Health & Place最新文献

{"title":"A Walk across Europe: Development of a high-resolution walkability index","authors":"Nishit Patel ,&nbsp;Hoang-Ha Nguyen ,&nbsp;Jet van de Geest ,&nbsp;Alfred Wagtendonk ,&nbsp;Mohan J.S. Raju ,&nbsp;Payam Dadvand ,&nbsp;Kees de Hoogh ,&nbsp;Marta Cirach ,&nbsp;Mark Nieuwenhuijsen ,&nbsp;Thao Minh Lam ,&nbsp;Jeroen Lakerveld","doi":"10.1016/j.healthplace.2025.103544","DOIUrl":"10.1016/j.healthplace.2025.103544","url":null,"abstract":"<div><div>Physical inactivity significantly contributes to obesity and other non-communicable diseases, yet efforts to increase population-wide physical activity levels have met with limited success. The built environment plays a pivotal role in encouraging active behaviors like walking. Walkability indices, which aggregate various environmental features, provide a valuable tool for promoting healthy, walkable environments. However, a standardized, high-resolution walkability index for Europe has been lacking. This study addresses that gap by developing a standardized, high-resolution walkability index for the entire European region. Seven core components were selected to define walkability: walkable street length, intersection density, green spaces, slope, public transport access, land use mix, and 15 min walking isochrones. These were derived from harmonized, high-resolution datasets such as Sentinel-2, NASA’s elevation models, OpenStreetMap, and CORINE Land Cover. A 100 m <span><math><mo>×</mo></math></span> 100 m hierarchical grid system and advanced geospatial methods, like network buffers and distance decay, were used at scale to efficiently model real-world density and proximity effects. The resulting index was weighted by population and analyzed at different spatial levels using visual mapping, spatial clustering, and correlation analysis. Findings revealed a distinct urban-to-rural gradient, with high walkability scores concentrated in compact urban centers rich in street connectivity and land use diversity. The index highlighted cities like Barcelona, Berlin, Munich, Paris, and Warsaw as walkability leaders. This standardized, high-resolution walkability index serves as a practical tool for researchers, planners, and policymakers aiming to support active living and public health across diverse European contexts.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103544"},"PeriodicalIF":4.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093201","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":"Health in place and place in health: 30 years of Health & Place","authors":"Michael J. Widener ,&nbsp;Valorie A. Crooks","doi":"10.1016/j.healthplace.2025.103537","DOIUrl":"10.1016/j.healthplace.2025.103537","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103537"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983960","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":"Constant crisis management: service provider perspectives on adapting homeless resources for people who use drugs and alcohol","authors":"Hannah Brais ,&nbsp;Mylene Riva","doi":"10.1016/j.healthplace.2025.103547","DOIUrl":"10.1016/j.healthplace.2025.103547","url":null,"abstract":"<div><div>Homeless service providers in Montreal, Canada face increasingly challenging circumstances in delivering services to people who use drugs and alcohol experiencing homelessness. While this group continues to be overrepresented in homeless counts and conditions to their sustainable exit to homelessness continue to be difficult, this research asks, 1) What are the limitations of the current service provision in Montreal for addressing the needs of homeless substance users? How can services be adapted?; and 2) Which larger societal conditions create barriers for homeless individuals who use drugs and alcohol to access services? Drawing on 10 semi-structured interviews with staff of homeless service providers, this research uses a trauma-informed spaces of care framework to examine the relationship between people, place, and care, with the added variable of trauma. Findings revealed a need for continual harm reduction supports; that the absence of adequate support teams and management led to poor psychosocial accompaniment, lending itself to a state of constant crisis management; that homeless resources were traumatogenic spaces (that is, can cause trauma) for both service users and service providers; and finally, that larger system-level changes need to be addressed to improve the conditions of people experiencing homelessness who use drugs and alcohol. Cumulatively these findings underline the dire and traumatogenic conditions of homeless services in the locus of a housing affordability crisis, opioid crisis, failing public health system, and under an environment of increased stigma towards people who use drugs and alcohol.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103547"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049336","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":"Corrigendum to “Connecting place and nature-based traditional and spiritual practices among American Indian and First Nation Youth” [Health Place 92 2025 103424]","authors":"Helen Russette ,&nbsp;Tina Handeland ,&nbsp;Faith Price ,&nbsp;Don Warne ,&nbsp;Allison Kelliher ,&nbsp;Zack Holden ,&nbsp;Erin Landguth ,&nbsp;Melissa Walls ,&nbsp;Kelley Sittner","doi":"10.1016/j.healthplace.2025.103459","DOIUrl":"10.1016/j.healthplace.2025.103459","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103459"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602616","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":"Corrigendum to “Higher ultraviolet light exposure is associated with lower mortality: An analysis of data from the UK biobank cohort study” [Health and Place (2024), (89), 103328]","authors":"Andrew C. Stevenson ,&nbsp;Tom Clemens ,&nbsp;Erola Pairo-Castineira ,&nbsp;David J. Webb ,&nbsp;Richard B. Weller ,&nbsp;Chris Dibben","doi":"10.1016/j.healthplace.2025.103518","DOIUrl":"10.1016/j.healthplace.2025.103518","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103518"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736381","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":"Crossing streams: Merging sanitation justice and ecological sanitation through female urinals","authors":"Marisa Manheim ,&nbsp;Julia Cavicchi ,&nbsp;Tatiana Schreiber ,&nbsp;Robin Fitzgerald ,&nbsp;Hayley Joyell Smith","doi":"10.1016/j.healthplace.2025.103516","DOIUrl":"10.1016/j.healthplace.2025.103516","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103516"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144919744","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 and socioeconomic disparities in the availability of healthy food via online food delivery services in Nanjing, China: An analysis based on absolute and relative measures","authors":"Yu Kong ,&nbsp;Feng Zhen ,&nbsp;Erpan Ubul ,&nbsp;Shanqi Zhang ,&nbsp;Hui Luan","doi":"10.1016/j.healthplace.2025.103546","DOIUrl":"10.1016/j.healthplace.2025.103546","url":null,"abstract":"<div><div>As part of the urban food environment, online food delivery services (OFDS) have expanded the channels and options for residents to access food. While it may be seen as a way to improve food access, there is widespread debate over whether it can provide healthy food options for residents. Existing studies have primarily measured the absolute indicators of healthy food supply through OFDS, but have lacked comparative analyses of absolute and relative indicators. The spatial and socioeconomic disparities in the supply of healthy food through OFDS remain to be further explored. This study seeks to address this question through a case study of Nanjing. The findings indicate significant spatial differences in the characteristics of healthy food delivery availability when comparing relative and absolute metrics. For communities in central areas, both absolute healthy and unhealthy food delivery outlets form high-high clusters, but the relative proportion and diversity of healthy food outlets fall into low-low clusters. This contrasts with the spatial characteristics observed in peripheral communities, where both relative and absolute metrics of healthy food delivery availability show opposite patterns. Additionally, communities with lower housing prices, larger working populations, and higher proportions of young or older residents have relatively fewer opportunities to access healthy food delivery outlets. Our findings suggest that differentiated community-based strategies and platform-level interventions are essential to improve healthy food access and diversity via OFDS.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103546"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049337","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":"‘More prioritisation on food security’ – exploring what initiative leaders envision for a food secure regional Australia","authors":"Isabelle Chiera ,&nbsp;Jess Doe ,&nbsp;Melissa Stoneham ,&nbsp;Saranne Herrington ,&nbsp;Amanda Devine ,&nbsp;Emily Humphreys ,&nbsp;Stephanie L. Godrich","doi":"10.1016/j.healthplace.2025.103543","DOIUrl":"10.1016/j.healthplace.2025.103543","url":null,"abstract":"<div><div>Food security is a particular challenge in rural, regional and remote locations due to complexities associated with food availability, access, utilisation, stability, agency and sustainability dimensions. Existing approaches, such as emergency food relief, have been found to inadequately address these challenges, suggesting that a comprehensive portfolio of solutions could be more effective. Understanding what food security initiative leaders operating in these areas consider important will help establish a shared goal to guide the development of a portfolio approach. This paper aimed to determine government and community-led food security initiative leaders' visions of a food secure regional Australia. This qualitative study was conducted across inner regional, outer regional, remote and very remote townships in Western Australia. Participants' perspectives of a food secure region were sought through semi-structured interviews. A total of 101 participants provided evidence for 148 food security initiatives. Many initiative leaders' visions focused on improved access to food and education programs such as food growing and food literacy programs. Less emphasis was placed on solutions such as community-led food security action and advocacy for increased government support and funding. Participants typically described existing and siloed solutions that, despite their widespread implementation, have been critiqued for their inability to adequately address the complexities of food security. This suggests a disconnect between participants' visions and a more effective portfolio approach. More time should be invested in enhancing community and interest holder’ understanding of systems change and a portfolio approach to bridge this gap.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103543"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018619","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":"Community insights into societal causes of and solutions for schistosomiasis transmission in Lake Albert fishing villages: A participatory approach","authors":"Maxson K. Anyolitho ,&nbsp;Stella Neema ,&nbsp;Paskari Odoi ,&nbsp;Moses Adriko ,&nbsp;Birgitte J. Vennervald ,&nbsp;Edridah M. Tukahebwa ,&nbsp;Shona Wilson","doi":"10.1016/j.healthplace.2025.103548","DOIUrl":"10.1016/j.healthplace.2025.103548","url":null,"abstract":"<div><h3>Introduction</h3><div>Schistosomiasis presents a significant public health concern with debilitating effects on millions of people, mostly in sub-Saharan Africa. In Uganda, despite intervention via mass drug administration (MDA) of praziquantel to combat the disease, prevalence remains alarmingly high within hotspots such as Lake Albert. Integrated control methods, including water-contact reducing behavioural change, have therefore been advocated. Despite the potential benefits of community involvement in the design of schistosomiasis behavioural change interventions, this approach has not been implemented in these Ugandan hotspots. Utilising community involvement, this study explored societal resource-based causes of lake-derived schistosomiasis transmission in hotspot communities of Hoima, western Uganda, how changing levels in these resources and access to them are altering infection-risk behaviour, and locally devised solutions for reducing infection-risk behaviours.</div></div><div><h3>Materials and methods</h3><div>A bottom-up participatory qualitative research design was employed. Purposive sampling was utilised to select 84 community advisory board (CAB) members to participate in focus group discussion sessions and participatory workshops. The CAB members comprised of fishermen, housewives, snail harvesters, village health teams, female and male youths, and community leaders. The data collected was analysed thematic-wise.</div></div><div><h3>Results</h3><div>The importance of the lake includes fish for both consumption and sale, water mainly for domestic use, papyrus for a variety of purposes, including roofing, sleeping mats, and mattresses and other resources such as oil, clay, sand, and salt. Community members reported that local conflicts, unfavourable and restrictive government policies, floods, migration, and instability have changed lake-derived resource levels. Recommendations for minimising contact with the lake suggested by participants were the provision of alternative water sources, promoting education, literacy and vocational skills, financial support, community empowerment and joint collaborative approaches.</div></div><div><h3>Conclusions and recommendations</h3><div>Despite challenges, Lake Albert provides a significant source of livelihood to communities. Providing alternative water sources and empowering local communities through the provision of alternative livelihood strategies is critical to reducing contact with the lake. A bottom-up participatory approach to community engagement facilitates community understanding of schistosomiasis problems and allows them to devise sustainable solutions to the problem.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103548"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088727","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":"No public restroom: Illinois's restroom access act and bathroom accessibility","authors":"Richard M. Weinmeyer ,&nbsp;Aparna Balakrishnan ,&nbsp;Salva N. Balbale ,&nbsp;Seema K. Shah","doi":"10.1016/j.healthplace.2025.103512","DOIUrl":"10.1016/j.healthplace.2025.103512","url":null,"abstract":"<div><div>Restroom access acts (RAAs) provide persons with inflammatory bowel disorders (IBD) and other health conditions emergency access to a business's employee restroom. Despite the important role these laws can play in supporting a person's health and dignity, they remain understudied. This Article is the first to explore what if any role a RAA has in the lives of persons living with IBD.</div><div>We conducted a qualitative study to explore what persons with IBD living in Illinois know about the influential RAA in this state; their experiences finding and using restrooms in public; and what changes they would like to see in the provision of publicly available restrooms.</div><div>We interviewed nine participants living with IBD, primarily women living in the Chicago metropolitan area, and found that knowledge of the law was low. Participants also described harms resulting from limited access to public restrooms, including to their autonomy, freedom, and dignity. Our participants expressed skepticism of the law's ability to effectively improve bathroom accessibility yet also found hope in the law's existence.</div><div>This Article concludes by grounding these findings in legal precedent, disability law scholarship, and research on IBD. Our findings can be used to motivate future research on RAAs and influence future laws and policies to improve public health.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103512"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925656","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}