Health & Place最新文献

{"title":"Neighborhood factors and incident stroke: reproducibility of associations across two nationwide cohorts","authors":"Kendra D. Sims ,&nbsp;Torsten B. Neilands ,&nbsp;Julene K. Johnson ,&nbsp;Loni P. Tabb ,&nbsp;Gina S. Lovasi ,&nbsp;Monika M. Safford ,&nbsp;Suzanne E. Judd ,&nbsp;Robert J. Stanton ,&nbsp;Virginia J. Howard ,&nbsp;Kirsten Bibbins-Domingo ,&nbsp;M. Maria Glymour","doi":"10.1016/j.healthplace.2026.103611","DOIUrl":"10.1016/j.healthplace.2026.103611","url":null,"abstract":"<div><div>Research linking adverse neighborhood context with disparities in incident stroke may reflect publication bias for chance associations. We compared results from the REasons for Geographic and Racial Differences in Stroke (REGARDS, n = 25,126, aged ≥45 years, 41 % Non-Hispanic Black, 12 % &lt; high school degree, 2003–2022) study to the Health and Retirement Study (HRS, n = 12,969, aged &gt;50 years, 15 % Non-Hispanic Black, 20 % &lt; high school degree, 2004–2022). We estimated Cox models predicting stroke for 44 census tract variables representing demographic, socioeconomic, labor force, and housing conditions, evaluating inter-cohort consistency of main and race-stratified estimates. Follow-up in REGARDS (median = 12.1 years; IQR: 6.5, 14.9) was similar to HRS (median = 12.6; IQR: 7.0, 17.7). Cumulative stroke incidence was lower in REGARDS (6.6 %, adjudicated) than HRS (15.4 %, reported). Census tract-level household income, median rent, and home values were higher in HRS. Thirty-two of the 44 census tract variables evaluated had associations with incident stroke that differed between cohorts by less than log(0.05). For example, the proportion of housing units built 1980–1999 was associated with stroke incidence in both REGARDS (HR per SD = 0.94 [95 % CI: 0.88, 0.99)] and HRS (HR per SD = 0.92 [95 % CI: 0.87, 0.99) after adjustment for individual-level confounders and state of residence. Five predictors had significant (p &lt; 0.05) interactions with race in HRS, but none of these interactions replicated in REGARDS. Strengthening the evidence base linking neighborhood disadvantage with stroke disparities is essential. Systematic exploration of how heterogeneity in sample composition and outcome ascertainment contributes to diverging findings across studies is needed.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103611"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000195","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 place that is their own: Understanding a gender-specific safer-use space as a therapeutic landscape","authors":"Xin Ke Law-Gallagher ,&nbsp;Allison Williams ,&nbsp;Mary-Elizabeth Vaccaro","doi":"10.1016/j.healthplace.2025.103604","DOIUrl":"10.1016/j.healthplace.2025.103604","url":null,"abstract":"<div><div>Safer-Use Spaces are recognized as one of the most effective ways to reduce the harms associated with the opioid and toxic drug crisis. This study performed an analysis of a gender-specific safer-use space in Hamilton, Ontario, using the therapeutic landscapes conceptual framework. We conducted eight in-depth one-on-one interviews with staff at the site, asking what parts of the social, built, and symbolic environments encouraged people who use drugs to return to the site. The thematic analysis found that the practicality and safety offered by the site, the control and agency felt by the clientele, and the ways in which clientele find sanctuary and oasis were valued by the clients. The study concludes with remarks on the importance of creating gender-specific, accessible, and empowering harm-reducing services for people who use drugs.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103604"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963377","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 are left alone”: A qualitative study of life satisfaction of older adults in rural Nepal","authors":"Emilie Egger ,&nbsp;Anna Schwartz ,&nbsp;Rennie X. Qin ,&nbsp;Aruna Khulal ,&nbsp;Uden Maharjan ,&nbsp;Joan K. Monin ,&nbsp;Ashley K. Hagaman","doi":"10.1016/j.healthplace.2026.103612","DOIUrl":"10.1016/j.healthplace.2026.103612","url":null,"abstract":"<div><div>The aging population in the South Asian region is rapidly growing, prompting a rising need to understand the subjective mental wellbeing of older adults. Aging and life satisfaction are complex processes that are experienced differently in various sociocultural contexts. However, few studies have investigated mechanisms of life satisfaction in rural environments in low- and middle-income countries that face challenges that cannot be measured by existing metrics of mental wellbeing. The purpose of this study is to understand meanings of life satisfaction and experiences of aging through the perspectives of older adults who live in Jumla, Nepal. We conducted semi-structured, in-depth interviews with twenty older adults. Through thematic data analysis, guided by an interpretive phenomenological approach, we examined cultural shifts in caregiving and perceptions of family relationships in the aftermath of youth out-migration. Jumli older adults struggled to thrive as they navigated filial discrepancies amid migration and a changing economic context. However, older adults expressed a desire for their children to succeed. Many older adults sought to embrace changes in the economic and social landscape but struggled to thrive within these systems. Finally, adults connected their low life satisfaction with political and religious dynamics and tradition often helped them cope with situations that were outside of their control. Future research should address life satisfaction in rural contexts that may not fit into extant metrics of life satisfaction in older adults.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103612"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024915","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":"Cross-linking geotagged social media data with public health registries for spatial health research","authors":"Ping Yin","doi":"10.1016/j.healthplace.2026.103621","DOIUrl":"10.1016/j.healthplace.2026.103621","url":null,"abstract":"<div><div>Geotagged social media data have increasingly been used for investigating the impacts of both physical and digital environments on human health and behaviors. However, their applications are often constrained by the lack of precise information on individuals' home locations, demographic characteristics, and health conditions. Previous studies typically spatially aggregate geotagged social media data to link census data or health statistics, limiting the ability to draw inferences about individual behaviors and health outcomes. This study, for the first time, explores the feasibility and applicability of cross-linking geotagged birth announcements from Twitter with public birth registry records. The aim is to provide more detailed and comprehensive profiles of individuals to study maternal risk exposures, behaviors, and birth outcomes. Specifically, 101 true births announced by parent Twitter users in the state of Georgia from 2012 to 2016 were identified, with 96 successfully matched to birth registry records based on common spatial, temporal, and attributive information. Using this cross-linked birth dataset, including the information from both users’ geotagged tweets and birth registry, we conducted three individual-level spatial health case studies: (1) assessing spatial accuracy of frequency-based home location detection from geotagged tweets, (2) exploring parental mobility before and during pregnancy, and (3) conducting sentiment analysis on tweets to assess maternal mental health before and during pregnancy. This paper also discusses geoprivacy risks associated with using cross-linked birth data.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103621"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079832","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":"Temporal influences on accessibility to healthcare, using the example of pediatricians in Bavaria, Germany","authors":"S. Rauch ,&nbsp;C. Butsch","doi":"10.1016/j.healthplace.2026.103642","DOIUrl":"10.1016/j.healthplace.2026.103642","url":null,"abstract":"<div><div>Accessibility to healthcare is shaped by spatial and temporal dynamics. This paper develops a framework that explicitly considers temporal variability across micro- (daily routines), meso- (seasonal fluctuations), and macro-scales (demographic and structural changes). Using pediatric outpatient care in Southern Germany as a case, we examine how these temporal factors interact with regional disparities in service provision. A mixed-methods research design combined telephone surveys of pediatric practices, GIS modeling, and a household survey. Results reveal marked meso-scale fluctuations: average practice utilization increased from 98 % in summer to 115 % in winter, with up to one third of practices being temporarily unable to admit new patients. Correspondingly, travel times increased during winter, particularly in peripheral areas where the loss of a single provider substantially reduced accessibility. On the macro-scale, the number of pediatricians has grown only modestly despite a rising population at risk. At the same time the proportion of providers aged 55 and older increased significantly in less urbanized areas, signaling future long-term shortages. From the family perspective, around 20 % of the respondents reported being unable to consult their preferred pediatrician, most often due to admission stops. Younger cohorts’ parents are more affected. We thus conclude that accessibility is highly sensitive to temporal variability. Static planning approaches thus risk underestimating barriers to care. Integrating time scales into healthcare planning is essential to ensure equitable and sustainable access to outpatient services. Addressing these temporal dynamics in policy and planning helps reduce regional inequalities and strengthen resilience in healthcare provision.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103642"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358043","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":"Co-creating resilient community food systems: A systems approach using group model building","authors":"Carmen Vargas ,&nbsp;Gabrielle Francis-Foreman ,&nbsp;Laura Duff ,&nbsp;Alana Storey ,&nbsp;Andrew D. Brown ,&nbsp;Carolina Venegas Hargous ,&nbsp;Tari Forrester-Bowling ,&nbsp;Tiana Felmingham ,&nbsp;Steven Allender","doi":"10.1016/j.healthplace.2026.103626","DOIUrl":"10.1016/j.healthplace.2026.103626","url":null,"abstract":"<div><h3>Introduction</h3><div>Local food systems are shaped by complex and interdependent social, economic, environmental, and cultural factors that influence population health and resilience. The Latrobe Valley (LV) in Victoria, Australia, presents a compelling case study: a region in economic transition, facing health inequities, yet rich in agricultural heritage and community engagement. This study applied systems science and co-creation to explore the LV food system and develop an action plan to enhance its health, sustainability, and accessibility.</div></div><div><h3>Methods</h3><div>Group Model Building (GMB) was employed through three facilitated workshops recruiting 38 participants, representing health professionals, local government, consumers, agronomy experts, and researchers. The process was built on a previous long-term relationship between academics and community partners, both of which were involved in decisions about GMB design. Participants collaboratively developed a Causal Loop Diagram (CLD) that describes the relationships between causal factors affecting access to healthy and sustainable food in the LV.</div></div><div><h3>Results</h3><div>Participants identified several key system interactions shaping food access in the Latrobe Valley, such as the reinforcing relationship between socioeconomic disadvantage and food relief demand, the reinforcing loop between food literacy, healthy eating norms, and community engagement, and the opportunity–constraint tension around local food production and fresh food availability. These insights informed the generation and prioritisation of community-led actions to improve affordability, availability, and healthy food literacy.</div></div><div><h3>Conclusion</h3><div>This study demonstrates the value of systems thinking and co-creation in designing adaptive, inclusive, and context-sensitive interventions. It supports the community in creating actionable pathways toward a more resilient local food system.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103626"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121416","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 more realistic picture of older adults’ activity spaces: combining spatial and bodily micro-movements","authors":"Zeinab Sattari ,&nbsp;Louise Meijering ,&nbsp;Gerd Weitkamp","doi":"10.1016/j.healthplace.2026.103625","DOIUrl":"10.1016/j.healthplace.2026.103625","url":null,"abstract":"<div><div>The everyday activities of older adults are enabled through numerous micro-movements, which are small spatial and bodily movements and non-movements essential for maintaining health. This study introduces and applies the concept of <em>collateral mobilities</em> to capture both bodily and spatial micro-movements and their interactions in everyday activity spaces. Using GPS tracker and pedometer data, we analysed the collateral mobilities of older adults in Lancashire, United Kingdom, across 513 places and 452 trips. ‘Places’ refer to the locations visited and ‘trips’ refer to the journeys connecting these places within an activity space. Our results show that larger activity spaces are associated with lower levels of bodily movement, highlighting the need to take both spatial extent and bodily movement into account when evaluating mobility behaviour. We also found that considerable bodily movement occurs in places of spatial non-movement, particularly in places outside of the home. Furthermore, there is a positive correlation between bodily movement during trips and bodily movement within places before and after those trips. This study bridges geography and medical sciences by providing insights into the complex dynamics that shape everyday activity spaces in later life. It emphasises the importance of taking a holistic but detailed approach to understanding mobilities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103625"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127482","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 built environment and momentary loneliness among older adults: Evidence from the Chicago Health and Activity in Real-Time (CHART) study","authors":"Liang Cai ,&nbsp;Chunwu Zhu ,&nbsp;Kathleen Cagney","doi":"10.1016/j.healthplace.2026.103647","DOIUrl":"10.1016/j.healthplace.2026.103647","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness poses a major public health concern for older adults, with significant implications for well-being and mortality. While prior studies have examined individual and social risk factors, the role of the built environment in shaping <em>momentary</em> experiences of loneliness remains underexplored. This study investigates how built environment features beyond the residential neighborhoods affect older adults’ momentary feelings of loneliness in activity spaces.</div></div><div><h3>Methods</h3><div>Drawing on data from the Chicago Health and Activity in Real-Time (CHART) study, we analyze more than 7000 geolocated ecological momentary assessments (EMA) from 111 older adults. We extract streetscape features (e.g., green space, human presence, and vehicles) from Google Street View Images (SVI) and points-of-interest (POI) indicators capturing nearby destinations such as organizations, transit amenities, and hospitals. Using multilevel models, we distinguish within-person fluctuations from between-person differences in loneliness across hyperlocal ecological contexts.</div></div><div><h3>Results</h3><div>Our findings show that activity-space environments are significantly associated with momentary loneliness. Environmental and institutional stressors are particularly salient: exposure to more hospital-dense environments than usual, as well as greater routine exposure to transit amenities and vehicular traffic, is positively linked to momentary loneliness. By contrast, evidence for social affordance and restorative environments, such as green space, is limited. Individual and situational factors, including being married, being alone, and time of day, also predict loneliness, alongside strong temporal persistence across moments.</div></div><div><h3>Conclusions</h3><div>Our results highlight the situational and contextual nature of loneliness and suggest that age-friendly urban planning should attend to everyday activity spaces in addition to residential neighborhoods.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"98 ","pages":"Article 103647"},"PeriodicalIF":4.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476839","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":"Extreme heat and physical and mental health: A qualitative study with low-income women in South Texas","authors":"Carmen R. Valdez ,&nbsp;Rodrigo Leal ,&nbsp;Ana Chatham ,&nbsp;Gabriella Meltzer ,&nbsp;Erik Arroyo ,&nbsp;Lourdes Flores ,&nbsp;Miriam Solis","doi":"10.1016/j.healthplace.2026.103609","DOIUrl":"10.1016/j.healthplace.2026.103609","url":null,"abstract":"<div><div>Heat waves in the US are becoming more frequent, longer, and more intense due to climate change. South Texas is especially vulnerable because it is experiencing the highest increases in heat “danger days” nationally and has a high number of residents living in unincorporated neighborhoods known as <em>colonias,</em> which often lack basic infrastructure. The purpose of this qualitative study is to explore how extreme heat affects the physical and mental health of Latina women who live in South Texas <em>colonias</em>. Focus groups with 18 women ages 20–70 revealed a cycle of physical and mental health consequences of extreme heat in which heat-related physical stress and exhaustion were followed by a sense of despair, worry, and anxiety. Participants described inadequate infrastructure within their homes and in their neighborhoods to tolerate heat, leading them to avoid being outdoors during daytime but still enduring heat in homes without proper cooling options. Being indoors also contributed to sedentarism, which participants linked to greater risk for developing medical conditions such as diabetes and heart disease. Women with depression were at further risk of isolation when outdoor time was reduced. Implications for the built and natural environment in low-resource neighborhoods, as well as for research on the physical and mental health impacts of extreme heat, are explained.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"97 ","pages":"Article 103609"},"PeriodicalIF":4.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967965","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":"Negotiating risk and resilience: HIV prevention practices among hill tribe communities in northern Thailand","authors":"Onn Laingoen ,&nbsp;Catrin Hedd Jones ,&nbsp;Sion Williams ,&nbsp;Tawatchai Apidechkul ,&nbsp;Simon Bishop","doi":"10.1016/j.healthplace.2025.103592","DOIUrl":"10.1016/j.healthplace.2025.103592","url":null,"abstract":"<div><div>This article explores how hill tribe communities in Chiang Rai, Northern Thailand, engage with HIV prevention in the context of cultural complexity and marginalisation. Drawing on qualitative data from 29 semi-structured interviews and two participatory workshops, and informed by a modified social ecological framework, the research examines how individuals navigate risk and protection through informal knowledge networks, relational dynamics and constrained access to health services. Rather than depicting community members as passive or uninformed, the findings suggest active, contextually grounded strategies for managing HIV risk, often shaped by trust, silence and the negotiation of moral and emotional boundaries within families and partnerships. Prevention knowledge was largely circulated through peers, village health volunteers and social networks, while formal services were frequently viewed as inaccessible, untrustworthy or culturally misaligned. Structural factors, including geographic isolation and stigma, further exacerbated uncertainty and limited engagement with public health systems. The article argues for a reframing of HIV prevention as a relational and situated practice and calls for interventions that are co-designed with communities, inclusive of informal care systems and grounded in cultural safety and structural inclusion. Collectively, these insights offer suggestions for more effective, equitable and context-sensitive HIV prevention policy and practice in these marginalised populations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"97 ","pages":"Article 103592"},"PeriodicalIF":4.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662926","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}