Health & Place最新文献

Cross-linking geotagged social media data with public health registries for spatial health research 将地理标记的社会媒体数据与用于空间健康研究的公共卫生登记进行交叉链接

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-27 DOI: 10.1016/j.healthplace.2026.103621

Ping Yin

Geotagged social media data have increasingly been used for investigating the impacts of both physical and digital environments on human health and behaviors. However, their applications are often constrained by the lack of precise information on individuals' home locations, demographic characteristics, and health conditions. Previous studies typically spatially aggregate geotagged social media data to link census data or health statistics, limiting the ability to draw inferences about individual behaviors and health outcomes. This study, for the first time, explores the feasibility and applicability of cross-linking geotagged birth announcements from Twitter with public birth registry records. The aim is to provide more detailed and comprehensive profiles of individuals to study maternal risk exposures, behaviors, and birth outcomes. Specifically, 101 true births announced by parent Twitter users in the state of Georgia from 2012 to 2016 were identified, with 96 successfully matched to birth registry records based on common spatial, temporal, and attributive information. Using this cross-linked birth dataset, including the information from both users’ geotagged tweets and birth registry, we conducted three individual-level spatial health case studies: (1) assessing spatial accuracy of frequency-based home location detection from geotagged tweets, (2) exploring parental mobility before and during pregnancy, and (3) conducting sentiment analysis on tweets to assess maternal mental health before and during pregnancy. This paper also discusses geoprivacy risks associated with using cross-linked birth data.

地理标记的社交媒体数据越来越多地用于调查物理和数字环境对人类健康和行为的影响。然而，由于缺乏关于个人居住地点、人口特征和健康状况的精确信息，其应用往往受到限制。以前的研究通常会在空间上汇总带有地理标记的社交媒体数据，以连接人口普查数据或健康统计数据，从而限制了对个人行为和健康结果进行推断的能力。本研究首次探讨了Twitter地理标记出生公告与公共出生登记记录交叉链接的可行性和适用性。目的是提供更详细和全面的个人概况，以研究产妇的风险暴露、行为和分娩结果。具体来说，我们确定了2012年至2016年佐治亚州父母Twitter用户宣布的101个真实出生，其中96个基于共同的空间、时间和属性信息成功地与出生登记记录匹配。利用这一交叉链接的出生数据集，包括用户地理标记推文和出生登记信息，我们进行了三个个体层面的空间健康案例研究：(1)评估基于地理标记推文的基于频率的家庭位置检测的空间准确性；(2)探索父母在怀孕前和怀孕期间的流动性；(3)对推文进行情感分析，以评估怀孕前和怀孕期间的孕产妇心理健康状况。本文还讨论了与使用交联出生数据相关的地理隐私风险。

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引用次数: 0

The interplay between the market food environment and barriers to healthy diets for women in rural Bihar, India 市场食品环境与印度比哈尔邦农村妇女健康饮食障碍之间的相互作用

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-24 DOI: 10.1016/j.healthplace.2026.103618

Martin Watts , Gregory S. Cooper , Anjali Purushotham , Bhavani Shankar , Santhi Bhogadi , Helen Harris-Fry , Suneetha Kadiyala , Aakriti Gupta , Fanny Sandalinas , Shriya Bajaj , Navin Bhushan , Vikash Kumar , Ashwini Chhatre , Raja Sriswan Mamidi , Emily Fivian

Understanding the barriers that women in rural, low-income settings face in acquiring nutrient-dense foods (NDFs) is fundamental to improving health. Most existing evidence comes from quantitative studies. However, complementary qualitative insights can deepen understanding of individuals' lived realities and inform contextually relevant strategies to address these barriers. We qualitatively examined how gender norms and other socioeconomic inequalities shape women's interactions with their market food environment for acquiring NDFs in rural Bihar, India's poorest and most undernourished state. We also considered men's experiences to understand gender differences in barriers. We sampled 12 villages across two districts (Bhojpur and Samastipur) and conducted 12 focus groups with women and 76 interviews with women and their spouses. A complementary survey was also conducted to contextualise our qualitative findings.

The unaffordability of NDFs, caused by low income and high prices, was the main barrier to acquisition. This barrier was most pronounced for the poorest and was greatest during seasonal price spikes. Women faced unique affordability challenges due to their exclusion from markets, driven by restrictive gender norms that stigmatise their participation and view markets as unsafe spaces. Consequently, women relied on expensive local sources or travelled longer distances to more distant markets, diminishing food budgets. Affordability barriers for the poorest and lower-caste women were compounded by pay discrimination and gender norms that restricted women's livelihood opportunities. Our insights suggest that providing women with cash transfers, alongside the development of safer, more inclusive markets, could improve women's acquisition of NDFs and their nutritional health.

了解农村低收入地区妇女在获取营养密集食物方面面临的障碍，对改善健康至关重要。大多数现有证据来自定量研究。然而，互补的定性见解可以加深对个人生活现实的理解，并为解决这些障碍提供与情境相关的策略。我们定性地研究了性别规范和其他社会经济不平等如何影响印度最贫穷和营养不良最严重的比哈尔邦农村妇女与市场粮食环境的互动，以获取无营养食物。我们还考虑了男性的经历来理解性别障碍的差异。我们在两个地区（Bhojpur和Samastipur）的12个村庄进行了抽样调查，对妇女进行了12个焦点小组调查，对妇女及其配偶进行了76次访谈。还进行了一项补充调查，以将我们的定性发现置于背景下。由于收入低、价格高，ndf难以负担，这是收购的主要障碍。这一障碍在最贫困人口中最为明显，在季节性价格飙升期间最为严重。由于限制性的性别规范限制了妇女的参与，并将市场视为不安全的空间，妇女被排除在市场之外，她们面临着独特的负担能力挑战。因此，妇女依靠昂贵的当地来源，或长途跋涉到更遥远的市场，减少了粮食预算。最贫穷和低种姓妇女的负担能力障碍，由于工资歧视和性别规范限制了妇女的生计机会而更加严重。我们的见解表明，向妇女提供现金转移支付，同时发展更安全、更包容的市场，可以改善妇女获得ndf的情况和她们的营养健康。

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引用次数: 0

Active travel as constrained necessity or choice: individual and environmental factors among adults with a lower socioeconomic status in peri-urban Flanders, Belgium 主动旅行作为约束的必要性或选择：比利时法兰德斯城郊社会经济地位较低的成年人的个人和环境因素

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-24 DOI: 10.1016/j.healthplace.2025.103602

Yasemin Inaç , Suzannah D'Hooghe , Delfien Van Dyck , Eva M. De Clercq , Benedicte Deforche , Nico Van de Weghe , Stefanie Vandevijvere , Karin De Ridder , Sarah Dury

Despite the public health importance of active travel, there is limited qualitative research on how people with a lower socioeconomic status (SES)perceive and engage with it in their daily lives. This qualitative study, conducted among 26 adults with a lower SES in two peri-urban municipalities in Flanders, Belgium, explores the decision-making factors on active travel.

Semi-structured interviews were conducted and thematically analyzed using Panter's framework on active travel. Findings reveal that active travel was less a voluntary choice than a constrained necessity shaped by financial limitations, lack of a driver's license, or medical conditions. Conversely, some participants cited manageable distances and the wish to be a role model for their children as motivations. Key environmental facilitators included the presence of physically separated walking and cycling paths, even surfaces, low traffic, good visibility, and adherence to traffic regulations. The study highlights how unsafe or poorly maintained environments disproportionately disadvantage people with fewer transport alternatives. These results underline the importance of mobility and urban planning policies that address both the infrastructural factors and the social determinants affecting transport choices among socioeconomically disadvantaged groups.

尽管积极旅行对公共卫生具有重要意义，但关于社会经济地位较低的人如何在日常生活中感知和参与积极旅行的定性研究有限。这项定性研究在26名社会经济地位较低的成年人中进行，来自比利时法兰德斯的两个近郊城市，探讨了积极旅行的决策因素。进行半结构化访谈，并使用Panter的主动旅行框架进行主题分析。调查结果显示，主动出行与其说是一种自愿选择，不如说是由于经济限制、缺乏驾驶执照或医疗状况造成的一种不得已的选择。相反，一些参与者将可控制的距离和希望成为孩子的榜样作为动机。关键的环境促进因素包括物理上分开的步行和自行车道、平坦的路面、低交通量、良好的能见度以及遵守交通法规。该研究强调了不安全或维护不善的环境对交通选择较少的人造成的不成比例的不利影响。这些结果强调了流动性和城市规划政策的重要性，这些政策既要解决影响社会经济弱势群体交通选择的基础设施因素，也要解决影响社会经济弱势群体交通选择的社会决定因素。

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引用次数: 0

“We are left alone”: A qualitative study of life satisfaction of older adults in rural Nepal “我们是孤独的”：尼泊尔农村老年人生活满意度的定性研究

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-24 DOI: 10.1016/j.healthplace.2026.103612

Emilie Egger , Anna Schwartz , Rennie X. Qin , Aruna Khulal , Uden Maharjan , Joan K. Monin , Ashley K. Hagaman

The aging population in the South Asian region is rapidly growing, prompting a rising need to understand the subjective mental wellbeing of older adults. Aging and life satisfaction are complex processes that are experienced differently in various sociocultural contexts. However, few studies have investigated mechanisms of life satisfaction in rural environments in low- and middle-income countries that face challenges that cannot be measured by existing metrics of mental wellbeing. The purpose of this study is to understand meanings of life satisfaction and experiences of aging through the perspectives of older adults who live in Jumla, Nepal. We conducted semi-structured, in-depth interviews with twenty older adults. Through thematic data analysis, guided by an interpretive phenomenological approach, we examined cultural shifts in caregiving and perceptions of family relationships in the aftermath of youth out-migration. Jumli older adults struggled to thrive as they navigated filial discrepancies amid migration and a changing economic context. However, older adults expressed a desire for their children to succeed. Many older adults sought to embrace changes in the economic and social landscape but struggled to thrive within these systems. Finally, adults connected their low life satisfaction with political and religious dynamics and tradition often helped them cope with situations that were outside of their control. Future research should address life satisfaction in rural contexts that may not fit into extant metrics of life satisfaction in older adults.

南亚地区的老龄化人口正在迅速增长，这促使人们越来越需要了解老年人的主观心理健康状况。老龄化和生活满意度是一个复杂的过程，在不同的社会文化背景下会有不同的体验。然而，很少有研究调查了低收入和中等收入国家农村环境中生活满意度的机制，这些国家面临着无法通过现有的心理健康指标来衡量的挑战。本研究的目的是透过居住在尼泊尔Jumla的老年人的视角来了解生活满意度和衰老体验的意义。我们对20位老年人进行了半结构化的深度访谈。通过主题数据分析，在解释性现象学方法的指导下，我们研究了青年外出移民后照顾和家庭关系观念的文化转变。在移民和不断变化的经济背景下，Jumli老年人在子女关系上的差异中挣扎着茁壮成长。然而，老年人表达了希望他们的孩子成功的愿望。许多老年人试图接受经济和社会格局的变化，但却难以在这些体系中茁壮成长。最后，成年人将他们的低生活满意度与政治和宗教动态联系起来，传统通常帮助他们应对超出他们控制范围的情况。未来的研究应该解决农村环境下的生活满意度问题，这些问题可能不适合现有的老年人生活满意度指标。

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引用次数: 0

Connecting health and place through age-friendly built environments to reduce experiences of loneliness (mokemoke) for Māori 通过老年人友好的建筑环境将健康和场所联系起来，以减少孤独感（mokemoke）

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-23 DOI: 10.1016/j.healthplace.2026.103620

Danielle Lee Smith , John G. Oetzel , Mary L. Simpson , Yvonne Wilson , Sophie Nock , Rangimahora Reddy

Prior to colonisation, experiences of loneliness were rare among Māori (the Indigenous people of Aotearoa New Zealand), as there were sophisticated, place-based connections between people, land, housing, and nature. This reality is often not the case in 21st-century urban housing environments where feelings of loneliness are a confronting reality for older adults, impacting their health, well-being, and the suitability of their housing. The purpose of this paper was to determine how housing characteristics of contemporary Indigenous built environments prevent experiences of loneliness. Twenty residents of a modern Māori age-friendly housing village, known as an urban papakāinga, were interviewed. The thematic analysis identified four characteristics consistent with traditional Māori cultural values and practices that enabled urban housing spaces to facilitate connection to place through nature, thereby reducing experiences of loneliness. These characteristics are haporitanga (community and socialisation opportunities), āhurutanga (comfortable, safe spaces for movement and mobility that prioritise the natural world), ūkaipōtanga (sense of sustenance and belonging), and tangihanga (culturally appropriate end-of-life and afterlife care customs). The paper offers alternative ontological approaches to aging-in-place, and therefore has implications for housing providers globally, specifically those supporting First Nations and Indigenous peoples.

在殖民统治之前，在Māori（新西兰Aotearoa的土著居民）中很少有孤独的经历，因为人、土地、住房和自然之间存在着复杂的、基于地点的联系。在21世纪的城市住房环境中，这种现实往往不是这样，孤独感是老年人面临的现实，影响他们的健康、福祉和住房的适宜性。本文的目的是确定当代土著建筑环境的住房特征如何防止孤独的经历。20位现代Māori老年友好住房村（即城市papakāinga）的居民接受了采访。主题分析确定了与传统Māori文化价值观和实践相一致的四个特征，这些特征使城市住房空间能够通过自然促进与地方的联系，从而减少孤独感。这些特征是haporitanga（社区和社交机会）、āhurutanga（舒适、安全的活动空间，优先考虑自然世界）、ūkaipōtanga（生计感和归属感）和tangihanga（文化上适当的临终和来世护理习俗）。本文为就地老龄化提供了另一种本体论方法，因此对全球住房提供者，特别是那些支持第一民族和土著人民的住房提供者具有启示意义。

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引用次数: 0

Towards a socio-ecological perspective of the “biopsychosocial model of pain”: Delineation of pathways between perceived pain intensity, community capital and mental distress among community-dwelling individuals 从社会生态学角度看“疼痛的生物-心理-社会模型”：描绘社区居民感知疼痛强度、社区资本和精神痛苦之间的途径

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-22 DOI: 10.1016/j.healthplace.2026.103614

Yuchang Bao , Chi Wai Cheung , Wentao Bai , Hung Chak Ho

According to the “biopsychosocial model of pain”, pain can lead to significant effects on mental distress. However, previous studies have not linked this model to a socio-ecological perspective, although it is generally assumed that a supportive neighborhood environment can improve mental well-being. In particular, it is unclear how the built and social environment can be considered as community capital to improve the perceived quality of social and health services and support community-dwelling individuals. Following the “Community Capitals Framework” and the “Transdisciplinary Neighborhood Health Framework”, this study considered the perceived quality of urban amenities and their satisfaction as factors of 'built capital' and sub-factors of subjective (or personal) wellbeing as factors of 'social capital' and 'psychological capital'. This study found that several subfactors of wellbeing (e.g., community connectedness and achievement in life) may not be able to develop significant pathways. In addition, significant pain-related pathways contributed to mental distress via overall satisfaction with urban amenities and satisfaction with health facilities, and were associated with risk perception and health status. However, pathways related to satisfaction with social amenities (e.g., community facilities, indoor sports facilities) were associated with quality-of-life outcomes (e.g., standard of living and future security) rather than personal health status, possibly reflecting appreciation of the built environment and its perceived quality. The above results suggest that the sub-factors related to community capital play different roles in the biopsychosocial contexts of pain. These findings can be used to suggest multidimensional strategies to support pain patients living in the community. In particular, improving risk perception for injury prevention should be considered.

根据“疼痛的生物-心理-社会模型”，疼痛会对精神痛苦产生显著影响。然而，以前的研究并没有将这个模型与社会生态学的观点联系起来，尽管人们通常认为支持性的社区环境可以改善心理健康。特别是，目前尚不清楚如何将建成环境和社会环境视为社区资本，以提高人们对社会和卫生服务质量的认识，并支持社区居民。根据“社区资本框架”和“跨学科社区健康框架”，本研究将城市设施的感知质量及其满意度作为“建筑资本”的因素，将主观（或个人）幸福感的子因素作为“社会资本”和“心理资本”的因素。这项研究发现，幸福的几个子因素（例如，社区联系和生活成就）可能无法发展出重要的途径。此外，与疼痛相关的重要途径通过对城市设施的总体满意度和对卫生设施的满意度来促进精神痛苦，并与风险感知和健康状况相关。然而，与社会设施（如社区设施、室内体育设施）满意度相关的路径与生活质量结果（如生活水平和未来安全）相关，而不是与个人健康状况相关，可能反映了对建筑环境及其感知质量的欣赏。以上结果表明，社区资本相关子因素在疼痛的生物心理社会情境中发挥着不同的作用。这些发现可用于建议多维策略来支持生活在社区中的疼痛患者。特别是，应该考虑提高对伤害预防的风险认知。

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引用次数: 0

Measuring maternal healthcare accessibility in Florida by a data-driven extension of V2SFCA 通过V2SFCA的数据驱动扩展测量佛罗里达州的孕产妇保健可及性

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-22 DOI: 10.1016/j.healthplace.2026.103608

Hanqi Li , Fahui Wang , Ran Zhang , Andy Qin , Emily Javan , Rajesh Reddy , Lorie Harper , Peiyin Hung , Yuhao Kang

Maternal healthcare accessibility is a key determinant of maternal and newborn outcomes, yet the United States continues to experience disproportionately high maternal mortality rates compared with other high-income countries. Efforts to address this problem are hampered by substantial spatial disparities, especially in large states like Florida. Existing methodologies for evaluating healthcare access, such as the widely used Generalized Two-Step Floating Catchment Area (G2SFCA) method, may not accurately capture real-world circumstances because they often rely on assumed, uniform parameters that overlook contextual heterogeneity in travel behavior. However, maternal patients in different geographies experience drastically different transportation barriers and varying tolerance for distance and travel times, underscoring the need for more granular, area-specific modeling. This study proposes a data-driven Variable Catchment 2SFCA (V2SFCA) framework to estimate maternal healthcare accessibility across Florida. Leveraging observed patient flow data, we employed gravity models to empirically calibrate distance decay functions and separately defined catchment thresholds specific to each area type. These data-driven, area-specific parameters enable the framework to more accurately reflect behavioral heterogeneity in maternal healthcare utilization. Applied to Florida, the model reveals substantial accessibility disparities across the four area types, including metropolitan, micropolitan, small town, and rural. It also demonstrates improved behavioral realism compared with conventional approaches, offering actionable insights for equitable maternal care planning and resource allocation.

孕产妇保健可及性是孕产妇和新生儿结局的关键决定因素，但与其他高收入国家相比，美国的孕产妇死亡率仍然高得不成比例。巨大的空间差异阻碍了解决这一问题的努力，尤其是在佛罗里达州这样的大州。现有的评估医疗保健可及性的方法，如广泛使用的广义两步浮动集水区（G2SFCA）方法，可能无法准确捕捉真实世界的情况，因为它们通常依赖于假设的统一参数，而忽略了旅行行为的上下文异质性。然而，不同地区的产妇患者经历了截然不同的交通障碍，对距离和旅行时间的容忍度也各不相同，因此需要更细致、更具体的区域建模。本研究提出了一个数据驱动的变量集水区2SFCA （V2SFCA）框架来估计整个佛罗里达州的孕产妇保健可及性。利用观察到的病人流量数据，我们采用重力模型来经验校准距离衰减函数，并分别定义针对每种区域类型的集水区阈值。这些数据驱动的特定地区参数使该框架能够更准确地反映孕产妇保健利用中的行为异质性。将该模型应用于佛罗里达州，揭示了四种区域类型（包括大都市、小城市、小城镇和农村）之间的可达性差异。与传统方法相比，它还展示了改进的行为现实主义，为公平的孕产妇保健规划和资源分配提供了可操作的见解。

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引用次数: 0

Activities in natural environments as remedy to loneliness: The role of connectedness to nature and place attachment 在自然环境中的活动作为孤独的补救：与自然的联系和地方依恋的作用。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-20 DOI: 10.1016/j.healthplace.2026.103617

Sindre Cottis Hoff , Helga Synnevåg Løvoll

Loneliness constitutes an increasing social and public health concern, making it important to find effective strategies for prevention and alleviation. Activities in natural environments have been found to buffer against loneliness. This is commonly explained by social interactions enabled by these activities. However, a growing body of evidence indicates that connectedness to nature and place attachment explain much of the effect of activities in natural environments on loneliness. To date, this has been left unexplored empirically. Based on tailored survey data (N = 2544) from the region surrounding Mjøsa, Norway's largest lake, the present study addresses this gap. Using structural equation modeling, it was found that activities on or along Mjøsa were associated with reduced loneliness when mediated by connectedness to nature and place attachment to Mjøsa, with the strongest association observed when mediated by connectedness to nature. The indirect association of activities via connectedness to nature and place attachment to Mjøsa was strengthened if activities were done alone. Closer examination of the activities on or along Mjøsa revealed variations in how they related to connectedness to nature and place attachment, pointing to the centrality of ways of attending to the environment. The study discusses the value of enabling people to develop connectedness to nature and place attachment for prevention and alleviation of loneliness. Followingly, the importance of educating people in ways of attending to the environment during activities is emphasized, along with the need to maintain and develop the built environment in manners favorable for activities that can increase people's connectedness to nature.

孤独日益成为社会和公共卫生关注的问题，因此必须找到有效的预防和减轻战略。人们发现，在自然环境中活动可以缓解孤独感。这通常可以用这些活动带来的社会互动来解释。然而，越来越多的证据表明，与自然的联系和地方依恋解释了自然环境中活动对孤独感的大部分影响。到目前为止，这一点还没有得到实证研究。基于挪威最大湖泊Mjøsa周围地区的定制调查数据（N = 2544），本研究解决了这一差距。利用结构方程模型研究发现，在与自然的连通性和与Mjøsa的位置依恋介导下，在Mjøsa上或沿着Mjøsa的活动与减少孤独感相关，其中以与自然的连通性为中介的活动与孤独感的关联最强。如果单独进行活动，则通过与自然的联系和对Mjøsa的地点依恋而进行的活动的间接关联得到加强。对Mjøsa上或沿着Mjøsa的活动进行更仔细的研究，揭示了它们与自然和地方依恋的联系方式的变化，指出了关注环境的方式的中心地位。本研究探讨了使人们发展与自然的联系和地方依恋对预防和减轻孤独感的价值。随后，强调了教育人们在活动中关注环境的重要性，以及维护和发展建筑环境的必要性，这些环境有利于增加人们与自然的联系。

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引用次数: 0

AARP Age-Friendly community designation and neighborhood resources to support healthy aging nationwide, 2012–2017 美国退休人员协会老年友好社区指定和社区资源，支持全国健康老龄化，2012-2017。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-20 DOI: 10.1016/j.healthplace.2026.103613

Alexandra Eastus , Yvonne L. Michael , Stephen Dickinson , Stephen Francisco , Steven Melly , Jana Hirsch

Objective

To examine the association between city-level Age-Friendly designation and neighborhood resources that support healthy aging at the census tract-level.

Methods

We quantified the density of neighborhood resources in census tracts that support healthy aging using the National Establishment Time Series (NETS). We identified cities designated as American Association of Retired Persons (AARP) Network of Age-Friendly States and Communities Members. Using a propensity score matched regression, we estimated the association between AARP Age-Friendly membership designation and the density of neighborhood resources that support healthy aging within census tracts.

Results

Our matched sample consisted of 134,031 census tract-years between 2012 and 2017. Our findings suggest that census tracts located in Age-Friendly designated cities are associated with greater densities of neighborhood resources that support healthy aging overall, as well as for business establishments that facilitate aging in place (e.g., healthcare facilities).

Conclusion

These findings suggest a meaningful association between local Age-Friendly designation and the availability of resources that can support aging in place. Although we did not directly measure health outcomes, neighborhoods with greater resource density are likely to experience multiple health benefits, including improved quality of life for older adults.

目的：探讨人口普查区城市友好型老年人称号与支持健康老龄化的社区资源之间的关系。方法：采用国家建立时间序列（NETS）对人口普查区支持健康老龄化的社区资源密度进行量化。我们确定了被指定为美国退休人员协会（AARP）老年友好国家和社区网络成员的城市。使用倾向得分匹配回归，我们估计了美国退休人员协会友好年龄成员名称与人口普查区内支持健康老龄化的社区资源密度之间的关系。结果：我们匹配的样本包括2012年至2017年的134031个人口普查区年。我们的研究结果表明，位于老年人友好型指定城市的人口普查区与更大密度的社区资源有关，这些资源总体上支持健康老龄化，以及促进老龄化的商业机构（例如，医疗设施）。结论：这些研究结果表明，在当地的老年友好标识和可获得的资源之间存在有意义的关联。虽然我们没有直接测量健康结果，但资源密度更高的社区可能会带来多种健康益处，包括老年人生活质量的提高。

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引用次数: 0

How do residents perceive alcohol availability and its impact on drinking behaviour? A qualitative study 居民如何看待酒精供应及其对饮酒行为的影响？定性研究。

IF 4.1 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2026-01-19 DOI: 10.1016/j.healthplace.2026.103616

Elena D. Dimova , Matt Smith , Niamh K. Shortt , Richard J. Mitchell , Jamie R. Pearce , Tom L. Clemens , Carol Emslie

Introduction

Reducing alcohol availability has been identified as a potential approach to reduce alcohol use and related harm. In order to regulate alcohol availability at a local level, it is important to involve communities in decision-making and ensure interventions are locally acceptable and appropriate. To do this, we need to improve our understanding of how residents conceptualise alcohol availability and its impact on behaviours. This paper uses data collected in Scotland, a country with particularly high levels of alcohol-related harm, to explore the perspectives of residents, on local alcohol availability and how it might affect drinking behaviours.

Methods

We conducted 11 online focus groups with 45 participants, living in nine strongly contrasting neighbourhoods in Scotland, characterised by varying levels of alcohol retail density change, urbanity and deprivation. We explored participants’ perceptions of their local alcohol environment and alcohol availability, and any perceived relationship between alcohol availability and alcohol-related behaviours.

Results

Participants challenged established notions that alcohol availability is characterised primarily by density of alcohol outlets. According to our participants, availability is about accessibility, ease of purchase and ubiquity of alcohol. Residents drew distinctions between areas of varying deprivation and conceptualised alcohol availability as complex, characterised by market segmentation, and related to price, advertising and the wider environment.

Conclusions

This is one of the few papers to explore residents' perspectives of local alcohol availability and its relationship with alcohol use. It highlights that residents view alcohol availability as encompassing more than just the physical presence of outlets, recognising also the variety of outlet types and the connections between availability, pricing, and advertising. Policies to reduce local availability should consider residents’ perspectives and account for contextual factors such as shifts in the retail landscape and the availability of alcohol-free recreational alternatives.

导言：减少酒精供应已被确定为减少酒精使用和相关危害的潜在方法。为了在地方一级管制酒精供应，重要的是让社区参与决策，并确保干预措施在当地是可接受和适当的。要做到这一点，我们需要提高我们对居民如何概念化酒精供应及其对行为的影响的理解。本文使用在酒精相关危害水平特别高的苏格兰收集的数据，探索居民对当地酒精供应及其如何影响饮酒行为的看法。方法：我们进行了11个在线焦点小组，共有45名参与者，他们生活在苏格兰9个截然不同的社区，其特征是不同程度的酒精零售密度变化、城市化和贫困。我们探索了参与者对当地酒精环境和酒精供应的感知，以及酒精供应与酒精相关行为之间的任何感知关系。结果：参与者挑战了酒精供应主要由酒精销售点密度决定的既定观念。根据我们的参与者的说法，可获得性是指酒精的可获得性、购买便利性和无处不在。居民们将不同贫困地区和概念化的酒精供应区分为复杂的，以市场细分为特征，与价格、广告和更广泛的环境有关。结论：这是为数不多的探讨居民对当地酒精供应及其与酒精使用关系的论文之一。报告强调，居民认为酒精饮料的可获得性不仅仅包括实体店的存在，还认识到各种各样的门店类型以及可获得性、定价和广告之间的联系。减少当地可得性的政策应考虑居民的观点，并考虑环境因素，如零售格局的变化和无酒精娱乐替代品的可得性。

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