Health & PlacePub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103380
Rebecca Bennett , Laura Alston , Christina Zorbas , Sachin Wasnik , Claire Lemke , Cindy Needham
{"title":"The healthiness of Australian food outlets available through online delivery platforms, by level of socioeconomic disadvantage and remoteness","authors":"Rebecca Bennett , Laura Alston , Christina Zorbas , Sachin Wasnik , Claire Lemke , Cindy Needham","doi":"10.1016/j.healthplace.2024.103380","DOIUrl":"10.1016/j.healthplace.2024.103380","url":null,"abstract":"<div><div>Online food delivery platforms are an emerging but poorly understood aspect of food retail environments. We collected data via web scraping methods from the two leading online food delivery platforms in Victoria, Australia, identifying 11,154 food outlets from Menulog, and 12,939 from Uber Eats (with 21,733 unique outlets available across both platforms). Outlets were classified according to their healthiness using a tool developed with Australian dietitians and public health nutritionists, and assigned a food environment score. Area level (suburb/neighbourhood) socioeconomic disadvantage was determined using the Socio-Economic Indexes for Areas Index of Relative Socio-economic Disadvantage, and relative remoteness was determined using both the Accessibility/Remoteness Index of Australia and the Modified Monash Model. Across both food delivery platforms, approximately 15% of food outlets were classified as “unhealthy”, 82% were classified as “less healthy”, and 3% were classified as “healthy”. More food outlets were available in areas of socioeconomic advantage, and in metropolitan areas. Food environment scores indicated that unhealthy outlets were significantly more available in areas with higher socioeconomic disadvantage and greater relative remoteness. Disparities in the healthiness of food outlets available through online food delivery platforms may have a negative influence on the purchasing and dietary behaviours of residents in these areas, thereby widening diet related health inequalities. Further research is required to understand the potential influence of online food delivery platforms on inequities in population diets and health.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103380"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103385
Yuxuan Zou, Donggen Wang
{"title":"Differences in the influence of the built environment on physical activities for people with normal weight, overweight, and obesity","authors":"Yuxuan Zou, Donggen Wang","doi":"10.1016/j.healthplace.2024.103385","DOIUrl":"10.1016/j.healthplace.2024.103385","url":null,"abstract":"<div><div>The link between the built environment and physical activity (PA) has received substantial research attention in health geography and public health studies. Limited research efforts have been spent to investigate if the link would be different for people with or without obesity, and prior studies often overlook potential nonlinear associations. Knowledge of such potential differences will be essential for developing tailor-made urban planning or spatial policies to promote physical activities and health for different population groups. This study aims to address this research gap by exploring the nonlinear relationships between the built environment and PA engagement for people with normal weight, overweight, and obesity. Data are derived from a two-day household activity-travel diary survey conducted in 2018 in Shanghai, China. Using gradient boosting decision tree models, this study found distinct influences of the built environment on total PA duration and active PA for different weight status groups. Residents with obesity tend to have a shorter total PA duration and a lower rate of participating in active PA. By comparing the model results, it shows that the impact of the built environment on active PA is larger than that on the total PA duration for all three weight groups, and this increase is more pronounced for the obesity group. Population density, public transit, and land use mix are the three key built environment variables that exert nonlinear effects on PA engagement across all weight groups, with variations in trend and threshold values between groups. This research presents new insights into the relationship between the built environment and physical activities, which are relevant for promoting physical activities among people with different weight statuses.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103385"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645276","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}
Health & PlacePub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103381
Zana Bayley , Lucia Crowther
{"title":"Hospice topophilia and topophobia as experienced by a local population: Implications for equity of access","authors":"Zana Bayley , Lucia Crowther","doi":"10.1016/j.healthplace.2024.103381","DOIUrl":"10.1016/j.healthplace.2024.103381","url":null,"abstract":"<div><div>The examination of hospice settings from the position of space and place is an emerging area of academic interest. Engaging with this perspective, this paper explores how topophilia and topophobia of the physical hospice setting coincides with and informs a broader love and fear of hospice care and UK hospice organisations. We report the findings of a qualitative study of 53 participants in the catchment population of a hospice in England. The coexistence of topophilia and topophobia of hospice is argued to have potential implications for equitable access to hospice care and may both facilitate and hinder efforts towards patient education and service improvement.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103381"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103360
Maya Costa-Pinto
{"title":"Aquatic engagements, cultures of immersion and practices of well-being in India","authors":"Maya Costa-Pinto","doi":"10.1016/j.healthplace.2024.103360","DOIUrl":"10.1016/j.healthplace.2024.103360","url":null,"abstract":"<div><div>This article explores aquatic engagements – particularly the practice of therapeutic sea bathing – in Goa, a coastal state in India. Goa accommodates a number of natural water bodies and residents engage with them in various ways, including by participating in sea bathing and swimming activities. This article uses the practice of sea bathing as a departure point to examine embodied aquatic engagements among women in Goa. It situates these practices within broader constraints imposed by structural and material restrictions while simultaneously showing how these embodied aquatic engagements create an inclusive space that offers new ways of thinking about well-being. The article argues that multiple framings of sea bathing provide a lens through which to understand the diverse domains that constitute well-being in India. In doing so, this article provides novel insights on the relationship between blue spaces and well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103360"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662506","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}
Health & PlacePub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103379
Margaret M. Sugg , Sophia C. Ryan , Sarah E. Ulrich , Jennifer D. Runkle , Martie P. Thompson
{"title":"Structural influences on psychiatric emergency department visits among racial and ethnic minority youth in North Carolina: A neighborhood-level analysis","authors":"Margaret M. Sugg , Sophia C. Ryan , Sarah E. Ulrich , Jennifer D. Runkle , Martie P. Thompson","doi":"10.1016/j.healthplace.2024.103379","DOIUrl":"10.1016/j.healthplace.2024.103379","url":null,"abstract":"<div><div>Mental health continues to be a growing crisis for children, adolescents, and young adults. Yet, increasing trends in subgroups are not uniform, and key differences exist across geographic, racial, and age groups. Few studies examine structural factors like economic and racial inequality, important upstream structural inequities that impact mental health. This study examines the association between individual drivers and structural factors like neighborhood privilege and youth mental health (i.e., depression, schizophrenia, suicide ideation, anxiety) and associated racial and ethnic disparities. Data on mental health were obtained from psychiatric emergency department (ED) visits for the state of North Carolina from 2012 to 2021 for residents under age 24. Multilevel logistic regressions were employed to examine trends and drivers of psychiatric ED visits compared to non-psychiatric ED visits. Results show an increase in psychiatric ED visits from 2012 to 2021 across all races and ethnicities. Although white youth represent the majority of psychiatric ED visits, increasing trends among minorities, including Black and Hispanic youth, were notable, particularly for severe mental health conditions like schizophrenia and suicide-related outcomes and for urban neighborhoods with greater segregation. Findings underscore the need for policies addressing economic and racial inequalities at the neighborhood level to mitigate youth mental health disparities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103379"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692947","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}
Health & PlacePub Date : 2024-10-29DOI: 10.1016/j.healthplace.2024.103375
Lixiaona Yu , Tao Hu , Taiping Liu , Yunyu Xiao
{"title":"Using smartphone user mobility to unveil actual travel time to healthcare: An example of mental health facilities","authors":"Lixiaona Yu , Tao Hu , Taiping Liu , Yunyu Xiao","doi":"10.1016/j.healthplace.2024.103375","DOIUrl":"10.1016/j.healthplace.2024.103375","url":null,"abstract":"<div><div>Travel time to health facilities is one of the most important factors in evaluating health disparity. Previous extensive research has primarily leveraged the driving time to the nearest health facility to gauge travel time. However, such ideal travel time (ITT) may not accurately represent real individual travel time to health services and is often underestimated. This study aims to systematically understand such gaps by comparing ITT to actual travel time (ATT) derived from smartphone-based human mobility data and further identifying how various population groups across regions are most likely to be affected. This study takes mental health as an example and compares ATT with ITT to mental health facilities. Results indicate that ITT and ATT demonstrate significant disparities between urban and rural areas. ITT is consistently underestimated across the contiguous US. We compare travel times among diverse sociodemographic groups across eight geographical regions. The findings suggest that different age groups have similar travel times to mental health facilities. However, racial groups exhibit varied travel times. Hispanics have a larger percentage of the population experiencing longer ATT than ITT. We also employed spatial and non-spatial regression models, such as Ordinary Least Squares, Spatial Lag Model, and Spatial Error Model, to quantify the correlation between travel times and socioeconomic status. The results revealed that the proportion of older adults and high school dropouts positively correlates with travel times in most regions. Areas with more non-Hispanics show positive correlations with both travel times. Overall, this study reveals pronounced discrepancies between ITT and ATT, underscoring the importance of using smartphone-derived ATT to measure health accessibility.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103375"},"PeriodicalIF":3.8,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537119","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}
Health & PlacePub Date : 2024-10-24DOI: 10.1016/j.healthplace.2024.103372
Wanyu Huang , Anneclaire J. De Roos , Michelle C. Kondo , Jane E. Clougherty , Yuzhe Zhao , Leah H. Schinasi
{"title":"Gender and violent crime modify associations between greenspace and cardiovascular disease mortality in Philadelphia, PA","authors":"Wanyu Huang , Anneclaire J. De Roos , Michelle C. Kondo , Jane E. Clougherty , Yuzhe Zhao , Leah H. Schinasi","doi":"10.1016/j.healthplace.2024.103372","DOIUrl":"10.1016/j.healthplace.2024.103372","url":null,"abstract":"<div><div>Few studies have explored variability of associations between greenspace and cardiovascular (CVD) mortality according to demographic or neighborhood contextual factors. We estimated overall and sex-stratified associations between greenspace and CVD mortality rates in Philadelphia, PA, and quantified effect modification of the sex-stratified associations by neighborhood violent crime rates. Sex- and age-stratified census tract CVD mortality rates (years 2008–2015) were linked with proportion tree canopy cover, grass/shrub cover, and total vegetation cover, and proportion of adult residents reporting access to a park. We used multivariable negative binomial models to estimate overall and sex-stratified associations between neighborhood greenspace and CVD mortality rates, and quantified effect modification by tract-level rates of violent crime. Higher proportion tree canopy cover and higher proportion adults reporting access to parks were associated with modestly lower rates of CVD mortality, with more pronounced estimates in males than females. In tracts with higher rates of crime, higher tree canopy coverage and perceived park access were associated with lower CVD mortality rates. We did not observe strong evidence of sex-based differences in interaction between neighborhood crime rates and greenspace. Results from this study reveal variability of associations between greenspace and CVD mortality rates according to sex categories, and according to neighborhood social environments. There is a need for further research exploring the extent to which differences in perceived safety explain gender-based differences in associations between greenspace and cardiovascular outcomes.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103372"},"PeriodicalIF":3.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515294","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}
Health & PlacePub Date : 2024-10-23DOI: 10.1016/j.healthplace.2024.103367
Klaudia Kukulka , Jacquelyn J. Benson , Olivia J. Landon , Keisha White Makinde , Braquel Egginton , Karla T. Washington
{"title":"A qualitative exploration of factors influencing healthcare utilization among rural Missourians: “We have to be bleeding, broken”","authors":"Klaudia Kukulka , Jacquelyn J. Benson , Olivia J. Landon , Keisha White Makinde , Braquel Egginton , Karla T. Washington","doi":"10.1016/j.healthplace.2024.103367","DOIUrl":"10.1016/j.healthplace.2024.103367","url":null,"abstract":"<div><div>Researchers performed a hybrid inductive-deductive thematic analysis of 25 individual interviews to explore factors influencing healthcare utilization in rural Missouri. Data indicated that a <em>desire for self-sufficiency</em>, <em>preference for natural interventions,</em> and <em>poor perception of rural healthcare quality</em> may deter healthcare utilization. Influential subjective norms included <em>respect for toughness and resilience, conservative approach to healthcare, view of the body as an instrument,</em> and <em>influence of faith and religion. Financial barriers</em> and <em>lack of accessible healthcare options</em> were noted as key structural obstacles. Findings emphasize the importance of individual, cultural, and structural factors in shaping healthcare utilization in underserved communities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103367"},"PeriodicalIF":3.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2024-10-21DOI: 10.1016/j.healthplace.2024.103370
Jingwen Rao , Jing Ma , Guanpeng Dong
{"title":"Exploring the effects of multi-dimensional geographic environment on daily sleep and physical activity based on the Actigraph data","authors":"Jingwen Rao , Jing Ma , Guanpeng Dong","doi":"10.1016/j.healthplace.2024.103370","DOIUrl":"10.1016/j.healthplace.2024.103370","url":null,"abstract":"<div><div>Understanding the interplay between people's daily sleep and physical activity and how geographic environment influences them are important for developing healthy cities. However, such research has been limited. This study aims to explore the bidirectional and nonlinear relationship between daily sleep and physical activity, and further investigate the comprehensive influences of multi-dimensional geographic environment on these health behaviors. Based on the objective data on sleep and physical activity over seven consecutive days using wrist-based accelerometers in Beijing, China, we developed a series of models to analyze the mutual influences between people's daily sleep and physical activity, and employed the generalized additive model (GAM) to examine their potential nonlinear relationships and how geographic environment – including meteorological conditions, built environment, and social environment – influences them. The results show that sleep and physical activity exhibit notable bidirectional relationship. Moderate-to-vigorous physical activity (MVPA) is observed to improve sleep quality, but it decreases sleep duration. In contrast, total sleep time (TST) exhibits an inverted U-shaped pattern with both MVPA and total step counts, with the optimal sleep duration at 5 h. Furthermore, meteorological factors, built environment characteristics, and social environment have significant linear or nonlinear effects on people's daily sleep and physical activity. The outcomes of this study offer valuable insights for enhancing residents' health and developing healthy cities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103370"},"PeriodicalIF":3.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515293","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}
Health & PlacePub Date : 2024-10-18DOI: 10.1016/j.healthplace.2024.103368
Andy Yuille , Jessica Davies , Mark Green , Charlotte Hardman , Jo Knight , Rachel Marshall , Hannah Armitt , Miranda Bane , Alex Bush , Victoria Carr , Rebecca Clark , Sally Cox , Felicity Crotty , Sian de Bell , Annabelle Edwards , Jody Ferguson , Rich Fry , Mark Goddard , Andy Harrod , Helen E. Hoyle , Piran White
{"title":"Moving from features to functions: Bridging disciplinary understandings of urban environments to support healthy people and ecosystems","authors":"Andy Yuille , Jessica Davies , Mark Green , Charlotte Hardman , Jo Knight , Rachel Marshall , Hannah Armitt , Miranda Bane , Alex Bush , Victoria Carr , Rebecca Clark , Sally Cox , Felicity Crotty , Sian de Bell , Annabelle Edwards , Jody Ferguson , Rich Fry , Mark Goddard , Andy Harrod , Helen E. Hoyle , Piran White","doi":"10.1016/j.healthplace.2024.103368","DOIUrl":"10.1016/j.healthplace.2024.103368","url":null,"abstract":"<div><div>Contact with nature can contribute to health and wellbeing, but knowledge gaps persist regarding the environmental characteristics that promote these benefits. Understanding and maximising these benefits is particularly important in urban areas, where opportunities for such contact is limited. At the same time, we are facing climate and ecological crises which require policy and practice to support ecosystem functioning. Policies are increasingly being oriented towards delivering benefits for people and nature simultaneously. However, different disciplinary understandings of environments and environmental quality present challenges to this agenda. This paper highlights key knowledge gaps concerning linkages between nature and health. It then describes two perspectives on environmental quality, based respectively in environmental sciences and social sciences. It argues that understanding the linkages between these perspectives is vital to enable urban environments to be planned, designed and managed for the benefit of both environmental functioning and human health. Finally, it identifies key challenges and priorities for integrating these different disciplinary perspectives.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103368"},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}