Health & Place最新文献

{"title":"Corrigendum to “Novel indices of state- and county-level social disadvantage in older Americans and disparities in mortality” [Health Place 92 (2025) 103438]","authors":"Yi Wang , Emma X. Zang , Kendra Davis-Plourde , Thomas M. Gill , Robert D. Becher","doi":"10.1016/j.healthplace.2025.103486","DOIUrl":"10.1016/j.healthplace.2025.103486","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103486"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669149","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":"Creating privacy in pharmacies in West Africa","authors":"Sethson Kassegne ,&nbsp;Robert-Hugues Yaovi Nagbe ,&nbsp;Ibitola Tchitou ,&nbsp;Rhiana Mills ,&nbsp;Farida Moussa ,&nbsp;Edoh Léon Soklou ,&nbsp;Dzidzova Kossitsè Apédo ,&nbsp;Ami Aféfa Allado ,&nbsp;Fidèle Dissirama Doukou ,&nbsp;Lorimpo Babogou","doi":"10.1016/j.healthplace.2025.103540","DOIUrl":"10.1016/j.healthplace.2025.103540","url":null,"abstract":"<div><div>There is a substantial unmet need for contraception in West Africa. Providing contraception in private pharmacies, which often are highly accessible, may alleviate some access barriers. However, privacy is a key concern for provision of contraceptives in pharmacies, and whether users view pharmacies as private is ambiguous. While some pharmacy users note their privacy benefits, others suggest a lack of privacy. The ACEPT Project aims to introduce the administration of injectable and implant contraceptives into pharmacies across Côte d’Ivoire, Senegal, and Togo. Baseline data collected prior to implementation of the ACEPT project across the 3 countries included in-depth interviews with both pharmacies and users and ethnographic observations of pharmacies. Qualitative data were first analysed by country teams, and emergent cross-cutting themes were identified collaboratively. Physical, private space is scarce in pharmacy settings in West Africa. In this context, users employ tactics to uphold both audio (not being heard) and visual (not being seen) privacy. These tactics include using coded language or hiding a contraceptive purchase among other products. Pharmacists are experts at reading user privacy cues and “play along” with user tactics. Pharmacists also engineer “virtual” private space in the pharmacy through arrangement of shelving and products and identifying private corners of the pharmacy when needed. Privacy is currently constructed momentarily in ways that render the public pharmacy space private. As contraceptive services in pharmacies expand, especially to include injectable and implant administration, this type of privacy creation may need to be addressed, and physical private space will become essential.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103540"},"PeriodicalIF":4.1,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144917039","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":"Patterns of sexual minority men's lifestyle and healthcare related activity spaces in Los Angeles","authors":"Susan Cassels ,&nbsp;Sean C. Reid ,&nbsp;Alan T. Murray ,&nbsp;Sofia Kaloper ,&nbsp;Vania Wang ,&nbsp;Steven Shoptaw ,&nbsp;Pamina Gorbach","doi":"10.1016/j.healthplace.2025.103542","DOIUrl":"10.1016/j.healthplace.2025.103542","url":null,"abstract":"<div><div>For gay, bisexual, and other sexual minority men (SMM), geo-social exposures in residential and non-residential places are important to consider for health, as home, social, sexual, substance use, and healthcare-related locations may be different. We use survey data from a sample of 219 Black and Hispanic SMM within Los Angeles County to examine the places that individuals visit for eight specific activities, categorized as either lifestyle or healthcare-related. Spatial clustering techniques are used to identify hotspots, or places where individual's activities are clustered in space, for each activity. We then use descriptive statistics to characterize each hotspot based on the socio-demographic characteristics of individuals who engaged in activities within the hotspot, and then assess whether activity-based hotspots overlap in space. We find unique spatial patterns of hotspots, distinct by activity. Additionally, lifestyle activity space hotspots are spatially patterned by socio-demographic characteristics, primarily along race and ethnic categories, whereas healthcare-related hotspots are not. The overlap, or spatial congruence of hotspots, is higher than we hypothesized, as hotspots of residential locations contained the majority of sex hotspots and substance use hotspots. Our work ultimately identifies four distinct areas of Los Angeles County in which activities are clustered among men in the sample, and health interventions can be tailored to the individuals and their activities in those places. Our findings demonstrate the importance of geographically and demographically targeted interventions, at a fine spatial scale, for health promotion among SMM, as interventions and policy to provide equitable care to reduce racial disparities in health among SMM are sorely needed.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103542"},"PeriodicalIF":4.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911850","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":"Liveable regional places for people with disabilities: exploring intersections and priorities","authors":"Natalia Gonzalez Bohorquez ,&nbsp;Christina Malatzky ,&nbsp;Sanjeewa Kularatna ,&nbsp;Steven M. McPhail","doi":"10.1016/j.healthplace.2025.103531","DOIUrl":"10.1016/j.healthplace.2025.103531","url":null,"abstract":"","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103531"},"PeriodicalIF":4.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911851","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":"Persistent effects of historical redlining on present day hospital siting and size","authors":"Shuo Jim Huang ,&nbsp;Kaitlynn S. Robinson-Ector ,&nbsp;Neil Jay Sehgal ,&nbsp;Sherita H. Golden ,&nbsp;Esa M. Davis ,&nbsp;Alexandria Ratzki-Leewing ,&nbsp;Chixiang Chen ,&nbsp;Oluwadamilola Akintoye ,&nbsp;Darius Jake Roy ,&nbsp;Olohitare Abaku ,&nbsp;Marissa L. Ding ,&nbsp;Bradley A. Maron ,&nbsp;Rozalina G. McCoy","doi":"10.1016/j.healthplace.2025.103538","DOIUrl":"10.1016/j.healthplace.2025.103538","url":null,"abstract":"<div><h3>Background</h3><div>Racial health disparities persist in hospital care access, quality, and outcomes. These disparities are geographically patterned but paradoxically hospital proximity is not protective. Historical governmental policies such as redlining may explain this paradox. Redlining, proxied by explicitly race-based maps drawn by the Home Owners’ Loan Corporation (HOLC) in the 1930s, led to extensive depopulation, property devaluation, and political disempowerment in neighborhoods with significant proportions of Black residents in the latter half of the 20th centuries. Hospitals expanding in the post-World War II period due to the Hill-Burton Act may have taken advantage of these racialized economic and political gradients. Our study investigates whether historical HOLC redlining categories are associated with present day hospital location and size.</div></div><div><h3>Methods</h3><div>We used hospital locations from the 2023 Homeland Infrastructure Foundation-Level hospital dataset and redlining locations and categories from the Mapping Inequality dataset. We calculated expected counts of hospitals and total number of beds based on the proportion of land covered by each HOLC category. We compared observed counts of hospitals and beds using Pearson chi-squared tests.</div></div><div><h3>Results</h3><div>Hospitals were significantly overrepresented in HOLC D red areas by 20.5 % and underrepresented in HOLC A green areas by 35.6 %. Hospital beds were overrepresented in D areas by 56.5 % and underrepresented by 44.7 % in A, 5.2 % in B, and 20.8 % in C.</div></div><div><h3>Discussion</h3><div>We show that hospital locations are not evenly distributed throughout the US with regard to 1930s HOLC categories. The expansion of hospital capacity in the post-World War II period may have taken advantage of exploitative policies. Hospitals have the ability and opportunity to correct past injustices and improve health equity today by increasing investments in community benefits.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103538"},"PeriodicalIF":4.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902997","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":"Gendered importance-performance perspective on sanitation resilience programs","authors":"Evi Siti Sofiyah ,&nbsp;Sapta Suhardono ,&nbsp;Chun-Hung Lee ,&nbsp;Betanti Ridhosari ,&nbsp;I Wayan Koko Suryawan","doi":"10.1016/j.healthplace.2025.103530","DOIUrl":"10.1016/j.healthplace.2025.103530","url":null,"abstract":"<div><div>This study examines gendered perspectives on sanitation resilience, defined as the capacity of sanitation systems to adapt, function, and recover from environmental, social, and infrastructural challenges, in Kecamatan Cilincing, a coastal district in Jakarta, Indonesia. Using Importance-Performance Analysis (IPA) and logistic regression models, the research evaluates how different gender groups perceive the importance and effectiveness of sanitation programs in ensuring safe, reliable, and accessible facilities despite challenges such as flooding, infrastructure limitations, and socio-economic disparities. The study focuses on four key sanitation indicators: ability to cope (capacity to manage daily sanitation demands), ability to learn (access to sanitation-related education and training), ability to plan (participation in sanitation-related decision-making), and level of interest (engagement in sanitation programs and initiatives). The findings reveal notable gender disparities, with women consistently rating sanitation performance lower than men, despite recognizing its importance. Logistic regression results further indicate that women, individuals in permanent housing, older adults, formal workers, and higher-income residents are more likely to engage in sanitation resilience programs.This study highlights the need for gender-responsive urban sanitation policies that address specific challenges faced by women and marginalized groups, including safety, accessibility, and decision-making inclusion. By offering insights into gendered sanitation experiences, the research provides practical recommendations for policymakers, urban planners, and community organizations to design more inclusive and adaptive sanitation interventions in rapidly urbanizing areas.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103530"},"PeriodicalIF":4.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864510","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":"Urban form and cardiovascular health: Decoupling hierarchical heterogeneity in built environment impacts","authors":"Behram Wali","doi":"10.1016/j.healthplace.2025.103469","DOIUrl":"10.1016/j.healthplace.2025.103469","url":null,"abstract":"<div><div>Longitudinal impacts of the built environment and transit accessibility on neighborhood-level cardiovascular disease (CVD) prevalence are not well explored. Further, little is known about the magnitude of heterogeneity in the longitudinal links between social and built environment features and CVD prevalence. This study utilized a longitudinal ecological study design covering 26,631 neighborhoods (census tracts) in the 500 largest American cities. A novel data infrastructure is harnessed by integrating time-varying neighborhood-level data on transportation, the built and social environments, and chronic disease prevalence at two time points. In a full Bayesian framework, Markov Chain Monte Carlo-based grouped correlated random parameter models are formulated to simultaneously account for unobserved and correlated heterogeneity impacts. More walkable neighborhoods, characterized by greater density, street connectivity, and land-use mix, had lower CVD and hypertension prevalence over time. Greater transit accessibility was also correlated with lower disease prevalence. Conversely, neighborhoods with higher social vulnerability had greater CVD and hypertension rates over time. A detailed post hoc neighborhood-level assessment revealed significant unobserved and correlated heterogeneity in the impacts of social and built environment features across both neighborhoods and cities. Insights into this heterogeneity, as well as the determinants of neighborhood-level CVD and hypertension prevalence, can help public health officials, engineers, and policymakers implement localized community-based behavioral interventions for smarter and healthier cities. Implications for national disease surveillance systems are discussed.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103469"},"PeriodicalIF":4.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864511","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":"Cooling down hotspots of retail tobacco products: addressing disparities in the built environment through policy","authors":"Todd Combs ,&nbsp;Veronica Chaitan ,&nbsp;Shelley Golden ,&nbsp;Kurt Ribisl ,&nbsp;Lisa Henriksen ,&nbsp;Douglas Luke","doi":"10.1016/j.healthplace.2025.103533","DOIUrl":"10.1016/j.healthplace.2025.103533","url":null,"abstract":"<div><div>Multiple disparities exist in the built environment for retail tobacco. Disproportionate concentrations of retail outlets result in variation in the availability of tobacco products, consumer access, and exposure to tobacco marketing. Neighborhoods with higher tobacco retail density have higher tobacco use than neighborhoods with lower density. Local policies focused on reducing tobacco retail concentration can address systematic disparities in the built environment.</div><div>Using census-based synthetic populations for 30 US cities and retail tobacco location data, we simulated the disparity-reducing potential of three retail reduction policies: capping the number of available retail tobacco sales licenses, and minimum distance requirements between schools and retail locations and between retail locations themselves. Outcomes included retail concentration in density (stores/km²) and proximity for residents (km to nearest retail). We investigated differences across seven demographic and structural indicators in the tobacco retail environment including social, economic, and political dimensions. All the measures for retail concentration and demographic and structural context have considerable variation within and between cities. All three policies addressed disproportionate concentrations to varying degrees. The minimum distance requirements – 600m buffers around schools or retail locations – narrowed differences in the built environment for tobacco more so than halving the number of existing retail outlets through licensing caps. Policy effectiveness is context dependent. Buffer policies, for example, can be effective if retail locations are disproportionately concentrated near schools, near one another, or in low-income or racially/ethnically minoritized neighborhoods. Policy development should be informed not only by generalizable evidence but also by local data and familiarity with communities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103533"},"PeriodicalIF":4.1,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861048","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":"Attractive accessibility: Exploring disparities in attributes of primary care physicians in new Jersey","authors":"Yingning Xie,&nbsp;Michael Smart","doi":"10.1016/j.healthplace.2025.103535","DOIUrl":"10.1016/j.healthplace.2025.103535","url":null,"abstract":"<div><div>This study examines the spatial accessibility of primary care physicians (PCPs) in New Jersey and neighboring areas. We compare the general accessibility of all PCPs with 'attractive accessibility'—the accessibility of PCPs with desirable attributes, such as being board-certified, receiving high online ratings (score ≥4), or speaking a language other than English, including Spanish. Accessibility indices were computed using the 2-Step Floating Catchment Area method with a 30-min travel time from census tracts in New Jersey. On average, we identify a weighted number of 26.0 PCPs per 10,000 residents accessible by car, 1.1 by transit, and 7.9 by e-bike. Transit accessibility is high in tracts near Philadelphia but moderate near New York City due to intense competition for doctors. E-bikes improve accessibility but modestly benefit tracts near New York City due to limited cycling infrastructure. Census tracts with higher proportions of socially disadvantaged populations generally have greater accessibility to PCPs, including those with attractive attributes. However, when examining the ratio of attractive accessibility to overall accessibility, these areas tend to access lower proportions of highly rated PCPs, yet higher proportions of Spanish-speaking PCPs.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103535"},"PeriodicalIF":4.1,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858345","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":"Neighbourhood greenness might impact thyroid hormone levels in children, adolescents, and young adults","authors":"Yiling Zheng ,&nbsp;Siyi Chen ,&nbsp;Yufei Liu ,&nbsp;Yuanyuan Yi ,&nbsp;Jun Ma ,&nbsp;Changqing Lin ,&nbsp;Alexis Kai Hon Lau ,&nbsp;Ta-Chien Chan ,&nbsp;Dongze Wu ,&nbsp;Cui Guo","doi":"10.1016/j.healthplace.2025.103522","DOIUrl":"10.1016/j.healthplace.2025.103522","url":null,"abstract":"<div><h3>Background</h3><div>Growing attention has been paid to the health benefits of neighbourhood greenness in urban cities, whereas the potential impacts on thyroid hormone levels remain unclear, particularly among children, adolescents, and young adults.</div></div><div><h3>Methods</h3><div>This longitudinal cohort study included 57,198 participants aged 6–25 years from an open cohort in Taiwan, observed from 2000 to 2017. Individual thyroid stimulating-hormone (TSH) and free thyroxine (FT4) levels were measured using immunoassay analysers. The annual average of Normalized Difference Vegetation Index (NDVI) was derived for each participant's address. Linear mixed models were used to investigate the associations between neighbourhood greenness and TSH and FT4, with analyses conducted separately for males and females. The modifying effects and potential mediators were also evaluated.</div></div><div><h3>Results</h3><div>49690 participants with 71715 observations were included in this study. Among them, 42.7 % of participants were females. Negative association was found between neighbourhood greenness exposure and TSH level for both females and males, while a positive association was found with FT4 levels only among females. Women exposed to the third quartile of NDVI had lower TSH levels (−7.84e⁻² μIU/ml, 95 % CI: −15.01e⁻², −0.67e⁻²) compared with those in the first quartile of NDVI. Decreased TSH levels of 4.56e⁻² μIU/ml (95 % CI: −8.53e⁻², −0.59e⁻²) and 7.24e⁻² μIU/ml (95 % CI: −12.19e⁻², −2.29e⁻²) were found in males exposed to the third and fourth quartile of NDVI, respectively. Regarding FT4 levels, women exposed to the second quartile of NDVI had increased FT4 levels (2.01e⁻² ng/dl, 95 % CI: 0.19e⁻², 3.82e⁻²). Each SD increase of NDVI was associated with 0.65e⁻² ng/dl (95 % CI: 0.15e⁻², 1.15e⁻²) increase of FT4.</div></div><div><h3>Conclusion</h3><div>Our study provided evidence on the impacts of neighbourhood greenness on thyroid hormone levels among young populations. These findings may reveal potential biological mechanisms and contribute to urban planning and public health strategies.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103522"},"PeriodicalIF":4.1,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144852171","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}