Health & Place最新文献

{"title":"Media representations of rural and coastal cancer inequalities in the UK: A 10-year retrospective place-based analysis","authors":"Isabelle Tyler,&nbsp;Natalia Calanzani,&nbsp;Tanja K. Kleinhappel,&nbsp;Tom Broomhead,&nbsp;Amogh Mudbhatkal,&nbsp;Samuel Cooke,&nbsp;Nima Moghaddam,&nbsp;Ros Kane,&nbsp;Peter Murchie,&nbsp;David Nelson","doi":"10.1016/j.healthplace.2026.103707","DOIUrl":"10.1016/j.healthplace.2026.103707","url":null,"abstract":"<div><div>Place-based inequalities in cancer care are well documented across the UK and internationally, yet the extent to which mainstream media represents these disparities remains unclear. This study provides the first systematic, decade-long analysis of UK newspaper reporting on rural and coastal cancer issues, examining how media narratives construct and frame place-based disadvantage. Using a mixed-methods content analysis of 10,812 articles retrieved from Lexis + UK (2015–2025), 188 eligible articles were identified through structured screening. Guided by agenda-setting and framing theory and informed by place-health theory that conceptualises rural and coastal residence as structural determinants of health, data were coded for tone, key issues, cancer frames, and geographical focus, with qualitative synthesis complemented by quantitative analysis.</div><div>Coverage of rural and coastal cancer was limited but increased over time. Reporting was highly localised, with national outlets offering comparatively little coverage. The most frequent narratives centred on travel burden, unequal access to treatment, workforce shortages, and the withdrawal or centralisation of services. Sociopolitical framing dominated (86% of articles), presenting cancer inequalities as structural and policy driven. Spatial imbalance was evident, with disproportionate reporting from Scotland relative to England, Northern Ireland and Wales. Personal accounts illustrated lived experience but typically reinforced broader structural narratives.</div><div>Media representations of rural and coastal cancer issues therefore foreground systemic explanations but remain unevenly distributed across the UK media landscape. Limited national visibility may contribute to a continued policy blind spot. Strengthening place-sensitive communication and equitable media attention may support wider recognition of rural and coastal cancer challenges.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103707"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364531","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}

{"title":"Spatial inequalities and the impact of multiple environmental risks on ethnic minority children's health: results from the Born in Bradford study","authors":"Rosemary R.C. McEachan,&nbsp;Brian Kelly,&nbsp;Kimon Krenz,&nbsp;Mikel Subiza-Perez,&nbsp;Aidan Watmuff,&nbsp;Tiffany C. Yang,&nbsp;Shahid Islam,&nbsp;Laura Vaughan,&nbsp;John Wright","doi":"10.1016/j.healthplace.2026.103706","DOIUrl":"10.1016/j.healthplace.2026.103706","url":null,"abstract":"<div><h3>Purpose</h3><div>Urban environments are a key determinant of health and health inequality. We explore the impact of multiple spatial inequalities on primary healthcare use in a prospective multi-ethnic urban cohort of children.</div></div><div><h3>Method</h3><div>Primary-care consultations and prescription data for 4949 children were collected from birth to 10 years. Environmental exposure scores for air-pollution, road-traffic, green-space, and proximity to fast-food outlets were calculated longitudinally using home-addresses. The top 20% of addresses were classified as hazardous; environmental risk was calculated using the count of exposures above this threshold (range 0-4). Health impacts were assessed using negative binomial regression models adjusting for ethnicity; sex; age; birth outcomes; family financial status; area-level deprivation; maternal education and maternal health behaviours. Interaction terms were included for financial status and ethnicity.</div></div><div><h3>Results</h3><div>Half of Pakistani heritage and one-third of Other ethnic minority children experienced multiple environmental risks, compared to 7% of white British children. Rates of annual consultations and prescriptions increased for ethnic minority children as environment risks accumulated (consultations: no risks- Pakistani: 3·97 (95% CI: 3·79-4·15); Other: 3·37 (95% CI: 3·13-3·61); 4 risks- Pakistani: 4·23 (95% CI: 3·95-4·52); Other: 4·14 (95% CI: 3·55-4·72). Prescriptions (no risks- Pakistani: 6·14 (95% CI: 5·69-6·58; Other: 6·20 (95% CI: 5·53-6·87); 4 risks- Pakistani: 8·32 (95% CI: 7·41-9·22); Other: 6·54 (95% CI: 5·09-7·99). The reverse was found for white British children.</div></div><div><h3>Conclusions</h3><div>Ethnic minority children are disproportionately exposed to multiple environmental risks and are more vulnerable to their harmful effects. Improvements to multi-ethnic urban neighbourhoods may mitigate health inequalities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103706"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378746","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}

{"title":"Whose stress counts? Wearable biosensing in urban spaces through a feminist lens","authors":"Kerstin Eisenhut,&nbsp;Klaus Gramann","doi":"10.1016/j.healthplace.2026.103701","DOIUrl":"10.1016/j.healthplace.2026.103701","url":null,"abstract":"<div><div>The experience of urban stress can profoundly influences health and well-being of city residents. Importantly, stress is experienced differently depending on social and individual factors, making certain groups more vulnerable than others. This paper presents a literature review of wearable biosensing research on stress in urban settings. It analyzes how physiological measures, including heart-rate metrics (HRV/ECG), electrodermal activity (EDA) and electroencephalography (EEG), have been used to link built environments to individual stress experiences. Drawing on feminist theory, the review asks whether biosensing research acknowledges that stress is not experienced uniformly but reflects social inequalities. The findings show limited attention of published studies to different perceptions of stress. Most studies analyze urban stress in an aggregated form with only about one-third of the identified publications focusing on subgroup differences related to age, mental health, or gender. The paper argues that future research should use biosensing not only to map stress but to create insights into how underrepresented groups physiologically respond to urban space by systematically focusing on social and cultural contexts and embodied differences next to environmental aspects.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103701"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427705","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}

{"title":"Prevalence and social-structural correlates of forced moves among women living with HIV in Metro Vancouver, Canada","authors":"Bea Lehmann,&nbsp;Kate Shannon,&nbsp;Anne Gadermann,&nbsp;Trevor Dummer,&nbsp;Haoxaun Zhou,&nbsp;Wiebke Bartels,&nbsp;elle Aikema,&nbsp;Kathleen Deering","doi":"10.1016/j.healthplace.2026.103705","DOIUrl":"10.1016/j.healthplace.2026.103705","url":null,"abstract":"<div><div>Housing instability is a social determinant of health, with eviction being an extreme form of housing instability. There is little research on eviction among women living with HIV despite evidence that housing stability is critical for supporting the wellbeing of people living with HIV, and women in particular face gendered risks to housing stability. This study examined the associations between social-structural factors and forced moves among women living with HIV with data drawn from the Sexual Health &amp; HIV/AIDS Longitudinal Women's Needs Assessment, a community-based cohort study of women living with and accessing HIV care in Metro Vancouver, Canada (2014-2025). Bivariate and multivariable logistic regression models using generalized estimating equations (GEE) for repeated measures over time were used to identify associations between social-structural factors and forced moves. Adjusted odds ratios (aOR) and 95% confidence intervals (95%CI) are reported. Overall, 361 women contributed 2567 observations over the study period with 13.3% reporting a forced move (n = 48) at least once, and of these, 31.2% (n = 15) experiencing &gt; one forced moves in the study period. In multivariable logistic regression using GEE with multiple imputation, reporting marginalized and minoritized gender identities (adjusted Odds Ratio (aOR): 2.31, 95% Confidence Interval (95%CI): [1.13-4.72]) and being not formally employed (aOR: 7.18, 95%CI: [1.72-29.97]) remained significantly associated with forced move (p &lt; 0.05). Interventions are recommended to address forced moves, including legal protections against discriminatory evictions as well as creation of affordable and/or supportive housing including gender-responsive designs, tailoring interventions with and for women living with HIV.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103705"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347867","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":"Cash to carrots: Testing food environment mediation of cash transfer effects on children's diet in the Baby's First Years Study","authors":"Samantha Gailey,&nbsp;Abhery Das,&nbsp;Theresa L. Osypuk,&nbsp;Katherine A. Magnuson,&nbsp;Lisa A. Gennetian,&nbsp;Tim A. Bruckner","doi":"10.1016/j.healthplace.2026.103656","DOIUrl":"10.1016/j.healthplace.2026.103656","url":null,"abstract":"<div><div>In the US, low-income children have poorer dietary behaviors than high-income children and suffer disproportionately from nutrition-related chronic diseases. A growing literature examines whether food environments contribute to nutritional inequality, given evidence that low-income families differentially concentrate in neighborhoods characterized by limited access to healthy foods. Here we use a rigorous, randomized controlled trial (RCT) of poverty reduction among 901 low-income families to test whether improvements in the food environment mediate a demonstrated effect of cash transfers on children's diet. We first replicate prior work on the RCT showing a protective effect of treatment—i.e., assignment to a “high-cash” gift group (in which mothers received $333/month), relative to a “low-cash” gift group ($20/month)—on age-2 fruit and vegetable consumption. We then apply inverse odds ratio weighting (IORW) mediation methods to decompose the total effect of cash transfers into direct and indirect effects operating through changes in four food environment measures: 1) food deserts (census tract); 2) number of SNAP outlets (1-mile buffer); 3) Modified Retail Food Environment Index (mRFEI; census tract); and 4) supermarket proximity (straight-line distance). The proportion of the total effect explained by each food environment mediator ranged from 11% (mRFEI: β = 0.019, CI: −0.066, 0.104) to 14% (supermarket proximity: β = 0.025, CI: −0.057, 0.107) with all confidence intervals including zero, providing no evidence of mediation. Results suggest that changes in neighborhood food environments do not explain the effect of a poverty reduction trial on dietary improvements in early childhood.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103656"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260882","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":"Opportunities and challenges in community-led action on weather extremes for health and wellbeing","authors":"Lee Towers,&nbsp;Anna Cronin de Chavez,&nbsp;Catherine Butler,&nbsp;W. Neil Adger,&nbsp;Patricia Nicole Albers,&nbsp;Gordon Walker,&nbsp;Matthew Cotton,&nbsp;Emma Bland,&nbsp;Frank de Vocht","doi":"10.1016/j.healthplace.2026.103697","DOIUrl":"10.1016/j.healthplace.2026.103697","url":null,"abstract":"<div><div>Communities play critical roles in mitigating health and wellbeing impacts from weather extremes such as heat, cold and flood events. Community-led actions in affected localities have been shown to be an important part of effective planning and response, particularly in supporting socially and economically marginalised populations. They have also been suggested to face multiple challenges limiting their ability to ensure continuity, scale up, and propagate solutions beyond localities. However, to date the mechanisms by which communities achieve these benefits and experience challenges have not been well-documented or evidenced. Here, we analyse the mechanisms or functions that communities perform to achieve benefits for health and wellbeing in the face of different weather risks, along with the nature of the challenges that shape capacities for delivering and developing them. The study involves in-depth engagement and key informant interviews with actors in three well-established community groups and organisations in the UK who are leading action to reduce the health consequences of heat, floods, and cold risks. The results suggest multiple benefits of community-led action in response to weather risks, revealing common mechanisms through which they achieve them and face constraints. In this, we bring particular focus on the ways that community-led action is embedded in, enabled by, and constrained by power relations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103697"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267627","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}

{"title":"Association between neighborhood social cohesion and depressive symptoms: findings from the CRONICAS Cohort Study","authors":"Antonio Bernabe-Ortiz,&nbsp;J. Jaime Miranda,&nbsp;William Checkley,&nbsp;Francisco Diez-Canseco","doi":"10.1016/j.healthplace.2026.103709","DOIUrl":"10.1016/j.healthplace.2026.103709","url":null,"abstract":"<div><h3>Purpose</h3><div>While the protective role of neighborhood social cohesion against mental disorders is well-documented in high-income countries, evidence from resource-constrained settings remains scarce. This study evaluated the cross-sectional and longitudinal associations between neighborhood social cohesion and depressive symptoms in a Peruvian cohort.</div></div><div><h3>Methods</h3><div>Data from the CRONICAS Cohort Study were analyzed. The primary outcomes were the prevalence and incidence of depressive symptoms, assessed via the Center for Epidemiologic Studies Depression Scale (CES-D). Neighborhood social cohesion, conceptualized through trust, reciprocity, and solidarity, was measured using a 4-item scale and categorized into tertiles. Single variable and multivariable-adjusted Poisson regression models were used to estimate incidence rate ratios (IRR) and 95% confidence intervals (95% CI).</div></div><div><h3>Results</h3><div>Among 3533 participants (mean age 55.8 ± 12.7 years; 51.5% female), baseline prevalence of depressive symptoms was 18.6% (95%CI: 17.3%–19.9%). Middle and high levels of social cohesion were associated with a 27% (95% CI: 13%–38%) and 47% (95% CI: 19%–66%) lower prevalence of symptoms at baseline. We identified 221 incident cases (4.0 cases per 100 person-years, 95% CI: 3.5–4.6). High social cohesion was associated with an adjusted 46% (95% CI: 9%–68%) reduction in the risk of developing depressive symptoms over 30 months.</div></div><div><h3>Discussion</h3><div>Higher neighborhood social cohesion was significantly associated with a reduced prevalence and a lower incidence of developing depressive symptoms. These findings suggest that interventions aimed at fostering community trust and social capital may represent a viable strategy for mental health prevention in resource-constrained environments.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103709"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383381","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":"Choice experiment evidence on digital participation in sanitation and health campaigns in the Citarum River basin, Indonesia","authors":"Evi Siti Sofiyah,&nbsp;I Wayan Koko Suryawan,&nbsp;Sapta Suhardono,&nbsp;Nova Ulhasanah,&nbsp;Mega Mutiara Sari,&nbsp;Ari Rahman,&nbsp;Chun-Hung Lee","doi":"10.1016/j.healthplace.2026.103675","DOIUrl":"10.1016/j.healthplace.2026.103675","url":null,"abstract":"<div><div>The rapid proliferation of social media platforms has fundamentally transformed the dissemination of public health and environmental messages. However, there remains a paucity of knowledge regarding how citizens value various forms of digital participation in sanitation campaigns. This study explores community preferences for online engagement in sanitation and health initiatives, specifically within the context of the Citarum River basin and Jakarta, Indonesia. A choice experiment utilizing stratified random sampling was designed to capture preferences for three distinct forms of social media interaction: liking, sharing, and commenting, with willingness to participate quantified as digital actions per week per individual. Random parameter logit and latent class models were employed to estimate preferences and uncover heterogeneity among respondents. The results indicate that consistent liking, selective sharing of targeted content, and brief acknowledgment comments were positively and significantly correlated with utility, resulting in substantial willingness to participate values of up to 32 actions/week. Segmentation analysis identified two distinct groups: digital sanitation movers, comprising 89.5% of respondents who actively support sanitation campaigns online, and silent social media viewers, representing 10.5% who exhibited weak and inconsistent engagement. Socio-demographic analysis revealed that digital intensity and campaign awareness were more significant differentiators between these groups than income or education. The findings underscore the pivotal role of location-based features, such as regional hashtags (#CitarumHarum), in enhancing the visibility of sanitation campaigns and integrating them into community identities. Policy implications suggest prioritizing visually engaging, shareable, and locally branded content for the most digitally active citizens, while concurrently developing hybrid online–offline strategies to engage less active groups. This study contributes to the field of digital health geography by elucidating how social media participation can amplify sanitation messaging and address health vulnerabilities within urban and river basin contexts.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103675"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298064","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":"Harm reduction vending machines: An opportunity to bridge the resource access gap in non-urban communities","authors":"Abigail K. Winiker,&nbsp;Kristin E. Schneider,&nbsp;Saba Rouhani,&nbsp;Laura N. Sisson,&nbsp;Tricia Triece,&nbsp;Rick Rousch,&nbsp;Jill Owczarzak,&nbsp;Susan G. Sherman","doi":"10.1016/j.healthplace.2026.103678","DOIUrl":"10.1016/j.healthplace.2026.103678","url":null,"abstract":"<div><h3>Introduction</h3><div>Overdose mortality in the U.S. remains high. Widespread availability of naloxone and other risk reduction materials can decrease fatal overdose risk and other drug use related harms, yet barriers to supply access remain. Harm reduction vending machines (HRVMs) may offer a solution, yet the intervention has not been scaled up within the US. In this study, we interview people who use drugs (PWUD) representing urban, suburban, and rural communities in the state of Maryland to examine naloxone access and attitudes towards HRVMs.</div></div><div><h3>Methods</h3><div>In-depth interviews (N = 22) were conducted with PWUD from high-density urban, suburban, and rural areas within Maryland between April and November 2023. Eligibility included being 18 or older, having used opioids in the past three months, and recently responding to an overdose with naloxone. Participants were asked about naloxone access and perspectives on HRVMs. Thematic analysis was engaged to characterize attitudes and examine differences by urbanicity.</div></div><div><h3>Results</h3><div>Naloxone access differed among participants based upon urbanicity: those in suburban and rural settings reported access barriers, while those in the urban setting did not. Most participants were in favor of HRVMs, though some expressed concerns. Participants identified suggestions for HRVM contents, ideal placement, and oversight.</div></div><div><h3>Conclusions</h3><div>This study adds to the emerging literature on HRVM implementation within the US. We suggest intentional placement of HRVMs in Maryland, particularly within rural and suburban communities facing known harm reduction access barriers. Near universal support among participants suggests that HRVMs may be a highly feasible and acceptable intervention, particularly within areas of mixed urbanicity.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103678"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347554","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":"Reducing student loneliness through campus design: Environmental, psychological, and social mechanisms","authors":"Li Deng,&nbsp;Amaryllis H. Park,&nbsp;Sungmin Lee,&nbsp;Chanam Lee","doi":"10.1016/j.healthplace.2026.103708","DOIUrl":"10.1016/j.healthplace.2026.103708","url":null,"abstract":"<div><div>Loneliness is a pressing public health concern and a key precursor to psychological distress. While prior research has linked the built environments with loneliness, limited attention has been given to campus environments. To address this gap, we surveyed 828 students at two large land-grant universities - one in Texas (n = 400) and one in Pennsylvania (n = 428). This study examined the relationship between perceived campus environments (i.e., greenness, walkability, and seating) and students' loneliness, considering the mediating roles of perceived restorativeness (PR), perceived safety (PS), and social relationship satisfaction (SRS). Logit regression and structural equation modeling were used to examine direct and indirect pathways. The results indicated that perceived campus environments were indirectly associated with student loneliness. Social relationship satisfaction mediated the association between perceived seating availability and loneliness, while perceived greenness and walkability were linked to lower loneliness through serial mediation pathways involving PR, PS, and SRS. These pathways varied across the two campuses, highlighting the need for a context-responsive approach that considers each campus's environmental, psychological, and social characteristics. The findings provide evidence-based insights for campus planners and policymakers by highlighting the importance of students' perceptions of high-quality green spaces, pedestrian-friendly pathways, and abundant, comfortable seating. Design interventions that enhance students' experiences of these environments may support restoration, strengthen perceived safety, and foster social interaction, thereby contributing to lower loneliness. Additionally, complementary support programs, such as nature prescriptions and social engagement events, could be integrated into university policies to further support students' overall well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103708"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400402","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}