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Analysis of the impact of financial and labour uncertainty on suicide mortality in England 金融和劳动力不确定性对英格兰自杀死亡率的影响分析
IF 3.8 2区 医学
Health & Place Pub Date : 2024-08-14 DOI: 10.1016/j.healthplace.2024.103329
Oscar Claveria , Maša Sorić , Petar Sorić
{"title":"Analysis of the impact of financial and labour uncertainty on suicide mortality in England","authors":"Oscar Claveria ,&nbsp;Maša Sorić ,&nbsp;Petar Sorić","doi":"10.1016/j.healthplace.2024.103329","DOIUrl":"10.1016/j.healthplace.2024.103329","url":null,"abstract":"<div><p>This paper examines the relationship between different dimensions of economic uncertainty and suicide rates in England from 1985 to 2020, both in the short and long term. The study employs a non-linear autoregressive distributed lag framework for cointegration estimation. This approach allows testing for the existence of possible asymmetries in the response of suicide mortality to increases in economic uncertainty. Uncertainty is gauged by different proxies that allow computing financial uncertainty and labour market uncertainty indicators. The analysis is replicated by gender and across regions, controlling for unemployment and economic growth. Overall, the analysis suggests that uncertainty intensified during the first year of the COVID-19 pandemic. This is in line with the stylized facts of economic uncertainty and its pronounced role in recessions. When replicating the experiment by gender, we find that women seem to be more sensitive to changes in uncertainty. Regarding the existence of asymmetries, we found that decreases in economic uncertainty have a greater impact on suicide mortality than increases.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103329"},"PeriodicalIF":3.8,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001576/pdfft?md5=d49f30e6b66aee59fd4a727229fe0ab0&pid=1-s2.0-S1353829224001576-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141985210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insights from neighbourhood walking interviews using the Living Environments and Active Aging Framework (LEAAF) in community-dwelling older adults 使用 "生活环境与积极老龄化框架"(LEAAF)对社区老年人进行邻里步行访谈的启示
IF 3.8 2区 医学
Health & Place Pub Date : 2024-08-13 DOI: 10.1016/j.healthplace.2024.103339
Irmina Klicnik , Roubir Riad Andrawes , Lauren Bell , Jacob Manafo , Emmeline Meens Miller , Winnie Sun , Michael Widener , Shilpa Dogra
{"title":"Insights from neighbourhood walking interviews using the Living Environments and Active Aging Framework (LEAAF) in community-dwelling older adults","authors":"Irmina Klicnik ,&nbsp;Roubir Riad Andrawes ,&nbsp;Lauren Bell ,&nbsp;Jacob Manafo ,&nbsp;Emmeline Meens Miller ,&nbsp;Winnie Sun ,&nbsp;Michael Widener ,&nbsp;Shilpa Dogra","doi":"10.1016/j.healthplace.2024.103339","DOIUrl":"10.1016/j.healthplace.2024.103339","url":null,"abstract":"<div><p>We aimed to understand whether neighbourhood characteristics are associated with movement and social behaviors using walking interviews with 28 community-dwelling older adults (aged 65+). Results indicated support for each component and each relationship in our proposed “Living Environments and Active Aging Framework”. Additional themes such as neighbourhoods with children, moving to neighbourhoods with opportunities for social activity and movement, and lingering effects of pandemic closures provided novel insights into the relationship between the living environment (neighbourhood) and active aging. Future work exploring sex and gender effects on these relationships, and work with equity-deserving groups is needed.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103339"},"PeriodicalIF":3.8,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community-level social capital and subsequent health and well-being among older adults in Japan: An outcome-wide longitudinal approach 社区层面的社会资本与日本老年人随后的健康和福祉:全结果纵向方法。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-08-09 DOI: 10.1016/j.healthplace.2024.103336
Sho Takeda , Maho Haseda , Koryu Sato , Koichiro Shiba , Atsushi Nakagomi , Kazushige Ide , Naoki Kondo
{"title":"Community-level social capital and subsequent health and well-being among older adults in Japan: An outcome-wide longitudinal approach","authors":"Sho Takeda ,&nbsp;Maho Haseda ,&nbsp;Koryu Sato ,&nbsp;Koichiro Shiba ,&nbsp;Atsushi Nakagomi ,&nbsp;Kazushige Ide ,&nbsp;Naoki Kondo","doi":"10.1016/j.healthplace.2024.103336","DOIUrl":"10.1016/j.healthplace.2024.103336","url":null,"abstract":"<div><p>There is inconsistent evidence on the association between community-level social capital and the health or well-being of older adults. This study examined the association between community-level social capital and multidimensional health and well-being outcomes using an outcome-wide approach. We used data from the Japan Gerontological Evaluation Study, a nationwide cohort study of Japanese older adults (analytic samples: 47,227 for outcomes obtained from the long-term care insurance registry and 34,183 for other outcomes). We assessed three aspects of school-district-level community social capital in 2016 (civic participation, social cohesion, and reciprocity) and 41 subsequent health and well-being outcomes through 2019. We performed either a modified multilevel Poisson regression or a multilevel logistic regression analysis. We adjusted for pre-baseline characteristics, prior outcome values, and individual-level social capital from the 2013 wave. Even after Bonferroni correction, we found that community-level social capital was associated with some subsequent social well-being and physical/cognitive health. For example, community-level reciprocity was associated with a higher prevalence of taking a social role (Prevalence ratio [PR] = 1.03, 95% confidence interval [CI] = 1.02, 1.04) and undergoing health screening (PR = 1.03, 95% CI: 1.01, 1.04). There was modest evidence that community-level civic participation was associated with a higher competency of intellectual activity (PR = 1.01, 95% CI: 1.01, 1.02) and community-level social cohesion was associated with a reduced onset of functional disability (PR = 0.94, 95% CI: 0.90, 0.98). Community-level social capital may promote social well-being and some physical/cognitive health outcomes.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103336"},"PeriodicalIF":3.8,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001643/pdfft?md5=c6f7afa5a559f53c748dce1fea639ba8&pid=1-s2.0-S1353829224001643-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Joint associations of neighbourhood walkability and greenery with walking among middle-aged and older adults: Findings from diverse urban settings in Australia 邻里步行能力和绿化与中老年人步行的共同关系:来自澳大利亚不同城市环境的研究结果。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-08-05 DOI: 10.1016/j.healthplace.2024.103334
Manoj Chandrabose , Nyssa Hadgraft , Neville Owen , Suzanne Mavoa , Takemi Sugiyama
{"title":"Joint associations of neighbourhood walkability and greenery with walking among middle-aged and older adults: Findings from diverse urban settings in Australia","authors":"Manoj Chandrabose ,&nbsp;Nyssa Hadgraft ,&nbsp;Neville Owen ,&nbsp;Suzanne Mavoa ,&nbsp;Takemi Sugiyama","doi":"10.1016/j.healthplace.2024.103334","DOIUrl":"10.1016/j.healthplace.2024.103334","url":null,"abstract":"<div><p>There is evidence that neighbourhood walkability and greenery are associated with walking, but less is known about their joint associations. We investigated this using data from the AusDiab3 study (2011/12) with 3032 adults (mean age 60 years). Two-level logistic regression models were used with binary walking outcomes. There was an inverse relationship (r = −0.5) between walkability (a composite measure of residential, destinations and intersections densities) and greenery (the size of densely vegetated areas). However, both walkability and greenery were independently positively associated with odds of walking. Regarding joint associations, in low-walkability neighbourhoods, greenery was positively associated with walking. In high-walkability neighbourhoods, greenery was not associated with walking.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103334"},"PeriodicalIF":3.8,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S135382922400162X/pdfft?md5=a9a62805b9434c341d580e7bddb555d4&pid=1-s2.0-S135382922400162X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Poverty reduction and childhood opportunity moves: A randomized trial of cash transfers to low-income U.S. families with infants 减少贫困与童年机会的转移:向有婴儿的美国低收入家庭发放现金的随机试验。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-08-02 DOI: 10.1016/j.healthplace.2024.103320
Abhery Das , Theresa L. Osypuk , Paul Y. Yoo , Katherine Magnuson , Lisa A. Gennetian , Kimberly G. Noble , Tim A. Bruckner
{"title":"Poverty reduction and childhood opportunity moves: A randomized trial of cash transfers to low-income U.S. families with infants","authors":"Abhery Das ,&nbsp;Theresa L. Osypuk ,&nbsp;Paul Y. Yoo ,&nbsp;Katherine Magnuson ,&nbsp;Lisa A. Gennetian ,&nbsp;Kimberly G. Noble ,&nbsp;Tim A. Bruckner","doi":"10.1016/j.healthplace.2024.103320","DOIUrl":"10.1016/j.healthplace.2024.103320","url":null,"abstract":"<div><p>Black and Hispanic children have a higher likelihood of experiencing neighborhood poverty than white children. This study uses data from the Baby's First Years (BFY) randomized trial to examine whether an unconditional cash transfer causes families to make opportunity moves to better quality neighborhoods. We use Intent to Treat linear regression models to test whether the BFY treatment, of receiving $333/month (vs. $20/month) for three years, leads to moves to neighborhoods of greater childhood opportunity. Overall, we find no relation between the BFY treatment and neighborhood opportunity across time. However, we find effect modification by maternal baseline health. High-cash receipt among mothers with poor health at baseline corresponds with moves to neighborhoods of greater childhood opportunity.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103320"},"PeriodicalIF":3.8,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Higher ultraviolet light exposure is associated with lower mortality: An analysis of data from the UK biobank cohort study 紫外线照射越多,死亡率越低:英国生物库队列研究数据分析。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-08-01 DOI: 10.1016/j.healthplace.2024.103328
Andrew C. Stevenson , Tom Clemens , Erola Pairo-Castineira , David J. Webb , Richard B. Weller , Chris Dibben
{"title":"Higher ultraviolet light exposure is associated with lower mortality: An analysis of data from the UK biobank cohort study","authors":"Andrew C. Stevenson ,&nbsp;Tom Clemens ,&nbsp;Erola Pairo-Castineira ,&nbsp;David J. Webb ,&nbsp;Richard B. Weller ,&nbsp;Chris Dibben","doi":"10.1016/j.healthplace.2024.103328","DOIUrl":"10.1016/j.healthplace.2024.103328","url":null,"abstract":"<div><p>We aimed to examine associations between ultraviolet (UV) exposure and mortality among older adults in the United Kingdom (UK). We used data from UK Biobank participants with two UV exposures, validated with measured vitamin D levels: solarium use and annual average residential shortwave radiation. Associations between the UV exposures, all-cause and cause-specific mortality were examined as adjusted hazard ratios. The UV exposures were inversely associated with all-cause, cardiovascular disease (CVD) and cancer mortality. Solarium users were also at a lower risk of non-CVD/non-cancer mortality. The benefits of UV exposure may outweigh the risks in low-sunlight countries.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103328"},"PeriodicalIF":3.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001564/pdfft?md5=0cec84680d8a8d6fe2460f0fdf112a47&pid=1-s2.0-S1353829224001564-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Crime-related perceptions and walking for recreation inside and outside one's home neighborhood 与犯罪有关的认知以及在住宅区内外步行娱乐的情况。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-31 DOI: 10.1016/j.healthplace.2024.103316
Caterina G. Roman , Ruohui Chen , Loki Natarajan , Terry L. Conway , Christina Patch , Ralph B. Taylor , Kelli L. Cain , Scott Roesch , Marc A. Adams , Brian E. Saelens , Abby C. King , Lawrence D. Frank , Karen Glanz , James F. Sallis
{"title":"Crime-related perceptions and walking for recreation inside and outside one's home neighborhood","authors":"Caterina G. Roman ,&nbsp;Ruohui Chen ,&nbsp;Loki Natarajan ,&nbsp;Terry L. Conway ,&nbsp;Christina Patch ,&nbsp;Ralph B. Taylor ,&nbsp;Kelli L. Cain ,&nbsp;Scott Roesch ,&nbsp;Marc A. Adams ,&nbsp;Brian E. Saelens ,&nbsp;Abby C. King ,&nbsp;Lawrence D. Frank ,&nbsp;Karen Glanz ,&nbsp;James F. Sallis","doi":"10.1016/j.healthplace.2024.103316","DOIUrl":"10.1016/j.healthplace.2024.103316","url":null,"abstract":"<div><p>It is widely assumed crime and related concerns, including neighborhood incivilities and fear of crime, are barriers to physical activity (PA). Past studies reveal mixed evidence. Studies of impacts for crime-protective factors are less common but have similarly mixed results. This paper evaluates a comprehensive transdisciplinary conceptual framework of cross-sectional associations between crime-related perceptions and reported minutes/week of recreational walking inside and outside one's home neighborhood. Safe and Fit Environments Study (SAFE) recruited and surveyed 2302 participants from adolescents to older adults from four U.S. metropolitan areas. A zero-inflated model estimated two components of each outcome: whether the respondent walked, and minutes/week walked. Correlates of recreational walking were location-specific, differing based on walking location. Fear of crime, risk evaluation, victimization, and incivilities were not consistently associated with walking for recreation inside one's neighborhood. People with crime concerns about their own neighborhoods, however, more commonly walked for recreation outside their neighborhoods. Protective crime-related perceptions that seldom have been studied in relation to PA, such as street efficacy (i.e., the perceived ability to avoid and manage danger), were strongly associated with recreational walking in both locations, indicating the additional heuristic value of the SAFE conceptual framework.</p><p>Crime-related perceptions and walking for recreation: Evaluating a conceptual model.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103316"},"PeriodicalIF":3.8,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Socioeconomic differences and global trends in youth wellbeing and emotional distress in 165 countries and territories 165 个国家和地区在青年福祉和情绪困扰方面的社会经济差异和全球趋势。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-30 DOI: 10.1016/j.healthplace.2024.103322
Frank J. Elgar , Timo-Kolja Pförtner , David Rothwell
{"title":"Socioeconomic differences and global trends in youth wellbeing and emotional distress in 165 countries and territories","authors":"Frank J. Elgar ,&nbsp;Timo-Kolja Pförtner ,&nbsp;David Rothwell","doi":"10.1016/j.healthplace.2024.103322","DOIUrl":"10.1016/j.healthplace.2024.103322","url":null,"abstract":"<div><p>Social stratifications in youth wellbeing are a concern for social policy. Using data from the Gallup World Poll (2009–2022), we examined time trends and income differences in youth wellbeing and their associations with area-level income and income inequality. Results showed that a growing proportion of youth have experienced emotional distress in recent years, and this trend disproportionately affected youth at lower incomes. Higher income inequality relates to lower life satisfaction and larger income differences in life satisfaction. Socioeconomic inequality in youth wellbeing underscores the need for coordinated policy actions that reduce economic inequality and its impacts on youth wellbeing.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103322"},"PeriodicalIF":3.8,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001503/pdfft?md5=c3e588517a5442e5961d0696ea0da216&pid=1-s2.0-S1353829224001503-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Swimming, confusion, and plenty of brews: Negotiating ambivalence within Windermere's fragile waters 游泳、困惑和大量啤酒:在温德米尔脆弱的水域中寻找矛盾。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-30 DOI: 10.1016/j.healthplace.2024.103304
Taylor Butler-Eldridge
{"title":"Swimming, confusion, and plenty of brews: Negotiating ambivalence within Windermere's fragile waters","authors":"Taylor Butler-Eldridge","doi":"10.1016/j.healthplace.2024.103304","DOIUrl":"10.1016/j.healthplace.2024.103304","url":null,"abstract":"<div><p>Windermere is a complex and contested freshwater site which encounters fluctuating social and environmental pressures. Swimmers at Windermere regularly practice across all four seasons while negotiating social concerns such as access, conflicting user groups, public health communications, and swim safety, alongside environmental complications including extreme weather, wastewater, run-off, plastic pollution, algal blooms, biosecurity, and climate change. Simultaneously, these entangled pressures generate ongoing adaptation, ambivalence, and avoidance within the swim communities. Furthermore, they disrupt individualised and inwardly focused understandings of ‘healthy’ outdoor swimming practices. In contribution to the special issue (on outdoor swimming), this article reflects on how outdoor swimming researchers may methodologically attend to these social and environmental complexities within contested lacustrine environments through an immersive 12-month wet ethnographic approach, combining ‘lake-hangouts’ and ‘swim-along interviews’ with different swimmers at Windermere. The article discusses how these relational in-situ approaches can continue to broaden inwardly focused understandings of ‘healthy’ outdoor swimming practices towards the wider social and environmental relations for both the participants and researcher. The article also highlights senses of ambivalence and ethical tension while negotiating conflicting concerns of ill-health, in and out of Windermere's fragile waters.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103304"},"PeriodicalIF":3.8,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is the availability and quality of local early childhood education and care services associated with young children's mental health at school entry? 当地幼儿教育和保育服务的可获得性和质量是否与幼儿入学时的心理健康有关?
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-29 DOI: 10.1016/j.healthplace.2024.103327
Amanda Alderton , Lucy Gunn , Karen Villanueva , Meredith O'Connor , Claire Boulangé , Hannah Badland
{"title":"Is the availability and quality of local early childhood education and care services associated with young children's mental health at school entry?","authors":"Amanda Alderton ,&nbsp;Lucy Gunn ,&nbsp;Karen Villanueva ,&nbsp;Meredith O'Connor ,&nbsp;Claire Boulangé ,&nbsp;Hannah Badland","doi":"10.1016/j.healthplace.2024.103327","DOIUrl":"10.1016/j.healthplace.2024.103327","url":null,"abstract":"<div><h3>Purpose</h3><p>This study investigated the relationship between geographic availability (and quality) of local early childhood education and care services and children's early mental health outcomes for all children entering their first year of full-time school in Melbourne, Australia.</p></div><div><h3>Methods</h3><p>We capitalise on a unique population linked dataset, the Australian Early Development Census – Built Environment, which combines geospatial measures of children's neighbourhoods with demographic information and child mental health outcomes for all school entrants in Australia's 21 most populous cities and towns. Objective early childhood education and care service location and quality exposures were developed for each study child based on home addresses. Four geographic availability exposures (counts within 3 km) were examined for cross-sectional associations with child mental health outcomes (externalising and internalising difficulties, competence). We estimated associations using multilevel logistic regression (Markov Chain Monte Carlo estimation) adjusting for child demographics and stratifying by urbanicity.</p></div><div><h3>Results</h3><p>Children with higher counts of high-quality preschool services within 3 km of home had lower odds of difficulties and higher odds of competence. Overall, exposures were most consistently associated with children's competence. Across all outcomes, the most consistent patterning was observed for children living in the inner city and middle ring. Results varied depending on whether service quality was accounted for in measures of availability. Geographic availability of early childhood services showed patterning by neighbourhood disadvantage and by maternal education.</p></div><div><h3>Conclusion</h3><p>We found some evidence that geographic availability of high-quality preschools was associated with better child mental health outcomes, but results varied by urbanicity. While future research is required to unpack these differences, these findings indicate the importance of accounting for both geographic availability and service quality simultaneously in future research, policy and practice.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103327"},"PeriodicalIF":3.8,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001552/pdfft?md5=13b68bdafe8801a507242497e8d1f73f&pid=1-s2.0-S1353829224001552-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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