Health & Place最新文献

{"title":"A scoping review of nature-based programmes in schools for mental health and wellbeing in young people","authors":"J. Lorimer,&nbsp;S. Menon,&nbsp;K. Polgreen,&nbsp;K. Wilhelm,&nbsp;I. Singh","doi":"10.1016/j.healthplace.2026.103704","DOIUrl":"10.1016/j.healthplace.2026.103704","url":null,"abstract":"<div><h3>Background</h3><div>Adolescent mental health difficulties are rising in the United Kingdom (UK), yet school-based provision is limited. Nature-based Programmes (NbPs) are increasingly promoted as alternative or supplementary interventions for Mental Health and Wellbeing (MHWB), but evidence in secondary schools is under-explored.</div></div><div><h3>Aim</h3><div>This scoping review investigates NbPs in secondary school contexts; identifies reported outcomes for mental health, wellbeing, and learning; and assesses evidence quality for NbPs in secondary-school provision. Although this review synthesises international evidence, it is framed by growing interest in NbPs in UK secondary schools and aims to inform UK policy and practice.</div></div><div><h3>Methods</h3><div>We followed PRISMA-ScR guidelines, searching five databases and grey literature. Eligible studies reported school-based NbPs for students aged 10–18. Screening, data extraction, and appraisal (using MMAT) were undertaken with policymakers, educators, and young people.</div></div><div><h3>Results</h3><div>From 17,723 records, 22 studies were included. NbPs encompassed school gardening, outdoor education, conservation, forest pedagogy, recreation in nature, and passive nature engagement. Most NbPs were delivered weekly on schoolgrounds or in local greenspaces. Reported MHWB outcomes included reduced anxiety and stress, improved self-esteem and resilience, and enhanced prosocial behaviour, school connectedness, and nature connectedness. Evidence for academic outcomes was mixed, with modest gains in science engagement and arithmetic but little evidence of broader academic benefits. Study quality was moderate, with small samples, limited control groups, and heterogeneity in outcome metrics.</div></div><div><h3>Conclusion</h3><div>NbPs show promise for supporting adolescent MHWB in UK secondary schools, with school and nature connectedness emerging as potential mediators. However, evidence for cognitive and academic gains remains limited.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103704"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427699","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":"The associations of code reform zoning and activity-oriented zoning with neighborhood social connectedness in the U.S., including mediation by walkability and park coverage","authors":"Stephenie C. Lemon,&nbsp;Julien Leider,&nbsp;Karin Valentine Goins,&nbsp;Jamie F. Chriqui","doi":"10.1016/j.healthplace.2026.103713","DOIUrl":"10.1016/j.healthplace.2026.103713","url":null,"abstract":"<div><h3>Objective</h3><div>Zoning codes influence the built environments of communities in the United States (U.S.), which in turn have potential to promote social connections. This study assessed associations between code reform zoning (CRZ) and activity-oriented zoning (AOZ) exposure and perceived neighborhood social connectedness and whether these associations were mediated by walkability and park coverage.</div></div><div><h3>Methods</h3><div>Data from the Current Population Survey September 2019 Volunteering and Civic Life Supplement were linked to U.S. county-level data on (1) population-level exposure to CRZ and an index of 10 AOZ measures as of 2010, (2) EPA's 2021 National Walkability Index, and (3) proportion of area devoted to parks from the 2018 National Neighborhood Data Archive (n = 21,616). Multivariable logistic regression models with robust standard errors examined associations between CRZ and AOZ exposure and three perceived neighborhood social connectedness measures and mediation analyses examined mediation by walkability and park coverage.</div></div><div><h3>Results</h3><div>CRZ (OR: 1.22, 95% CI: 1.08-1.36) and each additional AOZ measure (OR: 1.03, 95% CI: 1.01-1.05) were associated with having conversations or spending time with neighbors. CRZ (OR: 1.22, 95% CI: 1.10-1.35) was also associated with neighbors doing favors for each other, as was AOZ (OR: 1.03, 95% CI: 1.01-1.04). None of these associations were mediated by walkability or park coverage. CRZ (OR: 1.29, 95% CI: 1.14-1.46) and AOZ (OR: 1.04, 95% CI: 1.02-1.06) were associated with neighbors getting together to do something positive; both associations were mediated by walkability but not park coverage.</div></div><div><h3>Conclusion</h3><div>Zoning is a policy lever that can promote neighborhood social connectedness.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103713"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427764","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":"Lonely in place? The intersection of loneliness and place in the chronic illness experience","authors":"Maja Lindegaard Moensted,&nbsp;Sophie Lewis,&nbsp;Karen Willis,&nbsp;Leslie Dubbin,&nbsp;Lorraine Smith","doi":"10.1016/j.healthplace.2026.103712","DOIUrl":"10.1016/j.healthplace.2026.103712","url":null,"abstract":"<div><div>Place significantly impacts health and belonging, yet little is known about how place and loneliness intersect for people with chronic conditions. This qualitative study examined how people with chronic illness experience places in their daily lives, and how these place-based experiences shape feelings of loneliness. We conducted in-depth interviews, walking interviews and photo-elicitation with 40 participants across urban and regional Australia, analysing how place relationships intersected with loneliness and illness experiences. Our analysis revealed three distinct patterns. '<em>Effortless belonging</em>' characterised those with pre-existing advantages (spatial stability, economic security, established networks) who maintained unconscious protective buffers against loneliness through deep place familiarity despite illness. '<em>Strategic spatial negotiation</em>' described participants who actively curated place engagement – using home as refuge during symptomatic periods while selecting accessible public spaces to maintain social identity. '<em>Geographic disenfranchisement</em>' emerged where chronic illness compounded structural vulnerabilities (poverty, housing instability, marginalisation) creating compromised place connections where locality intensified rather than alleviated loneliness. Findings reveal chronic illness fundamentally but not uniformly reshapes place-loneliness relationships by intersecting with existing structural conditions to create divergent spatial experiences. For participants with structural advantages, bodily vulnerabilities were buffered by stable place connections, while those with pre-existing disadvantages experienced chronic illness as compounding spatial marginalisation. Strong place attachment could coexist with spatial constraint, particularly in disadvantaged areas, challenging assumptions about the inherent benefits of place belonging. Findings underscore the need for spatially-informed interventions addressing structural inequalities (housing instability, inaccessible spaces, socioeconomic disadvantage) that determine whether chronic illness becomes a pathway to place-based connection or disconnection.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103712"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427785","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":"Challenges and opportunities for using data visualisation to communicate geographic health inequalities: perspectives from UK practitioners","authors":"Rob Davidson,&nbsp;James Cheshire","doi":"10.1016/j.healthplace.2026.103711","DOIUrl":"10.1016/j.healthplace.2026.103711","url":null,"abstract":"<div><div>Those who produce and share research on geographic health inequalities face calls to communicate evidence more effectively to various audiences, including the public and policymakers. Data visualisation is a key tool available to these communicators, but little is known about how they approach this in practice or how existing visualisation guidance aligns with real-world constraints. Through 20 semi-structured interviews with these communicators in the UK, we identify recurring challenges faced at three stages of decision-making: why (not) to produce visualisations; what data to show; and how to go about doing that. Challenges include concerns about clarity, stigmatisation, the choice between absolute versus relative measures, and whether or how to visualise uncertainty. We show how these challenges are shaped both by organisational contexts – particularly time, skills, and collaboration – and by gaps between existing visualisation research and the needs of practitioners. Given these constraints, we highlight opportunities for improved practice, including greater collaboration between analysts and designers and more actionable, context-specific guidance. Finally, we call for more research on how to produce maps and charts in this context, considering both the technical and socio-political aspects of geographic health inequalities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"100 ","pages":"Article 103711"},"PeriodicalIF":4.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439450","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":"Protest, withdrawal, and change: Practices of resistance and emancipation in healthcare work","authors":"Sarah Hartmann ,&nbsp;Susan Thieme ,&nbsp;Christine Bigler ,&nbsp;K.C. Sony","doi":"10.1016/j.healthplace.2026.103670","DOIUrl":"10.1016/j.healthplace.2026.103670","url":null,"abstract":"<div><div>Amid intensifying global crises in healthcare, healthcare workers are facing deep contradictions between institutional demands and the relational, ethical core of their profession due to the intensifying economisation and commodification of healthcare. These dynamics raise important questions about healthcare professionals’ agency in shaping their work lives. This article explores resistance among healthcare workers based on empirical studies in Nepal and Romania, where similar and global issues around healthcare work manifest. Drawing on conceptual frameworks of emancipation and resistance, we examine how healthcare professionals respond to systemic pressures in their everyday working environments. Our findings reveal three partly interrelated forms of resistance: (1) protest—collective action for structural change; (2) withdrawal—migration as a means of escape; and (3) change—the creation of alternative practices and institutions. These responses emerge from shared experiences of alienation, devaluation, and a desire for recognition, autonomy, and professional fulfilment. By analysing these expressions of resistance across distinct yet comparable contexts, this study highlights shared experiences and strategies, emphasising the emancipatory potential of healthcare workers and underscoring the value of cross-national perspectives in understanding current negotiations of work in healthcare and its international relevance.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103670"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147798059","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":"Heatwaves and health vulnerabilities of older informal workers in Dhaka, Bangladesh: A qualitative study","authors":"Babul Hossain ,&nbsp;Md. Khaled Sifullah ,&nbsp;Noyon Ali ,&nbsp;Israfil Hossain ,&nbsp;Anima Akter Nisha ,&nbsp;Sidratul Muntaha","doi":"10.1016/j.healthplace.2026.103677","DOIUrl":"10.1016/j.healthplace.2026.103677","url":null,"abstract":"<div><div>Climate change has intensified the frequency and severity of heatwaves, posing significant health and economic risks, especially for informal laborers in urban areas of low- and middle-income countries. This study examines the health impacts of heatwaves on older laborers in Dhaka city, Bangladesh, evaluates their adaptation strategies, and proposes context-specific measures to enhance resilience. Employing a reflexive thematic analysis, the research analyzed data from 21 in-depth interviews, 4 key informant interviews, and 2 focus group discussions. Five core themes were identified. Heatwaves have profound physical and psychological effects on older laborers, including dehydration, heat exhaustion, exacerbation of chronic illnesses, anxiety, and fatigue. These health impacts translated into reduced labor productivity, economic instability, and financial stress. While laborers employ a range of informal and culturally embedded coping mechanisms, such as altered work schedules and traditional cooling practices, these strategies are largely insufficient due to pervasive socioeconomic constraints, poor housing conditions, and a lack of institutional support. The study identifies a critical gap in labor policies and public health interventions addressing heat-specific occupational risks, underscoring the urgent need for comprehensive, context-sensitive policy interventions that integrate climate adaptation with occupational health and social protection frameworks.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103677"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936567","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":"Spatial dynamics of biodiversity and cycling behaviour: A geographical analysis using crowdsourced data from Strava metro","authors":"Philip Home ,&nbsp;Sabrina L. Li ,&nbsp;Doreen S. Boyd","doi":"10.1016/j.healthplace.2026.103672","DOIUrl":"10.1016/j.healthplace.2026.103672","url":null,"abstract":"<div><div>Active travel infrastructure is widely acknowledged for promoting healthy behaviours in cities, yet participation is sparse. Being exposed to biodiversity during active travel may facilitate physical activity but has yet to be explored within the context of urban active travel networks. Existing research lacks spatial granularity, meaning the effect of local benefits of biodiversity on active travel networks is unknown. By analysing over 6 million cycling activities, we investigate the relationship between biodiversity and cycling in Newcastle Upon Tyne, a city in the Northeast of the United Kingdom at the street level. We use spatial error models adjusting for covariates representing street features and environmental characteristics to understand the associations between species richness with cycling for recreation and commuting. Results show that higher levels of bird diversity, are positively associated with recreational and commuting cycling behaviours, while higher levels of mammal diversity are negatively associated with recreational and commuting behaviours. This may reflect the beneficial ecosystem services afforded by bird species, while also acknowledging the impact of human-wildlife conflict in active travel networks. These findings indicate that the relationship between biodiversity and cycling may require further investigation. While access to green space supports public health, biodiversity conservation and cycling infrastructure should be aligned to ensure mutually supportive outcomes for urban sustainability.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103672"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792999","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 which place? Spatial analytical framework for evaluating ageing-in-place practices","authors":"Yong Tu ,&nbsp;Yaopei Wang ,&nbsp;Yumeng Yang ,&nbsp;Yi Fan","doi":"10.1016/j.healthplace.2026.103674","DOIUrl":"10.1016/j.healthplace.2026.103674","url":null,"abstract":"<div><div>Over the past decade, governments around the world have made significant investments in creating elderly-friendly urban environments within local neighborhoods. However, the lack of a standardized evaluation framework for Ageing-in-Place (AIP) practices makes it challenging to generalize these experiences. First, we compare the AIP models of the U.S.-San Francisco, Japan-Tokyo, and Singapore using a cost-benefit analysis, demonstrating the comparative advantage of the Singapore model in terms of low cost and high accessibility for the independent ageing population. Second, we propose a spatial analytics framework to visualize and quantify the degree of alignment between a basket of ageing facilities and the active ageing population, enabling a data-driven, timely evaluation of the effectiveness of Singapore's AIP policies. Singapore's AIP model, either in its entirety or as a hybrid with other models, can be generalized to other global cities, providing valuable insights for optimal elderly-friendly urban planning.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103674"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792992","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":"Assessing equity of access: a needs index for digital health stations in Queensland, Australia","authors":"Leah Flitcroft ,&nbsp;Won Sun Chen ,&nbsp;Loredana Tirlea ,&nbsp;Denny Meyer","doi":"10.1016/j.healthplace.2026.103671","DOIUrl":"10.1016/j.healthplace.2026.103671","url":null,"abstract":"<div><div>Digital health stations provide free health checks for users in public settings such as retail environments, enabling self-service measurement of cardiometabolic health risk factors including blood pressure, body mass index (BMI) and Type 2 diabetes risk. This study aimed to develop a method of quantifying need for health stations, and to measure equity of access to stations across geographical areas in Queensland, Australia. Using Bradshaw's Taxonomy of Need, variables representing multiple dimensions of need were identified and combined using Principal Components Analysis to derive a Health Station Needs Index. This index was used to assess equity of access to stations in Queensland, using equity ratios, logistic regression, Gini Coefficients and concentration curves.</div><div>The Gini coefficients for number of health stations (0.599), per capita health stations (0.695), distance to the closest health station (0.788), and number of health checks per capita (0.395) across needs index deciles highlight inequitable distribution of health stations in Queensland. When considering distance to the closest health station, inequity disadvantaging higher need regions was supported by a high equity ratio (20.82), a positive significant relationship between need and distance (β = 0.529) and a concentration index with a high negative value (−0.690).</div><div>By adopting a systematic data-driven approach, this research reveals a clear gap in geographic access based on distance to health stations in areas with the greatest health need. It underscores the importance of considering need as a major criterion in future planning for health station locations and provides a measure of need for this purpose.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103671"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147850353","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":"Unequal gains from artificial intelligence: Smart elderly health care, mental health of the elderly, and inequality","authors":"Hongkun Zhao ,&nbsp;Qingrui Liu ,&nbsp;Zhuo Chen","doi":"10.1016/j.healthplace.2026.103676","DOIUrl":"10.1016/j.healthplace.2026.103676","url":null,"abstract":"<div><div>As artificial intelligence becomes increasingly integrated into elderly healthcare systems, smart elderly health care (SEHC) has been promoted as a promising policy enhancing mental health and well-being among the elderly in China. This study examines the impact of SEHC on mental health and inequality among the elderly, with a particular focus on its unequal selection effect and the expansion of individual adaptability. Drawing on longitudinal data from China Health and Retirement Longitudinal Study, we adopt staggered difference-in-difference method to estimate the effects of SEHC policy implementation on elderly mental health and inequality, conduct robustness checks, heterogeneity tests, and mechanism analyses. SEHC significantly improves the mental health of the elderly (<em>β</em> = −1.391, <em>P</em> &lt; 0.01) while simultaneously intensifying mental health inequality (<em>β</em> = 0.278, <em>P</em> &lt; 0.01). However, these gains are disproportionately concentrated among individuals with higher income, lower hospitalization cost, higher educational attainment, and urban residency. Mechanism analysis reveals that SEHC improves mental health primarily by enhancing social participation and reducing hospitalization cost, with these adaptive benefits concentrated among higher-income individuals. While SEHC demonstrates significant potential to enhancing mental well-being among the elderly, it also generates disparities in mental health outcomes across different socioeconomic groups. To address this inequality, policymakers should implement inclusive intervention strategies that guarantee equitable and sustainable access to artificial intelligence-driven mental health benefits in elderly healthcare.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"99 ","pages":"Article 103676"},"PeriodicalIF":4.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147798058","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}