant effects on mental distress. However, previous studies have not linked this model to a socio-ecological perspective, although it is generally assumed that a supportive neighborhood environment can improve mental well-being. In particular, it is unclear how the built and social environment can be considered as community capital to improve the perceived quality of social and health services and support community-dwelling individuals. Following the “Community Capitals Framework” and the “Transdisciplinary Neighborhood Health Framework”, this study considered the perceived quality of urban amenities and their satisfaction as factors of 'built capital' and sub-factors of subjective (or personal) wellbeing as factors of 'social capital' and 'psychological capital'. This study found that several subfactors of wellbeing (e.g., community connectedness and achievement in life) may not be able to develop significant pathways. In addition, significant pain-related pathways contributed to mental distress via overall satisfaction with urban amenities and satisfaction with health facilities, and were associated with risk perception and health status. However, pathways related to satisfaction with social amenities (e.g., community facilities, indoor sports facilities) were associated with quality-of-life outcomes (e.g., standard of living and future security) rather than personal health status, possibly reflecting appreciation of the built environment and its perceived quality. The above results suggest that the sub-factors related to community capital play different roles in the biopsychosocial contexts of pain. These findings can be used to suggest multidimensional strategies to support pain patients living in the community. In particular, improving risk perception for injury prevention should be considered.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103614"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024914","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":"Residential green and blue space effects on newborn health: findings from a retrospective longitudinal study in Wales","authors":"Rukun K.S. Khalaf ,&nbsp;Roberto Villegas-Diaz,&nbsp;Olly Butters,&nbsp;Anna Head,&nbsp;Rebecca S. Geary,&nbsp;Ruwanthi Kolamunnage-Dona,&nbsp;Sarah E. Rodgers","doi":"10.1016/j.healthplace.2026.103628","DOIUrl":"10.1016/j.healthplace.2026.103628","url":null,"abstract":"<div><div>The effects of green and blue spaces on newborn health are unclear with most studies using cross-sectional methods. Our retrospective longitudinal study aimed to investigate the effects of green and blue spaces on incidence of low birthweight and pre-term birth, and changes in birthweight (g) and gestational age (weeks). Our cohort was limited to births in Wales (2008 – 2019). Exposures were greenness at a 300m buffer (Enhanced Vegetation Index) and distances to blue spaces (1600m buffer), centred around a mother's home. Annual metrics were derived for the year pre-pregnancy and during-pregnancy. We utilised generalised linear models and controlled for individual-level confounders (e.g. mother's educational attainment) using census data. We conducted moderation analyses using mother's employment status and area-level deprivation. Our cohort comprised 176 459 births. Ten percent greater greenness pre-pregnancy was associated with an increase of 3.04g (95% CI 0.33 – 5.76g, p = 0.03) in birthweight. Further, 10% greater greenness pre-pregnancy was associated with a 1.0-week (p = 0.01) increase in gestational age. There were no greenness effects on pre-term birth or low birthweight. Increasing during-pregnancy distance between home and blue space was associated with increased gestational age (β = 1.0-week, p = 0.01). Greater greenness and living in moderately deprived areas were associated with increased birthweights. Our results indicate that greenness is associated with increases in birthweight and gestational age, while larger distances to blue space are associated with gestational age. The effect of green spaces on birth outcomes is not homogeneous based on area-level deprivation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103628"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189423","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":"Activities in natural environments as remedy to loneliness: The role of connectedness to nature and place attachment","authors":"Sindre Cottis Hoff ,&nbsp;Helga Synnevåg Løvoll","doi":"10.1016/j.healthplace.2026.103617","DOIUrl":"10.1016/j.healthplace.2026.103617","url":null,"abstract":"<div><div>Loneliness constitutes an increasing social and public health concern, making it important to find effective strategies for prevention and alleviation. Activities in natural environments have been found to buffer against loneliness. This is commonly explained by social interactions enabled by these activities. However, a growing body of evidence indicates that connectedness to nature and place attachment explain much of the effect of activities in natural environments on loneliness. To date, this has been left unexplored empirically. Based on tailored survey data (N = 2544) from the region surrounding Mjøsa, Norway's largest lake, the present study addresses this gap. Using structural equation modeling, it was found that activities on or along Mjøsa were associated with reduced loneliness when mediated by connectedness to nature and place attachment to Mjøsa, with the strongest association observed when mediated by connectedness to nature. The indirect association of activities via connectedness to nature and place attachment to Mjøsa was strengthened if activities were done alone. Closer examination of the activities on or along Mjøsa revealed variations in how they related to connectedness to nature and place attachment, pointing to the centrality of ways of attending to the environment. The study discusses the value of enabling people to develop connectedness to nature and place attachment for prevention and alleviation of loneliness. Followingly, the importance of educating people in ways of attending to the environment during activities is emphasized, along with the need to maintain and develop the built environment in manners favorable for activities that can increase people's connectedness to nature.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103617"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021150","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":"The impact of place on health: Neighbourhood & residential satisfaction as a contributor to physical and mental health in applicants for publicly subsidized housing","authors":"Natasha C. Taylor ,&nbsp;Julia Woodhall-Melnik ,&nbsp;Allyson Lamont ,&nbsp;James R. Dunn ,&nbsp;Emily Nombro ,&nbsp;Daniel J. Dutton","doi":"10.1016/j.healthplace.2026.103641","DOIUrl":"10.1016/j.healthplace.2026.103641","url":null,"abstract":"<div><div>Little is known about residential satisfaction in individuals who wait for subsidized housing and its relationship to health. This paper measures residential satisfaction in applicants for subsidized housing in New Brunswick, Canada and investigates its contributions to mental and physical health. The findings indicate that residential dissatisfaction is significantly associated with depression and distress; however, it is not significantly associated with physical health. The authors conclude that individuals may experience better mental health with the introduction of targeted interventions (e.g. programs to improve social interactions in lower income neighbourhoods) to improve residential dissatisfaction.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103641"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147398687","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}