Health & Place最新文献

{"title":"Using smartphone user mobility to unveil actual travel time to healthcare: An example of mental health facilities","authors":"Lixiaona Yu ,&nbsp;Tao Hu ,&nbsp;Taiping Liu ,&nbsp;Yunyu Xiao","doi":"10.1016/j.healthplace.2024.103375","DOIUrl":"10.1016/j.healthplace.2024.103375","url":null,"abstract":"<div><div>Travel time to health facilities is one of the most important factors in evaluating health disparity. Previous extensive research has primarily leveraged the driving time to the nearest health facility to gauge travel time. However, such ideal travel time (ITT) may not accurately represent real individual travel time to health services and is often underestimated. This study aims to systematically understand such gaps by comparing ITT to actual travel time (ATT) derived from smartphone-based human mobility data and further identifying how various population groups across regions are most likely to be affected. This study takes mental health as an example and compares ATT with ITT to mental health facilities. Results indicate that ITT and ATT demonstrate significant disparities between urban and rural areas. ITT is consistently underestimated across the contiguous US. We compare travel times among diverse sociodemographic groups across eight geographical regions. The findings suggest that different age groups have similar travel times to mental health facilities. However, racial groups exhibit varied travel times. Hispanics have a larger percentage of the population experiencing longer ATT than ITT. We also employed spatial and non-spatial regression models, such as Ordinary Least Squares, Spatial Lag Model, and Spatial Error Model, to quantify the correlation between travel times and socioeconomic status. The results revealed that the proportion of older adults and high school dropouts positively correlates with travel times in most regions. Areas with more non-Hispanics show positive correlations with both travel times. Overall, this study reveals pronounced discrepancies between ITT and ATT, underscoring the importance of using smartphone-derived ATT to measure health accessibility.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103375"},"PeriodicalIF":3.8,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537119","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":"Gender and violent crime modify associations between greenspace and cardiovascular disease mortality in Philadelphia, PA","authors":"Wanyu Huang ,&nbsp;Anneclaire J. De Roos ,&nbsp;Michelle C. Kondo ,&nbsp;Jane E. Clougherty ,&nbsp;Yuzhe Zhao ,&nbsp;Leah H. Schinasi","doi":"10.1016/j.healthplace.2024.103372","DOIUrl":"10.1016/j.healthplace.2024.103372","url":null,"abstract":"<div><div>Few studies have explored variability of associations between greenspace and cardiovascular (CVD) mortality according to demographic or neighborhood contextual factors. We estimated overall and sex-stratified associations between greenspace and CVD mortality rates in Philadelphia, PA, and quantified effect modification of the sex-stratified associations by neighborhood violent crime rates. Sex- and age-stratified census tract CVD mortality rates (years 2008–2015) were linked with proportion tree canopy cover, grass/shrub cover, and total vegetation cover, and proportion of adult residents reporting access to a park. We used multivariable negative binomial models to estimate overall and sex-stratified associations between neighborhood greenspace and CVD mortality rates, and quantified effect modification by tract-level rates of violent crime. Higher proportion tree canopy cover and higher proportion adults reporting access to parks were associated with modestly lower rates of CVD mortality, with more pronounced estimates in males than females. In tracts with higher rates of crime, higher tree canopy coverage and perceived park access were associated with lower CVD mortality rates. We did not observe strong evidence of sex-based differences in interaction between neighborhood crime rates and greenspace. Results from this study reveal variability of associations between greenspace and CVD mortality rates according to sex categories, and according to neighborhood social environments. There is a need for further research exploring the extent to which differences in perceived safety explain gender-based differences in associations between greenspace and cardiovascular outcomes.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103372"},"PeriodicalIF":3.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515294","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":"A qualitative exploration of factors influencing healthcare utilization among rural Missourians: “We have to be bleeding, broken”","authors":"Klaudia Kukulka ,&nbsp;Jacquelyn J. Benson ,&nbsp;Olivia J. Landon ,&nbsp;Keisha White Makinde ,&nbsp;Braquel Egginton ,&nbsp;Karla T. Washington","doi":"10.1016/j.healthplace.2024.103367","DOIUrl":"10.1016/j.healthplace.2024.103367","url":null,"abstract":"<div><div>Researchers performed a hybrid inductive-deductive thematic analysis of 25 individual interviews to explore factors influencing healthcare utilization in rural Missouri. Data indicated that a <em>desire for self-sufficiency</em>, <em>preference for natural interventions,</em> and <em>poor perception of rural healthcare quality</em> may deter healthcare utilization. Influential subjective norms included <em>respect for toughness and resilience, conservative approach to healthcare, view of the body as an instrument,</em> and <em>influence of faith and religion. Financial barriers</em> and <em>lack of accessible healthcare options</em> were noted as key structural obstacles. Findings emphasize the importance of individual, cultural, and structural factors in shaping healthcare utilization in underserved communities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103367"},"PeriodicalIF":3.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515292","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":"Exploring the effects of multi-dimensional geographic environment on daily sleep and physical activity based on the Actigraph data","authors":"Jingwen Rao ,&nbsp;Jing Ma ,&nbsp;Guanpeng Dong","doi":"10.1016/j.healthplace.2024.103370","DOIUrl":"10.1016/j.healthplace.2024.103370","url":null,"abstract":"<div><div>Understanding the interplay between people's daily sleep and physical activity and how geographic environment influences them are important for developing healthy cities. However, such research has been limited. This study aims to explore the bidirectional and nonlinear relationship between daily sleep and physical activity, and further investigate the comprehensive influences of multi-dimensional geographic environment on these health behaviors. Based on the objective data on sleep and physical activity over seven consecutive days using wrist-based accelerometers in Beijing, China, we developed a series of models to analyze the mutual influences between people's daily sleep and physical activity, and employed the generalized additive model (GAM) to examine their potential nonlinear relationships and how geographic environment – including meteorological conditions, built environment, and social environment – influences them. The results show that sleep and physical activity exhibit notable bidirectional relationship. Moderate-to-vigorous physical activity (MVPA) is observed to improve sleep quality, but it decreases sleep duration. In contrast, total sleep time (TST) exhibits an inverted U-shaped pattern with both MVPA and total step counts, with the optimal sleep duration at 5 h. Furthermore, meteorological factors, built environment characteristics, and social environment have significant linear or nonlinear effects on people's daily sleep and physical activity. The outcomes of this study offer valuable insights for enhancing residents' health and developing healthy cities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103370"},"PeriodicalIF":3.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515293","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":"Moving from features to functions: Bridging disciplinary understandings of urban environments to support healthy people and ecosystems","authors":"Andy Yuille ,&nbsp;Jessica Davies ,&nbsp;Mark Green ,&nbsp;Charlotte Hardman ,&nbsp;Jo Knight ,&nbsp;Rachel Marshall ,&nbsp;Hannah Armitt ,&nbsp;Miranda Bane ,&nbsp;Alex Bush ,&nbsp;Victoria Carr ,&nbsp;Rebecca Clark ,&nbsp;Sally Cox ,&nbsp;Felicity Crotty ,&nbsp;Sian de Bell ,&nbsp;Annabelle Edwards ,&nbsp;Jody Ferguson ,&nbsp;Rich Fry ,&nbsp;Mark Goddard ,&nbsp;Andy Harrod ,&nbsp;Helen E. Hoyle ,&nbsp;Piran White","doi":"10.1016/j.healthplace.2024.103368","DOIUrl":"10.1016/j.healthplace.2024.103368","url":null,"abstract":"<div><div>Contact with nature can contribute to health and wellbeing, but knowledge gaps persist regarding the environmental characteristics that promote these benefits. Understanding and maximising these benefits is particularly important in urban areas, where opportunities for such contact is limited. At the same time, we are facing climate and ecological crises which require policy and practice to support ecosystem functioning. Policies are increasingly being oriented towards delivering benefits for people and nature simultaneously. However, different disciplinary understandings of environments and environmental quality present challenges to this agenda. This paper highlights key knowledge gaps concerning linkages between nature and health. It then describes two perspectives on environmental quality, based respectively in environmental sciences and social sciences. It argues that understanding the linkages between these perspectives is vital to enable urban environments to be planned, designed and managed for the benefit of both environmental functioning and human health. Finally, it identifies key challenges and priorities for integrating these different disciplinary perspectives.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103368"},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484120","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":"Identifying optimal locations for the development of health facilities towards the attainment of universal health coverage using geospatial techniques in Kishapu district, Tanzania","authors":"Evord Kimario ,&nbsp;Lucy Joseph ,&nbsp;Nestory Yamungu ,&nbsp;Joseph Mango","doi":"10.1016/j.healthplace.2024.103369","DOIUrl":"10.1016/j.healthplace.2024.103369","url":null,"abstract":"<div><div>Two hours of travel time specified by the World Health Organization (WHO) to access quality health services is among the most important criteria for the Universal Health Coverage. However, locations of health facilities (HF) in many developing countries fail to realise this target due to a lack of appropriate models considering the local environment. This work used the central-place theory to explore locations of HF in Kishapu and their accessibility status based on two means of transport in the AccessMod tool: <em>walking only</em> and the combination of <em>walking-and-motor</em> devices. The results of the walking scenario indicated that the travel times to the health centres and hospitals exceeded 2 h, and a direct relationship existed between the facility level and the travel time spent to access it. The combined transport (walking and motorized) showed that dispensaries are easily accessible (14.5 min) compared to health centres (42.8 min) and hospitals (67.3 min). To address the challenge, we have developed a model revealing optimal sites with quick access for HF construction and improvement using Multi-Criteria-Evaluation and Analytical-Hierarchy Process methods weighting five criteria including distance from settlements (44% weight), roads (26% weight), existing health facilities (16% weight), rivers (9% weight) and railway (5% weight). A test of the model with both means of transport shows that at all places proposed to be optimal allow patitents to travel in less than 2 h, indicating that the proposed model can effectively and efficiently solve the challenge of allocating HF in society.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103369"},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484119","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":"Exposure to useable green space and physical activity during active travel: A longitudinal GPS and accelerometer study before and after retirement","authors":"S. Pasanen ,&nbsp;J.I. Halonen ,&nbsp;K. Suorsa ,&nbsp;T. Leskinen ,&nbsp;C. Gonzales-Inca ,&nbsp;Y. Kestens ,&nbsp;B. Thierry ,&nbsp;J. Pentti ,&nbsp;J. Vahtera ,&nbsp;S. Stenholm","doi":"10.1016/j.healthplace.2024.103366","DOIUrl":"10.1016/j.healthplace.2024.103366","url":null,"abstract":"<div><div>Green spaces may serve as population level interventions encouraging active travel. We examined the associations between exposure to useable green space (CORINE Land Cover categories) and physical activity during active travel (GPS and accelerometer) among late middle-aged participants from the Finnish Retirement and Aging study (n = 102). Greater proportion of useable green space was associated with higher physical activity during active travel on days off (+11 min/day per 1 SD increase in exposure) and on retirement days (+12 min/day), but not on workdays. Thus, it appears that in leisure time, people prefer to engage into active travel in green spaces.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103366"},"PeriodicalIF":3.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446404","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":"Spatial patterns of rural opioid-related hospital emergency department visits: A machine learning analysis","authors":"Eric Robinson ,&nbsp;Kathleen Stewart ,&nbsp;Erin Artigiani ,&nbsp;Margaret Hsu ,&nbsp;Amy S. Billing ,&nbsp;Ebonie C. Massey ,&nbsp;Sridhar Rao Gona ,&nbsp;Eric D. Wish","doi":"10.1016/j.healthplace.2024.103365","DOIUrl":"10.1016/j.healthplace.2024.103365","url":null,"abstract":"<div><div>As opioid-related overdose emergency department visits continue to rise in the United States, there is a need to understand the location and magnitude of the crisis, especially in at-risk rural areas. We analyzed sets of ZIP code level electronic health records for emergency department visits from 6 hospitals for two rural regions of Maryland with higher opioid-related overdose rates. Analysis of the demographics of visits found Black or African American emergency department visits in both rural regions were higher than the proportion of their population per region. We trained random forest models with socio-demographic factors and health risk factors on the visits data to understand drivers and risk factors for opioid misuse. The models ranked factors relating to opioid prescribing rates, race, housing, and poor mental health as highly important. Factors associated with opioid-related overdose emergency department visits were found to vary by race, gender, and location and may provide useful insights for designing mitigation initiatives.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103365"},"PeriodicalIF":3.8,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433132","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":"Contact with nature, nature prescriptions, and loneliness: Evidence from an international survey of adults in Australia, India, Singapore, the United Kingdom, and the United States","authors":"Thomas Astell-Burt ,&nbsp;Michelle Kondo ,&nbsp;Tanya Pritchard ,&nbsp;Katarzyna Olcon ,&nbsp;J. Aaron Hipp ,&nbsp;Deepti Adlakha ,&nbsp;Evangelos Pappas ,&nbsp;Xiaoqi Feng","doi":"10.1016/j.healthplace.2024.103331","DOIUrl":"10.1016/j.healthplace.2024.103331","url":null,"abstract":"<div><div>Evidence to support nature contact and nature prescriptions to reduce loneliness is scant. A total of 2100 individuals took part in a survey conducted in Australia (n = 525, mean age = 34.1), India (n = 526, mean age = 29.5), Singapore (n = 523, mean age = 36.1), the UK (n = 526, mean age = 37.3), and the US (n = 525, mean age = 43.6) in 2022 (overall age range 18–89yrs). Multilevel logistic regressions adjusted for confounding indicated mean levels of overall loneliness tended to be higher in India (Odds Ratio [OR] 1.21, 95% Confidence Interval [95%CI] 0.90–1.62), Singapore (OR = 1.54, 95%CI = 1.15–2.07), the UK (OR = 1.26, 95%CI = 0.96–1.67) and the US (OR = 1.24, 95%CI = 0.94–1.64) compared with Australia. Notable differences were observed by loneliness type, for example, with lower odds of social loneliness (OR = 0.57, 95%CI = 0.41–0.79) and higher odds of emotional loneliness (OR = 1.57, 95%CI = 1.14–2.06) in India compared with Australia. Findings with regards to loneliness and nature contact varied between country. In general, social loneliness was lower in participants who visited natural surroundings regularly (OR = 0.81, 95%CI = 0.61–0.98) and spent two hours or more per week in nature (OR = 0.65, 95%CI = 0.49–0.81). Overall loneliness (OR = 1.98, 95%CI = 1.48–2.47) and emotional loneliness (OR = 2.84, 95%CI = 2.13–3.51) were substantially higher among those who felt having no-one to go with was a barrier to spending time in nature. Emotional loneliness was higher in those who had more time in nature (OR = 1.32, 95%CI = 0.94–1.75) or more frequent visits (OR = 1.24, 95%CI = 0.94–1.49), which may be indicative of selective processes by which some people who feel emotionally lonely seek meaningful sources of connection or solace in natural environments. In sum, these findings highlight potentially important contingencies in how people feel lonely in different countries, and the potential of contact with nature as a means to address this critical issue of modern times. Randomised trials of nature prescription interventions for loneliness co-designed with respect to contrasting cultural, economic, and climatic contexts are needed to ensure programs intended to reconnect people with nature are effective, equitable, and acceptable for everyone.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103331"},"PeriodicalIF":3.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396286","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":"Visualising legitimacy: An analysis of medicinal cannabis images in Australian news","authors":"Hannah Adler ,&nbsp;Barbara Pini ,&nbsp;Monique Lewis","doi":"10.1016/j.healthplace.2024.103359","DOIUrl":"10.1016/j.healthplace.2024.103359","url":null,"abstract":"<div><div>This paper reports on a visual framing analysis of Australian online news media images of medicinal cannabis (MC) from 2014 to 2021. It reports on two themes – <em>people and place</em>, and <em>plant and place</em>. The first theme reveals that images of MC users, including children, and familial caregivers were commonly emplaced within quotidian middle-class, suburban, domestic settings, thereby demarcating them from recreational cannabis users. The second theme situated cannabis as a plant in spaces which defined it visually as an agricultural product, pharmaceutical drug, herbal medicine, and less commonly as a recreational drug. This disparate photographic storyline blurred the boundary between recreational and medicinal cannabis.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103359"},"PeriodicalIF":3.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378723","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}