Health & Place最新文献

{"title":"Novel indices of state- and county-level social disadvantage in older Americans and disparities in mortality","authors":"Yi Wang ,&nbsp;Emma X. Zang ,&nbsp;Kendra Davis-Plourde ,&nbsp;Thomas M. Gill ,&nbsp;Robert D. Becher","doi":"10.1016/j.healthplace.2025.103438","DOIUrl":"10.1016/j.healthplace.2025.103438","url":null,"abstract":"<div><div>Studying and defining social contextual disadvantage in community-living older persons is vitally important, yet no composite indices of social disadvantage have been developed and validated specifically for the geriatric population. The current study aims to create two novel composite indices representing state- and county-level social contextual disadvantage in older (≥65 years) persons in the United States (US), and to evaluate whether disparities in mortality exist between index-defined disadvantaged and non-disadvantaged groups. Publicly-available state- and county-level (2006–2014) contextual factors from all 50 US states and 3132 counties were used to create indices of social contextual disadvantage. Associations of disadvantage-status with mortality (2010–2019) were assessed by negative binomial models. We found mortality rates were significantly higher in index-defined disadvantaged states/counties compared with non-disadvantaged ones for 2010–2015 and 2014–2019. For both periods, compared with non-disadvantaged states, the disadvantaged states had at least 11% increased mortality risk. At the county-level, the disadvantaged counties had an approximately 10% increased mortality risk. The findings suggest that the two indices of state- and county-level contextual disadvantage in older persons may serve as useful tools for identifying place-based disadvantaged populations of older Americans and as multidimensional factors driving mortality disparities. State- and county-level social contextual disadvantage should be considered when formulating public health policies and interventions aimed at reducing health disparities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103438"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577363","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":"Erratum to “Transport accessibility and hospital attributes: A nonlinear analysis of their impact on Women's prenatal care seeking behavior” [Health & Place 87 (2024) 103250]","authors":"Huaxiong Jiang ,&nbsp;Yuxiao Wang ,&nbsp;Yang Cheng ,&nbsp;Mengmeng Zhang ,&nbsp;Ling Feng ,&nbsp;Shaoshuai Wang","doi":"10.1016/j.healthplace.2024.103382","DOIUrl":"10.1016/j.healthplace.2024.103382","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103382"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Would intervening on financial strain reduce inequalities in mental health between renters and homeowners?","authors":"Daina Kosīte ,&nbsp;Maria Gueltzow ,&nbsp;Frank J. van Lenthe ,&nbsp;Mariëlle A. Beenackers ,&nbsp;Joost Oude Groeniger","doi":"10.1016/j.healthplace.2025.103434","DOIUrl":"10.1016/j.healthplace.2025.103434","url":null,"abstract":"<div><h3>Background</h3><div>Renters generally experience higher psychological distress than homeowners, which may be partially due to financial strain and difficulties to cover the costs of living. Whether interventions targeting financial strain will reduce the mental health disparities between renters and homeowners needs further investigation.</div></div><div><h3>Aims</h3><div>We investigated the potential impact of hypothetical interventions targeting the reduction of financial strain on the observed inequality in mental health between renters and homeowners.</div></div><div><h3>Method</h3><div>We analysed longitudinal data from the Dutch GLOBE study (2011–2014, N = 2400). Causal mediation analysis (marginal structural model with inverse probability weighting) was employed as a methodological framework to assess how much the observed inequality in mental health between homeowners and renters would be reduced if no one would experience financial strain (estimated using the counterfactual disparity measure (CDM)) and if renters would experience the same levels of financial strain as homeowners (estimated using the interventional analogue of the natural direct effect (NDE_analogue)).</div></div><div><h3>Results</h3><div>Our findings revealed a substantial inequality in mental health scores between renters and homeowners, with renters exhibiting an average mental health score of 5.36 (95% CI = 4.05, 7.09) points lower on a 100-point scale. The CDM suggested that complete elimination of financial strain could lead to a 16% reduction in the observed mental health inequality between renters and homeowners (CDM = 4.51 (95% CI = 3.04, 6.56)). The NDE_analogue indicated a 14% reduction in mental health inequality under a hypothetical intervention where the distribution of financial strain among renters was set to that of the homeowners (NDE = 4.60 (95% CI = 2.75, 6.49)).</div></div><div><h3>Conclusion</h3><div>Addressing financial strain may reduce the disparities in mental health outcomes associated with housing tenure.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103434"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the mental health impacts of Israeli occupation infrastructure in the West Bank by combining geospatial data with a representative survey of Palestinian youth","authors":"Nadia Almasalkhi ,&nbsp;Peter Glick ,&nbsp;Samer Atshan ,&nbsp;Wenjing Huang ,&nbsp;Jad Isaac ,&nbsp;Umaiyeh Khammash ,&nbsp;Daniel Egel","doi":"10.1016/j.healthplace.2025.103420","DOIUrl":"10.1016/j.healthplace.2025.103420","url":null,"abstract":"<div><div>Palestinian youth in the West Bank, occupied Palestinian territory (oPt) live in proximity to various forms of Israeli occupation infrastructure, such as checkpoints, road obstructions, a separation barrier, and Israeli settlements. We investigated the effect of proximity to such infrastructure on youth mental health and health risk behaviors by linking geospatial data on the locations of occupation infrastructure to geocoded survey data collected from a representative sample of Palestinian youth living in the West Bank. We estimated the relationship of youth mental health and proximity to each type of occupation infrastructure with controls for exposure to conflict-related violence and a range of demographic factors. We found that youth mental health is strongly negatively impacted by proximity to manned checkpoints (for males and females) and proximity to settlements (for females), and these impacts appear to be direct rather than mediated by conflict-related trauma exposure. The results indicate the importance of environmental aspects of the conflict for youth mental health, in addition to conflict-related violence itself.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103420"},"PeriodicalIF":3.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neighborhood intergenerational mobility and population health inequality: Spatial dependency and heterogeneity","authors":"Ning Xiong,&nbsp;Yehua Dennis Wei,&nbsp;Yu Wang","doi":"10.1016/j.healthplace.2025.103429","DOIUrl":"10.1016/j.healthplace.2025.103429","url":null,"abstract":"<div><div>Health inequity represents a significant social injustice with major policy implications. This study examines the role of neighborhood intergenerational mobility (IM)—defined as the extent to which children within a specific neighborhood can achieve better socioeconomic outcomes than their parents—in shaping population health, addressing widening health inequalities. We propose that neighborhood IM is positively associated with population health, moderated by spatial dependency and heterogeneity. Analyzing over 69,000 census tracts in the contiguous United States using spatially-lagged X models, we find that neighborhood IM is positively associated with health status. The positive relationship weakens in neighborhoods surrounded by neighborhoods with higher levels of IM and strengthens in neighborhoods surrounded by neighborhoods with lower levels of IM. It also weakens in more advantaged environments—characterized by higher socioeconomic indicators, better built environment features, and more favorable natural environment conditions—and strengthens in less advantaged environments with poorer socioeconomic, built, and natural conditions. Our findings underscore the critical role of neighborhood context and heterogeneity in shaping the effects of social determinants on health, suggesting that policymakers should prioritize resources for disadvantaged neighborhoods with lower IM, particularly those surrounded by similarly low-IM areas, to mitigate health disparities more effectively. Our study provides new insights into the role of neighborhood IM in population health and demonstrates the value of geographic approaches for understanding and mitigating health disparities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103429"},"PeriodicalIF":3.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454741","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 heterogeneity of blood pressure control and its influencing factors in elderly patients with essential hypertension: A small-scale spatial analysis","authors":"Jingming Wei ,&nbsp;Yudong Miao ,&nbsp;Jingbao Zhang ,&nbsp;Jian Wu ,&nbsp;Zhanlei Shen ,&nbsp;Junwen Bai ,&nbsp;Dongfang Zhu ,&nbsp;Ruizhe Ren ,&nbsp;Xinran Li ,&nbsp;Mingyue Zhen ,&nbsp;Jiajia Zhang ,&nbsp;Jinxin Cui ,&nbsp;Dan Guo ,&nbsp;Wenyong Dong ,&nbsp;Clifford Silver Tarimo ,&nbsp;Qiuping Zhao ,&nbsp;Rongmei Liu ,&nbsp;Jianping Hu ,&nbsp;Miaojun Li","doi":"10.1016/j.healthplace.2025.103428","DOIUrl":"10.1016/j.healthplace.2025.103428","url":null,"abstract":"<div><h3>Background</h3><div>The blood pressure control status and its influencing factors in elderly patients with essential hypertension are complex. Existing studies often overlook spatial differences or utilize coarse spatial scales, which limits the understanding of the fine patterns of spatial heterogeneity and the design and implementation of further prevention and control policies.</div></div><div><h3>Methods</h3><div>In August 2023, A community-based survey was carried out in Jia County, China, involving a total of 19080 patients over 65 years old. Traditional linear regression and multi-scale geographically weighted regression were used to analyze the influencing factors and their spatial heterogeneity.</div></div><div><h3>Results</h3><div>Low blood pressure control rate was concentrated in the central urban communities, characterized by a significant low-low cluster, while high blood pressure control rate was concentrated in some northwest and southeast rural communities, with a prominent high-high cluster. There was spatial heterogeneity in the influencing factors. For example, obesity was significantly negatively correlated with blood pressure control rate in central urban communities, while physical activity exhibited a positive correlation in northwest and southeast rural communities.</div></div><div><h3>Conclusion</h3><div>This underscores the need to implement hypertension management services according to local conditions in terms of strengthening the weight management of patients in urban communities and the guidance of physical activity in rural communities. The government should increase financial investment in medical and health care in rural communities and reduce the burden of health costs. This study proves that the geospatial approach can provide objective scientific data support for public health policy innovation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103428"},"PeriodicalIF":3.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequality in exposure to daily aircraft noise near heathrow airport: An empirical study","authors":"Xiangpu Gong ,&nbsp;Nicole Itzkowitz ,&nbsp;Glory O. Atilola ,&nbsp;Kathryn Adams ,&nbsp;Calvin Jephcote ,&nbsp;Marta Blangiardo ,&nbsp;John Gulliver ,&nbsp;Anna Hansell","doi":"10.1016/j.healthplace.2025.103421","DOIUrl":"10.1016/j.healthplace.2025.103421","url":null,"abstract":"<div><div>Aircraft noise is an important source of environmental pollution and a burden on public health. We examined the association between three different area-level deprivation measures (Carstairs index 2011 only; yearly avoidable mortality rates 2014–2018 and yearly fuel poverty rates 2014–2018) and daily aircraft noise metrics (Lday, Leve, Lnight, and LAeq24) around London Heathrow Airport. Analyses were conducted for 2014–18 for ∼155,000 postcodes using a Random-Effects model with an autoregressive term for the temporal variability of daily noise. We found that the relationship between aircraft noise and deprivation was complex, varying by the measure of deprivation and aircraft noise metric. We observed gradient relationships between avoidable death rates and aircraft noise exposure for all noise metrics. For Carstairs index, a measure of area-based material deprivation, the least deprived quintile exhibited the lowest night-time noise levels, but no gradients were observed for this or other noise metrics. Similarly, we did not see clear patterns of association between fuel poverty and aircraft noise. When stratifying the data by % non-White population, the conclusions for avoidable death rates and fuel poverty remained similar, but an association of Carstairs index with noise metrics was seen in the two tertiles with the highest % non-white population. Our strengths include our large dataset with high temporal and spatial resolution, as well as use of multiple deprivation measures and daily noise metrics over five years, that can capture dynamic changes in noise exposure related to changes in flight paths and weather conditions. Limitations include that we looked at 2014–18 and noise levels have been changing over time due to action plans to reduce exposure, and activity changes due to the pandemic and post-pandemic periods. Heathrow Airport is sited near wealthy and densely inhabited communities so may not be representative of all airports.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103421"},"PeriodicalIF":3.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Place effects on adult obesity and cardiometabolic health: Evidence from a natural experiment","authors":"Ashlesha Datar ,&nbsp;Nancy Nicosia","doi":"10.1016/j.healthplace.2025.103427","DOIUrl":"10.1016/j.healthplace.2025.103427","url":null,"abstract":"<div><div>Despite considerable evidence on clustering of obesity within geographic areas causal estimates of place effects on cardiometabolic health, and their causal pathways, remain rare. This study utilizes a natural experiment based on the quasi-random assignment of military families to different installations to show that adults exposed to places with higher obesity prevalence have a greater likelihood of obesity and other downstream cardiometabolic conditions. We find no evidence to support shared environments as a causal pathway for these place effects, suggesting that alternate pathways such as social influence may be at play. We also provide the first real-world evidence on the effect of exogenous exposure to obesogenic places on theoretically-grounded social influence constructs, such as social norms and social networks. We find evidence of place effects on individuals’ perceptions of descriptive norms and obesogenic composition of social networks, but not on injunctive and subjective norms. The mediating role of social influence in explaining place effects on cardiometabolic health should be examined further in future work.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103427"},"PeriodicalIF":3.8,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372204","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":"Connecting place and nature-based traditional and spiritual practices among American Indian and First Nation youth","authors":"Russette Helen ,&nbsp;Handeland Tina ,&nbsp;Price Faith ,&nbsp;Warne Don ,&nbsp;Kelliher Allison ,&nbsp;Holden Zack ,&nbsp;Landguth Erin ,&nbsp;Walls Melissa ,&nbsp;Sittner Kelley","doi":"10.1016/j.healthplace.2025.103424","DOIUrl":"10.1016/j.healthplace.2025.103424","url":null,"abstract":"<div><div>Understanding the role of place in connection to Indigenous youth participation in nature-based traditional and spiritual activities (NBTSA) is of primary concern as exposure to both nature and culture collectively contribute to overall health and wellbeing. From oppressive historical Indian policies to contemporary barriers by way of climate change and increased use of technology, Indigenous youth continue to face risk of detaching from nature and losing pieces of their cultural identity. Qualitative and quantitative features of place in predicting NBTSA participation among Indigenous youth are not well understood and may offer key insights that connect youth to land, water and their cultures. Moreover, application of the Indigenous Traditional Ecological Knowledge (ITEK) theoretical model to inform the social sciences has largely been absent. In this study, we sought to investigate the role of place measured by residing in a sovereign Tribal or First Nation (qualitative) and increased presence of greenspace (quantitative) exposure on participation in NBTSAs among Indigenous youth. Our findings demonstrate that although increasing residential exposure to greenspace had a positive association, residing in a Tribal Nation was a stronger predictor for NBTSA participation. Applying an Indigenous methodology to research with Indigenous populations and communities allows us to move beyond general notions of what (e.g., greenspace) promotes human-nature interaction and, instead, identify place-based determinants. Namely, the ITEK framework guided our rationale to include Tribal Nations in our study. Sovereign Nations connect youth to traditional knowledge holders that share Indigenous knowledges and practices of the land and water through story and experiential learning.</div><div>Significance.</div><div>This study is one of the first to measure both qualitative and quantitative features of place that influence human-nature interaction among youth that collectively identify as Indigenous. Our research found that residing in a sovereign Tribal Nation is a stronger predictor than increasing exposure to greenspace for participating in land- and water-based traditional and spiritual practices providing evidence and public health implications for Indigenous determinants to health and wellbeing.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103424"},"PeriodicalIF":3.8,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modeling the spatiotemporal transmission of COVID-19 epidemic by coupling the heterogeneous impact of detection rates: A case study in Hong Kong","authors":"Jialyu He ,&nbsp;Xintao Liu ,&nbsp;Xiaolin Zhu ,&nbsp;Hsiang-Yu Yuan ,&nbsp;Wu Chen","doi":"10.1016/j.healthplace.2025.103422","DOIUrl":"10.1016/j.healthplace.2025.103422","url":null,"abstract":"<div><div>During the COVID-19 epidemic, many infections may have been undiagnosed in communities (hidden cases) due to low detection rates, thus exacerbating the overall prevalence of the epidemic. However, the heterogeneity of detection rates poses a challenge in simulating the proportion and spatial distribution of hidden cases. Coupling the heterogeneous impact of detection rates to extend epidemic modeling is necessary for forecasting the health burden and mitigating the inequity of testing resources. In this study, we developed an agent-based model integrated with the Susceptible-Exposed-Reported-Hidden-Removed (SERHR) model to simulate the spatiotemporal transmission of reported and hidden cases (RH-ABM). The RH-ABM was fitted with data for the fifth wave of infection in Hong Kong induced by the Omicron variant. We conducted multi-scenario simulations based on various testing strategies to assess the local variation in attack rates. The RH-ABM predicted that maintaining a constant high detection rate would reduce the average attack rate from 65.62% to 53.09%. Increasing detection rates in groups with many individuals and daily close contact can also assist in controlling the health burden of outbreaks. The variation in the attack rates is strongly associated with changes in the region-stratified detection rates. In addition, The RH-ABM estimated that allocating limited testing resources based on demographic distribution and human mobility data is effective for controlling the average attack rate.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103422"},"PeriodicalIF":3.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143298586","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}