Health & Place最新文献

{"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}

{"title":"The relation between physical and social neighbourhood characteristics and loneliness. A systematic review","authors":"Wouter Schepers ,&nbsp;Dorien Gryp ,&nbsp;Freya Häussermann ,&nbsp;Leen Heylen ,&nbsp;Tine Van Regenmortel ,&nbsp;Jasper De Witte","doi":"10.1016/j.healthplace.2025.103491","DOIUrl":"10.1016/j.healthplace.2025.103491","url":null,"abstract":"<div><div>Loneliness has predominantly been examined from an individual and relational perspective, with limited focus on the broader environmental context, including the role of neighbourhoods. This systematic review aims to address this gap by synthesising findings from 112 studies that explore how physical and social neighbourhood characteristics contribute to loneliness. The review highlights that physical characteristics, such as the use of green spaces, walkability, access to amenities, and neighbourhood aesthetics, are associated with lower levels of loneliness. Social characteristics, such as neighbourhood cohesion, feeling connected to the neighbourhood, and neighbour interactions, are consistently associated with reduced loneliness. Additionally, perceived neighbourhood quality is also related to loneliness. This review further demonstrates that subjective perceptions of neighbourhood characteristics generally exhibit stronger associations with loneliness than objective measures.</div><div>Although methodological limitations, such as the predominance of cross-sectional studies and variability in measurement tools, are acknowledged, the review underscores the importance of integrating neighbourhood-level factors into loneliness research and policy. Future research should use multidimensional approaches to loneliness, considering neighbourhood interrelationships and scales at which these factors operate, to better inform public strategies aimed at tackling loneliness and enhancing community well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103491"},"PeriodicalIF":3.8,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The urban physical environment and leisure-time physical activity in early midlife: a FinnTwin12 study","authors":"Zhiyang Wang ,&nbsp;Sari Aaltonen ,&nbsp;Roos Teeuwen ,&nbsp;Vasileios Milias ,&nbsp;Carmen Peuters ,&nbsp;Bruno Raimbault ,&nbsp;Teemu Palviainen ,&nbsp;Erin Lumpe ,&nbsp;Danielle Dick ,&nbsp;Jessica E. Salvatore ,&nbsp;Maria Foraster ,&nbsp;Payam Dadvand ,&nbsp;Jordi Júlvez ,&nbsp;Achilleas Psyllidis ,&nbsp;Irene van Kamp ,&nbsp;Jaakko Kaprio","doi":"10.1016/j.healthplace.2025.103495","DOIUrl":"10.1016/j.healthplace.2025.103495","url":null,"abstract":"<div><div>Under the exposome framework, this study examined the relationship between the urban physical environment and leisure-time physical activity during early midlife based on 394 participants (mean age: 37, range 34–40) from the FinnTwin12 cohort, residing in five major Finnish cities in 2020. We curated 145 urban physical exposures based on residential addresses and measured three outcomes: total leisure-time physical activity (total LTPA) and two sub-domains: leisure-time physical activity without commuting activity (LTPA) and commuting activity. K-prototypes clustering identified three urban clusters: “original city center,” “new city center,” and “suburban,” each with distinct environmental patterns. Regression models showed that participants in the “suburban” cluster had lower levels of total LTPA and LTPA compared to those in the “original city center” cluster, while we found null findings for commuting activity. Then, repeated regression models with a p-value threshold of 0.01 were used to initially select candidates. eXtreme Gradient Boosting models identified greenspaces and road characteristics as the top important factors influencing total LTPA, while pocket park and greenness were ranked as the top important factors influencing LTPA. The relationships were non-linear. There were thresholds for the count and size of pocket parks within 800 m walking distance and the modified soil adjusted vegetation index, determining whether they positively or negatively predict LTPA. Our findings suggested that the urban environment in Finnish cities was associated with leisure-time physical activity, which revealed new residential pattern and identified key exposures of road, pocket park, and greenness with non-linear effect, that can guide future policies.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103495"},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212200","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":"Food deserts, food mirages, and gentrification in Toronto, Canada","authors":"Patrycia Menko ,&nbsp;Dana Olstad ,&nbsp;Adrian Buttazzoni ,&nbsp;Leia Minaker","doi":"10.1016/j.healthplace.2025.103490","DOIUrl":"10.1016/j.healthplace.2025.103490","url":null,"abstract":"<div><div>Few studies have explored links between retail food environments and gentrifying neighbourhoods across cities. As populations shift and commercial development continues, unpacking “food gentrification” processes in low-equity areas is important for ensuring healthy and equitable food access across cities. To further investigate this potential phenomenon, we used both primary (retailer consultations) and secondary (Canadian census, Toronto Public Health food inspection, land use zoning) data to explore cross-sectional links between food deserts and food mirages, four measures of gentrification in Toronto using the GENUINE gentrification tool, and Business Improvement Areas (BIAs). Food deserts represented about a tenth (9.3 %) of all dissemination areas in Toronto while food mirages represented only 4.5 %. Yet, nearly half (45 %) of all low-equity areas in Toronto were food deserts and food mirages (affecting approximately 516,000 residents). All gentrification measures employed, including BIAs, were also significantly associated with the existence of food deserts (between 2.5 and 14.5 times higher odds, respectively) while only two were associated with the existence of food mirages after adjusting for commercial zoning (between 1.6 and 2.7 times higher odds, respectively). Surprisingly, food deserts, not food mirages, were more strongly associated with gentrification. Longitudinal research is needed to better capture and monitor the evolution of food mirages.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103490"},"PeriodicalIF":3.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190203","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":"Exploring the impact of neighbourhood social fragmentation on early childhood developmental vulnerability","authors":"Susan Hartono,&nbsp;Antonia Kish,&nbsp;Nasser Bagheri,&nbsp;Rachel Davey","doi":"10.1016/j.healthplace.2025.103492","DOIUrl":"10.1016/j.healthplace.2025.103492","url":null,"abstract":"<div><h3>Background</h3><div>The role of the neighbourhood social context in early childhood development is less understood despite the apparent disparities in early childhood developmental vulnerability in Australia. This research investigated the influence of neighbourhood social fragmentation on developmental vulnerability in young children.</div></div><div><h3>Method</h3><div>Data were from the 2021 Australian Early Development Census. We applied logistic multilevel models to investigate the relationship between the area-level social fragmentation index and children's developmental vulnerability. The outcome variable was developmental vulnerability on one or more domains (physical health and wellbeing, social competence, emotional maturity, language and cognitive skills (school-based), and communication skills and general knowledge). The predictor was the Australian Neighbourhood Social Fragmentation Index, constructed using the principal component analysis.</div></div><div><h3>Results</h3><div>The sample was 287,135 children in their first year of full-time schooling in 2330 Statistical Area Level 2 (SA2). Our analyses showed a 4% increased risk of developmental vulnerability on one or more domains (OR 1.04; 95% CI 1.00–1.08) if children lived in high compared with low socially fragmented neighbourhoods after adjusting for child, family, and neighbourhood characteristics.</div></div><div><h3>Conclusion</h3><div>Maintaining social cohesion in the community decreases the chance of developmental vulnerability in children during their first year of full-time schooling. Social initiatives, such as horticulture classes, volunteering programs, and Neighbour Day events, may foster social cohesion in socially fragmented neighbourhoods, supporting children's development during their early years. Additionally, certain physical aspects of the neighbourhood (e.g., availability and walkability to public amenities and services) encourage accidental social interactions between neighbours.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103492"},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169053","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":"Iowa spatial accessibility to screening mammography is improving, but utilization among privately insured women remains stable, 2016–2022","authors":"Caitlyn S. Wiener ,&nbsp;Margaret Carrel ,&nbsp;Whitney E. Zahnd","doi":"10.1016/j.healthplace.2025.103488","DOIUrl":"10.1016/j.healthplace.2025.103488","url":null,"abstract":"<div><div>This study explores the spatial accessibility and utilization of mammography screening services in Iowa from 2016 to 2022. Breast cancer continues to be the most incident cancer in Iowa, with early detection through mammography being critical for reducing mortality. Spatial accessibility considers both geographic accessibility and capacity as appointment availability simultaneously. Using optimization models, we evaluated the potential spatial accessibility to mammography screening for women aged 40–84. We found that while access to mammograms improved over time, particularly in rural areas, the theoretical capacity of mammography facilities was insufficient to meet the demand, particularly in suburban and rural areas where driving times posed significant barriers. Additionally, despite improvements in accessibility, utilization rates among privately insured women remained stable, with the highest mammography uptake among urban and suburban women and women of older ages. Discrepancies between the accessibility models and the utilization patterns indicate that additional decisions are being made by patients independent of driving distance, such as appointment availability, provider preference, or wait times, that may influence patients to receive mammograms at farther locations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103488"},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169040","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":"Environmental influences on mental health: eight-year longitudinal data show a bi-directional association between residential mobility and mental health outcomes","authors":"M. Hobbs ,&nbsp;E. Moltchanova ,&nbsp;L. Marek ,&nbsp;K. Yogeeswaran ,&nbsp;T.L. Milfont ,&nbsp;B. Deng ,&nbsp;C.G. Sibley","doi":"10.1016/j.healthplace.2025.103487","DOIUrl":"10.1016/j.healthplace.2025.103487","url":null,"abstract":"<div><div>Evidence on the environmental determinants of mental health is often cross-sectional. This pre-registered longitudinal study examines the environmental determinants of mental health using eight years of data from the New Zealand Attitudes and Values Study. Among 44,051 adults, findings reveal age, body mass index, and exercise as key individual-level factors impacting mental health, while residential mobility and area-level deprivation emerged as key environmental-level determinants. Increased probability of moving correlates with higher prevalence of depression and anxiety, with subsequent moves worsening area-level deprivation for those with persistent mental health issues. Our findings underscore the significance of environmental factors for mental health, offering insights for population-level interventions.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103487"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168614","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":"Investigating the impacts of alcohol outlet zoning policy on alcohol consumption and access to non-alcoholic services: A spatial agent-based simulation","authors":"Tingting Ji ,&nbsp;Ivana Stankov ,&nbsp;Niles Sherman Egan ,&nbsp;Kristen Hassmiller Lich ,&nbsp;Rachel L.J. Thornton ,&nbsp;Qi Wang ,&nbsp;Takeru Igusa ,&nbsp;Hsi-Hsien Wei ,&nbsp;Pamela A. Matson","doi":"10.1016/j.healthplace.2025.103489","DOIUrl":"10.1016/j.healthplace.2025.103489","url":null,"abstract":"<div><div>Debates continue over the effectiveness of limiting alcohol outlet density in reducing alcohol consumption, and its broader impacts on access to non-alcoholic services in low-income urban communities remain underexplored. This study addresses this gap by investigating the impacts of alcohol outlet zoning policies on alcohol consumption and walkable access to non-alcoholic services in low-income urban communities with different baseline densities of liquor and grocery stores. We developed a spatial agent-based model of Baltimore City neighborhoods, simulating the closure of non-conforming liquor stores following the city's zoning code rewrite. The model was calibrated using national survey data and empirical research on alcohol consumption and walkable access to alcohol, food, lottery, and ATM outlets by subgroups. We observed non-linear relationships and differences by gender and employment status in the effects of liquor store closures on heavy drinking, with policies showing limited effectiveness in neighborhoods with high baseline liquor store density. While the policies had minimal impact on access to food and ATMs due to high prevalence of grocery stores, they reduced access to lottery services. Our modeling approach serves as a valuable decision-making tool for policymakers to explore hypothetical scenarios, identify tipping points of policy impacts, and provide actionable insights into the complex interactions between zoning policies and neighborhood dynamics concerning alcohol consumption and access to essential goods and services.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103489"},"PeriodicalIF":3.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123165","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":"Local descriptive norms, smoking and body mass index in the Netherlands: Population-based study between 2012 and 2020","authors":"Dorien T. Beeres ,&nbsp;Joost Oude Groeniger ,&nbsp;Lili L. Kókai ,&nbsp;Frank J. van Lenthe","doi":"10.1016/j.healthplace.2025.103481","DOIUrl":"10.1016/j.healthplace.2025.103481","url":null,"abstract":"<div><div>Understanding the relationship between local health norms and individual behaviors can inform policies to reduce neighbourhood health inequalities. This study examines how local descriptive norms, measured as the prevalence of smoking and overweight in neighbourhoods, relate to individual smoking and body mass index (BMI) over time.</div><div>We used data from the Dutch Lifelines cohort and an existing policy instrument, SMall Area estimates for Policymakers (SMAPs), to estimate neighbourhood smoking and overweight prevalence in the Northern Netherlands (2012, 2016) and changes between these years. These estimates were linked to individual smoking and BMI in 2020 and to changes from 2016 to 2020. Generalized Linear Models were used to estimate the probability of individual smoking and overweight related to (changes) in the neighbourhood prevalence of smoking and overweight, controlling for prior health (behaviors) and socio-demographic factors. Generalized Additive Models were fitted to assess non-linearity.</div><div>The sample included 31,753 individuals across 957 neighbourhoods. A five percent higher prevalence of neighbourhood smoking in 2016 was associated with an increased relative risk of individual smoking in 2020 (RR = 1.13, 95 %CI 1.04–1.23). A five percent higher prevalence of overweight in 2016 was related to a nearly half-point higher individual BMI in 2020 (B = 0.47, 95 %CI 0.40–0.55). Non-linear associations were observed between neighbourhood overweight prevalence (2012, 2016) and individual BMI (2020), with steeper BMI increases in neighbourhoods where around half of the residents were overweight. For smoking the relationship was linear. Neighbourhood prevalence was not related to individual changes in smoking and BMI from 2016 to 2020.</div><div>Considering local descriptive norms might offer opportunities to tackle neighbourhood inequalities in health more effectively.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103481"},"PeriodicalIF":3.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071839","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}