Health & Place最新文献

{"title":"I speak to the trees because nature is my friend: Conceptualization and assessment of connection to nature in solitude","authors":"Anna Stone ,&nbsp;Tiffany Cheng ,&nbsp;Robert J Coplan","doi":"10.1016/j.healthplace.2025.103499","DOIUrl":"10.1016/j.healthplace.2025.103499","url":null,"abstract":"<div><div>Spending time alone in nature has been found to benefit well-being, but the mechanisms underlying this relation are understudied. The current study validated an assessment of the construct of <em>connectedness to nature in solitude</em> (CNIS) and evaluated a model linking CNIS, time spent alone in nature, and indices of well-being. Participants were <em>N</em> = 812 emerging adults (<em>M</em>_<em>age</em> = 19.45, <em>SD</em> = 1.87) attending university in southeastern Ontario, Canada. Participants completed a series of self-report measures assessing CNIS, time alone in nature, affinity for solitude, nature connectedness, loneliness, aloneliness, and life satisfaction. Factor analysis of the 7-item CNIS Scale indicated a one-factor solution. Regression analyses indicated that at low levels of CNIS, time alone in nature was significantly and positively related to loneliness and aloneliness, but at higher levels of CNIS, this relation was attenuated. The current study provides initial evidence for the importance of CNIS as a moderator of the links between time alone in nature and well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103499"},"PeriodicalIF":3.8,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501451","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":"Enabling places and the mediation of medication-taking experiences: A mixed qualitative methods study","authors":"Ediomo-Ubong Nelson","doi":"10.1016/j.healthplace.2025.103507","DOIUrl":"10.1016/j.healthplace.2025.103507","url":null,"abstract":"<div><div>Studies have shown that medication-taking experiences are mediated by intricate social, affective and material entanglements. However, less attention has been accorded the role of place in the sociomaterial relations of these experiences. Using four examples drawn from a mixed qualitative methods study with people who use drugs living with chronic non-cancer pain in Nigeria, this study shows that medication-taking experiences are not stable but always relative to the spatio-temporal contexts of their enactment. Consistent with the logic of ‘enabling places’, the study produced findings showing that the actor-networks in different places afforded various resources that mediated medication-taking experiences. Medication-taking experiences were not reducible to simple encounters between bodies and pharmacology; instead, they were constituted through social, affective and material resources of network associations the availability of which made particular places enabling on particular occasions. To conclude, the study calls for the creation of enabling places by transforming actor-networks in ways that enable positive medication-taking experiences.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103507"},"PeriodicalIF":3.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481367","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":"Heterogeneous effects of artificial light at night on sleep and mental health: 2SLS augmented geospatial data modeling and geo-correlation analysis","authors":"Ruoyu Dong ,&nbsp;Yanqing Xu ,&nbsp;Rui Zhu","doi":"10.1016/j.healthplace.2025.103504","DOIUrl":"10.1016/j.healthplace.2025.103504","url":null,"abstract":"<div><div>Rapid urbanization has led to a significant increase in artificial light at night (ALAN), raising concerns about its potential adverse effects on human health. Yet, evidence on the relationship between ALAN, sleep, and mental health remains limited. In this study, we utilized the Extended Time-Series of Global NPP-VIIRS-like Nighttime Light Data and population distribution maps to estimate population-weighted ALAN at the census tract level across 500 major U.S. cities from 2013 to 2019. We also obtained the prevalence of frequent mental distress and short sleep duration from the SDOH database. A Two-Stage Least Squares (2SLS) model was applied to investigate the causal relationships between ALAN, sleep, and mental health, as well as heterogeneity across differing educational and urbanization levels. The findings revealed that: (1) Population-weighted ALAN was significantly associated with both sleep and mental health, with a ten-fold increase in O-ALAN corresponding to an 8.05 % (±0.04 %) rise in mental distress prevalence and a 4.99 % (±0.07 %) increase in short sleep duration prevalence; (2) higher education levels intensified the negative impact of ALAN on mental health but mitigated its effect on sleep; and (3) higher urbanization levels amplified ALAN's adverse effects on both sleep and mental health. This study is the first to examine the relationship between population-weighted ALAN and sleep and mental health outcomes while accounting for economic endogeneity, offering a comprehensive view of ALAN's impact on health.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103504"},"PeriodicalIF":3.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481366","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":"Patterns of tobacco retailer counts by zoning designations and sociodemographic characteristics in Oklahoma City and Tulsa, Oklahoma","authors":"Lily Herbert ,&nbsp;Daniel P. Giovenco ,&nbsp;Iván Flores ,&nbsp;Meng Chen ,&nbsp;Bryce C. Lowery ,&nbsp;Elizabeth Chery-Mullen ,&nbsp;Mark Meaney ,&nbsp;Amanda Y. Kong","doi":"10.1016/j.healthplace.2025.103496","DOIUrl":"10.1016/j.healthplace.2025.103496","url":null,"abstract":"<div><div>Living in a neighborhood with a high count of tobacco retailers (i.e., tobacco retailer availability, TRA) is associated with youth and adult tobacco use behaviors. As such, policies that reduce TRA have been identified as an important intervention for reducing tobacco use and achieving an equitable tobacco endgame. Zoning regulations could be leveraged as an innovative policy tool to reduce inequities in TRA, especially in states that may preempt local tobacco retail licensing. This study analyzed TRA inequities by zoning designations and sociodemographic characteristics in Oklahoma City and Tulsa (Oklahoma, USA) in 2023. We obtained locations of all licensed tobacco retailers in OKC and Tulsa and downloaded spatial zoning files containing all zoning designations (e.g., C-3, Community Commercial). We created quintiles of 2019–2023 American Community Survey census tract ethnic, racial, and socioeconomic characteristics. We spatially joined these data and calculated the total count of tobacco retailers within zoning designations and across all census tracts. To identify zoning-based inequities, we fit linear regression models examining associations between sociodemographic quintiles of census tracts and the total count of tobacco retailers in each zoning designation in a tract. Across both cities, tobacco retailer counts were generally higher in neighborhoods with greater percentages of Black and Hispanic or Latine residents, lower percentages of White residents, higher income inequality, lower median household income, and higher percentages of residents living below the federal poverty line.</div><div>Among tracts with commercial zones near residential areas, tracts with the highest (vs. lowest) percentage of residents living below the federal poverty line had 1.4 more retailers (SE, 0.3, p &lt; 0.001) in OKC. This pattern was similar in Tulsa though not significant. In contrast, TRA in tracts with commercial zoning near residential areas was lower in tracts with the highest (vs. lowest) percentage of White residents (OKC: B = −1.1; SE, 0.3, p &lt; 0.01; Tulsa: B = −3.0; SE, 0.8, p &lt; 0.001) and highest (vs. lowest) median household income (OKC: B = −1.4; SE, 0.3, p &lt; 0.001; Tulsa: B = −1.9; SE, 0.8, p &lt; 0.05). For places that are prohibited from implementing licensing-based policies to reduce TRA, zoning laws may be the only viable policy approach to reducing TRA, which may also reduce inequities in tobacco use, promoting health equity.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103496"},"PeriodicalIF":3.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306516","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":"Is neighborhood sense of community good for mental health in a pandemic? Paradoxical findings from longitudinal analyses of Wisconsin health survey","authors":"Eunice Y. Park ,&nbsp;Jodi H. Barnet ,&nbsp;Kristen C. Malecki ,&nbsp;Thomas R. Oliver","doi":"10.1016/j.healthplace.2025.103494","DOIUrl":"10.1016/j.healthplace.2025.103494","url":null,"abstract":"<div><div>Social capital is known to function as a protective buffer during disasters and crises. This study examines the relationship between neighborhood-level sense of community–a social capital indicator–and mental health before and after widespread COVID-19 vaccine distribution. It uses health survey data from community-dwelling adults in Wisconsin (n = 2048), a series of longitudinal analyses (Generalized Estimating Equation), adjusting for demographic and socioeconomic status, between neighborhood sense of community and mental health across two timepoints. Before the vaccines, participants with strong sense of community showed significantly lower prevalence of symptoms of depression (PR = 0.81; 95 % CI = 0.70, 0.94; p = 0.004) and anxiety (PR = 0.88; 95 % CI = 0.79, 0.99; p = 0.03), compared to participants with neutral sense of community. After the vaccines, however, the protective effect drastically diminished for both depressive symptoms (PR for interaction = 1.76; 95 % CI = 1.38, 2.25; p &lt; 0.001) and anxiety symptoms (PR for interaction = 1.42; 95 % CI = 1.16, 1.73; p &lt; 0.001). This study yields intriguing and somewhat paradoxical findings that challenge a conventional assumption that social capital–as measured by sense of community at the neighborhood level–protects people during an infectious disease outbreak. The results highlight that neighborhood-level sense of community functioned as a protective buffer early in the pandemic but offered significantly less protection once there was a sense of normalcy with loosened pandemic restrictions and more in-person socializing. Such nuanced results offer insights on the multifaceted nature of social capital, particularly complex and dynamic role of neighborhood sense of community, which may provide insights for future interventions during challenging times.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103494"},"PeriodicalIF":3.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306604","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":"Connecting to home in transitional accommodation: Exploring the perspectives of people with mental health issues in Hong Kong","authors":"Jialiang Cui,&nbsp;Jialing Wu","doi":"10.1016/j.healthplace.2025.103500","DOIUrl":"10.1016/j.healthplace.2025.103500","url":null,"abstract":"<div><div>For people with mental health issues (MHIs), the experience of being at home is widely recognised as a universal aspiration. Yet, research on home in the mental health context has largely marginalised the role of transitional accommodation. This paper examines how residents construct the idea of home and how homelike qualities are enacted and sustained in transitional accommodation in Hong Kong, where such services remain the primary response to the (temporary) housing needs of people with MHIs. With the support of a panel of experts with lived experience of MHIs and transitional accommodation, we conducted in-depth interviews using both visual and verbal methods with 60 residents across 16 hostels. Findings revealed that external, relational, and socially connected qualities of home were more likely to be prioritized by residents. Participant accounts also reflected a broad continuum in how transitional accommodation is perceived in relation to home, ranging from full acceptance to firm rejection. Four themes, including safety risk coming from inside, spaces for extending family connection, dimensional interpretations of personal space, and living with a diminished sense of ownership, are discussed, highlighting the influence of personal, socio-cultural, and political contexts in the homemaking process. The paper underscores the need for more culturally and contextually sensitive research on at-homeness and offers insights into improving the design and delivery of transitional accommodation services.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103500"},"PeriodicalIF":3.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272271","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":"Walking in nature decreases state anxiety through pleasure","authors":"James Madog Harris ,&nbsp;Claus Vögele ,&nbsp;İrem Tuğçe Öz ,&nbsp;Damien Brevers","doi":"10.1016/j.healthplace.2025.103498","DOIUrl":"10.1016/j.healthplace.2025.103498","url":null,"abstract":"<div><div>Walking in nature has shown to be a medication-free and cost-effective way to reduce state anxiety. Nature-based walks may also afford a more enjoyable experience than walking in urban environments. Nevertheless, it is currently unclear if walking in nature decreases state anxiety through pleasure. Here, we examine this question by comparing the impact of a forest walk to an urban one (independent variable) on the pleasure experienced by participants during the walk (mediator) and on the pre-and post-walk state anxiety change (dependent variable). Using three sequential steps of mediation analyses, we observed that walking pleasure mediates the effect of the type of walking environment (forest vs. urban) on the pre- and post-walk decrease of state anxiety. This study provides the first empirical evidence for the mediating role of pleasure in the restorative effect of a nature walk on state-anxiety. We further discuss how future studies should examine how pleasure experienced while walking impacts state anxiety change.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103498"},"PeriodicalIF":3.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242694","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":"Highs, lows, and fault lines: The geography of suicide clusters in Ecuador","authors":"Nicolás Acosta-González,&nbsp;David Grijalva,&nbsp;Gabriela Ron","doi":"10.1016/j.healthplace.2025.103458","DOIUrl":"10.1016/j.healthplace.2025.103458","url":null,"abstract":"<div><div>Suicide is a major public health problem in Ecuador, which until a few years ago had one of the highest rates of suicide among children and adolescents in the world. We employ the Poisson-based retrospective space-time scan statistic in SaTScan™ to identify spatiotemporal suicide clusters in Ecuador from 2012 to 2022, covering traumatic events such as the 2016 Manabí earthquake and the COVID-19 pandemic. Six statistically significant spatio-temporal suicide clusters were identified, most located in moderate and high-altitude areas, as shown by the GIS mapping. After adjusting for altitude and rurality as covariates, three clusters disappeared, and the other three remained with minor changes. This strengthens the possibility of a relationship between altitude and suicide, consistent with international studies suggesting altitude-induced hypobaric hypoxia as a suicide risk factor. A cluster persisted after adjusting for covariates and was detected two years after the Manabí 2016 earthquake in some of the hardest-hit areas. This result is in line with literature suggesting higher levels of psychological distress among adolescents after the earthquake. Conversely, only one cluster was detected during the COVID-19 pandemic in 2020, suggesting no nationwide increase in suicides for this event and consistent with existing literature. We also show that restricting the maximum reported cluster size (MCRS) to a smaller distance-based value, even while using the default MSWS value for inference, results in more realistically distributed clusters that are smaller and have higher relative risks. This study underscores the importance of spatial analysis in public health and provides insights into the spatial and temporal patterns of suicide in Ecuador.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103458"},"PeriodicalIF":3.8,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242693","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":"‘Ageing in place’ in Norway – A Fairclough-inspired discourse analysis of a white paper","authors":"Ragnhild Julante Andersen Gulestø ,&nbsp;Gudmund Ågotnes ,&nbsp;Stinne Glasdam","doi":"10.1016/j.healthplace.2025.103497","DOIUrl":"10.1016/j.healthplace.2025.103497","url":null,"abstract":"<div><div>The concept of ‘ageing in place’, understood as enabling older adults to remain in their own homes as long as possible, has gained significant attention in policy discussions worldwide. This study aimed to explore the ideologies and strategies behind this concept through a Fairclough-inspired discourse analysis of a Norwegian white paper titled ‘Fellesskap og meistring. Bu trygt heime’ [Community and Coping. Live Safely at Home]. The findings revealed that while the white paper articulates practical aspects of ‘ageing in place’, it overlooks the emotional and relational factors contributing to a sense of belonging and identity. Furthermore, by idealising the concept of home, the document oversimplifies the complexities related to ageing, assuming that all older adults have a family or that all families can adequately support older adults, while ignoring the challenges some might face. This raises concerns about the largely overlooked disparities in who can age ‘well’ and highlights the need to critically explore how discourses, policies, and practices shape perceptions of ‘ageing in place’.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103497"},"PeriodicalIF":3.8,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223101","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":"Obesogenic urban food environments in Santiago, Chile: Perceptions from a cross-sectional study of two socioeconomically distinct neighborhoods","authors":"Carolina Franch Maggiolo ,&nbsp;Daniel Egaña Rojas ,&nbsp;Lorena Rodríguez Osiac ,&nbsp;Rodrigo Villegas Ríos ,&nbsp;Alejandra Ortega Guzmán ,&nbsp;Patricia Gálvez Espinoza","doi":"10.1016/j.healthplace.2025.103493","DOIUrl":"10.1016/j.healthplace.2025.103493","url":null,"abstract":"<div><div>Obesogenic food environments disproportionately affect low-socioeconomic-status (LSE) populations. Since 2016, Chile has categorized food environments into five domains: home, supply, street, organizational, and restaurant. However, no study has simultaneously assessed all five domains or compared their obesogenic levels across socioeconomic statuses.</div><div>This study compared the obesogenicity of the five food environments in two neighborhoods in Chile with different socioeconomic statuses. A cross-sectional design was employed, enrolling adults aged 18 or older who were responsible for household food shopping. Participants were randomly selected within neighborhoods and completed the shortened Chilean version of the NEMS-P. Weighted scores, divided into quintiles, assessed obesogenicity, with lower scores indicating more obesogenic environments.</div><div>There were 388 participants from an LSE neighborhood and 397 from a high-socioeconomic-status (HSE) neighborhood. Perceptions of the home and supply environments differed significantly. The HSE neighborhood had a higher median score for the home environment (8.3 vs. 6.9, p = 0.0007), with 23.2 % of participants in the highest quintile, compared to 23.7 % and 23.5 % of LSE participants in the lowest quintiles. For the supply environment, the HSE neighborhood scored higher (5.8 vs. 2.2, p = 0.0001), with over 50 % of HSE participants in higher quintiles versus 52.8 % of LSE participants in lower ones.</div><div>The LSE neighborhood exhibited more obesogenic food environments. These findings underscore the urgent need for public policies to transform food environments to reduce disparities in healthy food availability and access, particularly for vulnerable populations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103493"},"PeriodicalIF":3.8,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223102","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}