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WEIRD and non-consensual food deserts and swamps: A scoping review of operational definitions WEIRD and non-consconsual food deserts and swamps:业务定义范围审查
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-15 DOI: 10.1016/j.healthplace.2024.103315
Gastón Ares , Sergio Turra , Luciana Bonilla , María Costa , Sofía Verdier , Gerónimo Brunet , Florencia Alcaire , María Rosa Curutchet , Leticia Vidal
{"title":"WEIRD and non-consensual food deserts and swamps: A scoping review of operational definitions","authors":"Gastón Ares ,&nbsp;Sergio Turra ,&nbsp;Luciana Bonilla ,&nbsp;María Costa ,&nbsp;Sofía Verdier ,&nbsp;Gerónimo Brunet ,&nbsp;Florencia Alcaire ,&nbsp;María Rosa Curutchet ,&nbsp;Leticia Vidal","doi":"10.1016/j.healthplace.2024.103315","DOIUrl":"10.1016/j.healthplace.2024.103315","url":null,"abstract":"<div><p>The aim of the present study was to critically analyze operational definitions of food deserts and food swamps included in empirical studies published in peer-reviewed journals. A scoping review was conducted following the recommendations of the Joanna Briggs Institute and PRISMA Extension for Scoping Reviews. A search of the scientific literature was performed on August 2023 to identify empirical studies including operational definitions of food deserts and/or food swamps in three databases: Scopus, PubMed, and Scielo. A total of 932 scientific articles were identified in the three databases, from which 157 articles, published between 2002 and 2023, were included in the review. The included studies were mainly conducted in WEIRD (Western, Educated, Industrilaized, Rich and Democractic) countries. They presented a total of 107 operational definitions of food deserts and 30 operational definitions of food swamps. Large heterogeneity in the operational definitions of food deserts and food swamps was found. Published studies differed in all the elements of the operational definitions analyzed in the present work. Results stress the need for standardization and the development of more objective and multivariate continuous measures of physical food accessibility that reflect the complexity of modern food environments globally. A series of recommendations to advance food environment research are derived.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103315"},"PeriodicalIF":3.8,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141622345","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
Health map for HealthGap: Defining a geographical catchment to examine cardiovascular risk in Victoria, Australia HealthGap的健康地图:在澳大利亚维多利亚州界定一个地理集水区以检查心血管风险。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-13 DOI: 10.1016/j.healthplace.2024.103318
Karen E. Lamb , Ximena Camacho , Ping-wen Lee , Digsu N. Koye , Aneta Kotevski , Javier Haurat , Lukar E. Thornton , Maureen Turner , Julie A. Simpson , Luke Burchill
{"title":"Health map for HealthGap: Defining a geographical catchment to examine cardiovascular risk in Victoria, Australia","authors":"Karen E. Lamb ,&nbsp;Ximena Camacho ,&nbsp;Ping-wen Lee ,&nbsp;Digsu N. Koye ,&nbsp;Aneta Kotevski ,&nbsp;Javier Haurat ,&nbsp;Lukar E. Thornton ,&nbsp;Maureen Turner ,&nbsp;Julie A. Simpson ,&nbsp;Luke Burchill","doi":"10.1016/j.healthplace.2024.103318","DOIUrl":"10.1016/j.healthplace.2024.103318","url":null,"abstract":"<div><p>The HealthGap study aimed to understand cardiovascular risk among Indigenous Australians in Victoria using linked administrative data. A key challenge was differing spatial coverages of sources: state-level data for risk factors but cardiovascular outcomes for three hospitals. Catchments were defined based on hospital postcodes to estimate denominator populations for risk modelling: first- and second-order neighbours, and spatial distribution of outcomes (‘spatial event distribution’). Catchment coverage was assessed through proportions of patients presenting to study hospitals from catchment postcodes. The spatial event distribution performed best, capturing 82% events overall (first-order:40%; second-order:64%) and 65% Indigenous (27% and 45%). No approach excluded proximal non-study hospitals. Spatial event distributions could help define denominator populations when geographic information on outcome data is available but may not avoid potential misclassification.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103318"},"PeriodicalIF":3.8,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604651","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
Residential quality, physical activity, and restorative perceptions: A seasonal longitudinal study 居住质量、体育活动和恢复性认知:季节性纵向研究
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-10 DOI: 10.1016/j.healthplace.2024.103310
Yue Wu , Lei Zhu , Cunyan Jiang , Fangfang Liu , Jian Kang
{"title":"Residential quality, physical activity, and restorative perceptions: A seasonal longitudinal study","authors":"Yue Wu ,&nbsp;Lei Zhu ,&nbsp;Cunyan Jiang ,&nbsp;Fangfang Liu ,&nbsp;Jian Kang","doi":"10.1016/j.healthplace.2024.103310","DOIUrl":"10.1016/j.healthplace.2024.103310","url":null,"abstract":"<div><p>While the restorative benefits of residential environments are known, the influence of residents' physical activity on their perceptions of restorativeness in different settlements is unclear. This study aimed to investigate the mediating and moderating roles of residents' physical activities and seasons on restorative perceptions using survey data from three settlements in Harbin, China, involving a baseline survey conducted in June 2023 and questionnaires administered at 30-day intervals from July to December 2023 (534 interviews). Residents' restorative perceptions and physical activity levels were highest in autumn, with settlement quality having a seasonal moderating effect and physical activity having a mediating effect.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103310"},"PeriodicalIF":3.8,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592370","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
When you can't find the words: Using body mapping to communicate patients' experiences of Long Covid 当你找不到语言时利用肢体描绘来传达病人对 Long Covid 的体验。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-10 DOI: 10.1016/j.healthplace.2024.103302
Maaret Jokela-Pansini , Beth Greenhough , Oonagh Cousins , Jo Dainow
{"title":"When you can't find the words: Using body mapping to communicate patients' experiences of Long Covid","authors":"Maaret Jokela-Pansini ,&nbsp;Beth Greenhough ,&nbsp;Oonagh Cousins ,&nbsp;Jo Dainow","doi":"10.1016/j.healthplace.2024.103302","DOIUrl":"10.1016/j.healthplace.2024.103302","url":null,"abstract":"<div><p>The aim of this paper is to reflect on the value of body mapping in supporting patients to communicate their everyday experiences of Long Covid. Body maps are life-sized drawings of bodies and body mapping is used to discuss experiences through guided questions and answering those questions using colours, images and other prompts. This short paper focuses on the first of four body mapping workshops of this study, which was conducted in June 2023 in London with 4 participants in collaboration with Long Covid Support. Our preliminary results suggest i) body mapping can offer novel insights into patients’ experiences of Long Covid, ii) the method may be effectively applied as a tool for patients to communicate their symptoms and overall experiences to practitioners, friends, and family members, and iii) body mapping may be adapted to offer peer support as part of Long Covid advocacy. This has significant potential application as a resource for healthcare professionals and patient-led peer support and Long Covid advocacy work.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103302"},"PeriodicalIF":3.8,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001308/pdfft?md5=99f861947605abc5f0cf4b38551e0f92&pid=1-s2.0-S1353829224001308-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592371","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
Shifting sands: Indigenous conceptions of health and place in fragile times 流动的沙子:脆弱时代的原住民健康与地方观念。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-06 DOI: 10.1016/j.healthplace.2024.103308
Kathleen Clapham , Kate Senior , Marlene Longbottom , Dawn Bessarab , Bronwyn Fredericks , Valerie Harwood , Fiona Sheppeard , Bronte Haynes , Kaitlen Wellington , Peter Kelly
{"title":"Shifting sands: Indigenous conceptions of health and place in fragile times","authors":"Kathleen Clapham ,&nbsp;Kate Senior ,&nbsp;Marlene Longbottom ,&nbsp;Dawn Bessarab ,&nbsp;Bronwyn Fredericks ,&nbsp;Valerie Harwood ,&nbsp;Fiona Sheppeard ,&nbsp;Bronte Haynes ,&nbsp;Kaitlen Wellington ,&nbsp;Peter Kelly","doi":"10.1016/j.healthplace.2024.103308","DOIUrl":"10.1016/j.healthplace.2024.103308","url":null,"abstract":"<div><p>Place and health are deeply interconnected for Indigenous people, and place-based services have been established to better meet people's needs. The meaning of place, however, remains difficult to define, an issue compounded by non-Indigenous settler attempts to erase people's association with place. This paper argues that we must understand place as something more than a geographical locality, and consider the histories, experiences and feelings that connect people to place in the south coast of New South Wales (NSW), Australia. The paper focuses on the role of Aboriginal Community Controlled Organisations (ACCOs) as place-based entities which deliver a range of health and social services to local Aboriginal communities across Australia. This study was undertaken during a period of crisis when places and people's capacity to remain connected to them was perilous due to the 2019/20 bushfires, named in the media as the Black Summer Bushfires. The experience of living through this disastrous period elevated the importance of ACCOs and their unique and deep engagement with the communities they serve.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103308"},"PeriodicalIF":3.8,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001369/pdfft?md5=85ee140256c439f30b4826757199ccb3&pid=1-s2.0-S1353829224001369-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556254","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
Environmental determinants of health: Measuring multiple physical environmental exposures at the United States census tract level 健康的环境决定因素:在美国人口普查区一级衡量多种物理环境暴露情况
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-05 DOI: 10.1016/j.healthplace.2024.103303
Alina Peluso, Deeksha Rastogi, Hilda B. Klasky, Jeremy Logan, Dakotah Maguire, Josh Grant, Blair Christian, Heidi A. Hanson
{"title":"Environmental determinants of health: Measuring multiple physical environmental exposures at the United States census tract level","authors":"Alina Peluso,&nbsp;Deeksha Rastogi,&nbsp;Hilda B. Klasky,&nbsp;Jeremy Logan,&nbsp;Dakotah Maguire,&nbsp;Josh Grant,&nbsp;Blair Christian,&nbsp;Heidi A. Hanson","doi":"10.1016/j.healthplace.2024.103303","DOIUrl":"https://doi.org/10.1016/j.healthplace.2024.103303","url":null,"abstract":"<div><p>Physical environment plays a key role in determining human health risks. Exposure to toxins, weather extremes, degraded air and water quality, high levels of noise and limited accessibility to green areas can negatively affect health. Furthermore, adverse environmental exposures are often correlated with each other and with socioeconomic status, thereby compounding disadvantages in marginalized populations. Moreover, despite their importance in determining human health risks, the role of multiple environmental exposures is not well studied, and only a few resources contain aggregate environmental exposure data and only for selected areas of the contiguous US. To fill these gaps, we took a cumulative approach to measuring the environment by generating a composite Multi-Exposure Environmental Index (MEEI) as a US Census Tract-level summary of key environmental factors with known health effects. This measure quantifies multiple environmental exposures in the same area that can result in additive and synergistic effects on health outcomes. This information is crucial to better understand and possibly leverage environmental determinants of health for informed policy-making and intervention.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103303"},"PeriodicalIF":3.8,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540667","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
Rural-urban residence and life expectancies with and without pain 城乡居住地与有疼痛和无疼痛的预期寿命。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-04 DOI: 10.1016/j.healthplace.2024.103305
Feinuo Sun , Zachary Zimmer , Nicolas Brouard
{"title":"Rural-urban residence and life expectancies with and without pain","authors":"Feinuo Sun ,&nbsp;Zachary Zimmer ,&nbsp;Nicolas Brouard","doi":"10.1016/j.healthplace.2024.103305","DOIUrl":"10.1016/j.healthplace.2024.103305","url":null,"abstract":"<div><p>This paper analyzes rural-urban disparities in life expectancy with and without pain among upper-middle age and older adults. Data are from the nationally representative Health and Retirement Study, 2000–2018, N = 18,160, age 53+. Interpolated Markov Chain software, based on the multistate life tables, is used to calculate absolute and relative pain expectancies by age, sex, rural-suburban-urban residence and U.S. regions. Results show significant rural disadvantages versus those in urban and often suburban areas. Example: males at 55 in rural areas can expect to live 15.1 years, or 65.2 percent pain-free life, while those in suburban areas expect to live 1.7 more years, or 2.6 percentage points more, pain-free life and urban residents expect to live 2.4 more year, or 4.7 percentage points more. The rural disadvantage persists for females, with differences being a little less prominent. At very old age (85+), rural-urban differences diminish or reverse. Rural-urban pain disparities are most pronounced in the Northeast and South regions, and least in the Midwest and West. The findings highlight that rural-urban is an important dimension shaping the geography of pain. More research is needed to disentangle the mechanisms through which residential environments impact people's pain experiences.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103305"},"PeriodicalIF":3.8,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539126","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
Hydrophobia, dis/connection, and difference: Understanding Chinese immigrants’ fear of coastal swimming in Aotearoa New Zealand 恐水症、失联与差异:了解中国移民对新西兰奥特亚罗瓦海岸游泳的恐惧。
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-02 DOI: 10.1016/j.healthplace.2024.103309
Belinda Wheaton, Lucen Liu
{"title":"Hydrophobia, dis/connection, and difference: Understanding Chinese immigrants’ fear of coastal swimming in Aotearoa New Zealand","authors":"Belinda Wheaton,&nbsp;Lucen Liu","doi":"10.1016/j.healthplace.2024.103309","DOIUrl":"10.1016/j.healthplace.2024.103309","url":null,"abstract":"<div><p>New Zealand's coastal blue spaces, from harbours to beaches, provide diverse wellbeing benefits but can also be sites of danger, fear, and cultural contestation. This qualitative research focuses on Chinese migrants in Auckland, a community who are underrepresented in coastal recreation and overrepresented in drowning statistics. Findings show Chinese migrants dis/connection with coastal blue space and fear of coastal swimming, derived from their homeland habitus and lack of coastal ‘blue space’ cultural capital. Our research contributes to the growing recognition of ‘hydrophobia’, and how the racialisation of leisure space impacts the potential for blue spaces and practices to be therapeutic.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103309"},"PeriodicalIF":3.8,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1353829224001370/pdfft?md5=d71baa6d549bf1b01349a4d8208aae18&pid=1-s2.0-S1353829224001370-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499990","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
Neighborhood mobility and racial disparities in preterm birth: A sibling study in California 邻里流动与早产的种族差异:加州同胞研究
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-01 DOI: 10.1016/j.healthplace.2024.103280
Samantha Gailey , Collette N. Ncube , Richard C. Sadler , Tim A. Bruckner
{"title":"Neighborhood mobility and racial disparities in preterm birth: A sibling study in California","authors":"Samantha Gailey ,&nbsp;Collette N. Ncube ,&nbsp;Richard C. Sadler ,&nbsp;Tim A. Bruckner","doi":"10.1016/j.healthplace.2024.103280","DOIUrl":"https://doi.org/10.1016/j.healthplace.2024.103280","url":null,"abstract":"<div><p>Recent work finds that upward neighborhood mobility—defined as reductions in neighborhood socioeconomic disadvantage due to moving—may improve birth outcomes. Less work, however, explores whether changes in socioeconomic context differentially impact birth outcomes by maternal race and ethnicity. In the US, mothers of minoritized racial and ethnic identity often experience worse neighborhood conditions and pregnancy outcomes than White mothers. Using a sibling-linked dataset, we examined whether neighborhood mobility corresponds with changes in preterm birth risk among Asian (N = 130,079), Black (N = 50,149), Hispanic (N = 429,938), and White (N = 233,428) mothers who delivered multiple live births in California between 2005 and 2015. We linked residential addresses at each birth to census-derived indices of neighborhood disadvantage and defined levels of neighborhood mobility as moving-induced changes in disadvantage between pregnancies. We mapped neighborhood mobility patterns and fit conditional logistic regression models estimating the odds of preterm birth in the sibling delivered after moving, controlling for the risk of preterm birth in the sibling delivered before moving, by maternal race and ethnicity. Dot density maps highlight racialized patterns of neighborhood mobility and segregation between Black and White mothers. Regression results show that Black and, in some cases, Asian and Hispanic mothers who experienced upward mobility (moves away from neighborhood disadvantage) exhibited reduced odds of preterm birth in the second delivery. Upward mobility did not reduce the odds of preterm birth among White mothers. Findings suggest that policies and programs that enable opportunities for neighborhood mobility may reduce persistent racial and ethnic disparities in adverse birth outcomes.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103280"},"PeriodicalIF":3.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486335","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
Disparities in spatiotemporal clustering of maternal mental health conditions before and during the COVID-19 pandemic COVID-19 大流行之前和期间孕产妇精神健康状况的时空分布差异
IF 3.8 2区 医学
Health & Place Pub Date : 2024-07-01 DOI: 10.1016/j.healthplace.2024.103307
Sarah E. Ulrich , Margaret M. Sugg , Michael R. Desjardins , Jennifer D. Runkle
{"title":"Disparities in spatiotemporal clustering of maternal mental health conditions before and during the COVID-19 pandemic","authors":"Sarah E. Ulrich ,&nbsp;Margaret M. Sugg ,&nbsp;Michael R. Desjardins ,&nbsp;Jennifer D. Runkle","doi":"10.1016/j.healthplace.2024.103307","DOIUrl":"https://doi.org/10.1016/j.healthplace.2024.103307","url":null,"abstract":"<div><p>Mounting evidence indicates the worsening of maternal mental health conditions during the COVID-19 pandemic. Mental health conditions are the leading cause of preventable death during the perinatal and postpartum periods. Our study sought to detect space-time patterns in the distribution of maternal mental health conditions in pregnant women before (2016–2019) and during (2020–2021) the COVID-19 pandemic in North Carolina, USA. Using the space-time Poisson model in SaTScan, we performed univariate and multivariate cluster analysis of emergency department (ED) visits for perinatal mood and anxiety disorders (PMAD), severe mental illness (SMI), maternal mental disorders of pregnancy (MDP), suicidal thoughts, and suicide attempts during the pre-pandemic and pandemic periods. Clusters were adjusted for age, race, and insurance type. Significant multivariate and univariate PMAD, SMI, and MDP clustering persisted across both periods in North Carolina, while univariate clustering for both suicide outcomes decreased during the pandemic. Local relative risk (RR) for all conditions increased drastically in select locations. The number of zip code tabulation areas (ZCTAs) included in clusters decreased, while the proportion of urban locations included in clusters increased for non-suicide outcomes. Average yearly case counts for all maternal mental health outcomes increased during the pandemic. Results provide contextual and spatial information concerning at-risk maternal populations with a high burden of perinatal mental health disorders before and during the pandemic and emphasize the necessity of urgent and targeted expansion of mental health resources in select communities.</p></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"89 ","pages":"Article 103307"},"PeriodicalIF":3.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486334","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
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