Health & Place最新文献

{"title":"The association between neighborhood built environment and mental health among older adults in Hangzhou, China","authors":"Xinyu Kong ,&nbsp;Haoying Han ,&nbsp;Fangting Chi ,&nbsp;Mengyao Zhan","doi":"10.1016/j.healthplace.2025.103415","DOIUrl":"10.1016/j.healthplace.2025.103415","url":null,"abstract":"<div><div>In the context of population ageing, the age-friendliness of neighborhood built environment (NBE) is increasingly recognized as essential for enabling ageing in place. However, while much research has focused on the impact of NBE on the physical health of older adults, its relationship with mental health (MH) remains underexplored, especially the pathways through which NBE indicators influence MH. This study measured NBE using ten indicators across three categories: daily travel (including barrier-free travel, elevator, rest seat, diversion of pedestrian and vehicle, road surface and public toilet), healthcare services (including public canteen and elderly care), and social participation (including outdoor fitness space and indoor activity space). It examined the association between NBE and MH among 1405 older adults in Hangzhou, China, utilizing structural equation models to explore potential pathways. The findings revealed a significant and robust direct association between outdoor fitness spaces and MH of older adults. Additionally, physical health significantly mediated the association between road surface and MH, while social interaction played a crucial mediating role between public toilets, public canteens, elderly care, indoor activity spaces, and MH. Although the durations and types of leisure activities did not independently mediate the NBE-MH relationship, leisure durations effectively mediated it through both physical health and social interaction, whereas leisure types mediated it through social interaction. This study empirically supported the compensatory process and enabling process proposed by the ecological theory of aging, offering valuable empirical evidence to inform policies aimed at enhancing NBE to promote MH among older adults.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103415"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026155","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":"Impact of neighborhood income inequality on adolescents' mental health. Results from the STARS study","authors":"Frieda Haselbach,&nbsp;Kirsten Mehlig,&nbsp;Peter Friberg,&nbsp;Yun Chen","doi":"10.1016/j.healthplace.2024.103391","DOIUrl":"10.1016/j.healthplace.2024.103391","url":null,"abstract":"<div><div>Over recent decades, there has been a simultaneous increase in income inequality and adverse mental health outcomes among adolescents in Western countries and especially in Sweden. Prior research on the relationship between income inequality and mental health has primarily focused on studies involving adults, yielding diverse findings regarding the nature of their association. Given the importance of relationships and comparisons to peers in immediate vicinity, we aimed to investigate the impact of neighborhood income inequality on mental health problems among seven-graders in Western Sweden. We used data collected in the STARS (STudy of Adolescence Resilience and Stress) cohort. A total of 1958 adolescents (mean age 13.6, SD = 0.4, 44% male) in 313 Demographic Statistics Areas (DeSO) were included. Adolescents answered questionnaires regarding stress and psychosomatic symptoms. Neighborhood income inequality was measured as DeSO-level's P90/P10 ratio, defined as the ratio between the 10th (highest) and the 1st (lowest) income decile. In a multilevel linear regression analysis, we found that higher neighborhood income inequality was related to lower stress and psychosomatic symptom scores after controlling for sex, individual parental income, and mean income and child poverty rate at DeSO-level. The associations did not differ significantly among DeSO-areas with different income or child poverty rates. Sex-specific-analysis revealed that the inverse association between income inequality and stress and psychosomatic symptoms was stronger in females than in males, but not significantly so. In summary, this study provided evidence supporting an association between higher neighborhood income inequality and reduced levels of seven-graders’ stress and psychosomatic symptoms.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103391"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822979","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":"“Placing community in the driver's seat”: Key strategies and critical enablers of an equitable place-based COVID-19 vaccination response","authors":"Sally Schultz ,&nbsp;Jane McCracken ,&nbsp;Christina Zorbas ,&nbsp;Serene Yoong ,&nbsp;Anna Peeters ,&nbsp;Kathryn Backholer","doi":"10.1016/j.healthplace.2024.103388","DOIUrl":"10.1016/j.healthplace.2024.103388","url":null,"abstract":"<div><div>Addressing health inequities requires both national and local-level action. In the case of COVID-19, locally-led place-based programs were instrumental in addressing vaccination inequities that resulted from implementation gaps in national and state-level universal COVID-19 vaccination programs. To prepare for future pandemics, understanding which local strategies are effective and the conditions that enable their effectiveness is crucial. We conducted a case study using qualitative interviews (n = 22) and document analysis to identify key strategies employed to increase vaccination uptake among priority populations in a regional community in Victoria, Australia, and the conditions perceived to enable or constrain the success of those strategies. Interviewees included Aboriginal and migrant community members (n = 12) and representatives from organisations that designed and implemented the COVID-19 vaccination program (n = 10). Strategies perceived to be effective by local migrant and Aboriginal communities included the location of outreach clinics (places considered physically, cultural and political accessible and safe), communication via trusted community leaders, practical supports such as translation services and transport, and empowering community in clinical interactions. Conditions perceived to influence program implementation and outcomes related to four themes: (i) shared vision and strong bonds of local partners, (ii) placing community in the driver's seat, (iii) rebalancing power through leadership grit and guts, and (iv) equity-enabling service and funding models. Our study supports strengthening of national and state government investment and engagement with local partnerships to place equity and community at the centre of future pandemic and public health responses.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103388"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786990","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":"Powering well-being: Energy independence and mental health in a zone of ongoing disasters","authors":"Sergio Rivera-Rodríguez ,&nbsp;Nelson Varas-Díaz ,&nbsp;Sheilla Rodríguez-Madera ,&nbsp;Mark Padilla ,&nbsp;Kariela Rivera-Bustelo ,&nbsp;Genevieve Reid ,&nbsp;Adrian Santiago-Santiago ,&nbsp;Claudia Mercado-Rios ,&nbsp;Kevin Grove ,&nbsp;Arturo Massol-Deyá ,&nbsp;Rebecca Rodríguez-Banch ,&nbsp;John Vertovec ,&nbsp;Jeffrey Ramos","doi":"10.1016/j.healthplace.2025.103418","DOIUrl":"10.1016/j.healthplace.2025.103418","url":null,"abstract":"<div><div>The archipelago of Puerto Rico has faced multiple natural disasters, including hurricanes and earthquakes, disrupting the mental health and daily lives of its residents. These disasters, combined with socio-political abandonment, have led to the deterioration of the electrical grid, exacerbating health disparities. This study aimed to explore the linkages between natural and structural disasters, mental health, and energy independence in Puerto Rico. In this setting, the community organization <em>Casa Pueblo</em> has installed solar panels in the homes of people with chronic health conditions. Through ethnographic fieldwork in the town of Adjuntas and qualitative interviews with 45 individuals with different levels of access to solar power, we explore the implications of ongoing natural and structural disasters on the mental health of individuals and how access to solar energy could help mitigate their effects. Results indicate that participants with direct and indirect access to solar panels held positive and hopeful narratives regarding their mental well-being and quality of life. This innovative model of communal energy security through solar power for climate adaptation holds promises for enhancing mental health in the town of Adjuntas and potentially in other regions.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103418"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health impact assessment of urban and transport developments in Barcelona: A case study","authors":"Ana Ramos Velásquez ,&nbsp;Marc Guevara ,&nbsp;Jan Mateu Armengol ,&nbsp;Daniel Rodríguez-Rey ,&nbsp;Natalie Mueller ,&nbsp;Marta Cirach ,&nbsp;Sasha Khomenko ,&nbsp;Mark Nieuwenhuijsen","doi":"10.1016/j.healthplace.2024.103406","DOIUrl":"10.1016/j.healthplace.2024.103406","url":null,"abstract":"<div><h3>Background</h3><div>Urban spaces need to be rethought to address growing health and environmental challenges. Urban density and transport systems contribute significantly to air pollution, negatively impacting public health. Barcelona has begun a transformation by introducing the Superblock model, an urban development with proven health benefits. However, there is a lack of understanding of the health impacts of various planned urban and transport interventions. This study aims to explore planned urban and transport developments in Barcelona (e.g. Superblocks, Low emission zone, tactical urban planning, port electrification) and estimates the health impacts of their related exposures.</div></div><div><h3>Methods</h3><div>We utilized modelled NO₂ reduction scenarios, which considered changes from implementing Barcelona's Urban Mobility Plan (UMP) of 2018–2024 and the Port electrification project. The UMP includes different interventions such as the low emission zones, tactical urban planning (reducing car traffic lanes), existing superblocks, and street greening. We established a baseline scenario for the year 2019, with no implementation of UMP or Port electrification. We devised three scenarios implementing the UMP: a) no change in private car use b) a 25% reduction in private car use, and c) a 25% reduction in private car use with port electrification. We estimated the effect on NO₂ levels and conducted a health impact assessment following a comparative risk assessment methodology to demonstrate the impacts of these scenarios on natural cause of adult mortality.</div></div><div><h3>Results</h3><div>The scenario with no change in private car use resulted in a 5.9 % reduction in NO₂, preventing 67 (34–133 95% CI) premature deaths annually. The scenario with a 25% reduction in private car use led to a 17.6% reduction in NO₂, preventing 199 (101–392 95% CI) premature deaths annually. Adding port electrification to the 25% reduction in private car use scenario resulted in a 19.4% reduction in NO₂, preventing 228 (115–447 95% CI) premature deaths annually.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that implementing measures to reduce car use and electrifying the port in Barcelona can significantly reduce air pollution and prevent premature deaths in adults. This emphasizes the relevance of ambitious urban and transport policies in improving public health. Policymakers should consider assertive actions and broader implementation of such measures for greater health benefits. Further research is needed to explore additional measures and their potential impacts, facilitating the development of comprehensive urban and transport strategies.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103406"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076350","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":"Outdoor health intervention for refugees, migrants, and asylum-seekers: A mixed-methods pilot study","authors":"Charlotte Wendelboe-Nelson ,&nbsp;Jessica C. Fisher ,&nbsp;Tanja M. Straka ,&nbsp;Rita Sousa-Silva ,&nbsp;Claudia Menzel ,&nbsp;Julius C. Alejandre ,&nbsp;Sian de Bell ,&nbsp;Rachel R.Y. Oh ,&nbsp;Aletta Bonn ,&nbsp;Melissa R. Marselle","doi":"10.1016/j.healthplace.2024.103387","DOIUrl":"10.1016/j.healthplace.2024.103387","url":null,"abstract":"<div><div>Despite the multifaceted and diverse challenges that refugees, migrants, and asylum-seekers experience when entering a new country, they remain notably underrepresented in the evaluation and understanding of the health and wellbeing impacts of outdoor health interventions. We addressed this knowledge gap by a mixed-methods evaluation (questionnaires, focus groups and photo elicitation activity) facilitated by a community researcher. Qualitative data (focus groups and photo elicitation activity) revealed that the participants saw the social component of outdoor activities as a critical factor in improving their wellbeing, an insight not captured by established quantitative wellbeing scales. Given the diverse backgrounds of refugee, migrant, and asylum-seeker populations, we underline the importance of a transdisciplinary, collaborative, and mixed-methods research approach.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103387"},"PeriodicalIF":3.8,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744203","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":"Hard-to-reach communities in the rural Ecuador: A qualitative perspective on dietary habits and physical activity","authors":"Puig-García M ,&nbsp;Parker LA ,&nbsp;Caicedo-Montaño C ,&nbsp;Márquez-Figueroa M ,&nbsp;Chilet-Rosell E","doi":"10.1016/j.healthplace.2024.103386","DOIUrl":"10.1016/j.healthplace.2024.103386","url":null,"abstract":"<div><div>While many studies focus on urban areas, it's vital to understand health-related behaviours in rural communities. This paper aims to explore the factors that influence dietary habits and physical activity from the perspective of men and women of different ethnic groups living in a hard-to-reach rural area in Ecuador. We conducted 5 focus groups with 37 participants (26 women) from diverse cultural and ethnic backgrounds in marginalized communities in Esmeraldas. The thematic analysis showed environment and culture shape dietary habits and physical activity, influenced by taste preferences, economic factors, and societal norms, with gender roles and beauty standards playing significant roles.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103386"},"PeriodicalIF":3.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744204","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":"Housing for care, connection, and health equity","authors":"Meghan Taylor Holtan ,&nbsp;Elizabeth Bowen ,&nbsp;Jordana Maisel ,&nbsp;Mylene Riva","doi":"10.1016/j.healthplace.2024.103383","DOIUrl":"10.1016/j.healthplace.2024.103383","url":null,"abstract":"<div><div>Researchers and policymakers have used a four-pillar framework— condition, consistency, context, and cost—to describe the characteristics of housing that are important for health equity. We propose adding a fifth pillar: care and connection. Housing for care and connection refers to the housing design, institutional policies, and housing programs that strengthen social connections, caregiving relationships, access to resources, and a sense of self in community. Attending to these needs in housing is especially important for people who are in transition in and out of homelessness, living in poverty, are very young or very old, or living with a disability or activity limitation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103383"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645272","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":"Forces at play: A qualitative study of risk aversion, policy and decision making for children's physically active play in schools","authors":"Alethea Jerebine ,&nbsp;Emma L.J. Eyre ,&nbsp;Natalie Lander ,&nbsp;Michael J. Duncan ,&nbsp;Lisa M. Barnett","doi":"10.1016/j.healthplace.2024.103373","DOIUrl":"10.1016/j.healthplace.2024.103373","url":null,"abstract":"<div><div>This study investigated (i) the social and political factors driving risk averse decision making for children's physically active play in schools, and (ii) the policies shaping these decisions in Victoria, Australia. A theory-informed multi-method case study design combined policy document mapping, semi-structured interviews, and photo elicitation with 30 education policy actors. Data were analysed using reflexive thematic analysis. Findings showed the policy landscape was heavily skewed towards managing risk and safety (84%; n = 42), with fewer, mostly optional, policies for promoting physical activity, and a lack of policy to promote or protect play. Thematic findings indicated an intersecting range of factors in this setting (including occupational health and safety, knowledge and skill gaps, parent factors, children's physical capabilities, an undervaluing of play) can deter schools from providing an environment that enables children's freely chosen, physically active play. Multi-faceted, systems-based approaches that go beyond interventions aimed at individual behaviour change are needed.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103373"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549773","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":"Changes in urbanicity and household availability of and proximity to food vendors from 2004 to 2020 in a rural district of northwestern Bangladesh","authors":"Alexandra L. Bellows ,&nbsp;Amanda C. Palmer ,&nbsp;Frank Curriero ,&nbsp;Andrew L. Thorne-Lyman ,&nbsp;Abu Ahmed Shamim ,&nbsp;Saijuddin Shaikh ,&nbsp;Rezwanul Haque ,&nbsp;Hasmot Ali ,&nbsp;Jonathon D. Sugimoto ,&nbsp;Parul Christian ,&nbsp;Keith P. West Jr. ,&nbsp;Alain B. Labrique","doi":"10.1016/j.healthplace.2024.103374","DOIUrl":"10.1016/j.healthplace.2024.103374","url":null,"abstract":"<div><h3>Background</h3><div>The nutrition transition underway in South Asia is likely mediated by changes to the food environment. Yet, few studies have been conducted in rural areas of South Asia to describe how the food environment has changed.</div></div><div><h3>Objective</h3><div>This analysis assessed changes in household availability of and proximity to markets, grocery shops, and tea shops over a 16-year time period in Gaibandha, Bangladesh.</div></div><div><h3>Methods</h3><div>We analyzed household demographic and geospatial data collected at 3 time points from 2004 to 2020 in a contiguous rural area (435 km²). We defined availability as number of food vendors within 400- and 1600-m radius of households and proximity as distance to nearest vendor. We used linear and Poisson models to estimate associations between household socioeconomic status (SES) and food vendor availability and proximity. We used multi-level models to conduct similar analyses for community-level urbanicity.</div></div><div><h3>Results</h3><div>From 2004 to 2020, the numbers of markets, grocery shops and tea shops increased by 21%, 66% and 270%, respectively. Food vendor proximity did not change by household SES, but less urban households witnessed larger increases in proximity to markets (p for interaction&lt;0.001) and tea shops (p for interaction&lt;0.001) over time. Grocery shop and tea shop availability was initially higher and increased more over time for households in higher urbanicity areas (p for interaction&lt;0.001).</div></div><div><h3>Conclusion</h3><div>Over a 16-year period, this rural area of Bangladesh became more urbanized, increasing the availability of and proximity to markets, grocery shops, and tea shops. Further research is needed to see how these changes impact rural residents’ intake and nutritional status.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103374"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640239","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}