Health & Place最新文献

{"title":"Easing mobility in accessing the hospital for families affected by paediatric cancer","authors":"Cecilie Møller Høymark","doi":"10.1016/j.healthplace.2025.103508","DOIUrl":"10.1016/j.healthplace.2025.103508","url":null,"abstract":"<div><div>In high-income countries, healthcare is increasingly centralized. This study explores the mobility strategies, and the constraints related to overcoming distance, parents experience when managing the demands of paediatric cancer treatment. Drawing on interviews with parents in Denmark, the study finds that families must overcome geographical distances to access treatment as well as for a feeling of family cohesion. Using concepts from time geography, the analysis identifies three themes affecting families' ability to overcome distance. These are based on three constraints, namely capability, coupling and authority, and are identified as the economy and numbers of cars in the household, the ability to influence time scheduling, and help from as well as ressources in social networks. The findings emphasize the potential for social and territorial inequalities, as limited resources or long travel distances intensify families’ burdens in their primary project of seeing their child become well.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103508"},"PeriodicalIF":4.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829163","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":"Place-based Opportunities and Physiological Stress: Understanding Neighborhood-level Disparities in Allostatic Load","authors":"Alisha A. Crump ,&nbsp;Jemar R. Bather ,&nbsp;Ester Villalonga-Olives ,&nbsp;Emiko O. Kranz ,&nbsp;Adolfo G. Cuevas","doi":"10.1016/j.healthplace.2025.103532","DOIUrl":"10.1016/j.healthplace.2025.103532","url":null,"abstract":"<div><h3>Background</h3><div>Allostatic load, representing cumulative physiological stress, is linked to various health outcomes. While neighborhood conditions influence health, the relationship between comprehensive neighborhood opportunity measures and allostatic load remains understudied.</div></div><div><h3>Methods</h3><div>Using data from 2118 participants in the Midlife in the United States study, we examined associations between neighborhood opportunity (measured by the Childhood Opportunity Index) and allostatic load (measured using standard clinical cut-offs of eight biomarkers: systolic and diastolic blood pressure, hemoglobin A1C, high-density lipoprotein cholesterol, body mass index, waist circumference, total cholesterol, and c-reactive protein). The index comprised three subdomains: Education, Health and Environment, and Social and Economic Resources. Negative binomial regression models quantified these associations, adjusting for sociodemographic characteristics, health behaviors, and prescribed medication use.</div></div><div><h3>Results</h3><div>Lower Overall Neighborhood Opportunity was significantly associated with higher allostatic load, even after full covariate adjustment (18 % increase in expected allostatic load count, 95 % CI: 8 %–29 %, <em>p</em> &lt; 0.001). Social and Economic Resources emerged as the subdomain that consistently tracked with expected allostatic load count. Negative binomial regression models provided evidence of similar significant patterns across the Education and Health and Environment models when comparing low to high groups.</div></div><div><h3>Conclusions</h3><div>Low neighborhood opportunity is associated with increased physiological stress as measured by allostatic load. These findings further indicate that neighborhood-level interventions may be crucial for reducing health inequities and improving population health outcomes.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103532"},"PeriodicalIF":4.1,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The overlooked role of place attachment in loneliness: An investigation among old people","authors":"Theo G. van Tilburg ,&nbsp;Jolien Klok ,&nbsp;Tineke Fokkema","doi":"10.1016/j.healthplace.2025.103529","DOIUrl":"10.1016/j.healthplace.2025.103529","url":null,"abstract":"<div><div>The relationship people have with the place they live has an impact on loneliness. Feelings of connection, rootedness and meaning are seen as fundamental to the association between place attachment and loneliness. This article investigates whether a stronger attachment to place is associated with less loneliness, in addition to known predictors in the field of social integration and health. Place attachment has two dimensions, namely the personal identity of the individual in relation to the physical environment, and dependence, i.e. the functional or purposeful connections with an environment. Data were obtained from the Longitudinal Aging Study Amsterdam, with observations of 424 community-dwelling Dutch adults aged 74–96 years from 2018 to 2020. The measurement model of place attachment showed a high correlation between the two dimensions. The structural model showed that place attachment depended on neighborhood and residential characteristics, together with the number of neighborhood contacts. Place attachment did indeed coincide with less loneliness, with an effect size that was approximately equal to the difference between old people with and without a partner. In addition, loneliness was associated with a small number of neighborhood contacts, poor physical capacities and low mastery. We suggest that a broader conception of loneliness should be considered. For the prevention and alleviation of loneliness, frequent contact within close relationships is important. Attachment to place can, additionally, facilitate superficial social interactions within one's place. Moreover, it is important to feel connected to one's place.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103529"},"PeriodicalIF":4.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144779427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The nonlinear effects of the subjective and objective built environment on active travel behavior: A case study of Shanghai, China","authors":"Dongsheng Zhan ,&nbsp;Yufeng Wang ,&nbsp;De Wang ,&nbsp;Wenzhong Zhang ,&nbsp;Jian Liu","doi":"10.1016/j.healthplace.2025.103528","DOIUrl":"10.1016/j.healthplace.2025.103528","url":null,"abstract":"<div><div>Active travel refers to modes of transportation powered by human effort without external assistance, such as walking and cycling. This form of travel not only enhances the health of urban residents but also helps alleviate urban congestion. While the relationship between the built environment and active travel has been widely studied, the nonlinear relationship between the subjective and objective aspects of the built environment and active travel remains unclear. In this study, we employ eXtreme Gradient Boosting (XGBoost) and SHapley Additive exPlanation (SHAP) models to investigate these nonlinear and threshold effects and identify the determinants of active travel choices, using Shanghai as a case study. The results show that the objective built environment influences active travel choices significantly more than subjective perceptions. Among the objective factors, road network density, population density, and distance to city center are the top contributors. In contrast, in terms of the subjective built environment, only perceptions of traffic violations and social security make notable contributions. Furthermore, road network density, population density, and distance to city center exhibit significant threshold effects on active travel choices. Additionally, by analyzing cases with a mismatch between subjective environmental perceptions and active travel choices, we find that commuting distance and annual household income are key determinants of active travel, with road network density, population density, and distance to city center also playing crucial roles. These findings offer valuable policy implications for developing sustainable, transportation-oriented built environment plans in Shanghai.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103528"},"PeriodicalIF":4.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769464","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":"Potentials and limitations of large-scale, individual-level mobile location data for food acquisition analysis","authors":"Duanya Lyu ,&nbsp;Luyu Liu ,&nbsp;Catherine Campbell ,&nbsp;Yuxuan Zhang ,&nbsp;Xiang Yan","doi":"10.1016/j.healthplace.2025.103526","DOIUrl":"10.1016/j.healthplace.2025.103526","url":null,"abstract":"<div><div>Understanding food acquisition is crucial for developing strategies to combat food insecurity, a major public health concern. The emergence of large-scale mobile location data (typically exemplified by GPS data), which captures people's movement over time at high spatiotemporal resolutions, offers a new approach to study this topic. In this study, we use a high-resolution dataset of 286 million GPS records from individuals in Jacksonville, Florida, to analyze the area's food outlet visit behaviors. We assessed data coverage, evaluated the applicability of GPS-derived metrics, and examined the sensitivity of the findings to the methodological decisions involved in extracting those metrics from the data. Our findings demonstrate that GPS data can generate valuable insights about food acquisition behavior by capturing diverse spatial and temporal patterns at the individual level and revealing how these patterns are distributed across the broad population. However, we also find biases in the data coverage and significantly underestimated visit frequency. Sensitivity analyses further reveal a pronounced sensitivity of results to algorithmic design choices. Our research underscores the value of GPS data in place-based health studies while emphasizing the need for careful evaluation of data coverage and representativeness, reflexive algorithmic design, attention to privacy concerns, and awareness of the broader social implications of the findings.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103526"},"PeriodicalIF":4.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771576","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":"“We go to the hospital everyday”: The Suncor oil refinery, environmental injustice, and contested illness","authors":"Stephanie A. Malin ,&nbsp;India Luxton ,&nbsp;Kristina Hulama ,&nbsp;Ramona Beltrán","doi":"10.1016/j.healthplace.2025.103525","DOIUrl":"10.1016/j.healthplace.2025.103525","url":null,"abstract":"<div><div>Suncor’s refinery in Commerce City is Colorado’s only oil refinery—processing about 98,000 barrels per day—and one of its biggest greenhouse gas emitters. Since 2005, the facility has been formally cited for nearly 60 environmental violations, even operating without certain necessary permits. Nearby residents experience disproportionate health impacts, including comparatively higher rates of respiratory problems like asthma, reproductive issues and birth complications, diabetes, and cardiovascular conditions—and a 24 percent higher death rate than other Denver-area residents (Armijo and Hook, 2014; ENVIRONS, 2024). Yet, community members face contested illness. Medical practitioners, buttressed by the state, reject people’s observations linking their health problems to exposure to refinery pollutants like per- and polyfluoroalkyl substances (PFAS), benzene, and assorted volatile organic compounds. People are told that their lifestyles, genetics, diets, and pets are the real drivers of poor health outcomes. We present findings from our community-based, multidisciplinary study. We examined the health outcomes of living or working near this refinery—and how the medical establishment and the state contest environmental health claims. Utilizing data from 53 in-depth interviews, we document: (1) how people living or working around Suncor understand the refinery's impacts on their health; (2) experiences of residents in relation to responses of medical practitioners; and (3) how their observations and understanding of environmentally related illness were contested by medical and state institutions. We illustrate the environmental health and environmental justice (EJ) impacts of living near oil refineries and cultures of contested illness that seek to negate them.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103525"},"PeriodicalIF":4.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723189","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":"Exploring the spatiotemporal stress patterns of commuting in large Cities: Using wearable device data","authors":"Xuenuo Zhang,&nbsp;Liang Ma","doi":"10.1016/j.healthplace.2025.103517","DOIUrl":"10.1016/j.healthplace.2025.103517","url":null,"abstract":"<div><div>Commuting is a significant source of stress in large cities, with its impact varying according to specific contextual factors. This study utilizes time-series stress data from wearable devices, combined with GPS tracking, to explore the spatiotemporal characteristics of commuting stress in Beijing. The analysis first visualizes commuting stress patterns across the pre-commute, in-commute, and post-commute periods. K-means clustering is then applied to identify four distinct stress patterns within the time-series data. Statistical tests, including ANOVA, chi-square tests, and logistic regression, are used to investigate the features of these spatiotemporal stress patterns and identify the key factors contributing to high-stress patterns. The results reveal that high-stress patterns are marked by an intense alarm phase, elevated peak stress levels, and prolonged recovery periods, posing a potential risk of mental exhaustion. Notably, while longer commute durations do not necessarily correlate with higher stress, long-distance commutes from suburban to urban areas, along with the crowded and complex environments of subways and e-bicycle, are strongly linked to increased stress levels. In light of Beijing's unique urban characteristics, this study recommends enhancing service quality and improving the perceived environment of public transportation and non-motorized vehicles during peak commuting hours. Furthermore, addressing transportation equity, particularly for low-income groups reliant on long-distance commutes from the suburbs to the city center, is crucial. Targeted interventions could help alleviate daily stress and enhance the well-being and quality of life of urban residents.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103517"},"PeriodicalIF":4.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721231","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":"Trends in disability-related inequalities in housing affordability in Australia, 2003 to 2022","authors":"Alex Sully ,&nbsp;Zoe Aitken ,&nbsp;Jodie Bailie ,&nbsp;Glenda M. Bishop","doi":"10.1016/j.healthplace.2025.103523","DOIUrl":"10.1016/j.healthplace.2025.103523","url":null,"abstract":"<div><div>Housing affordability is a global concern although its impacts are not experienced equally across society, disproportionately impacting people with disability. Housing affordability is an important social determinant of health and living in unaffordable housing is associated with physical and mental ill-health, reinforcing systemic health inequalities for people with disability. In 2008 the Australian Government committed to ensuring equal access to affordable housing under the UN Convention on the Rights of Persons with Disabilities and this has been outlined as a policy priority in Australia's Disability Strategy. To date, there is no evidence to monitor whether Australia is meeting these commitments. This study analysed 20 years of data from the Household, Income and Labour Dynamics in Australia Survey to examine trends in housing affordability inequalities between people with and without disability. We found from 2003 to 2022, people with disability in Australia experienced persistent and significant inequalities in housing affordability for every year during the 20-year period with no evidence of improvement in either absolute or relative inequalities over time. People with disability were between 1.8 and 2.5 times more likely to experience unaffordable housing than people without disability. This pattern was consistent across age and sex stratifications. The persistence of these inequalities indicates there is a housing affordability crisis for people with disability in Australia and this is a critical public health concern. Without targeted, structural reforms, people with disability will continue to experience both housing and health inequalities during the ongoing global housing crisis and for the foreseeable future.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103523"},"PeriodicalIF":3.8,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713046","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":"Centring lived experiences in food environment research: A methodological framework and application in Colombo, Sri Lanka","authors":"Leah Salm ,&nbsp;Anisha Gooneratne ,&nbsp;Iromi Perera ,&nbsp;Jessica Gordon ,&nbsp;Jessica Meeker ,&nbsp;Nicholas Nisbett","doi":"10.1016/j.healthplace.2025.103519","DOIUrl":"10.1016/j.healthplace.2025.103519","url":null,"abstract":"<div><div>Poor-quality diets and diet-related non-communicable diseases are a pressing global issue. Food environments, where everyday food choices intersect with broader food system dynamics, have emerged as a key policy intervention point. However, these environments are complex, shaped by physical, social, cultural, and political factors, and require insights from diverse stakeholders, especially those who provide and consume food.</div><div>The objective of this research is twofold, firstly providing an in-depth methodological framework for taking a ‘lived experience’ approach to studying food environments which is adaptable to different contexts, emphasizing community-centred research and policy engagement. Secondly, documenting the findings of this multi-layered and rich methodology in Colombo, Sri Lanka thereby providing a resource for those wanting to understand and act on the challenges of this urban context.</div><div>This study integrates multiple participatory methodologies such as in-depth interviews, photovoice, geospatial mapping, and collaborative needs assessments engaging community members, vendors and policy stakeholders, across two food environments in Northern Colombo.</div><div>The findings highlight key challenges voiced and captured by community members and vendors, including rising food costs, quality and safety concerns, the impact of infrastructure and utilities, interpersonal trust, and health needs, which inform food access and choice.</div><div>These insights have informed community-led policy recommendations and interventions that extend beyond the traditional food environment toolbox, aiming to improve equitable access to healthy, affordable, and culturally appropriate food in low-income urban areas.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103519"},"PeriodicalIF":3.8,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713043","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":"Understanding foodscapes for sustainable diets in rural localities in Tunisia: Integrating multiple methods and tools in a mixed-methods design","authors":"Ghezal Sabir ,&nbsp;Lina M. Tennhardt ,&nbsp;Veronique Alary ,&nbsp;Aymen Frija","doi":"10.1016/j.healthplace.2025.103520","DOIUrl":"10.1016/j.healthplace.2025.103520","url":null,"abstract":"<div><h3>Background</h3><div>Understanding foodscapes is essential for developing effective interventions to support nutritional health. However, resource limitations often hinder comprehensive foodscape assessments linked to dietary outcomes. This study aimed to examine the foodscapes in the context of sustainable diets within a food systems framework in rural farming communities in Tunisia.</div></div><div><h3>Methods</h3><div>A mixed-methods approach using the following tools and methods, was employed in a sample of four rural communities in Tunisia to explore food beliefs and dietary influencers: market observation combined with a food costing survey, a household survey including dietary data collection using Diet Quality Questionnaire, distance from market, meal decision influencers, anthropometric and demographics data, and focus group discussions.</div></div><div><h3>Results</h3><div>The participants' (n = 692) dietary quality and BMI were significantly associated with gender, age, distance from fresh markets, and education. Food price was significantly positively associated with dietary diversity and with both health-protective and health-risking food groups' consumption. Focus group discussions revealed religion and culture's embeddedness in food beliefs and behaviors. Participants placed animal-sourced foods and grain-based products among the top highly praised foods for health, with significantly more men than women believing meat was necessary for good health. Few respondents considered legumes as meat-alternatives.</div></div><div><h3>Conclusion</h3><div>This foodscapes study presented the application of farming household survey, food market and costing, and restaurant observation data, and focus group discussion in a convergent parallel mixed methods design to efficiently assess foodscapes in rural Tunisia. The tools enabled the identification of eco-socio-cultural factors that can guide the designing of interventions for sustainable diets.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103520"},"PeriodicalIF":3.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703557","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}