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Banwell N, Michel S, Senn N. Greenspaces and Health: Scoping Review of studies in Europe. Public Health Rev 2024; 45:1606863. [PMID: 38831866 PMCID: PMC11144923 DOI: 10.3389/phrs.2024.1606863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Accepted: 04/22/2024] [Indexed: 06/05/2024] Open
Abstract
Objectives Access to greenspaces and contact with nature can promote physical activity and have positive effects on physical and mental health. This scoping literature review aims to examine current evidence linking greenspaces and (a) behaviour change, (b) health outcomes and (c) co-benefits. Methods This review was conducted in accordance with the PRISMA scoping review guidelines. Searches were conducted through PubMed and EMBASE databases for studies published between 2000 and March 2023 with a focus on Europe. Results 122 scientific articles and grey literature reports were identified. Access to greenspaces is positively associated with physical and mental health, and reduced risk of all-cause mortality and some non-communicable diseases. Greenspace quality is associated with increased physical activity and reduced risk of obesity. Nature-based therapies or green prescription are effective in improving mental health outcomes and overall health. Importantly, numerous co-benefits of greenspaces are identified. Conclusion Increasing access to greenspaces for populations with particular attention to greenspace quality is important for co-benefits. Responsible governance and use of greenspaces are crucial to minimize public health risks and human disturbance of nature.
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Affiliation(s)
- Nicola Banwell
- Interdisciplinary Centre for Research in Ethics (CIRE), University of Lausanne, Lausanne, Switzerland
| | - Sarah Michel
- Department of Family Medicine, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Nicolas Senn
- Department of Family Medicine, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
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Käyhkö J, Malmström Nee Jurgilevich A, Räsänen A, Pörsti S, Juhola S. Policy impact pathways of climate-related urban health vulnerability - A retrospective analysis. Health Place 2024; 88:103266. [PMID: 38761638 DOI: 10.1016/j.healthplace.2024.103266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Revised: 04/15/2024] [Accepted: 05/06/2024] [Indexed: 05/20/2024]
Abstract
Climate change-related health risks are likely to become more prevalent in cities. Cities are also key actors in adaptation to these risks. Adaptation can take place through intentional measures to reduce vulnerability or exposure and unintentionally through other urban policy processes and outcomes. However, complex and dynamic relations between urban policy impacts and vulnerability development are an understudied phenomena. This limits the understanding of how urban climate-related health risks emerge and evolve. We examine urban policy pathways that influence vulnerability to climate-related health impacts with a most similar - most different case study. With a qualitative retrospective analysis of four urban areas in Finland we unveil the mechanism of how urban policy affects urban environment over time and how these impacts and changes shape vulnerability. Contrasting the most different cases, we show that urban policy impacts set differing preconditions to adaptation between local districts. We conclude by suggesting that to adapt to future challenges in cities with respect to social and ecological justice, it is necessary to mainstream adaptation into urban policies with continuous cross-sector and multi-level dialogue about the development of vulnerability.
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Affiliation(s)
- Janina Käyhkö
- Ecosystems and Environment Research Program, Faculty of Biological and Environmental Sciences, University of Helsinki, P.O. Box 65, Viikinkaari 1, 00014, Finland.
| | - Alexandra Malmström Nee Jurgilevich
- Ecosystems and Environment Research Program, Faculty of Biological and Environmental Sciences, University of Helsinki, P.O. Box 65, Viikinkaari 1, 00014, Finland.
| | - Aleksi Räsänen
- Bioeconomy and Environment Unit, Natural Resources Institute Finland (Luke), Paavo Havaksen tie 3, 90570, Oulu, Finland; Geography Research Unit, University of Oulu, Finland.
| | - Saara Pörsti
- Ecosystems and Environment Research Program, Faculty of Biological and Environmental Sciences, University of Helsinki, P.O. Box 65, Viikinkaari 1, 00014, Finland.
| | - Sirkku Juhola
- Ecosystems and Environment Research Program, Faculty of Biological and Environmental Sciences, University of Helsinki, P.O. Box 65, Viikinkaari 1, 00014, Finland.
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Bartoll-Roca X, López MJ, Pérez K, Artazcoz L, Borrell C. Short-term health effects of an urban regeneration programme in deprived neighbourhoods of Barcelona. PLoS One 2024; 19:e0300470. [PMID: 38630702 PMCID: PMC11023398 DOI: 10.1371/journal.pone.0300470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 02/27/2024] [Indexed: 04/19/2024] Open
Abstract
Urban regeneration programmes are interventions meant to enhance the wellbeing of residents in deprived areas, although empirical evidence reports mixed results. We evaluated the health impact of a participatory and neighbourhood-wide urban regeneration programme, Pla de Barris 2016-2020, in Barcelona. A pre-post with a comparison group study design. Using data from a cross-sectional survey performed in 2016 and 2021. The health outcomes analysed were mental health, alcohol and psychotropic drug use, perceived health status, physical activity and obesity. Depending on the investment, two intervention groups were defined: moderate- and high-intensity intervention groups. The analysis combined difference-in-difference estimation with an inverse weighting derived from a propensity score to reduce potential biases. The impact of the intervention in percentages and its confidence interval were estimated with a linear probability model with clustered adjusted errors. The intervention had a positive impact on health outcomes in women in the high-intensity intervention group: a reduction of 15.5% in the relative frequency of those experiencing poor mental health, and of 21.7% in the relative frequency of those with poor self-perceived health; and an increase of 13.7% in the relative frequency of those doing physical activity. No positive impact was observed for men, but an increase of 10.3% in the relative frequency of those using psychotropic drugs in the high-intensity intervention group. This study shows positive short-term effects of the urban regeneration programme Pla de Barris 2016-2020 on health outcomes in women in the high-intensity intervention group. These results can guide future interventions in other areas.
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Affiliation(s)
- Xavier Bartoll-Roca
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Catalunya, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain
| | - María José López
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Catalunya, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Katherine Pérez
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Catalunya, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - Lucía Artazcoz
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Catalunya, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Carme Borrell
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Catalunya, Spain
- Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Universitat Pompeu Fabra, Barcelona, Spain
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Bereziartua A, Cabrera-León A, Subiza-Pérez M, García-Baquero G, Delís Gomez S, Ballester F, Estarlich M, Merelles A, Esplugues A, Irles MA, Barona C, Mas R, Font-Ribera L, Bartoll X, Pérez K, Oliveras L, Binter AC, Daponte A, García Mochon L, García Cortés H, Sánchez-Cantalejo Garrido MDC, Lacasaña M, Cáceres R, Rueda M, Saez M, Lertxundi A. Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project) - study protocol. BMJ Open 2024; 14:e074252. [PMID: 38553060 PMCID: PMC10982794 DOI: 10.1136/bmjopen-2023-074252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 02/26/2024] [Indexed: 04/02/2024] Open
Abstract
INTRODUCTION The European Environment Agency estimates that 75% of the European population lives in cities. Despite the many advantages of city life, the risks and challenges to health arising from urbanisation need to be addressed in order to tackle the growing burden of disease and health inequalities in cities. This study, Urban environment and health: a cross-sectional multiregional project based on population health surveys in Spain (DAS-EP project), aims to investigate the complex association between the urban environmental exposures (UrbEEs) and health. METHODS AND ANALYSIS DAS-EP is a Spanish multiregional cross-sectional project that combines population health surveys (PHS) and geographical information systems (GIS) allowing to collect rich individual-level data from 17 000 adult citizens participating in the PHS conducted in the autonomous regions of the Basque Country, Andalusia, and the Valencian Community, and the city of Barcelona in the years 2021-2023. This study focuses on the population living in cities or metropolitan areas with more than 100 000 inhabitants. UrbEEs are described by objective estimates at participants' home addresses by GIS, and subjective indicators present in PHS. The health outcomes included in the PHS and selected for this study are self-perceived health (general and mental), prevalence of chronic mental disorders, health-related quality of life, consumption of medication for common mental disorders and sleep quality. We aim to further understand the direct and indirect effects between UrbEEs and health, as well as to estimate the impact at the population level, taking respondents' sociodemographic and socioeconomic characteristics, and lifestyle into consideration. ETHICS AND DISSEMINATION The study was approved by the regional Research Ethics Committee of the Basque Country (Ethics Committee for Research Involving Medicinal Products in the Basque Country; PI2022138), Andalusia (Biomedical Research Ethics Committee of the Province of Granada; 2078-N-22), Barcelona (CEIC-PSMar; 2022/10667) and the Valencian Community (Ethics Committee for Clinical Research of the Directorate General of Public Health and Center for Advanced Research in Public Health; 20221125/04). The results will be communicated to the general population, health professionals, and institutions through conferences, reports and scientific articles.
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Affiliation(s)
- Ainhoa Bereziartua
- Department of Preventive Medicine and Public Health, University of the Basque Country (UPV/EHU), Leioa, Bizkaia, Spain
- Group of Environmental Epidemiology and Child Development, IIS Biogipuzkoa, Donostia-San Sebastian, Guipuzcoa, Spain
| | - Andrés Cabrera-León
- Andalusian School of Public Health, Granada, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
| | - Mikel Subiza-Pérez
- Group of Environmental Epidemiology and Child Development, IIS Biogipuzkoa, Donostia-San Sebastian, Guipuzcoa, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Department of Clinical and Health Psychology and Research Methods, University of the Basque Country UPV/EHU, Bilbao, País Vasco, Spain
- Bradford Institute for Health Research, Bradford, UK
| | - Gonzalo García-Baquero
- Group of Environmental Epidemiology and Child Development, IIS Biogipuzkoa, Donostia-San Sebastian, Guipuzcoa, Spain
- Faculty of Pharmacy, University of Salamanca, Salamanca, Spain
| | | | - Ferran Ballester
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Faculty of Nursing and Chiropody, University of Valencia, Valencia, Comunitat Valenciana, Spain
- Epidemiology and Environmental Health Joint Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valèncian Region, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de València, Valencia, Spain
| | - Marisa Estarlich
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Epidemiology and Environmental Health Joint Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valèncian Region, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de València, Valencia, Spain
- Faculty of Nursing and Chiropody, Universitat de Valencia, Valencia, Comunitat Valenciana, Spain
| | - Antonio Merelles
- Epidemiology and Environmental Health Joint Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valèncian Region, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de València, Valencia, Spain
- Faculty of Nursing and Chiropody, Universitat de Valencia, Valencia, Comunitat Valenciana, Spain
| | - Ana Esplugues
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Epidemiology and Environmental Health Joint Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valèncian Region, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de València, Valencia, Spain
- Faculty of Nursing and Chiropody, Universitat de Valencia, Valencia, Comunitat Valenciana, Spain
| | | | - Carmen Barona
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- General Directorate of Public Health, Valencia, Valencian Community, Spain
- Research group "Local Action on Health and Equity (ALES)", Foundation for the Promotion of Health and Biomedical Research in the Valèncian Region, FISABIO-Public Health, Valencia, Spain
| | - Rosa Mas
- General Directorate of Public Health, Valencia, Valencian Community, Spain
- Research group "Local Action on Health and Equity (ALES)", Foundation for the Promotion of Health and Biomedical Research in the Valèncian Region, FISABIO-Public Health, Valencia, Spain
| | - Laia Font-Ribera
- Agencia de Salut Publica de Barcelona, Barcelona, Catalunya, Spain
- Institut d'Investigacio Biomedica Sant Pau (IIB SANT PAU), Barcelona, Spain
| | - X Bartoll
- Agencia de Salut Publica de Barcelona, Barcelona, Catalunya, Spain
- Institut d'Investigacio Biomedica Sant Pau (IIB SANT PAU), Barcelona, Spain
| | - Katherine Pérez
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Agencia de Salut Publica de Barcelona, Barcelona, Catalunya, Spain
- Institut d'Investigacio Biomedica Sant Pau (IIB SANT PAU), Barcelona, Spain
| | - Laura Oliveras
- Agencia de Salut Publica de Barcelona, Barcelona, Catalunya, Spain
- Institut d'Investigacio Biomedica Sant Pau (IIB SANT PAU), Barcelona, Spain
| | - Anne-Claire Binter
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Barcelona Institute for Global Health, Barcelona, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Antonio Daponte
- Andalusian School of Public Health, Granada, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
| | - Leticia García Mochon
- Andalusian School of Public Health, Granada, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Instituto de Investigación Biosanitaria de Granada, Granada, Spain
| | - Helena García Cortés
- Andalusian School of Public Health, Granada, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
| | - María Del Carmen Sánchez-Cantalejo Garrido
- Andalusian School of Public Health, Granada, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
| | - Marina Lacasaña
- Andalusian School of Public Health, Granada, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Instituto de Investigación Biosanitaria de Granada, Granada, Spain
| | - Rocío Cáceres
- Nursing Department, University of Seville, Sevilla, Spain
- Research group PAIDI CTS-1050: "Complex Care, Chronicity and Health Outcomes", University of Seville, Seville, Spain
| | - María Rueda
- Department of Statistics and Operational Research, University of Granada, Granada, Spain
- Institute of Mathematics, University of Granada, Granada, Spain
| | - Marc Saez
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
- Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, Girona, Catalunya, Spain
| | - Aitana Lertxundi
- Department of Preventive Medicine and Public Health, University of the Basque Country (UPV/EHU), Leioa, Bizkaia, Spain
- Group of Environmental Epidemiology and Child Development, IIS Biogipuzkoa, Donostia-San Sebastian, Guipuzcoa, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Comunidad de Madrid, Spain
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Azimi MN, Rahman MM. Food insecurity, environment, institutional quality, and health outcomes: evidence from South Asia. Global Health 2024; 20:21. [PMID: 38459556 PMCID: PMC10924333 DOI: 10.1186/s12992-024-01022-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 02/12/2024] [Indexed: 03/10/2024] Open
Abstract
BACKGROUND Food insecurity and environmental degradation pose significant threats to health outcomes in South Asia, necessitating effective policy interventions. Therefore, this study aims to examine the impact of food insecurity and environmental degradation on health outcome indicators amidst global inflationary shocks and institutional quality arrangements. Additionally, it aims to explore the intricate moderating role of institutional quality on the relationship between food insecurity, endogenous variables, and external shocks. METHOD In alignment with the study's objectives, a set of panel data spanning from 2000 to 2021 is compiled for South Asia. The study introduces a novel variable representing inflationary shock, crafted through the integration of inflation datapoints and the application of the generalized autoregressive conditional heteroskedasticity model. Additionally, a distinctive aggregate institutional quality index is formulated, drawing from six key measures of the Worldwide Governance indicators. To scrutinize the effects of food insecurity, environmental degradation, and other explanatory variables, the study employs the two-step system generalized method of moment technique, offering a robust analytical approach to uncover complex relationships and dynamics in the region. RESULTS The results indicate that the prevalence of undernourishment, inequality in per capita calorie intake, and CO2 emissions significantly reduce life expectancy and increase mortality rates. Additionally, it shows that per capita kilocalorie supply, per capita GDP, per capita health expenditures, and urbanization are statistically significant for increasing life expectancy and decreasing mortality rates. The findings reveal that inflationary shocks severely affect food insecurity and environmental factors, exerting further pressure on contemporary life expectancy and mortality rates. In rebuttal, the institutional quality index is found to have significant effects on increasing and decreasing life expectancy and mortality rates, respectively. Furthermore, the institutional quality index is effective in moderating the nexus between food insecurity, environmental degradation, and health outcomes while also neutralizing the negative impact of inflationary shocks on the subject. CONCLUSION The results verify triple health constraints such as food insecurity, environmental factors, and economic vulnerability to global shocks, which impose severe effects on life expectancy and mortality rates. Furthermore, poor institutional quality is identified as a hindrance to health outcomes in South Asia. The findings suggest specific policy implications that are explicitly discussed.
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Affiliation(s)
- Mohammad Naim Azimi
- School of Business, University of Southern Queensland, Toowoomba, Australia.
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Gallagher L, Shella T, Bates D, Briskin I, Jukic M, Bethoux F. Utilizing the arts to improve health, resilience, and well-being (HeRe We Arts ®): a randomized controlled trial in community-dwelling individuals with chronic medical conditions. Front Public Health 2024; 12:1242798. [PMID: 38384874 PMCID: PMC10879815 DOI: 10.3389/fpubh.2024.1242798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 01/24/2024] [Indexed: 02/23/2024] Open
Abstract
Background Healthcare workers are concerned with promoting behavior changes that enhance patients' health, wellness, coping skills, and well-being and lead to improved public health. The purpose of this randomized controlled trial was to determine if participation in an 8-week arts-based program leads to improved mood, health, resilience, and well-being in individuals with chronic health conditions as compared to a wait list control group. Methods Self-report questionnaires for well-being, mental health, physical health, overall health, social health, mood, coping, and resilience were administered at baseline, Week 8 (end of program), and Week 16 (8-week follow-up). Results Statistically significant improvements were noted in all outcome measures for the treatment group, as well as in most areas compared to the control group. Many of the positive results at Week 8 were either maintained or further improved at Week 16. Discussion These results suggest that arts-based programming can have a positive effect on the mood, health, resilience, and well-being of individuals with chronic health conditions. Therefore, arts-based programming should be utilized more frequently in the management of chronic conditions in community-dwelling individuals. These benefits should be further assessed in larger clinical trials.
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Affiliation(s)
- Lisa Gallagher
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
- Department of Physical Medicine and Rehabilitation, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States
| | - Tamara Shella
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Debbie Bates
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Isaac Briskin
- Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, United States
| | - Maria Jukic
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Francois Bethoux
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
- Department of Physical Medicine and Rehabilitation, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States
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Goldblatt R, Holz N, Tate G, Sherman K, Ghebremicael S, Bhuyan SS, Al-Ajlouni Y, Santillanes S, Araya G, Abad S, Herting MM, Thompson W, Thapaliya B, Sapkota R, Xu J, Liu J, Schumann G, Calhoun VD. "Urban-Satellite" estimates in the ABCD Study: Linking Neuroimaging and Mental Health to Satellite Imagery Measurements of Macro Environmental Factors. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2024:2023.11.06.23298044. [PMID: 37986844 PMCID: PMC10659457 DOI: 10.1101/2023.11.06.23298044] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
While numerous studies over the last decade have highlighted the important influence of environmental factors on mental health, globally applicable data on physical surroundings are still limited. Access to such data and the possibility to link them to epidemiological studies is critical to unlocking the relationship of environment, brain and behaviour and promoting positive future mental health outcomes. The Adolescent Brain Cognitive Development (ABCD) Study is the largest ongoing longitudinal and observational study exploring brain development and child health among children from 21 sites across the United States. Here we describe the linking of the ABCD study data with satellite-based "Urban-Satellite" (UrbanSat) variables consisting of 11 satellite-data derived environmental indicators associated with each subject's residential address at their baseline visit, including land cover and land use, nighttime lights, and population characteristics. We present these UrbanSat variables and provide a review of the current literature that links environmental indicators with mental health, as well as key aspects that must be considered when using satellite data for mental health research. We also highlight and discuss significant links of the satellite data variables to the default mode network clustering coefficient and cognition. This comprehensive dataset provides the foundation for large-scale environmental epidemiology research.
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Affiliation(s)
| | - Nathalie Holz
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim / Heidelberg University, Mannheim, Germany
| | - Garrett Tate
- New Light Technologies, Inc., Washington, DC 20012
| | - Kari Sherman
- New Light Technologies, Inc., Washington, DC 20012
| | | | - Soumitra S Bhuyan
- Edward J. Bloustein School of Planning and Public Policy, Rutgers University- New Brunswick
| | - Yazan Al-Ajlouni
- New York Medical College School of Medicine, Valhalla, NY 10595, USA
| | | | | | - Shermaine Abad
- Department of Radiology, University of California, San Diego, 92093
| | - Megan M. Herting
- University of Southern California, Keck School of Medicine of USC, Los Angeles, CA, 90089
| | - Wesley Thompson
- Laureate Institute for Brain Research, Tulsa, Oklahoma, 74136, USA
| | - Bishal Thapaliya
- Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State, Georgia Tech, Emory, Atlanta, GA 30303
| | - Ram Sapkota
- Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State, Georgia Tech, Emory, Atlanta, GA 30303
| | - Jiayuan Xu
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China
| | - Jingyu Liu
- Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State, Georgia Tech, Emory, Atlanta, GA 30303
| | | | - Gunter Schumann
- Centre for Population Neuroscience and Stratified Medicine (PONS), ISTBI, Fudan University Shanghai, P.R. China
- PONS Centre, Dept. of Psychiatry and Neuroscience, CCM, Charite University Medicine Berlin, Germany
| | - Vince D. Calhoun
- Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State, Georgia Tech, Emory, Atlanta, GA 30303
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Zhang Y, Chen YC, Wang JSH. Long-term Care Insurance and Health and Perceived Satisfaction of Older Chinese: Comparisons Between Urban/Rural Areas, Chronic Conditions, and Their Intersectionality. Int J Health Policy Manag 2023; 12:7938. [PMID: 38618772 PMCID: PMC10843175 DOI: 10.34172/ijhpm.2023.7938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 11/21/2023] [Indexed: 04/16/2024] Open
Abstract
BACKGROUND Evidence of the impact of long-term care insurance (LTCI) on health and well-being has predominantly come from developed countries. China officially launched its city-level LTCI policy in 2016. Recent evidence in China has shown that having an LTCI program contributes to positive health. However, it is unclear whether such positive policy effects were attributed to policy announcement or implementation effects, and whether the policy effects vary by locality, chronic conditions, and their intersectionality. This study examines whether there are longitudinal health benefits for older Chinese who are participating in LTCI, particularly considering their city location (urban/rural), whether they have chronic conditions, and the intersectionality. METHODS Following the Andersen Behavioral Model, health and satisfaction outcomes of 9253 adults aged 60+ years were extracted from the 2015 and 2018 waves of the China Health and Retirement Longitudinal Study (CHARLS). Individual data were linked to census socioeconomic data with city-level characteristics and LTCI policy variable. Multilevel lagged regression models investigated the impact of LTCI policy on health and satisfaction with health services, after controlling for baseline individual- and city-level covariates. RESULTS Of 125 cities in the dataset, 21 (16.8%) had adopted LTCI. These city inhabitants had significantly better self-rated health and higher satisfaction relative to cities without LTCI policies when environmental- and personal-level characteristics were modeled. Health benefits of LTCI were stronger after policy announcement and were particularly observed among rural older adults and those with chronic conditions. Results also suggest that LTCI's positive effects on satisfaction spill over to middle-aged adults. CONCLUSION Expanding coverage and eligibility to LTCI for all older Chinese could improve health and well-being.
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Affiliation(s)
- Yinkai Zhang
- Department of Social Work & Social Administration, The University of Hong Kong, Hong Kong SAR, China
| | - Yu-Chih Chen
- Department of Social Work & Social Administration, The University of Hong Kong, Hong Kong SAR, China
- Social Policy Institute, Washington University in St. Louis, St. Louis, MO, USA
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Carmichael AE, Lennon NH, Qualters JR. Analysis of social determinants of health and individual factors found in health equity frameworks: Applications to injury research. JOURNAL OF SAFETY RESEARCH 2023; 87:508-518. [PMID: 38081722 PMCID: PMC10775896 DOI: 10.1016/j.jsr.2023.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 10/10/2023] [Indexed: 12/18/2023]
Abstract
INTRODUCTION This research evaluated existing health equity frameworks as they relate to social determinants of health (SDOHs) and individual factors that may impact injury outcomes and identify gaps in coverage using the Healthy People (HP) 2030 key domains. METHODS The study used a list of health equity frameworks sourced from previous literature. SDOHs and individual factors from each framework were identified and categorized into the Healthy People 2030 domains. Five injury topic areas were used as examples for how SDOHs and individual factors can be compared to injury topic-specific health disparities to identify health equity frameworks to apply to injury research. RESULTS The study identified 59 SDOHs and individual factors from the list of 33 health equity frameworks. The number of SDOHs and individual factors identified varied by Healthy People 2030 domain: Neighborhood and Built Environment contained 16 (27.1%) SDOHs and individual actors, Social and Community Context contained 22 (37.3%), Economic Stability contained 10 (16.9%), Healthcare Access and Quality contained 10 (16.9%), and Education Access and Quality contained one (1.7%). Twenty-three (39.0%) SDOHs/individual factors related to traumatic brain injury, thirteen (22.0%) related to motor vehicle crashes and suicide, 11 (18.6%) related to drowning and older adult falls. Eight frameworks (24.2%) covered all HP 2030 key domains and may be applicable to injury topics. CONCLUSIONS Incorporating health equity into research is critical. Health equity frameworks can provide a way to systematically incorporate health equity into research. The findings from this study may be useful to health equity research by providing a resource to injury and other public health fields. PRACTICAL APPLICATIONS Health equity frameworks are a practical tool to guide injury research, translation, evaluation, and program implementation. The findings from this study can be used to guide the application of health equity frameworks in injury research for specific topic areas.
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Affiliation(s)
- Andrea E Carmichael
- National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
| | - Natalie H Lennon
- National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Judith R Qualters
- National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA
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10
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Fernández-Barrés S, Perez G, Piñero M, Reyes A, Pérez K, Artazcoz L, Borrell C. Effect of COVID-19 prevention as part of an urban renewal programme. Public Health 2023; 223:179-182. [PMID: 37666182 DOI: 10.1016/j.puhe.2023.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 06/29/2023] [Accepted: 07/11/2023] [Indexed: 09/06/2023]
Abstract
OBJECTIVES To address existing inequalities, the Barcelona City Council launched a Neighbourhood Plan in 2016-2020. During the first wave of the COVID-19 pandemic, the Neighbourhood Plan interventions were intensified. This study aimed to assess the effect of the plan on the incidence of COVID-19 during the first wave of the pandemic in Barcelona. STUDY DESIGN We used a quasi-experimental design with 16 intervention neighbourhoods and 17 neighbourhoods in the comparison group with similar socioeconomic characteristics. METHODS We calculated the cumulative incidence rate (CIR) of COVID-19 per 100,000 inhabitants by sex, age groups, and neighbourhood of residence. Poisson regression models were fitted to estimate the crude relative risk and relative risk adjusted by socioeconomic status (cRR and aRR) and their 95% confidence intervals (CIs). RESULTS The CIR of COVID-19 was lower in the intervention neighbourhoods (CIR: 841 per 100,000 inhabitants) than in the comparison group (CIR: 973 per 100,000 inhabitants). On multivariate analysis, the aRR was 0.77 (CI: 0.70-0.83) for men and 0.89 (CI: 0.83-0.96) for women. Among men older than 75 years (aRR = 0.73; CI: 0.62-0.86), statistically significant differences were found in the intervention neighbourhoods compared to the comparison group. This pattern was not observed in women older than 75 years (aRR = 1.13; CI: 0.99-1.30). CONCLUSION This research finds positive short-term effect in the intervention neighbourhoods. We conclude that the COVID-19 control and prevention interventions are likely to explain the better performance in the neighbourhoods included in the Neighbourhood Plan.
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Affiliation(s)
| | - G Perez
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut D'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra, Barcelona, Spain.
| | - M Piñero
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain
| | - A Reyes
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Universitat Pompeu Fabra, Barcelona, Spain
| | - K Pérez
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut D'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - L Artazcoz
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut D'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra, Barcelona, Spain
| | - C Borrell
- Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain; Institut D'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Universitat Pompeu Fabra, Barcelona, Spain
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11
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Hunter RF, Nieuwenhuijsen M, Fabian C, Murphy N, O'Hara K, Rappe E, Sallis JF, Lambert EV, Duenas OLS, Sugiyama T, Kahlmeier S. Advancing urban green and blue space contributions to public health. Lancet Public Health 2023; 8:e735-e742. [PMID: 37633681 DOI: 10.1016/s2468-2667(23)00156-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 07/06/2023] [Accepted: 07/18/2023] [Indexed: 08/28/2023]
Abstract
Urban green and blue spaces (UGBS) have the potential to improve public health and wellbeing, address health inequities, and provide co-benefits for the environment, economy, and society. To achieve these ambitions, researchers should engage with communities, practitioners, and policy makers in a virtuous circle of research, policy, implementation, and active citizenship using the principles of co-design, co-implementation, co-evaluation, and co-translation. This Viewpoint provides an integrated perspective on the challenges that hinder the delivery of health-enhancing UGBS and recommendations to address them. Our recommendations include: strengthening the evidence beyond cross-sectional research designs, strengthening the evidence base on UGBS intervention approaches, evaluating the effects on diverse population groups and communities, addressing inequities in the distribution and quality of UGBS, accelerating research on blue space, providing evidence for environmental effects, incorporating co-design approaches, developing innovative modelling methods, fostering whole-system evidence, harnessing political drivers, creating collaborations for sustainable UGBS action, and advancing evidence in low-income and middle-income countries. The full potential of UGBS as public health, social, economic, and environmental assets is yet to be realised. Acting on the research and translation recommendations will aid in addressing these challenges in collaboration with research, policy, practice, and communities.
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Affiliation(s)
| | | | - Carlo Fabian
- Institute for Social Work and Health, University of Applied Sciences and Arts, Northwestern Switzerland FHNW, Otten, Switzerland
| | - Niamh Murphy
- School of Health Sciences, South East Technological University, Waterford, Ireland
| | - Kelly O'Hara
- Department of Sports Science, University Beira Interior, Covilhã, Portugal
| | - Erja Rappe
- The Age Institute, University of Helsinki, Helsinki, Finland
| | - James Fleming Sallis
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, California, CA, USA; Australian Catholic University, Melbourne, VIC, Australia
| | - Estelle Victoria Lambert
- Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | | | - Takemi Sugiyama
- Centre for Urban Transitions, Swinburne University of Technology, Melbourne, VIC, Australia
| | - Sonja Kahlmeier
- Department of Health, Swiss Distance University of Applied Science (FFHS), Zurich, Switzerland
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12
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Cohen Y, Valdés-Mas R, Elinav E. The Role of Artificial Intelligence in Deciphering Diet-Disease Relationships: Case Studies. Annu Rev Nutr 2023; 43:225-250. [PMID: 37207358 DOI: 10.1146/annurev-nutr-061121-090535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Modernization of society from a rural, hunter-gatherer setting into an urban and industrial habitat, with the associated dietary changes, has led to an increased prevalence of cardiometabolic and additional noncommunicable diseases, such as cancer, inflammatory bowel disease, and neurodegenerative and autoimmune disorders. However, while dietary sciences have been rapidly evolving to meet these challenges, validation and translation of experimental results into clinical practice remain limited for multiple reasons, including inherent ethnic, gender, and cultural interindividual variability, among other methodological, dietary reporting-related, and analytical issues. Recently, large clinical cohorts with artificial intelligence analytics have introduced new precision and personalized nutrition concepts that enable one to successfully bridge these gaps in a real-life setting. In this review, we highlight selected examples of case studies at the intersection between diet-disease research and artificial intelligence. We discuss their potential and challenges and offer an outlook toward the transformation of dietary sciences into individualized clinical translation.
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Affiliation(s)
- Yotam Cohen
- Systems Immunology Department, Weizmann Institute of Science, Rehovot, Israel;
| | - Rafael Valdés-Mas
- Systems Immunology Department, Weizmann Institute of Science, Rehovot, Israel;
| | - Eran Elinav
- Systems Immunology Department, Weizmann Institute of Science, Rehovot, Israel;
- Division of Microbiome & Cancer, National German Cancer Research Center (DKFZ), Heidelberg, Germany;
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Sahoo KC, Negi S, Mahapatra P, Samantaray K, Dash GC, Dubey S, Sahay MR, Sahoo RK, Bhattacharya D, Sahoo B, Pani SP, Otmani del Barrio M, Pati S. Gender dimensions of health-related challenges among urban poor during COVID-19 pandemic in low-and middle-income countries: a systematic review and gap analysis. Front Public Health 2023; 11:1170386. [PMID: 37361176 PMCID: PMC10288984 DOI: 10.3389/fpubh.2023.1170386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Accepted: 05/11/2023] [Indexed: 06/28/2023] Open
Abstract
The COVID-19 pandemic has varying effects on men, women, and the transgender population. However, there is a paucity of systematic evidence on how gender and other social determinants of health during COVID-19 are affected in resource constraint urban settings. This review describes the gender dimensions of health-related challenges among the urban poor during COVID-19 in LMICs. We searched 11 scholarly online repositories including PubMed, Embase, Web of Science, CINAHL using the domain "slums," "COVID-19", "LMICs" and "gender identities." We used thematic framework analysis to synthesize qualitative data, and meta-analysis to determine the pooled prevalence. We registered in PROSPERO (CRD42020203783). We identified 6490 records, and 37 articles included. The studies reported stress among 74% women and 78% men, depression among 59% women and 62% men, and anxiety among 79% women and 63% men. Men had more stress than women during COVID-19; men are primarily responsible for household sustenance. Women had more anxiety than men, possibly because they are often the primary caregivers for children and the older population. While the severity varies according to gender identity, their vulnerability mostly related to their literacy and economy, highlighting the significance of including all social determinants in future primary studies. Systematic review registration https://www.crd.york.ac.uk/prospero/#recordDetails.
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Affiliation(s)
- Krushna Chandra Sahoo
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Sapna Negi
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Pranab Mahapatra
- Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India
| | - Kajal Samantaray
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Girish Chandra Dash
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Shubhankar Dubey
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Mili Roopchand Sahay
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Rakesh Kumar Sahoo
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Debdutta Bhattacharya
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | - Banamber Sahoo
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
| | | | - Mariam Otmani del Barrio
- UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR), World Health Organization, Geneva, Switzerland
| | - Sanghamitra Pati
- Health Technology Assessment in India, Indian Council of Medical Research (ICMR)-Regional Medical Research Centre, Bhubaneswar, Odisha, India
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Badaloni C, De Sario M, Caranci N, De' Donato F, Bolignano A, Davoli M, Leccese L, Michelozzi P, Leone M. A spatial indicator of environmental and climatic vulnerability in Rome. ENVIRONMENT INTERNATIONAL 2023; 176:107970. [PMID: 37224679 DOI: 10.1016/j.envint.2023.107970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 04/14/2023] [Accepted: 05/08/2023] [Indexed: 05/26/2023]
Abstract
BACKGROUND Urban areas are disproportionately affected by multiple pressures from overbuilding, traffic, air pollution, and heat waves that often interact and are interconnected in producing health effects. A new synthetic tool to summarize environmental and climatic vulnerability has been introduced for the city of Rome, Italy, to provide the basis for environmental and health policies. METHODS From a literature overview and based on the availability of data, several macro-dimensions were identified on 1,461 grid cells with a width of 1 km2 in Rome: land use, roads and traffic-related exposure, green space data, soil sealing, air pollution (PM2.5, PM10, NO2, C6H6, SO2), urban heat island intensity. The Geographically Weighted Principal Component Analysis (GWPCA) method was performed to produce a composite spatial indicator to describe and interpret each spatial feature by integrating all environmental dimensions. The method of natural breaks was used to define the risk classes. A bivariate map of environmental and social vulnerability was described. RESULTS The first three components explained most of the variation in the data structure with an average of 78.2% of the total percentage of variance (PTV) explained by the GWPCA, with air pollution and soil sealing contributing most in the first component; green space in the second component; road and traffic density and SO2 in the third component. 56% of the population lives in areas with high or very high levels of environmental and climatic vulnerability, showing a periphery-centre trend, inverse to the deprivation index. CONCLUSIONS A new environmental and climatic vulnerability indicator for the city of Rome was able to identify the areas and population at risk in the city, and can be integrated with other vulnerability dimensions, such as social deprivation, providing the basis for risk stratification of the population and for the design of policies to address environmental, climatic and social injustice.
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Affiliation(s)
- Chiara Badaloni
- Department of Epidemiology of the Lazio Regional Health Service, ASL Roma 1, Rome, Italy.
| | - Manuela De Sario
- Department of Epidemiology of the Lazio Regional Health Service, ASL Roma 1, Rome, Italy
| | - Nicola Caranci
- Regional Health and Social Care Agency, Emilia-Romagna Region, Bologna, Italy
| | - Francesca De' Donato
- Department of Epidemiology of the Lazio Regional Health Service, ASL Roma 1, Rome, Italy
| | | | - Marina Davoli
- Department of Epidemiology of the Lazio Regional Health Service, ASL Roma 1, Rome, Italy
| | - Letizia Leccese
- Department of Epidemiology of the Lazio Regional Health Service, ASL Roma 1, Rome, Italy
| | - Paola Michelozzi
- Department of Epidemiology of the Lazio Regional Health Service, ASL Roma 1, Rome, Italy
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15
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Goetschius LG, Henderson M, Han F, Mahmoudi D, Perman C, Haft H, Stockwell I. Assessing performance of ZCTA-level and Census Tract-level social and environmental risk factors in a model predicting hospital events. Soc Sci Med 2023; 326:115943. [PMID: 37156187 DOI: 10.1016/j.socscimed.2023.115943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 04/03/2023] [Accepted: 04/30/2023] [Indexed: 05/10/2023]
Abstract
Predictive analytics are used in primary care to efficiently direct health care resources to high-risk patients to prevent unnecessary health care utilization and improve health. Social determinants of health (SDOH) are important features in these models, but they are poorly measured in administrative claims data. Area-level SDOH can be proxies for unavailable individual-level indicators, but the extent to which the granularity of risk factors impacts predictive models is unclear. We examined whether increasing the granularity of area-based SDOH features from ZIP code tabulation area (ZCTA) to Census Tract strengthened an existing clinical prediction model for avoidable hospitalizations (AH events) in Maryland Medicare fee-for-service beneficiaries. We created a person-month dataset for 465,749 beneficiaries (59.4% female; 69.8% White; 22.7% Black) with 144 features indexing medical history and demographics using Medicare claims (September 2018 through July 2021). Claims data were linked with 37 SDOH features associated with AH events from 11 publicly-available sources (e.g., American Community Survey) based on the beneficiaries' ZCTA and Census Tract of residence. Individual AH risk was estimated using six discrete time survival models with different combinations of demographic, condition/utilization, and SDOH features. Each model used stepwise variable selection to retain only meaningful predictors. We compared model fit, predictive performance, and interpretation across models. Results showed that increasing the granularity of area-based risk factors did not dramatically improve model fit or predictive performance. However, it did affect model interpretation by altering which SDOH features were retained during variable selection. Further, the inclusion of SDOH at either granularity level meaningfully reduced the risk that was attributed to demographic predictors (e.g., race, dual-eligibility for Medicaid). Differences in interpretation are critical given that this model is used by primary care staff to inform the allocation of care management resources, including those available to address drivers of health beyond the bounds of traditional health care.
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Affiliation(s)
- Leigh G Goetschius
- The Hilltop Institute at the University of Maryland, Baltimore County (UMBC), Baltimore, MD, USA.
| | - Morgan Henderson
- The Hilltop Institute at the University of Maryland, Baltimore County (UMBC), Baltimore, MD, USA; Department of Economics, College of Arts, Humanities, and Social Sciences, UMBC, Baltimore, MD, 21250, USA
| | - Fei Han
- The Hilltop Institute at the University of Maryland, Baltimore County (UMBC), Baltimore, MD, USA; Department of Computer Science and Electrical Engineering, College of Engineering and Information Technology, UMBC, Baltimore, MD, 21250, USA
| | - Dillon Mahmoudi
- Department of Geography and Environmental Systems, College of Arts, Humanities, and Social Sciences, UMBC, Baltimore, MD, USA
| | - Chad Perman
- Program Management Office for the Maryland Primary Care Program, Maryland Department of Health, Baltimore, MD, USA
| | - Howard Haft
- Program Management Office for the Maryland Primary Care Program, Maryland Department of Health, Baltimore, MD, USA
| | - Ian Stockwell
- Department of Information Systems, College of Engineering and Information Technology, UMBC, Baltimore, MD, 21250, USA; Erickson School of Aging Studies, UMBC, Baltimore, MD, 21228, USA
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Han Z, Xia T, Xi Y, Li Y. Healthy Cities, A comprehensive dataset for environmental determinants of health in England cities. Sci Data 2023; 10:165. [PMID: 36966167 PMCID: PMC10039331 DOI: 10.1038/s41597-023-02060-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 03/08/2023] [Indexed: 03/27/2023] Open
Abstract
This paper presents a fine-grained and multi-sourced dataset for environmental determinants of health collected from England cities. We provide health outcomes of citizens covering physical health (COVID-19 cases, asthma medication expenditure, etc.), mental health (psychological medication expenditure), and life expectancy estimations. We present the corresponding environmental determinants from four perspectives, including basic statistics (population, area, etc.), behavioural environment (availability of tobacco, health-care services, etc.), built environment (road density, street view features, etc.), and natural environment (air quality, temperature, etc.). To reveal regional differences, we extract and integrate massive environment and health indicators from heterogeneous sources into two unified spatial scales, i.e., at the middle layer super output area (MSOA) and the city level, via big data processing and deep learning. Our data holds great promise for diverse audiences, such as public health researchers and urban designers, to further unveil the environmental determinants of health and design methodology for a healthy, sustainable city.
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Affiliation(s)
- Zhenyu Han
- Beijing National Research Center for Information Science and Technology (BNRist), Beijing, P. R. China
- Department of Electronic Engineering, Tsinghua University, Beijing, P. R. China
| | - Tong Xia
- Department of Computer Science and Technology, University of Cambridge, Cambridge, UK
| | - Yanxin Xi
- Department of Computer Science, University of Helsinki, Helsinki, Finland
| | - Yong Li
- Beijing National Research Center for Information Science and Technology (BNRist), Beijing, P. R. China.
- Department of Electronic Engineering, Tsinghua University, Beijing, P. R. China.
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Pykett J, Campbell N, Fenton SJ, Gagen E, Lavis A, Newbigging K, Parkin V, Williams J. Urban precarity and youth mental health: An interpretive scoping review of emerging approaches. Soc Sci Med 2023; 320:115619. [PMID: 36641884 DOI: 10.1016/j.socscimed.2022.115619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 10/09/2022] [Accepted: 12/13/2022] [Indexed: 12/24/2022]
Abstract
Circumstances of living are key to shaping emotional and affective experiences, long term health, wellbeing and opportunities. In an era characterised by rapid urbanisation across the majority of the world, there is increasing interest in the interaction between mental health and urban environments, but insufficient attention is paid to how mental health is situated in space and time. Socio-economic inequalities are prevalent in many urban environments globally, making conditions of living highly precarious for some social groups including young people. There remains a large volume of unmet mental health service needs, and young people are impacted by uncertain economic futures. The purpose of this scoping review is to develop an interdisciplinary and globally-informed understanding of the urban conditions which affect youth mental health across a range of scales, and to identify protective factors which can promote better youth mental health. We seek to broaden the scope of urban mental health research beyond the physical features of urban environments to develop an interpretive framework based on perspectives shared by young people. We illustrate how concepts from social theory can be used as an integrative framework to emphasise both young people's lived experiences and the wider cultural and political dynamics of urban mental health.
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Affiliation(s)
- Jessica Pykett
- School of Geography, Earth and Environmental Sciences, Institute for Mental Health and Centre for Urban Wellbeing, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
| | - Niyah Campbell
- Institute for Mental Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
| | - Sarah-Jane Fenton
- School of Social Policy and Institute for Mental Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
| | - Elizabeth Gagen
- Department of Geography and Earth Sciences, Aberystwyth University, Llandinam Building, Penglais Campus, Aberystwyth, SY23 3DB, Wales, UK.
| | - Anna Lavis
- Institute of Applied Health Research and Institute for Mental Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
| | - Karen Newbigging
- School of Social Policy and Institute for Mental Health, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
| | - Verity Parkin
- Liberal Arts and Natural Sciences Alumni, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
| | - Jessy Williams
- School of Geography, Earth and Environmental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
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Leimbigler B, Li EPH, Rush KL, Seaton CL. Response to Buse et al.'s letter to the editor. CANADIAN JOURNAL OF PUBLIC HEALTH = REVUE CANADIENNE DE SANTE PUBLIQUE 2023; 114:154-155. [PMID: 36520407 PMCID: PMC9849493 DOI: 10.17269/s41997-022-00731-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 11/29/2022] [Indexed: 12/23/2022]
Affiliation(s)
| | | | - Kathy L Rush
- University of British Columbia - Okanagan, Kelowna, BC, Canada
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Zhang Y, Liu N, Li Y, Long Y, Baumgartner J, Adamkiewicz G, Bhalla K, Rodriguez J, Gemmell E. Neighborhood infrastructure-related risk factors and non-communicable diseases: a systematic meta-review. Environ Health 2023; 22:2. [PMID: 36604680 PMCID: PMC9814186 DOI: 10.1186/s12940-022-00955-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 12/29/2022] [Indexed: 05/29/2023]
Abstract
BACKGROUND With rapid urbanization, the urban environment, especially the neighborhood environment, has received increasing global attention. However, a comprehensive overview of the association between neighborhood risk factors and human health remains unclear due to the large number of neighborhood risk factor-human health outcome pairs. METHOD On the basis of a whole year of panel discussions, we first obtained a list of 5 neighborhood domains, containing 33 uniformly defined neighborhood risk factors. We only focused on neighborhood infrastructure-related risk factors with the potential for spatial interventions through urban design tools. Subsequently, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic meta-review of 17 infrastructure-related risk factors of the 33 neighborhood risk factors (e.g., green and blue spaces, proximity to major roads, and proximity to landfills) was conducted using four databases, Web of Science, PubMed, OVID, and Cochrane Library, from January 2000 to May 2021, and corresponding evidence for non-communicable diseases (NCDs) was synthesized. The review quality was assessed according to the A MeaSurement Tool to Assess Systematic Reviews (AMSTAR) standard. RESULTS Thirty-three moderate-and high-quality reviews were included in the analysis. Thirteen major NCD outcomes were found to be associated with neighborhood infrastructure-related risk factors. Green and blue spaces or walkability had protective effects on human health. In contrast, proximity to major roads, industry, and landfills posed serious threats to human health. Inconsistent results were obtained for four neighborhood risk factors: facilities for physical and leisure activities, accessibility to infrastructure providing unhealthy food, proximity to industry, and proximity to major roads. CONCLUSIONS This meta-review presents a comprehensive overview of the effects of neighborhood infrastructure-related risk factors on NCDs. Findings on the risk factors with strong evidence can help improve healthy city guidelines and promote urban sustainability. In addition, the unknown or uncertain association between many neighborhood risk factors and certain types of NCDs requires further research.
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Affiliation(s)
- Yuyang Zhang
- School of Architecture, Tsinghua University, Beijing, China
| | - Ningrui Liu
- School of Architecture, Tsinghua University, Beijing, China
| | - Yan Li
- School of Architecture, Tsinghua University, Beijing, China
| | - Ying Long
- School of Architecture and Hang Lung Center for Real Estate, Key Laboratory of Eco Planning & Green Building, Ministry of Education, Tsinghua University, No. 1 Qinghuayuan, Haidian District, Beijing, 100084, China.
| | - Jill Baumgartner
- Institute for Health and Social Policy & Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Canada
| | - Gary Adamkiewicz
- Department of Environmental Health, Harvard T.H. Chan, School of Public Health, Boston, MA, USA
| | - Kavi Bhalla
- Public Health Sciences, University of Chicago, Chicago, IL, USA
| | | | - Emily Gemmell
- School of Population and Public Health, University of British Columbia, Vancouver, Canada
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Couso-Viana S, Bentué-Martínez C, Delgado-Martín MV, Cabeza-Irigoyen E, León-Latre M, Concheiro-Guisán A, Rodríguez-Álvarez MX, Román-Rodríguez M, Roca-Pardiñas J, Zúñiga-Antón M, García-Flaquer A, Pericàs-Pulido P, Sánchez-Recio R, González-Álvarez B, Rodríguez-Pastoriza S, Gómez-Gómez I, Motrico E, Jiménez-Murillo JL, Rabanaque I, Clavería A. Analysis of the impact of social determinants and primary care morbidity on population health outcomes by combining big data: A research protocol. Front Med (Lausanne) 2022; 9:1012437. [PMID: 36590942 PMCID: PMC9800778 DOI: 10.3389/fmed.2022.1012437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 12/01/2022] [Indexed: 12/23/2022] Open
Abstract
Background In recent years, different tools have been developed to facilitate analysis of social determinants of health (SDH) and apply this to health policy. The possibility of generating predictive models of health outcomes which combine a wide range of socioeconomic indicators with health problems is an approach that is receiving increasing attention. Our objectives are twofold: (1) to predict population health outcomes measured as hospital morbidity, taking primary care (PC) morbidity adjusted for SDH as predictors; and (2) to analyze the geographic variability of the impact of SDH-adjusted PC morbidity on hospital morbidity, by combining data sourced from electronic health records and selected operations of the National Statistics Institute (Instituto Nacional de Estadística/INE). Methods The following will be conducted: a qualitative study to select socio-health indicators using RAND methodology in accordance with SDH frameworks, based on indicators published by the INE in selected operations; and a quantitative study combining two large databases drawn from different Spain's Autonomous Regions (ARs) to enable hospital morbidity to be ascertained, i.e., PC electronic health records and the minimum basic data set (MBDS) for hospital discharges. These will be linked to socioeconomic indicators, previously selected by geographic unit. The outcome variable will be hospital morbidity, and the independent variables will be age, sex, PC morbidity, geographic unit, and socioeconomic indicators. Analysis To achieve the first objective, predictive models will be used, with a test-and-training technique, fitting multiple logistic regression models. In the analysis of geographic variability, penalized mixed models will be used, with geographic units considered as random effects and independent predictors as fixed effects. Discussion This study seeks to show the relationship between SDH and population health, and the geographic differences determined by such determinants. The main limitations are posed by the collection of data for healthcare as opposed to research purposes, and the time lag between collection and publication of data, sampling errors and missing data in registries and surveys. The main strength lies in the project's multidisciplinary nature (family medicine, pediatrics, public health, nursing, psychology, engineering, geography).
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Affiliation(s)
- Sabela Couso-Viana
- I-Saúde Group, South Galicia Health Research Institute (Instituto de Investigación Sanitaria Galicia Sur), SERGAS-UVIGO, Vigo, Spain
| | - Carmen Bentué-Martínez
- Department of Geography, Aragon University Environmental Sciences Research Institute (Instituto Universitario de Investigación en Ciencias Ambientales de Aragón/IUCA), University of Zaragoza, Zaragoza, Spain
| | - María Victoria Delgado-Martín
- I-Saúde Group, South Galicia Health Research Institute (Instituto de Investigación Sanitaria Galicia Sur), SERGAS-UVIGO, Vigo, Spain,Moaña Health Center, Vigo Area, SERGAS, Vigo, Spain,*Correspondence: María Victoria Delgado-Martín,
| | - Elena Cabeza-Irigoyen
- Health Promotion Service, Ministry of Health and Consumer Affairs, Public Health Research Group (Grup d’Investigació en Salud Pública/GISPIB), Balearic Islands Health Research Institute (IdISBa), Balearic Islands, Spain
| | | | - Ana Concheiro-Guisán
- Department of Pediatrics, Álvaro Cunqueiro Hospital, SERGAS, Vigo, Spain,Rare Diseases and Pediatric Medicine Group, South Galicia Health Research Institute (Instituto de Investigación Sanitaria Galicia Sur), SERGAS-UVIGO, Vigo, Spain
| | - María Xosé Rodríguez-Álvarez
- Department of Statistics and Operations Research, Biomedical Research Center (Centro de Investigacións Biomédicas/CINBIO), University of Vigo, Vigo, Spain,Galician Research and Mathematical Technology Center (Centro de Investigación e Tecnoloxía Matemática de Galicia/CITMAga), Vigo, Spain
| | - Miguel Román-Rodríguez
- Primary Care Management of Mallorca, Balearic Islands Health Research Institute, Balearic Islands, Spain
| | - Javier Roca-Pardiñas
- Galician Research and Mathematical Technology Center (Centro de Investigación e Tecnoloxía Matemática de Galicia/CITMAga), Vigo, Spain,Department of Statistics and Operations Research, University of Vigo, Vigo, Spain,Network for Research on Chronicity, Primary Care and Health Promotion (Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud/RICAPPS), Galicia, Spain
| | - María Zúñiga-Antón
- Department of Geography, Aragon University Environmental Sciences Research Institute (Instituto Universitario de Investigación en Ciencias Ambientales de Aragón/IUCA), University of Zaragoza, Zaragoza, Spain
| | - Ana García-Flaquer
- Balearic Islands Health Research Platform (Plataforma de Investigación en Información en Salud de Las Islas Baleares/PRISIB), Balearic Islands, Spain
| | - Pau Pericàs-Pulido
- Balearic Islands Health Research Platform (Plataforma de Investigación en Información en Salud de Las Islas Baleares/PRISIB), Balearic Islands, Spain
| | - Raquel Sánchez-Recio
- Aragon Health Services Research Group (Grupo de Investigación en Servicios Sanitarios de Aragón/GRISSA), Aragon, Spain,Aragonese Institute of Health, Aragon, Spain
| | | | - Sara Rodríguez-Pastoriza
- I-Saúde Group, South Galicia Health Research Institute (Instituto de Investigación Sanitaria Galicia Sur), SERGAS-UVIGO, Vigo, Spain
| | - Irene Gómez-Gómez
- Network for Research on Chronicity, Primary Care and Health Promotion (Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud/RICAPPS), Galicia, Spain,Department of Psychology, Loyola University Andalusia, Seville, Spain
| | - Emma Motrico
- Network for Research on Chronicity, Primary Care and Health Promotion (Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud/RICAPPS), Galicia, Spain,Department of Psychology, Loyola University Andalusia, Seville, Spain
| | | | - Isabel Rabanaque
- Department of Geography, Aragon University Environmental Sciences Research Institute (Instituto Universitario de Investigación en Ciencias Ambientales de Aragón/IUCA), University of Zaragoza, Zaragoza, Spain
| | - Ana Clavería
- I-Saúde Group, South Galicia Health Research Institute (Instituto de Investigación Sanitaria Galicia Sur), SERGAS-UVIGO, Vigo, Spain,Network for Research on Chronicity, Primary Care and Health Promotion (Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud/RICAPPS), Galicia, Spain
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21
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DeLouize AM, Eick G, Karam SD, Snodgrass JJ. Current and future applications of biomarkers in samples collected through minimally invasive methods for cancer medicine and population-based research. Am J Hum Biol 2022; 34:e23665. [PMID: 34374148 PMCID: PMC9894104 DOI: 10.1002/ajhb.23665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 07/27/2021] [Accepted: 07/28/2021] [Indexed: 02/04/2023] Open
Abstract
Despite advances in cancer medicine and research, invasive and potentially risky procedures such as biopsies, venous blood tests, imaging, colonoscopy, and pap smear tests are still primarily used for screening, staging, and assessing response to therapy. The development and interdisciplinary use of biomarkers from urine, feces, saliva, scent, and capillary blood collected with minimally invasive methods represents a potential opportunity for integration with biomarker analysis for cancers, both in clinical practice (e.g., in screening, treatment, and disease monitoring, and improved quality of life for patients) and population-based research (e.g., in epidemiology/public health, studies of social and environmental determinants, and evolutionary medicine). In this article, we review the scientific rationale, benefits, challenges, and potential opportunities for measuring cancer-related biomarkers in samples collected through minimally invasive methods.
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Affiliation(s)
| | - Geeta Eick
- Department of Anthropology, University of Oregon, Eugene, Oregon, USA
| | - Sana D. Karam
- Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - J. Josh Snodgrass
- Department of Anthropology, University of Oregon, Eugene, Oregon, USA
- Center for Global Health, University of Oregon, Eugene, Oregon, USA
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22
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Dróżdż R, Pasek M, Zając M, Szark-Eckardt M. Physical Culture and Sports as an Educational Basis of Students' Healthy Physical Activities during and Post-Lockdown COVID-19 Restrictions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11663. [PMID: 36141936 PMCID: PMC9516969 DOI: 10.3390/ijerph191811663] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 09/12/2022] [Accepted: 09/14/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: The SARS-CoV-2 virus manifests itself in many aspects of everyday life, among which one of the most frequently accentuated are changes in physical activity from the perspective of lockdown mobility limitations. The aim of this study was to assess the level of physical activity in groups of students with different levels of educational engagement in physical activity while taking into account the realities of remote and traditional education. (2) Methods: The study was conducted among 200 students of 3 majors with varying degrees of curriculum related to physical activity, including students of physical education (n-73), tourism and recreation (n-65) and students of a non-physical education major (n-62). The survey technique used was the short version of the International Physical Activity Questionnaire (IPAQ). (3) Results: PE students are the most engaged in physical activity compared to other study groups. This pattern is particularly true for high physical activity. An interesting observation is that, in the post-lockdown period, there was no statistically significant difference between the physical activity levels of PE students and TR students. Meanwhile, such a difference in favor of PE students was evident during the lockdown period. (4) Conclusions: Educational links to physical activity appear to be an important factor in stimulating this activity during times of epidemiological emergency.
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Affiliation(s)
- Remigiusz Dróżdż
- Faculty of Physical Culture, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland
| | - Marcin Pasek
- Faculty of Physical Culture, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland
| | - Magdalena Zając
- Department of Special Pedagogy and Speech Therapy, Kazimierz Wielki University, 85-064 Bydgoszcz, Poland
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23
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Lennon NH, Carmichael AE, Qualters JR. Health equity guiding frameworks and indices in injury: A review of the literature. JOURNAL OF SAFETY RESEARCH 2022; 82:469-481. [PMID: 36031278 PMCID: PMC10569058 DOI: 10.1016/j.jsr.2022.07.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 07/01/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND In early 2021, CDC released the CORE Health Equity Strategy, which resolves to integrate a comprehensive health equity approach to the work of the Agency. One priority of the Injury Center's Division of Injury Prevention is to move health equity research in injury forward. The purpose of this research is to perform an initial exploration of health equity guiding frameworks and indices to better understand which of these has been applied to injury research topics. METHODS A PubMed and CINAHL search of meta-analysis and systematic review articles was conducted from January 1998 through April 2022. Articles of any type and additional frameworks/indices were also identified from staff knowledge of the literature. Books were also considered, where accessible. The following areas were reviewed for each resource: population addressed, guiding framework/index, other health equity variables, gaps identified, and whether the articles addressed an injury topic. FINDINGS The PubMed/CINAHL search produced 230 articles, and an additional 29 articles and 8 books were added from previous knowledge of the literature, resulting in a total of 267 resources for review. There were 60 frameworks/indices compiled that were relevant to health equity. Out of all the resources, three reported on an injury topic and used the PROGRESS-Plus framework, the WHO Social Determinants of Health Conceptual Framework, and a social-ecological framework. CONCLUSIONS This study found there were many frameworks/indices for measuring health equity; however, there were few injury-related meta-analysis and systematic review articles. Some frameworks/indices may be more appropriate than others for measuring health equity in injury topic areas, depending on which social determinants of health (SDOHs) they address. PRACTICAL APPLICATIONS Measuring health equity in injury and other public health research areas can help build a foundation of evidence. Moving forward, injury researchers can consider the frameworks/indices identified through this study in their health equity injury research.
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Affiliation(s)
- Natalie H Lennon
- Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Injury Prevention, Atlanta, GA 30341, USA; Oak Ridge Associated Universities (ORAU), Division of Injury Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
| | - Andrea E Carmichael
- Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Injury Prevention, Atlanta, GA 30341, USA
| | - Judith R Qualters
- Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Injury Prevention, Atlanta, GA 30341, USA
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24
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Khannyra S, Gil MLA, Addou M, Mosquera MJ. Dye decomposition and air de-pollution performance of TiO 2/SiO 2 and N-TiO 2/SiO 2 photocatalysts coated on Portland cement mortar substates. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:63112-63125. [PMID: 35459995 PMCID: PMC9477917 DOI: 10.1007/s11356-022-20228-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 04/09/2022] [Indexed: 06/14/2023]
Abstract
In this study, the newly synthesized TiO2 and N doped TiO2 clusters were added to silica sol to synthesize N-TiO2/SiO2 composites via the sol-gel method. Afterwards, the prepared sols were applied by brushing on portland cement. Doping with nitrogen significantly increased the absorption of TiO2 towards the visible region, thus, increasing the photocatalytic activity. SEM characterization of the treated samples showed that the clusters were distributed in form of aggregates on the samples' surface. The self-cleaning and air de-polluting performances were assessed through methylene blue degradation and the oxidation of nitrogen oxide, resulting in methylene blue (MB) removal of 85% and 78% after 60 min of irradiation for SN10TiO2 and STiO2, respectively. Regarding air de-pollution performance, the newly synthesized photocatalysts showed the ability of NOx reduction. However, their efficiency was somewhat lower, in which 23.81% of NO has been oxidized by the sample SN10TiO2, while SP25 showed a total NO conversion of 38.98%. The powdered xerogels of the newly synthesized nanoparticles revealed high photocatalytic efficiency concerning NO oxidation, resulting in a higher performance compared to those obtained by the xerogel containing P25.
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Affiliation(s)
- Souad Khannyra
- TEP-243 Nanomaterials Group, Department of Physical-Chemistry, Faculty of Sciences, University of Cadiz, 11510, Puerto Real, Spain
- Materials and Valorization of Natural Resource Laboratory, FST Tangier, Abdelmalek Essaadi University, Tétouan, Morocco
| | - Maria Luisa Almoraima Gil
- TEP-243 Nanomaterials Group, Department of Physical-Chemistry, Faculty of Sciences, University of Cadiz, 11510, Puerto Real, Spain.
| | - Mohammed Addou
- Materials and Valorization of Natural Resource Laboratory, FST Tangier, Abdelmalek Essaadi University, Tétouan, Morocco
| | - Maria Jesus Mosquera
- TEP-243 Nanomaterials Group, Department of Physical-Chemistry, Faculty of Sciences, University of Cadiz, 11510, Puerto Real, Spain
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25
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Jung S, Uttley L, Huang J. Housing With Care for Older People: A Scoping Review Using the CASP Assessment Tool to Inform Optimal Design. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2022; 15:299-322. [PMID: 35996357 PMCID: PMC9523824 DOI: 10.1177/19375867221113359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Objective: The purpose of this scoping review is to synthesize and map available evidence on the design of “housing with care” (HWC) schemes to inform design decisions built on objective data from previous research, which is key to ensuring such schemes are fit for purpose for older people. Background: HWC is becoming increasingly recognized as a model for developing housing schemes for older people and balances independent living with elevated levels of care. However, as this scheme is still relatively novel, there are currently no established theoretical frameworks to inform design. Methods: Scoping review, thematic analysis, and mapping methods were used to comprehensively search for and synthesize evidence that links design with assessments of quality-of-life data for HWC schemes. Study findings for each included paper were subject to data extraction for inductive analysis, and the quality of each study was assessed using a modified critical appaisal skills programme (CASP) checklist. Results: Our searches yielded 821 unique references, of which 18 unique articles met the inclusion criteria. The outcomes of interest were the design considerations or features in HWC schemes and their impact on the residents. The main themes identified were related to design element, accessibility, maneuverability, views, design procedure, and quality of life (QOL). Further subthemes identified across papers were identified to create a comprehensive map of the key features to consider in designing HWC schemes. Conclusion: This review provides an initial framework for designers and architects to (1) understand the effect of each design element of HWC and (2) inform design to ultimately improve the QOL of aged people.
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Affiliation(s)
- Suyee Jung
- School of Architecture, University of Sheffield, United Kingdom
| | - Lesley Uttley
- School of Health and Related Research, University of Sheffield, United Kingdom
| | - Junjie Huang
- School of Architecture, University of Sheffield, United Kingdom
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26
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Twardzik E, Clarke PJ, Lisabeth LD, Brown SH, Roth DL, Judd SE, Colabianchi N. Enhanced Street Crossing Features are Associated with Higher Post-Stroke Physical Quality of Life. Top Stroke Rehabil 2022:1-11. [PMID: 35924680 PMCID: PMC9898471 DOI: 10.1080/10749357.2022.2108970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND Features of the physical environment may affect post-stroke recovery, but empirical evidence is limited. This study examines associations between features of the physical environment and post-stroke physical quality of life (PH-QOL). METHODS The study sample included stroke survivors enrolled in the Caring for Adults Recovering from the Effects of Stroke project, a prospective cohort. Features of the physical environment surrounding participants' home addresses were audited using Google Earth. Audits captured information about crossings (e.g. curb-cuts; range 0-4), street segments (e.g. sidewalks; range 0-17.5), and a route (e.g. parks; range 0-27) near participants' home. Summary scores were categorized into tertials representing "few," "some," and "many" pedestrian-friendly features. Post-stroke PH-QOL was measured by the SF-12 (range 0-100) around 6 to 12-, 18-, 27-, and 36-months post-stroke. Linear mixed models were used to estimate PH-QOL over time. Chained multiple imputation was used to account for missing data. RESULTS Two hundred and seventy-five participants were eligible, among whom 210 had complete data. Most participants lived in areas with "few" features to promote outdoor mobility. Participants living in environments with "some" crossing features had a 4.90 (95% CI: 2.32, 7.48) higher PH-QOL score across the observation period in comparison to participants living in environments with "few" crossing features. Features of the physical environment along street segments and routes were not associated with post-stroke PH-QOL. CONCLUSION Crossing features are associated with post-stroke PH-QOL. Modifying features of the physical environment at nearby crossings, such as curb-cuts, may be a promising strategy for increasing PH-QOL.
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Affiliation(s)
- Erica Twardzik
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA,School of Kinesiology, University of Michigan, Ann Arbor, MI, USA
| | - Philippa J. Clarke
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA,Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
| | - Lynda D. Lisabeth
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Susan H. Brown
- School of Kinesiology, University of Michigan, Ann Arbor, MI, USA
| | - David L. Roth
- Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Suzanne E. Judd
- Department of Biostatistics, University of Alabama at Birmingham, AL
| | - Natalie Colabianchi
- School of Kinesiology, University of Michigan, Ann Arbor, MI, USA,Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
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Salgado M, Nogueira P, Torres A, Oliveira MD. Setting Requirements for a Dashboard to Inform Portuguese Decision-Makers About Environment Health in an Urban Setting. Front Public Health 2022; 10:837433. [PMID: 35757634 PMCID: PMC9226409 DOI: 10.3389/fpubh.2022.837433] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 05/17/2022] [Indexed: 11/13/2022] Open
Abstract
Dashboards are being increasingly used in the health field, and literature points out that accurate and efficient dashboards require not only dealing with data issues, but also ensuring that dashboards are user-friendly and that incorporate users' views and needs. The integration of evidence and data into decision aiding tools, such as dashboards, to assess and monitor environmental health (EH) in urban settings requires careful design. Departing from EH evidence and making use of the views of EH stakeholders and experts, this study aimed at defining requirements for a dashboard to help decision-makers analyzing and visualizing EH information in the Lisbon urban context. In order to set those requirements, it was combined a user-centered with a design card approach to engage EH potential end-users so as to collect their visualization preferences and gather information related to dashboard requirements. Specifically, three online group semi-structured interviews, involving 11 potential end-users from different organizations, were conducted; design cards with a set of visualization options regarding 17 indicators of built and natural environment determinants were used in the interviews to capture participants' preferences and their rationale; questions about other dashboard features were also asked; and the results from the interviews were synthesized into four separate, but interrelated features, and operationalized into 11 requirements for a dashboard to monitor EH in Lisbon. This study contributes to EH literature by producing knowledge to inform dashboard construction, by highlighting issues related with the usability, analysis, and visualization of data to inform EH decision-making in urban contexts, and by designing an approach that can be replicated to other EH dashboard contexts.
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Affiliation(s)
- Marta Salgado
- Centre for Management Studies of Instituto Superior Técnico (CEG-IST), Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal
- Institute of Environmental Health (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - Paulo Nogueira
- Institute of Environmental Health (ISAMB), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
- Área Disciplinar Autónoma de Bioestatística (Laboratório de Biomatemática), Instituto de Saúde Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - Anália Torres
- Valorsul, Estação de Mercadorias Bobadela, Plataforma Ribeirinha CP Lisboa, Lisboa, Portugal
| | - Mónica D. Oliveira
- Centre for Management Studies of Instituto Superior Técnico (CEG-IST), Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal
- IBB-Institute for Bioengineering and Biosciences, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal
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Selected Research Issues of Urban Public Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095553. [PMID: 35564947 PMCID: PMC9105718 DOI: 10.3390/ijerph19095553] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 04/27/2022] [Accepted: 04/29/2022] [Indexed: 01/17/2023]
Abstract
Health is created within the urban settings of people’s everyday lives. In this paper we define Urban Public Health and compile existing evidence regarding the spatial component of health and disease in urban environments. Although there is already a substantial body of single evidence on the links between urban environments and human health, focus is mostly on individual health behaviors. We look at Urban Public Health through a structural lens that addresses health conditions beyond individual health behaviors and identify not only health risks but also health resources associated with urban structures. Based on existing conceptual frameworks, we structured evidence in the following categories: (i) build and natural environment, (ii) social environment, (iii) governance and urban development. We focused our search to review articles and reviews of reviews for each of the keywords via database PubMed, Cochrane, and Google Scholar in order to cover the range of issues in urban environments. Our results show that linking findings from different disciplines and developing spatial thinking can overcome existing single evidence and make other correlations visible. Further research should use interdisciplinary approaches and focus on health resources and the transformation of urban structures rather than merely on health risks and behavior.
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Lebow-Skelley E, Young L, Noibi Y, Blaginin K, Hooker M, Williamson D, Tomlinson MS, Kegler MC, Pearson MA. Defining the Exposome Using Popular Education and Concept Mapping With Communities in Atlanta, Georgia. Front Public Health 2022; 10:842539. [PMID: 35493396 PMCID: PMC9039048 DOI: 10.3389/fpubh.2022.842539] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 03/09/2022] [Indexed: 01/21/2023] Open
Abstract
Introduction The exposome concept provides a framework to better incorporate the environment into the study of health and disease and has been defined by academics to encompass all lifetime exposures including toxicants, diet, and lifestyle choices. However, initial applications of the exposome concept have been less apt at measuring social determinants of health, focusing primarily on conventional environmental exposures and lifestyle choices that do not reflect the complex lived experience of many communities. To bring community voice into the exposome concept, the HERCULES Exposome Research Center and its Stakeholder Advisory Board co-developed the Exposome Roadshow. We present and discuss the resulting community-exposome definition to inform and improve exposome research. Materials and Methods Four communities from distinct areas across metro-Atlanta participated in separate 2-day Exposome Roadshow workshops with concept mapping. Aligned with a popular education approach in which community knowledge is used to work collectively for change, concept mapping provided a systematic method to collect and visualize community members' knowledge and create a shared understanding to take action. Community members brainstormed, sorted, and rated their responses to the prompt: "What in your environment is affecting your and your community's health?" Responses were analyzed and visually depicted by concept maps consisting of separate but interrelated clusters of ideas. Community members discussed and validated the maps, selecting a final map illustrating their community's exposome. Results A total of 118 community members completed concept mapping. On average communities identified 7 clusters to define their exposome. The resulting concept maps offer a community definition of the exposome. Five major themes arose across all four communities: conventional environmental concerns, built environment, social relationships, crime and safety, and individual health and behaviors. Discussion The resulting community-exposome definition demonstrates the importance of expanding the scope of exposures beyond traditional environmental influences to include the lived experience of individuals and communities. While newer exposome definitions align more closely with this community definition, traditional exposome methods do not routinely include these factors. To truly capture the totality of lifetime exposures and improve human health, researchers should incorporate community perspectives into exposome research.
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Affiliation(s)
- Erin Lebow-Skelley
- HERCULES Exposome Research Center, Rollins School of Public Health, Emory University, Atlanta, GA, United States,*Correspondence: Erin Lebow-Skelley
| | - Lynne Young
- HERCULES Stakeholder Advisory Board, Atlanta, GA, United States,Pathways to Sustainability, Duluth, GA, United States
| | - Yomi Noibi
- HERCULES Stakeholder Advisory Board, Atlanta, GA, United States,Environmental Community Action (ECO-Action), Atlanta, GA, United States
| | - Karla Blaginin
- HERCULES Stakeholder Advisory Board, Atlanta, GA, United States,Dichos de la Casa, Norcross, GA, United States
| | - Margaret Hooker
- HERCULES Stakeholder Advisory Board, Atlanta, GA, United States
| | - Dana Williamson
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, United States
| | - Martha Scott Tomlinson
- HERCULES Exposome Research Center, Rollins School of Public Health, Emory University, Atlanta, GA, United States
| | - Michelle C. Kegler
- Emory Prevention Research Center, Rollins School of Public Health, Emory University, Atlanta, GA, United States
| | - Melanie A. Pearson
- HERCULES Exposome Research Center, Rollins School of Public Health, Emory University, Atlanta, GA, United States
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Sun P, Lu W. Environmental inequity in hilly neighborhood using multi-source data from a health promotion view. ENVIRONMENTAL RESEARCH 2022; 204:111983. [PMID: 34506785 DOI: 10.1016/j.envres.2021.111983] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 08/25/2021] [Accepted: 08/26/2021] [Indexed: 06/13/2023]
Abstract
The study focused on the justice of residents' opportunity to engage in healthy behavior under different environments is not vast, especially in a hilly dwelling environment. Therefore, this paper investigates environmental inequalities in a hilly urban environment in the context of the booming real estate market in China, comprised of health promotion-related elements, namely, built environment, physical activity facilities, street infrastructure, green spaces, and environmental perceptions. The multi-source data are used to calculate environmental attributes and the socioeconomic status of communities. We take the central districts of Dalian city as the research area and measure environmental equity across different socioeconomic residential areas using the Kruskal-Wallis one-way analysis of variance. The results reveal the spatial disparities in physical activity facilities, street greening, and positive perceptions between different communities. However, green injustice is mitigated in the hilly neighborhoods when we consider only ground-level greenness. This paper studies environmental justice by taking a health-enhancing view, and the results of this study can provide guidance on hilly urban development for government leaders and planners.
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Affiliation(s)
- Peijin Sun
- Research Section of Environment Design, School of Architecture and Fine Art, Dalian University of Technology, China.
| | - Wei Lu
- Research Section of Environment Design, School of Architecture and Fine Art, Dalian University of Technology, China
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Baceviciene M, Jankauskiene R. The Mediating Effect of Nature Restorativeness, Stress Level, and Nature Connectedness in the Association between Nature Exposure and Quality of Life. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042098. [PMID: 35206285 PMCID: PMC8871825 DOI: 10.3390/ijerph19042098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/03/2022] [Accepted: 02/11/2022] [Indexed: 11/21/2022]
Abstract
This study aimed to test the mediating effects of nature restorativeness, stress, and nature connectedness in the association between nature exposure and quality of life (QoL). Urban and rural Lithuanian inhabitants (n = 924; 73.6% were women), mean age of 40.0 ± 12.4 years (age range of 18–79) participated in the study. In total, 31% of the respondents lived in rural areas. Study participants completed an online survey form with measures on sociodemographic factors, nature proximity, nature exposure, nature connectedness, and nature restorativeness, stress, and QoL assessed by the abbreviated version of the World Health Organization’s Quality of Life Questionnaire’s (WHOQOL-BREF). Path analysis was conducted to test the mediating effects of nature restorativeness, stress, and nature connectedness in the model of nature exposure and QoL. Nature exposure was directly associated with a greater QoL (β = 0.14; B = 2.60; SE = 0.57; p < 0.001) and mediated the association between nature proximity and QoL. Nature restorativeness and lower stress levels were mediators between nature exposure and QoL. Nature connectedness was a mediator between nature exposure and QoL. A path model was invariant across genders and the urban and rural place of residence groups: patterns of loadings of the pathways were found to be similar. Nature restorativeness (β = 0.10–0.12; p < 0.01) had a positive effect on the psychological, physical, social, and environmental domains of QoL. Connectedness to nature positively predicted psychological (β = 0.079; p < 0.05) and environmental (β = 0.082; p < 0.05) domains of QoL. Enhancing nature exposure and nature connectedness might help strengthen QoL in urban and rural inhabitants.
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Affiliation(s)
- Migle Baceviciene
- Department of Physical and Social Education, Lithuanian Sports University, Kaunas LT-44221, Lithuania
- Correspondence: ; Tel.: +370-69009878
| | - Rasa Jankauskiene
- Institute of Sport Science and Innovations, Lithuanian Sports University, Kaunas LT-44221, Lithuania;
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Tashiro A. Assessing green management in health belief model: An analysis of a post-disaster rural context. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2022; 302:114025. [PMID: 34737125 DOI: 10.1016/j.jenvman.2021.114025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 07/27/2021] [Accepted: 10/25/2021] [Indexed: 06/13/2023]
Abstract
Previous studies have highlighted ecosystem-based management (EBM) related pro-environmental behaviors. EBM is based on the engagement of local communities in disaster-affected areas. However, few studies have explored the association between residents' health conditions and their perceptions of and capacities for EBM in post-disaster community development. Residents' health and psychological well-being is essential to maintaining their EBM-related motivations. Thus, this article investigated whether the awareness of personal health and Ecosystem-based disaster risk reduction (Eco-DRR) can be reflected in pro-environmental behaviors in the health belief model (HBM) in post-disaster contexts. As part of a case study in a disaster-affected rural community in Japan's Miyagi prefecture, a survey was conducted and the hypotheses were tested using a structural equation model (SEM). The Great East Japan Earthquakes and Tsunami in 2011 affected the study site, in the Maehama community, the Camellia Forest Project was initiated following this disaster as part of the ecosystem-based adaptation (EbA) and ecosystem-based disaster risk reduction (Eco-DRR) initiatives for post-disaster development. The empirical results confirmed the indirect influence of Eco-DRR factors and health perceptions on pro-environmental behaviors. In particular, the analysis showed that among HBM's perceived factors, perceived benefits of health promotion, Eco-DRR perceptions, social cohesion were positively associated with residents' ordinary green management. It also showed that green self-efficacy positively affected ordinary green management. Mowing/weeding experience was a significant representative cue to action and had a positive effect on residents' green management. Thus, this article shows that practicing a healthy lifestyle through green management, integrating Eco-DRR development benefits the sustainability and environmental health of resilient communities.
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Affiliation(s)
- Ai Tashiro
- Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
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Sarmiento OL, Useche AF, Rodriguez DA, Dronova I, Guaje O, Montes F, Stankov I, Wilches MA, Bilal U, Wang X, Guzmán LA, Peña F, Quistberg DA, Guerra-Gomez JA, Diez Roux AV. Built environment profiles for Latin American urban settings: The SALURBAL study. PLoS One 2021; 16:e0257528. [PMID: 34699532 PMCID: PMC8547632 DOI: 10.1371/journal.pone.0257528] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 09/06/2021] [Indexed: 11/25/2022] Open
Abstract
The built environment of cities is complex and influences social and environmental determinants of health. In this study we, 1) identified city profiles based on the built landscape and street design characteristics of cities in Latin America and 2) evaluated the associations of city profiles with social determinants of health and air pollution. Landscape and street design profiles of 370 cities were identified using finite mixture modeling. For landscape, we measured fragmentation, isolation, and shape. For street design, we measured street connectivity, street length, and directness. We fitted a two-level linear mixed model to assess the association of social and environmental determinants of health with the profiles. We identified four profiles for landscape and four for the street design domain. The most common landscape profile was the "proximate stones" characterized by moderate fragmentation, isolation and patch size, and irregular shape. The most common street design profile was the "semi-hyperbolic grid" characterized by moderate connectivity, street length, and directness. The "semi-hyperbolic grid", "spiderweb" and "hyperbolic grid" profiles were positively associated with higher access to piped water and less overcrowding. The "semi-hyperbolic grid" and "spiderweb" profiles were associated with higher air pollution. The "proximate stones" and "proximate inkblots" profiles were associated with higher congestion. In conclusion, there is substantial heterogeneity in the urban landscape and street design profiles of Latin American cities. While we did not find a specific built environment profile that was consistently associated with lower air pollution and better social conditions, the different configurations of the built environments of cities should be considered when planning healthy and sustainable cities in Latin America.
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Affiliation(s)
- Olga L. Sarmiento
- School of Medicine, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
| | - Andrés F. Useche
- Department of Industrial Engineering, School of Engineering, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
| | - Daniel A. Rodriguez
- College of Environmental Design and Institute for Transportation Studies, University of California Berkeley, Berkeley, CA, United States of America
| | - Iryna Dronova
- Department of Landscape Architecture and Environmental Planning, University of California, Berkeley, Berkeley, CA, United States of America
| | - Oscar Guaje
- Department of Industrial Engineering, School of Engineering, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
| | - Felipe Montes
- Department of Industrial Engineering, School of Engineering, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
| | - Ivana Stankov
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
| | - Maria Alejandra Wilches
- Department of Industrial Engineering, School of Engineering, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
| | - Usama Bilal
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
| | - Xize Wang
- Department of Real Estate, National University of Singapore, Singapore, Singapore
| | - Luis A. Guzmán
- Department of Civil and Environmental Engineering, School of Engineering, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
| | - Fabian Peña
- Department of Computer Science, School of Engineering, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
| | - D. Alex Quistberg
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
- Department of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
| | - John A. Guerra-Gomez
- Department of Computer Science, School of Engineering, Universidad de Los Andes in Bogotá Colombia, Bogotá, Colombia
- Khoury School of Computer Science, Northeastern University, San Jose, CA, United States of America
| | - Ana V. Diez Roux
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States of America
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Turcu C, Crane M, Hutchinson E, Lloyd S, Belesova K, Wilkinson P, Davies M. A multi-scalar perspective on health and urban housing: an umbrella review. BUILDINGS & CITIES 2021; 2:734-758. [PMID: 34738085 PMCID: PMC7611930 DOI: 10.5334/bc.119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
With more than half the world's population living in cities, understanding how the built environment impacts human health at different urban scales is crucial. To be able to shape cities for health, an understanding is needed of planetary health impacts, which encompass the human health impacts of human-caused disruptions on the Earth's natural ecosystems. This umbrella review maps health evidence across the spatial scales of the built environment (building; neighbourhood; and wider system, including city, regional and planetary levels), with a specific focus on urban housing. Systematic reviews published in English between January 2011 and December 2020 were searched across 20 databases, with 1176 articles identified and 124 articles screened for inclusion. Findings suggests that most evidence reports on health determinants at the neighbourhood level, such as greenspace, physical and socio-economic conditions, transport infrastructure and access to local services. Physical health outcomes are also primarily reported, with an emerging interest in mental health outcomes. There is little evidence on planetary health outcomes and significant gaps in the research literature are identified. Based on these findings, three potential directions are identified for future research.
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Affiliation(s)
- Catalina Turcu
- The Bartlett Faculty of the Built Environment, University College London, London, UK
| | - Melanie Crane
- The Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia
| | - Emma Hutchinson
- Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, UK
| | - Simon Lloyd
- Climate and Health Programme (CLIMA), Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
| | - Kristine Belesova
- Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, UK
| | - Paul Wilkinson
- Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, UK
| | - Mike Davies
- UCL Institute for Environmental Design and Engineering, Faculty of the Built Environment, University College London, London, UK
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Caminada S, Turatto F, Iorio S, Paglione L, Errigo M, Mazzalai E, Jaljaa A, Giannini D, Tofani M, Michelazzo MB, Landi A, Napoli M, Brandimarte MA, Salvatori LM, Angelozzi A, Baglio G, Di Rosa E, Battisti A, Marceca M. Urban Health and Social Marginality: Perceived Health Status and Interaction with Healthcare Professionals of a Hard-to-Reach Community Living in a Suburban Area of Rome (Italy). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168804. [PMID: 34444550 PMCID: PMC8394967 DOI: 10.3390/ijerph18168804] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 08/17/2021] [Accepted: 08/18/2021] [Indexed: 11/16/2022]
Abstract
The study reports an urban health investigation conducted in Bastogi, an outskirt of Rome (Italy) characterised by social marginalization and deprivation. Our aim was to analyse the health perception, health-related behaviours, and interaction with healthcare professionals of the inhabitants of Bastogi compared to the population living in the area of the same local health unit (ASL). The Progresses of Health Authorities for Health in Italy questionnaire (PASSI) was administered to a sample of 210 inhabitants of Bastogi. Data were analysed and compared to those of the ASL collected in 2017–2018. The socio-economic indicators showed an overall worse condition for the inhabitants of Bastogi, with a significantly higher proportion of foreign and unemployed residents and a lower educational level compared to the ASL. Significant differences in the prevalence of non-communicable diseases, mental health complaints, and participation in prevention strategies, including cancer screening, were found. The questionnaire showed a lower help-seeking behaviour and a lack of reliance on health professionals in Bastogi inhabitants. Our findings highlight how social determinants produce health inequities and barriers to accessing healthcare. The difficulties of conducting quantitative research in complex and hard-to-reach contexts, characterized by high social vulnerability, are outlined.
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Affiliation(s)
- Susanna Caminada
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
- Correspondence:
| | - Federica Turatto
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
| | - Silvia Iorio
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 00185 Rome, Italy;
| | - Lorenzo Paglione
- Department of Civil, Constructional and Environmental Engineering, Sapienza University of Rome, 00184 Rome, Italy;
- Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy; (A.L.); (M.N.); (M.A.B.); (E.D.R.)
| | - Miriam Errigo
- Department of Social Sciences and Economics, Sapienza University of Rome, 00185 Rome, Italy;
| | - Elena Mazzalai
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
| | - Anissa Jaljaa
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
| | - Dara Giannini
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
| | - Marco Tofani
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
| | - Maria Benedetta Michelazzo
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Adelaide Landi
- Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy; (A.L.); (M.N.); (M.A.B.); (E.D.R.)
| | - Massimo Napoli
- Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy; (A.L.); (M.N.); (M.A.B.); (E.D.R.)
| | | | | | - Aurora Angelozzi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
| | - Giovanni Baglio
- Research and International Relations Office, Agenzia Nazionale per i Servizi Sanitari Regionali (AGENAS), 00187 Rome, Italy;
| | - Enrico Di Rosa
- Department of Prevention, Local Health Unit Roma 1, 00135 Rome, Italy; (A.L.); (M.N.); (M.A.B.); (E.D.R.)
| | - Alessandra Battisti
- Department of Planning, Design, and Technology of Architecture, Sapienza University of Rome, 00196 Rome, Italy;
| | - Maurizio Marceca
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy; (F.T.); (E.M.); (A.J.); (D.G.); (M.T.); (A.A.); (M.M.)
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Wang J, Huang JC, Huang SL, Tzeng GH, Zhu T. Improvement Path for Resource-Constrained Cities Identified Using an Environmental Co-Governance Assessment Framework Based on BWM-mV Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094969. [PMID: 34067083 PMCID: PMC8124572 DOI: 10.3390/ijerph18094969] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 05/01/2021] [Accepted: 05/03/2021] [Indexed: 11/16/2022]
Abstract
Global warming and extreme weather have increased most people’s awareness of the problem of environmental destruction. In the domain of sustainable development, environmental governance has received considerable scholarly attention. However, protecting and improving the environment requires not only substantial capital investment but also cooperation among stakeholders. Therefore, based on the network structure of stakeholders, the best–worst method (BWM) and modified Vlsekriterijumska Optimizacija I Kompromisno Resenje method were combined to form an environmental co-governance assessment framework that can be used to evaluate the effects of various policies and identify strategies for further improvement through data analysis (henceforth the BWM-mV model). This mechanism is not only useful for evaluating the effectiveness of environmental governance policies but also for generating suggestions to enhance these policies. Hence, the BWM-mV model is particularly suitable for local governments with limited resources in time, money, or labor. Pingxiang City Government is currently subject to such limitations and was therefore selected as the subject of an empirical case study. The results of this study revealed that the aspects (i.e., criteria) the Pingxiang City Government should urgently improve on pertain to a high-quality information communication platform (C13) and smooth joint decision-making by stakeholders (C24).
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Affiliation(s)
- Jian Wang
- School of Business, Quzhou University, Kecheng District, Quzhou 324000, China; (J.W.); (J.-C.H.)
- E-Commerce Research Center, Pingxiang University, Anyuan District, Pingxiang 337055, China
| | - Jin-Chun Huang
- School of Business, Quzhou University, Kecheng District, Quzhou 324000, China; (J.W.); (J.-C.H.)
- E-Commerce Research Center, Pingxiang University, Anyuan District, Pingxiang 337055, China
| | - Shan-Lin Huang
- Department of Tourism Management, College of Economics and Management, Sanming University, Sanyuan District, Sanming 365004, China;
- National Park Center, Sanming University, Sanyuan District, Sanming 365004, China
- Correspondence:
| | - Gwo-Hshiung Tzeng
- Graduate Institute of Urban Planning, College of Public Affairs, National Taipei University, San Shia District, New Taipei 23741, Taiwan;
| | - Ting Zhu
- Department of Tourism Management, College of Economics and Management, Sanming University, Sanyuan District, Sanming 365004, China;
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Zeng P, Sun Z, Chen Y, Qiao Z, Cai L. COVID-19: A Comparative Study of Population Aggregation Patterns in the Central Urban Area of Tianjin, China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18042135. [PMID: 33671707 PMCID: PMC7927029 DOI: 10.3390/ijerph18042135] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 02/08/2021] [Accepted: 02/18/2021] [Indexed: 01/25/2023]
Abstract
When a public health emergency occurs, a potential sanitation threat will directly change local residents' behavior patterns, especially in high-density urban areas. Their behavior pattern is typically transformed from demand-oriented to security-oriented. This is directly manifested as a differentiation in the population distribution. This study based on a typical area of high-density urban area in central Tianjin, China. We used Baidu heat map (BHM) data to calculate full-day and daytime/nighttime state population aggregation and employed a geographically weighted regression (GWR) model and Moran's I to analyze pre-epidemic/epidemic population aggregation patterns and pre-epidemic/epidemic population flow features. We found that during the COVID-19 epidemic, the population distribution of the study area tended to be homogenous clearly and the density decreased obviously. Compared with the pre-epidemic period: residents' demand for indoor activities increased (average correlation coefficient of the floor area ratio increased by 40.060%); traffic demand decreased (average correlation coefficient of the distance to a main road decreased by 272%); the intensity of the day-and-night population flow declined significantly (its extreme difference decreased by 53.608%); and the large-living-circle pattern of population distribution transformed to multiple small-living circles. This study identified different space utilization mechanisms during the pre-epidemic and epidemic periods. It conducted the minimum living security state of an epidemic-affected city to maintain the operation of a healthy city in the future.
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Affiliation(s)
- Peng Zeng
- School of Architecture, Tianjin University, Tianjin 300272, China; (P.Z.); (L.C.)
| | - Zongyao Sun
- School of Architecture, Tianjin University, Tianjin 300272, China; (P.Z.); (L.C.)
- Correspondence: ; Tel.: +86-1596-401-2669
| | - Yuqi Chen
- Tianjin University Research Institute of Architectural Design & Urban Planninng Co., Ltd, Tianjin 300350, China;
| | - Zhi Qiao
- School of Environmental Science and Engineering, Tianjin University, Tianjin 300350, China;
| | - Liangwa Cai
- School of Architecture, Tianjin University, Tianjin 300272, China; (P.Z.); (L.C.)
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Selecting Indicators to Monitor and Assess Environmental Health in a Portuguese Urban Setting: A Participatory Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228597. [PMID: 33228088 PMCID: PMC7699361 DOI: 10.3390/ijerph17228597] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 11/12/2020] [Accepted: 11/17/2020] [Indexed: 01/06/2023]
Abstract
Environmental health (EH) is influenced by complex interactions between health and the built and natural environments, there being little research on its specificities in urban settings. The use of suitable indicators to monitor and assess EH is fundamental in informing evidence-based interventions at the local level. A participatory approach to selecting indicators to inform the monitoring and assessment of EH in Lisbon is herein considered. Evidence derived from a systematic review of literature and data from Lisbon and Portuguese databases were analyzed by 12 Portuguese experts in individual semi-structured interviews. The interviews aimed at identifying relevant indicators and important emerging issues in the Lisbon urban setting. The outputs from the interviews were validated by a two-round Web-Delphi process in which panelists (22 experts) from different areas of expertise expressed their views regarding the relevance of the indicators for the analysis of EH in urban settings. Seventeen indicators were validated in the Web-Delphi process. High participation achieved along this process supports the view that this participatory approach was useful for validation. Results from the adopted participatory approach point out gaps in the collection of noise and mobility indicators data and raise emerging issues on housing indicators that require further research. The results also suggest the need for local action to improve indicators and tools in order to help the monitorization of EH in urban contexts. The adopted participatory approach can be replicated for other Portuguese and European urban settings.
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Orstad SL, Szuhany K, Tamura K, Thorpe LE, Jay M. Park Proximity and Use for Physical Activity among Urban Residents: Associations with Mental Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4885. [PMID: 32645844 PMCID: PMC7369687 DOI: 10.3390/ijerph17134885] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 06/06/2020] [Accepted: 06/08/2020] [Indexed: 01/04/2023]
Abstract
Increasing global urbanization limits interaction between people and natural environments, which may negatively impact population health and wellbeing. Urban residents who live near parks report better mental health. Physical activity (PA) reduces depression and improves quality of life. Despite PA's protective effects on mental health, the added benefit of urban park use for PA is unclear. Thus, we examined whether park-based PA mediated associations between park proximity and mental distress among 3652 New York City residents (61.4% 45 + years, 58.9% female, 56.3% non-white) who completed the 2010-2011 Physical Activity and Transit (PAT) random-digit-dial survey. Measures included number of poor mental health days in the previous month (outcome), self-reported time to walk to the nearest park from home (exposure), and frequency of park use for sports, exercise or PA (mediator). We used multiple regression with bootstrap-generated 95% bias-corrected confidence intervals (BC CIs) to test for mediation by park-based PA and moderation by gender, dog ownership, PA with others, and perceived park crime. Park proximity was indirectly associated with fewer days of poor mental health via park-based PA, but only among those not concerned about park crime (index of moderated mediation = 0.04; SE = 0.02; 95% BC CI = 0.01, 0.10). Investment in park safety and park-based PA promotion in urban neighborhoods may help to maximize the mental health benefits of nearby parks.
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Affiliation(s)
- Stephanie L. Orstad
- Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University (NYU) Grossman School of Medicine, New York, NY 10016, USA
| | - Kristin Szuhany
- Department of Psychiatry, NYU Grossman School of Medicine, New York, NY 10016, USA;
| | - Kosuke Tamura
- Social Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA;
| | - Lorna E. Thorpe
- Department of Population Health, Division of Epidemiology, NYU Grossman School of Medicine, New York, NY 10016, USA;
| | - Melanie Jay
- Departments of Medicine and Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA;
- Comprehensive Program on Obesity, NYU Langone Health, New York, NY 10016, USA
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