Health & Place最新文献

{"title":"The urban physical environment and leisure-time physical activity in early midlife: a FinnTwin12 study","authors":"Zhiyang Wang ,&nbsp;Sari Aaltonen ,&nbsp;Roos Teeuwen ,&nbsp;Vasileios Milias ,&nbsp;Carmen Peuters ,&nbsp;Bruno Raimbault ,&nbsp;Teemu Palviainen ,&nbsp;Erin Lumpe ,&nbsp;Danielle Dick ,&nbsp;Jessica E. Salvatore ,&nbsp;Maria Foraster ,&nbsp;Payam Dadvand ,&nbsp;Jordi Júlvez ,&nbsp;Achilleas Psyllidis ,&nbsp;Irene van Kamp ,&nbsp;Jaakko Kaprio","doi":"10.1016/j.healthplace.2025.103495","DOIUrl":"10.1016/j.healthplace.2025.103495","url":null,"abstract":"<div><div>Under the exposome framework, this study examined the relationship between the urban physical environment and leisure-time physical activity during early midlife based on 394 participants (mean age: 37, range 34–40) from the FinnTwin12 cohort, residing in five major Finnish cities in 2020. We curated 145 urban physical exposures based on residential addresses and measured three outcomes: total leisure-time physical activity (total LTPA) and two sub-domains: leisure-time physical activity without commuting activity (LTPA) and commuting activity. K-prototypes clustering identified three urban clusters: “original city center,” “new city center,” and “suburban,” each with distinct environmental patterns. Regression models showed that participants in the “suburban” cluster had lower levels of total LTPA and LTPA compared to those in the “original city center” cluster, while we found null findings for commuting activity. Then, repeated regression models with a p-value threshold of 0.01 were used to initially select candidates. eXtreme Gradient Boosting models identified greenspaces and road characteristics as the top important factors influencing total LTPA, while pocket park and greenness were ranked as the top important factors influencing LTPA. The relationships were non-linear. There were thresholds for the count and size of pocket parks within 800 m walking distance and the modified soil adjusted vegetation index, determining whether they positively or negatively predict LTPA. Our findings suggested that the urban environment in Finnish cities was associated with leisure-time physical activity, which revealed new residential pattern and identified key exposures of road, pocket park, and greenness with non-linear effect, that can guide future policies.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103495"},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212200","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":"Food deserts, food mirages, and gentrification in Toronto, Canada","authors":"Patrycia Menko ,&nbsp;Dana Olstad ,&nbsp;Adrian Buttazzoni ,&nbsp;Leia Minaker","doi":"10.1016/j.healthplace.2025.103490","DOIUrl":"10.1016/j.healthplace.2025.103490","url":null,"abstract":"<div><div>Few studies have explored links between retail food environments and gentrifying neighbourhoods across cities. As populations shift and commercial development continues, unpacking “food gentrification” processes in low-equity areas is important for ensuring healthy and equitable food access across cities. To further investigate this potential phenomenon, we used both primary (retailer consultations) and secondary (Canadian census, Toronto Public Health food inspection, land use zoning) data to explore cross-sectional links between food deserts and food mirages, four measures of gentrification in Toronto using the GENUINE gentrification tool, and Business Improvement Areas (BIAs). Food deserts represented about a tenth (9.3 %) of all dissemination areas in Toronto while food mirages represented only 4.5 %. Yet, nearly half (45 %) of all low-equity areas in Toronto were food deserts and food mirages (affecting approximately 516,000 residents). All gentrification measures employed, including BIAs, were also significantly associated with the existence of food deserts (between 2.5 and 14.5 times higher odds, respectively) while only two were associated with the existence of food mirages after adjusting for commercial zoning (between 1.6 and 2.7 times higher odds, respectively). Surprisingly, food deserts, not food mirages, were more strongly associated with gentrification. Longitudinal research is needed to better capture and monitor the evolution of food mirages.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103490"},"PeriodicalIF":3.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the impact of neighbourhood social fragmentation on early childhood developmental vulnerability","authors":"Susan Hartono,&nbsp;Antonia Kish,&nbsp;Nasser Bagheri,&nbsp;Rachel Davey","doi":"10.1016/j.healthplace.2025.103492","DOIUrl":"10.1016/j.healthplace.2025.103492","url":null,"abstract":"<div><h3>Background</h3><div>The role of the neighbourhood social context in early childhood development is less understood despite the apparent disparities in early childhood developmental vulnerability in Australia. This research investigated the influence of neighbourhood social fragmentation on developmental vulnerability in young children.</div></div><div><h3>Method</h3><div>Data were from the 2021 Australian Early Development Census. We applied logistic multilevel models to investigate the relationship between the area-level social fragmentation index and children's developmental vulnerability. The outcome variable was developmental vulnerability on one or more domains (physical health and wellbeing, social competence, emotional maturity, language and cognitive skills (school-based), and communication skills and general knowledge). The predictor was the Australian Neighbourhood Social Fragmentation Index, constructed using the principal component analysis.</div></div><div><h3>Results</h3><div>The sample was 287,135 children in their first year of full-time schooling in 2330 Statistical Area Level 2 (SA2). Our analyses showed a 4% increased risk of developmental vulnerability on one or more domains (OR 1.04; 95% CI 1.00–1.08) if children lived in high compared with low socially fragmented neighbourhoods after adjusting for child, family, and neighbourhood characteristics.</div></div><div><h3>Conclusion</h3><div>Maintaining social cohesion in the community decreases the chance of developmental vulnerability in children during their first year of full-time schooling. Social initiatives, such as horticulture classes, volunteering programs, and Neighbour Day events, may foster social cohesion in socially fragmented neighbourhoods, supporting children's development during their early years. Additionally, certain physical aspects of the neighbourhood (e.g., availability and walkability to public amenities and services) encourage accidental social interactions between neighbours.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103492"},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169053","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":"Iowa spatial accessibility to screening mammography is improving, but utilization among privately insured women remains stable, 2016–2022","authors":"Caitlyn S. Wiener ,&nbsp;Margaret Carrel ,&nbsp;Whitney E. Zahnd","doi":"10.1016/j.healthplace.2025.103488","DOIUrl":"10.1016/j.healthplace.2025.103488","url":null,"abstract":"<div><div>This study explores the spatial accessibility and utilization of mammography screening services in Iowa from 2016 to 2022. Breast cancer continues to be the most incident cancer in Iowa, with early detection through mammography being critical for reducing mortality. Spatial accessibility considers both geographic accessibility and capacity as appointment availability simultaneously. Using optimization models, we evaluated the potential spatial accessibility to mammography screening for women aged 40–84. We found that while access to mammograms improved over time, particularly in rural areas, the theoretical capacity of mammography facilities was insufficient to meet the demand, particularly in suburban and rural areas where driving times posed significant barriers. Additionally, despite improvements in accessibility, utilization rates among privately insured women remained stable, with the highest mammography uptake among urban and suburban women and women of older ages. Discrepancies between the accessibility models and the utilization patterns indicate that additional decisions are being made by patients independent of driving distance, such as appointment availability, provider preference, or wait times, that may influence patients to receive mammograms at farther locations.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103488"},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169040","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":"Environmental influences on mental health: eight-year longitudinal data show a bi-directional association between residential mobility and mental health outcomes","authors":"M. Hobbs ,&nbsp;E. Moltchanova ,&nbsp;L. Marek ,&nbsp;K. Yogeeswaran ,&nbsp;T.L. Milfont ,&nbsp;B. Deng ,&nbsp;C.G. Sibley","doi":"10.1016/j.healthplace.2025.103487","DOIUrl":"10.1016/j.healthplace.2025.103487","url":null,"abstract":"<div><div>Evidence on the environmental determinants of mental health is often cross-sectional. This pre-registered longitudinal study examines the environmental determinants of mental health using eight years of data from the New Zealand Attitudes and Values Study. Among 44,051 adults, findings reveal age, body mass index, and exercise as key individual-level factors impacting mental health, while residential mobility and area-level deprivation emerged as key environmental-level determinants. Increased probability of moving correlates with higher prevalence of depression and anxiety, with subsequent moves worsening area-level deprivation for those with persistent mental health issues. Our findings underscore the significance of environmental factors for mental health, offering insights for population-level interventions.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103487"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168614","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":"Investigating the impacts of alcohol outlet zoning policy on alcohol consumption and access to non-alcoholic services: A spatial agent-based simulation","authors":"Tingting Ji ,&nbsp;Ivana Stankov ,&nbsp;Niles Sherman Egan ,&nbsp;Kristen Hassmiller Lich ,&nbsp;Rachel L.J. Thornton ,&nbsp;Qi Wang ,&nbsp;Takeru Igusa ,&nbsp;Hsi-Hsien Wei ,&nbsp;Pamela A. Matson","doi":"10.1016/j.healthplace.2025.103489","DOIUrl":"10.1016/j.healthplace.2025.103489","url":null,"abstract":"<div><div>Debates continue over the effectiveness of limiting alcohol outlet density in reducing alcohol consumption, and its broader impacts on access to non-alcoholic services in low-income urban communities remain underexplored. This study addresses this gap by investigating the impacts of alcohol outlet zoning policies on alcohol consumption and walkable access to non-alcoholic services in low-income urban communities with different baseline densities of liquor and grocery stores. We developed a spatial agent-based model of Baltimore City neighborhoods, simulating the closure of non-conforming liquor stores following the city's zoning code rewrite. The model was calibrated using national survey data and empirical research on alcohol consumption and walkable access to alcohol, food, lottery, and ATM outlets by subgroups. We observed non-linear relationships and differences by gender and employment status in the effects of liquor store closures on heavy drinking, with policies showing limited effectiveness in neighborhoods with high baseline liquor store density. While the policies had minimal impact on access to food and ATMs due to high prevalence of grocery stores, they reduced access to lottery services. Our modeling approach serves as a valuable decision-making tool for policymakers to explore hypothetical scenarios, identify tipping points of policy impacts, and provide actionable insights into the complex interactions between zoning policies and neighborhood dynamics concerning alcohol consumption and access to essential goods and services.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103489"},"PeriodicalIF":3.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123165","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":"Local descriptive norms, smoking and body mass index in the Netherlands: Population-based study between 2012 and 2020","authors":"Dorien T. Beeres ,&nbsp;Joost Oude Groeniger ,&nbsp;Lili L. Kókai ,&nbsp;Frank J. van Lenthe","doi":"10.1016/j.healthplace.2025.103481","DOIUrl":"10.1016/j.healthplace.2025.103481","url":null,"abstract":"<div><div>Understanding the relationship between local health norms and individual behaviors can inform policies to reduce neighbourhood health inequalities. This study examines how local descriptive norms, measured as the prevalence of smoking and overweight in neighbourhoods, relate to individual smoking and body mass index (BMI) over time.</div><div>We used data from the Dutch Lifelines cohort and an existing policy instrument, SMall Area estimates for Policymakers (SMAPs), to estimate neighbourhood smoking and overweight prevalence in the Northern Netherlands (2012, 2016) and changes between these years. These estimates were linked to individual smoking and BMI in 2020 and to changes from 2016 to 2020. Generalized Linear Models were used to estimate the probability of individual smoking and overweight related to (changes) in the neighbourhood prevalence of smoking and overweight, controlling for prior health (behaviors) and socio-demographic factors. Generalized Additive Models were fitted to assess non-linearity.</div><div>The sample included 31,753 individuals across 957 neighbourhoods. A five percent higher prevalence of neighbourhood smoking in 2016 was associated with an increased relative risk of individual smoking in 2020 (RR = 1.13, 95 %CI 1.04–1.23). A five percent higher prevalence of overweight in 2016 was related to a nearly half-point higher individual BMI in 2020 (B = 0.47, 95 %CI 0.40–0.55). Non-linear associations were observed between neighbourhood overweight prevalence (2012, 2016) and individual BMI (2020), with steeper BMI increases in neighbourhoods where around half of the residents were overweight. For smoking the relationship was linear. Neighbourhood prevalence was not related to individual changes in smoking and BMI from 2016 to 2020.</div><div>Considering local descriptive norms might offer opportunities to tackle neighbourhood inequalities in health more effectively.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103481"},"PeriodicalIF":3.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071839","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":"Nature contact and health risk Behaviours: Results from an 18 country study","authors":"Leanne Martin ,&nbsp;Mathew P. White ,&nbsp;Sabine Pahl ,&nbsp;Jon May ,&nbsp;John N. Newton ,&nbsp;Lewis R. Elliott ,&nbsp;Marta Cirach ,&nbsp;James Grellier ,&nbsp;Gregory N. Bratman ,&nbsp;Mireia Gascon ,&nbsp;Maria L. Lima ,&nbsp;Mark Nieuwenhuijsen ,&nbsp;Ann Ojala ,&nbsp;Anne Roiko ,&nbsp;Matilda van den Bosch ,&nbsp;Lora E. Fleming","doi":"10.1016/j.healthplace.2025.103479","DOIUrl":"10.1016/j.healthplace.2025.103479","url":null,"abstract":"<div><div>Emerging evidence suggests that residential greenspace is associated with a lower prevalence of health risk behaviours, but it remains unclear whether these effects are generalizable across countries or different types of nature contact. Using representative cross-sectional samples from 18 countries/regions, we examined the associations between two types of nature contact (greenspace, nature visits), current smoking and everyday drinking. After controlling for a range of covariates, greenspace was inversely associated with current smoking and everyday drinking. Visiting natural spaces at least once a week was linked to a lower prevalence of current smoking, but unrelated to everyday drinking. Increasing residential greenspace could be a promising strategy for reducing multiple health risk behaviours, whilst visit-based interventions may be a more appropriate target for smoking cessation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103479"},"PeriodicalIF":3.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941526","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":"Changes in activity spaces, life spaces, and exposures to physical activity-promoting environments among women with overweight or obesity","authors":"Nana Luo ,&nbsp;Jiue-An Yang ,&nbsp;Calvin P. Tribby ,&nbsp;Sheri J. Hartman ,&nbsp;Loki Natarajan ,&nbsp;Cheryl Rock ,&nbsp;Dorothy D. Sears ,&nbsp;Tarik Benmarhnia ,&nbsp;Marta M. Jankowska","doi":"10.1016/j.healthplace.2025.103483","DOIUrl":"10.1016/j.healthplace.2025.103483","url":null,"abstract":"<div><div>Understanding factors associated with successful adherence and maintenance of weight loss interventions is important to potentially increase efficacy. Activity spaces and environmental exposures are two understudied factors that may be associated with intervention adherence and outcomes. Women with overweight or obesity (n = 498) from two weight loss intervention studies, Reach for Health and Metabolic, Exercise, and Nutrition at University of California San Diego, wore accelerometer and Global Positioning System (GPS) devices for 1 week at baseline and at 6-month follow up. Changes in activity spaces and time spent in three life space domains (<em>Home</em>, <em>Neighborhood</em>, and <em>Beyond Neighborhood</em>) were assessed at the two timepoints for total time and the subset of time in physical activity (PA). Relationships between repeated GPS-measured exposure to PA promoting environments (walkability; recreation; and greenness) were assessed with linear mixed effects models with an interaction between intervention and timepoint. There was no significant change in the average total or PA-related activity space size. There was no significant change in the amount of total time spent in life space domains by intervention group. However, for PA time in life spaces, the Intervention group increased percent of PA time in the <em>Neighborhood</em> (1.49 %–1.71 %; p = 0.011) and <em>Beyond Neighborhood</em> domains (from 5.85 %–6.60 %; p &lt; 0.0001), whereas PA time at <em>Home</em> was not significantly different (p = 0.755). For the mixed effects models with PA-related time, being in the Intervention group was associated with (−0.06, 95 % CI: −0.19, −0.07; p &lt; 0.01) less exposure to walkability and this was attenuated at time 2, compared to controls. Results suggest that PA-focused interventions did not increase the size of participants’ total and PA-related activity spaces but were associated with a higher percent of PA-related time outside of the home. There were not consistent associations between the Intervention group and increased exposure to PA-supportive environments.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927538","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":"Public space and loneliness in young adults in the Netherlands: An experiment with virtual environments","authors":"Yuwen Zhao ,&nbsp;Pauline van den Berg ,&nbsp;Bregje Schulten ,&nbsp;Astrid Kemperman","doi":"10.1016/j.healthplace.2025.103480","DOIUrl":"10.1016/j.healthplace.2025.103480","url":null,"abstract":"<div><div>As levels of loneliness in young adults are increasing, it is important to design loneliness reducing interventions for this age group. In this study, we specifically focus on built environment interventions that could alleviate young adults’ momentary feelings of emotional loneliness. We used an online survey incorporating a stated preference experiment with virtual public spaces in which seven attributes (presence of people, grass, water, benches, trees, vertical greenery, and traffic volume) were varied systematically. Respondents reported their momentary emotions (safe, relaxed, excited) and feelings of emotional loneliness after each video. The data were analyzed with regression models to determine the separate effects of these seven public space attributes on momentary loneliness and emotions. The results indicate that state loneliness is affected by the presence of other people in public space, as well as by the presence of trees and grass. Trees and other green elements (grass, water, vertical green), but also the presence of people have positive effects on feelings of safety, relaxation, and excitement. Public spaces with well-designed green elements and spaces that encourage liveliness can therefore contribute to reduced state loneliness, positive emotions and enhanced well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"94 ","pages":"Article 103480"},"PeriodicalIF":3.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928766","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}