Health & Place最新文献

{"title":"Labour will progress where māmā feel safe: Constructing birth-place decision making in primary birth centres","authors":"Sarah A. Lovell ,&nbsp;Christina Ergler ,&nbsp;Mary Kensington","doi":"10.1016/j.healthplace.2025.103510","DOIUrl":"10.1016/j.healthplace.2025.103510","url":null,"abstract":"<div><div>High rates of intervention in birth is a significant health issue. Primary birth centres are midwife-led sites for care with lower rates of intervention in birth than hospitals. Yet hospital births dominate birthplace decision-making in New Zealand. In-depth interviews with 24 health workers associated with four primary birth centres aim to identify how confidence in a primary centre birth is built. Thematic analysis demonstrates how midwives discursively and visually re-centred birth as a normal physiological process challenging hospital as the taken-for-granted place for care. We conclude that midwives’ neurohormonal understandings of birth builds responsiveness to the birth-place ontologies of clients.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103510"},"PeriodicalIF":3.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556585","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":"Structural drivers of health among transgender women in the United States: A nationwide study","authors":"Tonia C. Poteat ,&nbsp;Sabriya L. Linton ,&nbsp;Andrea L. Wirtz ,&nbsp;Carmen Gutierrez ,&nbsp;Darya Adams ,&nbsp;Carter Brown ,&nbsp;Marissa Miller ,&nbsp;Denise N. Mitchell ,&nbsp;Reed DeAngelis ,&nbsp;Wiley Kornbluh ,&nbsp;Sari L. Reisner","doi":"10.1016/j.healthplace.2025.103511","DOIUrl":"10.1016/j.healthplace.2025.103511","url":null,"abstract":"<div><h3>Introduction</h3><div>Residential segregation and gentrification are associated with a variety of health outcomes. However, few studies in this area have included transgender women, who experience well-documented health inequities. This analysis sought to assess the effects of racialized economic segregation and gentrification on psychological distress and self-rated health (SRH).</div></div><div><h3>Methods</h3><div>398 transgender women in the United States completed a baseline survey between June 14, 2021 and May 1, 2022 and a follow-up survey 12 months later. Neighborhood-level racialized economic advantage and gentrification were measured at the ZIP code level and categorized into tertiles. The first tertile reflected the lowest levels of these measures. Multilevel modified Poisson regression models with individual-level random intercepts and robust variance estimation, were used to estimate unadjusted and adjusted associations of racialized economic residential advantage and gentrification with serious psychological distress (Kessler-6 ≥ 13) and SRH (poor/fair vs good/very good/excellent).</div></div><div><h3>Results</h3><div>Ethnoracial identities included 57 % White, 19 % Black, and 9 % Latine (of any race). The highest tertile of racialized economic advantage (vs the lowest) was associated with increased risk of serious psychological distress (RR = 1.28; 95 %CI = 1.02, 1.61) and higher risk of poor-to-fair SRH (RR = 1.51; 95 % CI = 1.10,2.08) in multivariable models, while gentrification showed no significant association with either outcome.</div></div><div><h3>Discussion</h3><div>These findings are consistent with prior research indicating that minoritized populations may not derive health benefits from residing in more socially and economically advantaged neighborhoods. Future research is needed to better understand the experiences of transgender women who may be exposed to transphobia in both advantaged and disadvantaged neighborhoods.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103511"},"PeriodicalIF":3.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556679","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 retail environments around rural Victorian primary Schools: Associations with student diet and weight outcomes","authors":"J. Jacobs ,&nbsp;C. Strugnell ,&nbsp;L. Orellana ,&nbsp;S. Allender ,&nbsp;A. Horta ,&nbsp;G. Sacks ,&nbsp;M. Blake ,&nbsp;K.A. Bolton ,&nbsp;P. Fraser ,&nbsp;A. Brown ,&nbsp;H. Le ,&nbsp;C. Needham","doi":"10.1016/j.healthplace.2025.103506","DOIUrl":"10.1016/j.healthplace.2025.103506","url":null,"abstract":"<div><div>Few studies examine the influence on population diets of the healthiness of food retail outlets in the areas surrounding rural schools in Australia. This exploratory cross-sectional study examined associations between food retail environments within 500m and 1 km of 106 primary schools in rural Victoria, Australia, and self-reported diet and measured weight status of grade 4(9-10yo) and grade 6(12-13yo) students (n = 3236). Few significant results were found with a 500m network buffer. At 1 km, there were reduced odds of meeting sugar sweetened beverage (SSB) recommendations with more unhealthy (OR: 0.51, 95 %CI 0.26, 0.98) or takeaway outlets (OR: 0.58, 95 % CI 0.37, 0.89), compared to none of these outlets. Compared to having no supermarkets, the presence of more supermarkets was associated with higher odds of meeting unhealthy snack recommendations (OR: 2.19 95 %CI 1.28, 3.76), SSB recommendations (OR: 1.96 95 % CI 1.23, 3.13) and reduced odds of having overweight or obesity (OR: 0.75 95 %CI 0.57, 0.99). Further investigation into the impact of the food outlet placement on children's dietary behaviours is warranted, in order to inform policy regarding the placement of outlets in proximity of schools.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103506"},"PeriodicalIF":3.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517474","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":"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":"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":"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":"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":"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}