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Inuit birthing in the Qikiqtaaluk Region of Nunavut: A place-based inquiry of maternity care systems 努勒维特 Qikiqtaaluk 地区的因纽特人生育情况:基于地方的产妇护理系统调查
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-21 DOI: 10.1016/j.healthplace.2024.103355
Laura Jane Brubacher , Naomi Tatty , Sherilee L. Harper , Ashlee Cunsolo , Gwen K. Healey Akearok , Sally Humphries , Cate E. Dewey
{"title":"Inuit birthing in the Qikiqtaaluk Region of Nunavut: A place-based inquiry of maternity care systems","authors":"Laura Jane Brubacher ,&nbsp;Naomi Tatty ,&nbsp;Sherilee L. Harper ,&nbsp;Ashlee Cunsolo ,&nbsp;Gwen K. Healey Akearok ,&nbsp;Sally Humphries ,&nbsp;Cate E. Dewey","doi":"10.1016/j.healthplace.2024.103355","DOIUrl":"10.1016/j.healthplace.2024.103355","url":null,"abstract":"<div><p>Many Indigenous People in Northern and remote areas need to travel away from home for childbirth; however, their birthing traditions and practices are intimately tied to place. This qualitative research study characterized Inuit childbirth experiences and recommendations to enhance birthing supports in the Qikiqtaaluk Region of Nunavut in Inuit Nunangat, Canada. Birthing experiences were profoundly shaped by relationships and place attachment, and recommendations related to increased Inuit involvement in maternity care systems. Place attachment is an important determinant of Inuit maternal health and may also be for other Indigenous Peoples with intrinsically place-based livelihoods, knowledge systems, and identities.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103355"},"PeriodicalIF":3.8,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001837/pdfft?md5=2cdb31dff99a9fd389761d3c2326078e&pid=1-s2.0-S1353829224001837-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274861","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}
引用次数: 0
Validation of secondary data sources of the retail food environment in the capital of Uruguay, an emerging Latin American country 验证拉丁美洲新兴国家乌拉圭首都食品零售环境的二手数据来源
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-21 DOI: 10.1016/j.healthplace.2024.103356
Leticia Vidal , Florencia Alcaire , Gerónimo Brunet , María Costa , Sofía Verdier , María Rosa Curutchet , Luciana Bonilla , Sergio Turra , Fernanda Risso , Leandro Machín , Gastón Ares
{"title":"Validation of secondary data sources of the retail food environment in the capital of Uruguay, an emerging Latin American country","authors":"Leticia Vidal ,&nbsp;Florencia Alcaire ,&nbsp;Gerónimo Brunet ,&nbsp;María Costa ,&nbsp;Sofía Verdier ,&nbsp;María Rosa Curutchet ,&nbsp;Luciana Bonilla ,&nbsp;Sergio Turra ,&nbsp;Fernanda Risso ,&nbsp;Leandro Machín ,&nbsp;Gastón Ares","doi":"10.1016/j.healthplace.2024.103356","DOIUrl":"10.1016/j.healthplace.2024.103356","url":null,"abstract":"<div><p>Secondary data sources are frequently used for characterizing physical access to food. Although several studies have reported that they tend to show a moderate agreement with field observation in WEIRD (Western Educated Industrialized Rich and Democratic) countries, little is known about their validity in non-WEIRD countries. The aim of the present research was to assess the validity of secondary data sources of the retail food environment in Montevideo, the capital of Uruguay, an emerging Latin American country. A random sample of 106 census tracts was obtained, covering 12% (62 km<sup>2</sup>) of the city's total area. Two secondary data sources were considered: administrative records and Google Maps. An aggregate database was created by manually removing duplicates. A total of 1051 unique outlets were listed in the database within the census tracts included in the sample. Field validation was performed by six teams of two observers. A total of 1200 food outlets were identified on the ground, including 463 (38.6%) outlets not listed on any database. On the contrary, 297 outlets listed in the databases (28.3%) were not found or were closed at the time of field validation. At the aggregate level, sensitivity and concordance were moderate (0.614 and 0.487, respectively), whereas positive predictive value was substantial (0.701). However, large heterogeneity in the validity of the database across census tracts was found. Sensitivity, positive predictive value, and concordance were positively associated with the socio-economic status index of the census tract. These results suggest that secondary data sources must be used with caution, particularly for the characterization of areas with low socio-economic status.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103356"},"PeriodicalIF":3.8,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274860","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}
引用次数: 0
“Poor and Dirty”: Unintended consequences in a hygiene material Distribution in Burkina Faso "贫穷与肮脏":布基纳法索卫生用品分发活动的意外后果
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-19 DOI: 10.1016/j.healthplace.2024.103358
Salam Zoungrana
{"title":"“Poor and Dirty”: Unintended consequences in a hygiene material Distribution in Burkina Faso","authors":"Salam Zoungrana","doi":"10.1016/j.healthplace.2024.103358","DOIUrl":"10.1016/j.healthplace.2024.103358","url":null,"abstract":"<div><p>The practical interrelationships between the African environment and hygiene practices during a pandemic period is a topic of significant importance. Specifically, this research explores the intersection of cultural dynamics and hygiene practices in Burkina Faso, focusing on a recent example of distribution of hygiene materials. It highlights the negative reactions to these foreign interventions, perceived as patronizing and stigmatizing, which underscores the complexities of implementing health initiatives in diverse socio-cultural landscapes. These findings stress the importance of culturally sensitive approaches and greater engagement in public health initiatives like the latrine usage with specific designs for communities.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103358"},"PeriodicalIF":3.8,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241751","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}
引用次数: 0
The unfairness of place: A cultural history of the UK's ‘postcode lottery’ 地方的不公平:英国 "邮编彩票 "的文化史
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-17 DOI: 10.1016/j.healthplace.2024.103301
Grace Redhead, Rebecca Lynch
{"title":"The unfairness of place: A cultural history of the UK's ‘postcode lottery’","authors":"Grace Redhead,&nbsp;Rebecca Lynch","doi":"10.1016/j.healthplace.2024.103301","DOIUrl":"10.1016/j.healthplace.2024.103301","url":null,"abstract":"<div><p>The ‘postcode lottery’ has become a dominant political framing for place-based health inequalities in Britain, used by patient groups, politicians and in media coverage of regional health and healthcare inequalities. Using newspapers, parliamentary material and health policy documents, this paper traces how this term has changed and expanded from its origins as a protest about access to new pharmaceutical treatments, to a broader commentary about geographical variations in the quality of NHS and other public services, health outcomes, and deprivation. It traces this emergence and evolution from its origins in the 1989–91 introduction of the ‘internal market’ and the 1994 reintroduction of the National Lottery, through to New Labour health reforms, the introduction of austerity, and the Levelling Up programme in the present day. This paper finds that the term's concern with unfairness has enabled its incorporation into a range of political positions, both as a defence of universalism against market-based reforms in the NHS, and to rationalise distinctions between ‘unequal’ and ‘unfair’ disparities in health outcomes. We conclude that understanding and addressing place based differences and inequalities in health, healthcare, and health outcomes may be aided through investigation of cultural ideas and values as well as the deep histories of place and local services.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103301"},"PeriodicalIF":3.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001291/pdfft?md5=92c8323d871ab70a207fa09731b97a53&pid=1-s2.0-S1353829224001291-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241209","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}
引用次数: 0
Uncovering spatiotemporal development patterns of AIDS in China: A study using panel data with Joinpoint Regression analysis and Spatial Clustering 揭示中国艾滋病的时空发展模式:利用联结点回归分析和空间聚类的面板数据研究
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-16 DOI: 10.1016/j.healthplace.2024.103353
Shu-nan Gui , Xiang Zhang , Zhenhui Sun , Yao Yao
{"title":"Uncovering spatiotemporal development patterns of AIDS in China: A study using panel data with Joinpoint Regression analysis and Spatial Clustering","authors":"Shu-nan Gui ,&nbsp;Xiang Zhang ,&nbsp;Zhenhui Sun ,&nbsp;Yao Yao","doi":"10.1016/j.healthplace.2024.103353","DOIUrl":"10.1016/j.healthplace.2024.103353","url":null,"abstract":"<div><p>The HIV/AIDS epidemic in China is severe and complex. Comprehensive spatiotemporal analysis provides valuable insights for intervention policy formulation. Previous studies often overlooked local changes in time trends and regional disease development patterns. In this study, we propose a new spatiotemporal analysis method based on the Joinpoint Regression (JPR) model and K-means clustering to refine the division of stages in China's AIDS epidemic and differentiate geographical areas based on development patterns. We then use hotspot analysis to describe the current status of AIDS, presenting a comprehensive view of the epidemic in China from 2004 to 2018. JPR results show China's AIDS incidence generally increased during 2004–2018 (AAPC = 23.2), with a significant turning point in 2012. Time series feature clustering classifies the country into three regions: Southwest, Central and Eastern, and the other region. Each region corresponds to different epidemic causes and transmission pathways, informing targeted interventions. Hotspot analysis reveals the Southwest region as the most severely affected area, requiring intensified prevention and control efforts. This study offers a novel from both time and space dimensions for understanding and combating the AIDS epidemic, furnishing valuable references for policymakers in the further development of strategies.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103353"},"PeriodicalIF":3.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142241750","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}
引用次数: 0
Using confirmatory principal component analysis to uncover the interplay between social and spatial factors among older adults: An exploratory study 利用确证主成分分析揭示老年人中社会因素和空间因素之间的相互作用:探索性研究
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-13 DOI: 10.1016/j.healthplace.2024.103173
Nadra Elhania , Gregory Moullec , Yan Kestens
{"title":"Using confirmatory principal component analysis to uncover the interplay between social and spatial factors among older adults: An exploratory study","authors":"Nadra Elhania ,&nbsp;Gregory Moullec ,&nbsp;Yan Kestens","doi":"10.1016/j.healthplace.2024.103173","DOIUrl":"10.1016/j.healthplace.2024.103173","url":null,"abstract":"<div><p>This study examines the complex interplay between social and spatial structures among older adults, emphasizing the interest in considering the social composition of activity spaces and the spatial characteristics of social networks. There is a growing interest in the collection and analysis of both social and daily mobility spatial information to better understand people-place interactions and determinants of health. Yet, few analyses have explored how the social and spatial dimensions of people's lives relate. In this exploratory study, we analyze how social and spatial indicators collected with the VERITAS-Social questionnaire among 98 older adults in Montréal, Canada, relate, using confirmatory principal component analysis. The aim of the article is to provide empirical evidence on the reduction of dimensions of measures related to social networks, activity spaces, and combined socio-spatial structures.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103173"},"PeriodicalIF":3.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230208","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}
引用次数: 0
Understanding variations in the built environment over time to inform longitudinal studies of young children's physical activity behaviour - The BEACHES project 了解建筑环境随时间的变化,为幼儿体育活动行为的纵向研究提供信息 - BEACHES 项目
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-09 DOI: 10.1016/j.healthplace.2024.103345
Trina Robinson , Bryan Boruff , John Duncan , Kevin Murray , Jasper Schipperijn , Andrea Nathan , Ben Beck , Gareth Stratton , Lucy J Griffiths , Richard Fry , Bridget Beesley , Hayley Christian
{"title":"Understanding variations in the built environment over time to inform longitudinal studies of young children's physical activity behaviour - The BEACHES project","authors":"Trina Robinson ,&nbsp;Bryan Boruff ,&nbsp;John Duncan ,&nbsp;Kevin Murray ,&nbsp;Jasper Schipperijn ,&nbsp;Andrea Nathan ,&nbsp;Ben Beck ,&nbsp;Gareth Stratton ,&nbsp;Lucy J Griffiths ,&nbsp;Richard Fry ,&nbsp;Bridget Beesley ,&nbsp;Hayley Christian","doi":"10.1016/j.healthplace.2024.103345","DOIUrl":"10.1016/j.healthplace.2024.103345","url":null,"abstract":"<div><p>We know relatively little about the role the neighbourhood built environment plays in promoting young children's physical activity, particularly its longitudinal effect either through repeated exposure to the same environment or through change in exposure by moving from one neighbourhood to another. This study characterised the neighbourhood environment of young children in the PLAYCE cohort study over three timepoints from 2015 to 2023. There were statistically significant differences in built environment attributes between timepoints and across socio-economic status, however they did not represent practically significant differences. These findings inform the analysis approach of subsequent research in the BEACHES Project, an international study examining the role of the built environment on child physical activity and obesity using multiple cohorts.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103345"},"PeriodicalIF":3.8,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001734/pdfft?md5=2684bfcb5a8e70c7f87f2dd11d58c788&pid=1-s2.0-S1353829224001734-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162702","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}
引用次数: 0
“They're not mentally ill, their lives are just shit”: Stakeholders' understanding of deaths of despair in a deindustrialised community in North East England "他们没有精神病,只是生活一团糟":利益相关者对英格兰东北部一个去工业化社区中绝望死亡的理解
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-08 DOI: 10.1016/j.healthplace.2024.103346
Timothy Price , Victoria McGowan , Shelina Visram , John Wildman , Clare Bambra
{"title":"“They're not mentally ill, their lives are just shit”: Stakeholders' understanding of deaths of despair in a deindustrialised community in North East England","authors":"Timothy Price ,&nbsp;Victoria McGowan ,&nbsp;Shelina Visram ,&nbsp;John Wildman ,&nbsp;Clare Bambra","doi":"10.1016/j.healthplace.2024.103346","DOIUrl":"10.1016/j.healthplace.2024.103346","url":null,"abstract":"<div><p>The rise in mortality in high-income countries from drug, suicide, and alcohol specific causes, referred to collectively as ‘deaths of despair’, has received growing interest from researchers. In both the US and UK, mortality rates from deaths of despair are higher in deprived, deindustrialised communities. In this qualitative study, we sought to learn how stakeholders working with vulnerable populations in Middlesbrough, a deindustrialised town in North East England with above average mortality from deaths of despair, understand and explain the prevalence of deaths from these causes in their area. Participants identified a number of structural and socio-cultural determinants that they believe drive deaths of despair in their community, including the effects of austerity, deindustrialisation, communal identity, and collective trauma; we argue that these determinants are themselves a product of structural violence.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103346"},"PeriodicalIF":3.8,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001746/pdfft?md5=7aedacc9ed265b5b7dada73ec0de249a&pid=1-s2.0-S1353829224001746-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142158160","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}
引用次数: 0
Challenging perspectives; understanding the barriers to engaging in an outdoor swimming feasibility randomised controlled trial 挑战观点;了解参与户外游泳可行性随机对照试验的障碍。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-06 DOI: 10.1016/j.healthplace.2024.103312
Hannah Denton , Sam Robertson , Sandy Ciccognani , Sara Meddings , Pete White , Chloe Elsby-Pearson , Anmol Jhans , Amy Burlingham , Rebecca Cunningham , Mark Harper , Anna-Marie Jones , Mara Violato , Heather Massey , Clara Strauss
{"title":"Challenging perspectives; understanding the barriers to engaging in an outdoor swimming feasibility randomised controlled trial","authors":"Hannah Denton ,&nbsp;Sam Robertson ,&nbsp;Sandy Ciccognani ,&nbsp;Sara Meddings ,&nbsp;Pete White ,&nbsp;Chloe Elsby-Pearson ,&nbsp;Anmol Jhans ,&nbsp;Amy Burlingham ,&nbsp;Rebecca Cunningham ,&nbsp;Mark Harper ,&nbsp;Anna-Marie Jones ,&nbsp;Mara Violato ,&nbsp;Heather Massey ,&nbsp;Clara Strauss","doi":"10.1016/j.healthplace.2024.103312","DOIUrl":"10.1016/j.healthplace.2024.103312","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103312"},"PeriodicalIF":3.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147187","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}
引用次数: 0
Greenspace exposure and the retinal microvasculature in healthy adults across three European cities 欧洲三个城市健康成年人的绿地暴露与视网膜微血管
IF 3.8 2区 医学
Health & Place Pub Date : 2024-09-01 DOI: 10.1016/j.healthplace.2024.103342
Mariska Bauwelinck , Patrick De Boever , Evi Dons , Arnout Standaert , Albert Ambros , Michelle Laeremans , Ione Avila-Palencia , Glòria Carrasco-Turigas , Sandra Wegener , Esther Anaya , Juan Pablo Orjuela , Audrey de Nazelle , Mark J. Nieuwenhuijsen , Luc Int Panis , Payam Dadvand
{"title":"Greenspace exposure and the retinal microvasculature in healthy adults across three European cities","authors":"Mariska Bauwelinck ,&nbsp;Patrick De Boever ,&nbsp;Evi Dons ,&nbsp;Arnout Standaert ,&nbsp;Albert Ambros ,&nbsp;Michelle Laeremans ,&nbsp;Ione Avila-Palencia ,&nbsp;Glòria Carrasco-Turigas ,&nbsp;Sandra Wegener ,&nbsp;Esther Anaya ,&nbsp;Juan Pablo Orjuela ,&nbsp;Audrey de Nazelle ,&nbsp;Mark J. Nieuwenhuijsen ,&nbsp;Luc Int Panis ,&nbsp;Payam Dadvand","doi":"10.1016/j.healthplace.2024.103342","DOIUrl":"10.1016/j.healthplace.2024.103342","url":null,"abstract":"<div><h3>Background</h3><p>Emerging evidence points to the beneficial role of greenspace exposure in promoting cardiovascular health. Most studies have evaluated such associations with conventional cardiovascular endpoints such as mortality, morbidity, or macrovascular markers. In comparison, the microvasculature, a crucial compartment of the vascular system where early subclinical signs of cardiovascular problems appear, has not been studied in association with greenspace exposure. The current study assessed the association between surrounding greenness and microvascular status, as assessed by retinal vessel diameters.</p></div><div><h3>Methods</h3><p>This study included a sample of healthy adults (n = 114 and 18–65 years old) residing in three European cities [Antwerp (Belgium), Barcelona (Spain), and London (UK)]. The exposures to greenspace at the home and work/school locations were characterized as average surrounding greenness [normalized difference vegetation index (NDVI)] within buffers of 100 m, 300 m, and 500 m. The central retinal arteriolar equivalent (CRAE) and central retinal venular equivalent (CRVE) were calculated from fundus pictures taken at three different time points. We developed linear mixed-effect models to estimate the association of greenspace exposure with indicators of retinal microvasculature, adjusted for relevant individual and area-level covariates.</p></div><div><h3>Results</h3><p>We observed the most robust associations with CRVE. Higher levels of greenspace at work/school were associated with smaller retinal venules [(seasonal NDVI) <em>300m</em>: 3.85, 95%CI -6.67,-1.03; <em>500m</em>: 5.11, 95%CI -8.04, −2.18]. Findings for surrounding greenness and CRAE were not conclusive.</p></div><div><h3>Conclusion</h3><p>Our study suggests an association of greenspace exposure with better microvascular status, specifically for retinal venules. Future research is needed to confirm our findings across different contextual settings.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103342"},"PeriodicalIF":3.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142130141","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}
引用次数: 0
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