Cities & healthPub Date : 2026-02-05DOI: 10.1080/23748834.2025.2610065
Cathy L Antonakos, Ian-Marshall Lang, Stephanie Miller, Suzanne E Judd, Matthew L Flaherty, Natalie Colabianchi
{"title":"Development intensity and incident stroke risk: a longitudinal study of the REGARDS cohort.","authors":"Cathy L Antonakos, Ian-Marshall Lang, Stephanie Miller, Suzanne E Judd, Matthew L Flaherty, Natalie Colabianchi","doi":"10.1080/23748834.2025.2610065","DOIUrl":"10.1080/23748834.2025.2610065","url":null,"abstract":"<p><p>Stroke risk may be affected by the level of development in a neighborhood, which may in turn affect access to health-promoting environmental features, or exposure to noise and air pollution. This study investigated development intensity as a potential influence on stroke risk, using data from the United States Geological Survey National Land Cover Database (NLCD). We tested associations between development intensity and incident stroke among 25,330 adult participants in the REasons for Geographic And Racial Differences in Stroke study. We measured development intensity in 8-km network buffers around participants' residential locations (34,368 locations). A proportional hazards model controlled for demographic characteristics and stroke risk factors. Approximately half (52.0%) of the participants were 45 to 64 years of age, 54.9% were female, and 40.2% reported their race as Black. Median time in the study was 10.7 years. Average development intensity at baseline was -2.9. During the 2003 to 2017 study period, 1319 participants (5.2%) had an incident stroke. Exposure to greater development intensity was associated with reduced incident stroke risk (HR 0.975, 95% CI: 0.95-0.99). This study demonstrated the influence of development intensity on stroke risk. Further work is needed to understand the specific environmental features by which development intensity affects stroke risk.</p>","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cities & healthPub Date : 2026-01-23DOI: 10.1080/23748834.2025.2611480
Monica H Swahn, Jane Palmier, Anna Nabulya, Jacqueline Nassaka
{"title":"Through their eyes: a Photovoice study of environmental stressors and mental health among young women in Kampala's urban slums.","authors":"Monica H Swahn, Jane Palmier, Anna Nabulya, Jacqueline Nassaka","doi":"10.1080/23748834.2025.2611480","DOIUrl":"10.1080/23748834.2025.2611480","url":null,"abstract":"<p><p>Environmental stressors such as poor sanitation and overcrowding affect the mental health of women living in urban slums, yet their lived experiences remain understudied. Photovoice was selected to engage participants as co-researchers to document and discuss how their environments influence their daily lives and mental health. In 2022, 15 women aged 18-24 from three Kampala slums participated in a 5-week Photovoice project involving training, photography, small group discussions, and a final thematic validation session. Ethical approval and informed consent were obtained. Three overarching themes emerged: (1) <i>Entrepreneurship and Trade</i>, which provided income, agency, and coping mechanisms against poverty; (2) <i>Health, Wellness, Education, and Security</i>, emphasizing the role of access to clinics, schools, and places of worship as protective and restorative influences on mental health; and (3) <i>Urban Infrastructure</i>, highlighting inadequate sanitation, drainage, and water systems as major sources of stress and vulnerability. The Photovoice process amplified participants' voices, revealing how they interpret and respond to the physical and social environments that define their well-being. These insights can guide contextually grounded interventions and policies aimed at improving mental health, resilience, and living conditions among women in urban poverty.</p>","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cities & healthPub Date : 2025-11-17DOI: 10.1080/23748834.2025.2578565
Rayeheh Hafezifar, Shahab Alizadeh, Anne Dickerson, Brenda Vrkljan, Ganesh M Babulal, Sayeh Bayat
{"title":"The neighbourhood built environment affects driving behaviours of older adults: a combined geographic information systems and machine learning method.","authors":"Rayeheh Hafezifar, Shahab Alizadeh, Anne Dickerson, Brenda Vrkljan, Ganesh M Babulal, Sayeh Bayat","doi":"10.1080/23748834.2025.2578565","DOIUrl":"10.1080/23748834.2025.2578565","url":null,"abstract":"<p><p>Driving space is considered as the transaction between built environment features and driving behaviour. Driving keeps people active and engaged, particularly in later life. Using Geospatial Information Systems (GIS) and machine learning, this study examined the driving space of older drivers (aged ≥65; <i>n</i> = 134) living in St. Louis City, St. Louis County, USA from 1 January 2019, to 31 December 2019. Driving variables, such as total distance, trip frequency, ratio of short trips long trips, were analyzed. Built environment measures included transit accessibility, land use mix, and road network characteristics. Our findings indicate that the most important features predictive of driving space of older adults were public transit density and land use diversity within residential areas. This study demonstrates the non-linear relationship between built environment factors and driving space variables. Total distance has a complex relationship with each built environment variable. The differences in short-distance and long-distance driving are linked to varied land use types, balanced transport density, and intersection density. These findings highlight the value of using in-vehicle monitoring technologies to determine how specific characteristics of the built environment can influence everyday driving behaviours in later life.</p>","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12807542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cities & healthPub Date : 2025-07-29DOI: 10.1080/23748834.2025.2526258
Ana Luiza Favarão Leão, Milena Franco Silva, Raúl D Gierbolini-Rivera, Courtney Shaw, Áine O'Connor, Eugen Resendiz B, Melanie Lowe, Deborah Salvo, Rodrigo Siqueira Reis
{"title":"Spatial and policy analysis of livability in the city of St. Louis, Missouri, USA.","authors":"Ana Luiza Favarão Leão, Milena Franco Silva, Raúl D Gierbolini-Rivera, Courtney Shaw, Áine O'Connor, Eugen Resendiz B, Melanie Lowe, Deborah Salvo, Rodrigo Siqueira Reis","doi":"10.1080/23748834.2025.2526258","DOIUrl":"10.1080/23748834.2025.2526258","url":null,"abstract":"<p><p>A livable city ensures safety, health, inclusivity, sustainability, housing, mobility, and opportunities for all. The Global Observatory of Healthy and Sustainable Cities (GOHSC) launched the 1000 Cities Challenge to assess urban health and sustainability globally. This study uses the GOHSC's spatial and policy indicators to evaluate livability in St. Louis, Missouri. Using a mixed-methods approach, we analyzed the spatial distribution of built environment and transport features alongside planning and sustainability policies. Spatial indicators were derived from open data. Policy documents were coded for their governance level, alignment with evidence from healthy cities, and inclusion of measurable targets. Most residents (91.7%) lived in neighborhoods with optimal street intersection density (100 intersections/km<sup>2</sup>). However, only 2.8% lived in areas with optimal population density (5,700 people/km<sup>2</sup>). Just 26.3% lived near public transit, and 44.5% had access to large public open spaces below the GOHSC city averages (44.6% and 66%). While there was good coverage of policies, policy quality was low (31%), with most lacking measurable targets. The policy and spatial indicators enabled a comprehensive evaluation of livability. Future research should synthesize local and regional policies, supplement livability indicators with measures of environmental (in)justice within cities and utilize streetscape micro-scale data to deepen livability analysis.</p>","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cities & healthPub Date : 2025-03-01Epub Date: 2025-01-21DOI: 10.1080/23748834.2025.2451544
Jessie Chien, Ashley Q Truong, Abigail Pollock, Ernestine Chambers, Anita Donaldson, Subira Brown, Haneefa T Saleem, Sabriya L Linton
{"title":"The symbolic meanings and experience of place among residents in public housing awaiting relocation in Baltimore, Maryland.","authors":"Jessie Chien, Ashley Q Truong, Abigail Pollock, Ernestine Chambers, Anita Donaldson, Subira Brown, Haneefa T Saleem, Sabriya L Linton","doi":"10.1080/23748834.2025.2451544","DOIUrl":"10.1080/23748834.2025.2451544","url":null,"abstract":"<p><p>Public housing in the United States is often depicted as areas of decay and using racialized tropes about low-income communities of color. Despite these negative portrayals, residents of public housing often characterize their place as meaningful homes where they engage in place-making and community-building to challenge their social marginalization. The presence of strong connections to community and place among residents may help explain why public housing redevelopment programs focused on demolition and forced relocation have led to mixed results for improved mental and social well-being. This study explores how residents of a predominately Black public housing community undergoing redevelopment construct meanings of place and how these meanings influence their well-being and perceptions of redevelopment. We conducted semi-structured interviews with 29 adults relocating from a public housing site in Baltimore, Maryland and showcased how the social conditions of public housing intersect with individual characteristics, life experiences, and personal desires to dictate residents' notions of home, attachments to place and community, and experiences with stigma before relocation. Our findings demonstrate how residents' experiences with redevelopment and relocating can vary depending on their meanings of place, emphasizing the need to elevate residents' experiential knowledge in housing interventions to promote individual and community health.</p>","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":"9 2","pages":"248-263"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Green infrastructure and community health: exploring the characteristics of campus users in three university towns in Texas.","authors":"Ryun Jung Lee, Zhicheng Xu, Galen Newman, Chanam Lee, Yang Song, Wonmin Sohn, Dongying Li, Yizhen Ding","doi":"10.1080/23748834.2024.2381966","DOIUrl":"10.1080/23748834.2024.2381966","url":null,"abstract":"<p><p>Green infrastructure in college campuses and their surrounding communities can bring public health benefits. Using green infrastructure measures in three university towns in Texas, United States, this study explores if and how green infrastructure can impact the physical and mental health status of university campus users in the community. Campus users were estimated as the number of visitors to campus using the SafeGraph mobility data, green infrastructure was measured with land cover and Landsat 8 satellite images, and health status was measured with the CDC health status data. The results of spatial error models suggest a significant moderating effect of tree canopy coverage indicating that green infrastructure could potentially benefit campus users' health. This gives indirect evidence supporting the health-significant roles of the campus environment. For city planners and policymakers, increasing tree canopy coverage stands out as a promising green infrastructure planning and management strategy that can contribute to the health of campus users/communities.</p>","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is your city planned for all citizens as they age? Selecting the indicators to measure neighbourhoods’ age-friendliness in the urban planning field","authors":"Silvia Urra-Uriarte, Patricia Molina-Costa, Unai Martin, Uyen Nhu Tram, Juanita Devis Clavijo","doi":"10.1080/23748834.2023.2270686","DOIUrl":"https://doi.org/10.1080/23748834.2023.2270686","url":null,"abstract":"In many countries, urban population ageing trends are a recognized policy issue that requires a multidisciplinary approach. Although some fields, such as urban planning, encounter challenges in incorporating age-friendliness, they are crucial in enhancing the quality of life and well-being of all urban inhabitants. Additionally, they should provide solutions on how cities can cater to the needs of a population that is living longer than ever before. To accomplish this, older people’s needs can be translated into multidomain indicators to be adopted when planning the cities. Using the World Health Organization’s age-friendly cities indicators framework as a basis, the objective of this research is to establish a new indicators framework for urban planners and policymakers. With this aim, within the H2020 URBANAGE project, various cities have followed a process to adapt the WHO´s general framework to their specific needs and interests, through research, iteration with the cities and co-creation methodologies with older people and civil servants. This process has resulted in the definition of an indicators framework, which aims to evaluate the age-friendliness of various neighbourhoods within a city. It also intends to inform the development of decision-support technologies to achieve age-friendly cities in the different cities involved.","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":"82 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136346440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cities & healthPub Date : 2023-11-03DOI: 10.1080/23748834.2023.2276427
Kamran Abbasi, Parveen Ali, Virginia Barbour, Thomas Benfield, Kirsten Bibbins-Domingo, Gregory E. Erhabor, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Robert Mash, Peush Sahni, Wadeia Mohammad Sharief, Paul Yonga, Chris Zielinski
{"title":"Time to treat the climate and nature crisis as one indivisible global health emergency","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Thomas Benfield, Kirsten Bibbins-Domingo, Gregory E. Erhabor, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Robert Mash, Peush Sahni, Wadeia Mohammad Sharief, Paul Yonga, Chris Zielinski","doi":"10.1080/23748834.2023.2276427","DOIUrl":"https://doi.org/10.1080/23748834.2023.2276427","url":null,"abstract":"","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":"14 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135818782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cities & healthPub Date : 2023-10-20DOI: 10.1080/23748834.2023.2262202
Marcus Grant
{"title":"Research for city practice","authors":"Marcus Grant","doi":"10.1080/23748834.2023.2262202","DOIUrl":"https://doi.org/10.1080/23748834.2023.2262202","url":null,"abstract":"Evidence supports what we all intuitively know; that human health and planetary health are heavily influenced by the urban environments we create. Outcomes for human and planetary health show worrying trends of ongoing and increasing risks. These are of global concern, so It is imperative that we use urban policy, programmes and projects to test for potential solutions. This requires concerted action. Cities & Health is dedicated to supporting a multidirectional flow of knowledge to support such action. Our aim is to foster connections and conversations between researchers, practitioners, policy-makers, communities, and decision-makers in cities. That is the specific purpose of this section of the journal, with its short ‘City Know-how’ policy briefings derived from research findings. The team at Cities & Health, and our two knowledge partners (International Society for Urban Health and SALUS.Global), invite you to join their networks, and to contribute to the dialogue. We encourage communities, researchers, practitioners and policy-makers to consider publishing in Cities & Health to help influence urban policy.","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135617228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cities & healthPub Date : 2023-10-20DOI: 10.1080/23748834.2023.2260188
Brigette A. Davis, Mariana C. Arcaya, David R. Williams, Molly Metzger, Nancy Krieger
{"title":"Examining discrimination in home improvement financing (Home Mortgage Disclosure Act 2012–2016) and neighborhood health in the United States","authors":"Brigette A. Davis, Mariana C. Arcaya, David R. Williams, Molly Metzger, Nancy Krieger","doi":"10.1080/23748834.2023.2260188","DOIUrl":"https://doi.org/10.1080/23748834.2023.2260188","url":null,"abstract":"Institutional racism by financial institutions historically denied Black homeowners access to home mortgage loans. An understudied aspect of the homeownership continuum is home repair and maintenance, with few studies assessing discrimination in access to funding for home improvement. Using US Home Mortgage Disclosure Act data between 2012 and 2016, we assess individual and census-tract level predictors of applying to, and being denied home improvement loans. We find non-Hispanic Black applicants are significantly more likely to be denied loans (OR: 2.28 p < 0.01), and that loans for areas with a high proportion of non-Hispanic Black residents (OR: 1.09, p < 0.01) are most likely to be denied, while applications in tracts with the highest proportion of non-Hispanic white residents (OR: 0.90, p < 0.01) are least likely to be denied. We find that white (r = 0.203), but not Black (r = 0.02) home improvement applications are correlated with the proportion of Black residents currently residing in the census tract. Additionally, at the census tract level, home improvement loan denial rates are associated with usually getting less than 7 hours of sleep, which is associated with adverse health outcomes. Future research on institutional racism should consider the social and health impacts of discrimination in home improvement loan financing for Black applicants and within Black communities.","PeriodicalId":72596,"journal":{"name":"Cities & health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135569743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}