Health & PlacePub Date : 2026-03-01Epub Date: 2026-02-25DOI: 10.1016/j.healthplace.2026.103640
Amrit Tiwana , Martino Tran , Christina Draeger , Ben Mumford
{"title":"Spatial and social inequities in access to essential healthcare services: a case study of a fast-growing, diverse Canadian city","authors":"Amrit Tiwana , Martino Tran , Christina Draeger , Ben Mumford","doi":"10.1016/j.healthplace.2026.103640","DOIUrl":"10.1016/j.healthplace.2026.103640","url":null,"abstract":"<div><div>Access to healthcare services remains a persistent challenge, disproportionately affecting vulnerable populations. Limited access results in lower service utilisation and worse health outcomes, hindering progress toward inclusive and sustainable cities. This study developed a novel methodological framework integrating high-resolution (1-km<sup>2</sup>) socio-demographic data from the 2021 Canadian Census with an advanced multimodal transport routing engine (R<sup>5</sup>) to assess healthcare access via public transit in Surrey, British Columbia – a fast-growing, diverse city. Using a 30-min travel time threshold, we computed destination-oriented (‘passive’) and origin-oriented (‘active’) accessibility to walk-in clinics, urgent care centres, and hospitals. Eco-intersectional multilevel modelling was applied to examine accessibility inequalities across intersectional strata, defined as areas with a high concentration of vulnerable populations based on age, sex, race/ethnicity, education, income, and urbanicity (>vs. ≤ 400 people/km<sup>2</sup>). Overall, 319,402 (56.2%) residents could reach at least one healthcare facility within 30 min via public transit. Walk-in clinics were the most accessible, followed by urgent care centres and hospitals. Many vulnerable populations were concentrated near major urban centres, which generally had access to more facilities than the city's periphery and outer suburbs. Strata with a high concentration of females had higher odds of accessibility, while seniors and non-urban areas had lower odds. Access inequalities were most pronounced among senior visible minority communities living in non-urban areas. Equity-oriented planning and investments in sustainable transportation and healthcare infrastructure are required to close accessibility gaps. This scalable, open-data framework can inform inclusive urban policy and improve access to essential services for underserved communities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103640"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-02-28DOI: 10.1016/j.healthplace.2026.103639
Jama Mohamed , Mukhtar Abdi Mohamed , Iqbaal Mohmoud Adem , Hibo Ahmed Aden , Ahmed Ismail Mohamed , Ahmed Ibrahim Farah , Azizur Rahman , Saralees Nadarajah
{"title":"Bayesian joint spatial modeling of child malnutrition and household food insecurity among under-five children in Somaliland","authors":"Jama Mohamed , Mukhtar Abdi Mohamed , Iqbaal Mohmoud Adem , Hibo Ahmed Aden , Ahmed Ismail Mohamed , Ahmed Ibrahim Farah , Azizur Rahman , Saralees Nadarajah","doi":"10.1016/j.healthplace.2026.103639","DOIUrl":"10.1016/j.healthplace.2026.103639","url":null,"abstract":"<div><div>Malnutrition and household food insecurity are major public health concerns among under-five children in Somaliland, often sharing overlapping risk factors. Using data from the 2020 Somaliland Health and Demographic Survey (<em>n</em> = 3961), this study assessed their prevalence, spatial distribution, and shared determinants through descriptive statistics, spatial autocorrelation, and a multivariate Bayesian spatial model. The prevalence of malnutrition and food insecurity was 42.7% and 26.7%, respectively, with higher risk of malnutrition among children in food-insecure households (OR = 1.17). Both outcomes were most prevalent in eastern regions such as Sool and Sanaag, with significant clustering of food insecurity and their joint occurrence. Risk factors for food insecurity included large family size, lack of radio and agricultural land, and longer water-fetching time, while higher wealth, electricity access, and more sleeping rooms were protective. Malnutrition was associated with female sex, absence of cooling facilities, and longer water-fetching time. The joint burden was influenced by nomadic residence, household wealth, family size, sleeping rooms, and electricity. These findings highlight the geographic concentration and interconnectedness of malnutrition and food insecurity and underscore the need for multi-sectoral interventions targeting poverty reduction, water access, and infrastructure, with a particular focus on eastern regions. Strengthening nutrition-sensitive policies and integrated programs that address both household resources and structural barriers could reduce the overlapping burden of child malnutrition and food insecurity, providing critical evidence for policymakers and development partners in Somaliland and similar fragile contexts.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103639"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-01-19DOI: 10.1016/j.healthplace.2026.103616
Elena D. Dimova , Matt Smith , Niamh K. Shortt , Richard J. Mitchell , Jamie R. Pearce , Tom L. Clemens , Carol Emslie
{"title":"How do residents perceive alcohol availability and its impact on drinking behaviour? A qualitative study","authors":"Elena D. Dimova , Matt Smith , Niamh K. Shortt , Richard J. Mitchell , Jamie R. Pearce , Tom L. Clemens , Carol Emslie","doi":"10.1016/j.healthplace.2026.103616","DOIUrl":"10.1016/j.healthplace.2026.103616","url":null,"abstract":"<div><h3>Introduction</h3><div>Reducing alcohol availability has been identified as a potential approach to reduce alcohol use and related harm. In order to regulate alcohol availability at a local level, it is important to involve communities in decision-making and ensure interventions are locally acceptable and appropriate. To do this, we need to improve our understanding of how residents conceptualise alcohol availability and its impact on behaviours. This paper uses data collected in Scotland, a country with particularly high levels of alcohol-related harm, to explore the perspectives of residents, on local alcohol availability and how it might affect drinking behaviours.</div></div><div><h3>Methods</h3><div>We conducted 11 online focus groups with 45 participants, living in nine strongly contrasting neighbourhoods in Scotland, characterised by varying levels of alcohol retail density change, urbanity and deprivation. We explored participants’ perceptions of their local alcohol environment and alcohol availability, and any perceived relationship between alcohol availability and alcohol-related behaviours.</div></div><div><h3>Results</h3><div>Participants challenged established notions that alcohol availability is characterised primarily by density of alcohol outlets. According to our participants, availability is about accessibility, ease of purchase and ubiquity of alcohol. Residents drew distinctions between areas of varying deprivation and conceptualised alcohol availability as complex, characterised by market segmentation, and related to price, advertising and the wider environment.</div></div><div><h3>Conclusions</h3><div>This is one of the few papers to explore residents' perspectives of local alcohol availability and its relationship with alcohol use. It highlights that residents view alcohol availability as encompassing more than just the physical presence of outlets, recognising also the variety of outlet types and the connections between availability, pricing, and advertising. Policies to reduce local availability should consider residents’ perspectives and account for contextual factors such as shifts in the retail landscape and the availability of alcohol-free recreational alternatives.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103616"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-02-09DOI: 10.1016/j.healthplace.2025.103594
Bonnie M. van Dongen , Naomi A. Camfferman , Sandra Klunder , Lydian Veldhuis , Sanne Raghoebar , Carry.M. Renders
{"title":"Does the physical food environment in secondary school influence students’ social norm perceptions regarding healthy dietary choices? – An exploratory study in the Netherlands","authors":"Bonnie M. van Dongen , Naomi A. Camfferman , Sandra Klunder , Lydian Veldhuis , Sanne Raghoebar , Carry.M. Renders","doi":"10.1016/j.healthplace.2025.103594","DOIUrl":"10.1016/j.healthplace.2025.103594","url":null,"abstract":"<div><div>Creating a healthy food environment in secondary schools has the potential to communicate social norms regarding healthy dietary choices. This study explored the relationship between the schools’ food environment and perceived descriptive (what others do) and injunctive (what others approve) norms regarding healthy dietary choices among adolescents. An exploratory (quasi-experimental) study was conducted in 23 Dutch schools, differing between three arms based on implementation degree of a Healthy School Canteen Program: limited, moderate or sustainable. Students (n = 1004) completed a questionnaire about descriptive and injunctive norms regarding water, fruit/vegetables, snacks, sugar-containing beverages, brown/whole wheat bread. Multi-level analyses were conducted (two-level hierarchical data structure). Compared to limited implementation, students in schools with moderate implementation indicated less favorable norm perceptions with (a) lower descriptive norm scores regarding water (-.30, 95 % CI [-.47; -.12]), (b) lower injunctive norm scores regarding fruit/vegetables (-.29, 95 % CI [-.49; -.10]) and water (-.34, 95 % CI [-.49; -.20]), and (c) higher injunctive norm scores regarding sugar containing beverages (.17, 95 % CI [.02; .32]). No significant differences were observed between students in schools with sustainable implementation and limited implementation. Compared to sustainable implementation, students in schools with moderate implementation indicated less favorable injunctive norm perceptions regarding fruit/vegetables (-.28, 95 % CI [-.47; -.08] and water (-.26, 95 % CI [-.41; -.12]). This study illustrates the complex interplay between perceived social norms regarding healthy dietary choices and efforts to create a healthy food environment. Future research should examine how social norms evolve over time within schools, taking into account their unique context.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103594"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146145309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-02-11DOI: 10.1016/j.healthplace.2026.103630
Hyun Kim , Changwha Oh , Yena Song
{"title":"Examining spatial disparities in essential primary care services across multiple geographic scales in South Korea","authors":"Hyun Kim , Changwha Oh , Yena Song","doi":"10.1016/j.healthplace.2026.103630","DOIUrl":"10.1016/j.healthplace.2026.103630","url":null,"abstract":"<div><div>South Korea's healthcare system exhibits significant spatial disparities in service provision, which were further exposed during the COVID-19 pandemic, particularly in Essential Primary Care Services (EPS). This study examines the spatio-temporal dynamics of these disparities through three questions: (1) How did COVID-19 influence spatial and temporal discrepancies in EPS? (2) How do these discrepancies vary across geographic scales? and (3) What spatial-health policy implications emerge, especially relative to traditional arguments about healthcare disparities in South Korea?</div><div>The analysis focuses on the interaction between temporal phases (pre-, mid-, and post-pandemic) and spatial dimensions (areas and regions) to assess the pandemic's impact on EPS. To address these issues, the study introduces the Discrepancy Index (DISC) to measure spatial mismatches between EPS supply and demand, and the Disparity of Service Stress Index (DISTRES) to assess capacity mismatches in service provision. By integrating these measures across three pandemic phases and multiple geographic scales, the study provides a comprehensive assessment of spatio-temporal disparities in EPS. The findings yield several key insights. The impact of COVID-19 on EPS is not strongly evident at the national aggregate level but emerges more clearly at specific geographic scales, with several outlier units showing pronounced effects that were not captured in previous work from South Korea or other countries. Spatial disparities and their mitigation also vary by spatial units, indicating that public health policies should be tailored to the spatial units where DISC and DISTRES identify critical spatial or capacity mismatches. Spatial-temporal disparities in EPS are particularly marked between metropolitan and non-metropolitan regions and between large cities and rural areas. The standardized framework developed in this study offers an effective approach for analyzing and classifying healthcare service distributions across multiple spatial and temporal dimensions, providing deeper insight into patterns of healthcare disparity and informing scale-sensitive policy responses.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103630"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-02-03DOI: 10.1016/j.healthplace.2026.103623
Andrea S. Richardson , Tamara Dubowitz , Feifei Ye , Kirsten M.M. Beyer , Yuhong Zhou , Kiarri N. Kershaw , Waverly Duck , Robin Beckman , James M. Shikany , Catarina I. Kiefe
{"title":"Associations between historical redlining and BMI: Potential indirect pathways through neighborhood socioeconomic and environment factors and their associated lifestyle behaviors in CARDIA","authors":"Andrea S. Richardson , Tamara Dubowitz , Feifei Ye , Kirsten M.M. Beyer , Yuhong Zhou , Kiarri N. Kershaw , Waverly Duck , Robin Beckman , James M. Shikany , Catarina I. Kiefe","doi":"10.1016/j.healthplace.2026.103623","DOIUrl":"10.1016/j.healthplace.2026.103623","url":null,"abstract":"<div><div>It is unknown whether living in neighborhoods historically rated as “high-risk” mortgage by lenders (i.e., “redlining”) defined by maps of the Home Owners' Loan Corporation (HOLC) neighborhood ratings may associate with obesity through neighborhood factors and health behaviors, or how such associations might differ by race and gender. We used data from the 1985-86 Coronary Artery Risk Development in Young Adults (CARDIA) study to test whether retrospective cohort associations between redlining and body mass index (BMI) were mediated by paths from census-derived social and economic neighborhood factors, food availability, physical activity (PA) resources to diet and physical activity behaviors. We found that the HOLC ratings (which reflected institutionalized racial sentiment of the time) were associated with higher levels of neighborhood socioeconomic deprivation within all racial and gender groups. For White adults and men, historically redlined neighborhoods were indirectly associated with higher BMI through neighborhood socioeconomic deprivation and lower diet quality. An indirect pathway connecting redlining to BMI was also identified for Black adults, but higher quality diet correlated with higher BMI. While women's dietary quality was not associated with BMI, redlining was directly associated with neighborhood socioeconomic deprivation which was directly associated with higher BMI and lower dietary quality, separately. Food and PA resource availability were inconsistently associated with HOLC ratings. Overall, historically redlined neighborhoods remained socioeconomically deprived 50 years later, which may have contributed to lower diet quality for all race and gender groups. The historic intertwining of race and value, as illustrated by the redlining maps, may have influenced disparities in BMI across race and gender groups. This suggests complex interactions among redlining, race, gender, and BMI.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103623"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-01-22DOI: 10.1016/j.healthplace.2026.103608
Hanqi Li , Fahui Wang , Ran Zhang , Andy Qin , Emily Javan , Rajesh Reddy , Lorie Harper , Peiyin Hung , Yuhao Kang
{"title":"Measuring maternal healthcare accessibility in Florida by a data-driven extension of V2SFCA","authors":"Hanqi Li , Fahui Wang , Ran Zhang , Andy Qin , Emily Javan , Rajesh Reddy , Lorie Harper , Peiyin Hung , Yuhao Kang","doi":"10.1016/j.healthplace.2026.103608","DOIUrl":"10.1016/j.healthplace.2026.103608","url":null,"abstract":"<div><div>Maternal healthcare accessibility is a key determinant of maternal and newborn outcomes, yet the United States continues to experience disproportionately high maternal mortality rates compared with other high-income countries. Efforts to address this problem are hampered by substantial spatial disparities, especially in large states like Florida. Existing methodologies for evaluating healthcare access, such as the widely used Generalized Two-Step Floating Catchment Area (G2SFCA) method, may not accurately capture real-world circumstances because they often rely on assumed, uniform parameters that overlook contextual heterogeneity in travel behavior. However, maternal patients in different geographies experience drastically different transportation barriers and varying tolerance for distance and travel times, underscoring the need for more granular, area-specific modeling. This study proposes a data-driven Variable Catchment 2SFCA (V2SFCA) framework to estimate maternal healthcare accessibility across Florida. Leveraging observed patient flow data, we employed gravity models to empirically calibrate distance decay functions and separately defined catchment thresholds specific to each area type. These data-driven, area-specific parameters enable the framework to more accurately reflect behavioral heterogeneity in maternal healthcare utilization. Applied to Florida, the model reveals substantial accessibility disparities across the four area types, including metropolitan, micropolitan, small town, and rural. It also demonstrates improved behavioral realism compared with conventional approaches, offering actionable insights for equitable maternal care planning and resource allocation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103608"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-01-20DOI: 10.1016/j.healthplace.2026.103613
Alexandra Eastus , Yvonne L. Michael , Stephen Dickinson , Stephen Francisco , Steven Melly , Jana Hirsch
{"title":"AARP Age-Friendly community designation and neighborhood resources to support healthy aging nationwide, 2012–2017","authors":"Alexandra Eastus , Yvonne L. Michael , Stephen Dickinson , Stephen Francisco , Steven Melly , Jana Hirsch","doi":"10.1016/j.healthplace.2026.103613","DOIUrl":"10.1016/j.healthplace.2026.103613","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the association between city-level Age-Friendly designation and neighborhood resources that support healthy aging at the census tract-level.</div></div><div><h3>Methods</h3><div>We quantified the density of neighborhood resources in census tracts that support healthy aging using the National Establishment Time Series (NETS). We identified cities designated as American Association of Retired Persons (AARP) Network of Age-Friendly States and Communities Members. Using a propensity score matched regression, we estimated the association between AARP Age-Friendly membership designation and the density of neighborhood resources that support healthy aging within census tracts.</div></div><div><h3>Results</h3><div>Our matched sample consisted of 134,031 census tract-years between 2012 and 2017. Our findings suggest that census tracts located in Age-Friendly designated cities are associated with greater densities of neighborhood resources that support healthy aging overall, as well as for business establishments that facilitate aging in place (e.g., healthcare facilities).</div></div><div><h3>Conclusion</h3><div>These findings suggest a meaningful association between local Age-Friendly designation and the availability of resources that can support aging in place. Although we did not directly measure health outcomes, neighborhoods with greater resource density are likely to experience multiple health benefits, including improved quality of life for older adults.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103613"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health & PlacePub Date : 2026-03-01Epub Date: 2026-01-23DOI: 10.1016/j.healthplace.2026.103620
Danielle Lee Smith , John G. Oetzel , Mary L. Simpson , Yvonne Wilson , Sophie Nock , Rangimahora Reddy
{"title":"Connecting health and place through age-friendly built environments to reduce experiences of loneliness (mokemoke) for Māori","authors":"Danielle Lee Smith , John G. Oetzel , Mary L. Simpson , Yvonne Wilson , Sophie Nock , Rangimahora Reddy","doi":"10.1016/j.healthplace.2026.103620","DOIUrl":"10.1016/j.healthplace.2026.103620","url":null,"abstract":"<div><div>Prior to colonisation, experiences of loneliness were rare among Māori (the Indigenous people of Aotearoa New Zealand), as there were sophisticated, place-based connections between people, land, housing, and nature. This reality is often not the case in 21st-century urban housing environments where feelings of loneliness are a confronting reality for older adults, impacting their health, well-being, and the suitability of their housing. The purpose of this paper was to determine how housing characteristics of contemporary Indigenous built environments prevent experiences of loneliness. Twenty residents of a modern Māori age-friendly housing village, known as an urban papakāinga, were interviewed. The thematic analysis identified four characteristics consistent with traditional Māori cultural values and practices that enabled urban housing spaces to facilitate connection to place through nature, thereby reducing experiences of loneliness. These characteristics are haporitanga (community and socialisation opportunities), āhurutanga (comfortable, safe spaces for movement and mobility that prioritise the natural world), ūkaipōtanga (sense of sustenance and belonging), and tangihanga (culturally appropriate end-of-life and afterlife care customs). The paper offers alternative ontological approaches to aging-in-place, and therefore has implications for housing providers globally, specifically those supporting First Nations and Indigenous peoples.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103620"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024990","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}