Health & Place最新文献_第2页

Neighborhood factors and incident stroke: reproducibility of associations across two nationwide cohorts 邻里因素与偶发卒中：两个全国性队列关联的可重复性。

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

Health & Place

Pub Date : 2026-01-17 DOI: 10.1016/j.healthplace.2026.103611

Kendra D. Sims , Torsten B. Neilands , Julene K. Johnson , Loni P. Tabb , Gina S. Lovasi , Monika M. Safford , Suzanne E. Judd , Robert J. Stanton , Virginia J. Howard , Kirsten Bibbins-Domingo , M. Maria Glymour

Research linking adverse neighborhood context with disparities in incident stroke may reflect publication bias for chance associations. We compared results from the REasons for Geographic and Racial Differences in Stroke (REGARDS, n = 25,126, aged ≥45 years, 41 % Non-Hispanic Black, 12 % < high school degree, 2003–2022) study to the Health and Retirement Study (HRS, n = 12,969, aged >50 years, 15 % Non-Hispanic Black, 20 % < high school degree, 2004–2022). We estimated Cox models predicting stroke for 44 census tract variables representing demographic, socioeconomic, labor force, and housing conditions, evaluating inter-cohort consistency of main and race-stratified estimates. Follow-up in REGARDS (median = 12.1 years; IQR: 6.5, 14.9) was similar to HRS (median = 12.6; IQR: 7.0, 17.7). Cumulative stroke incidence was lower in REGARDS (6.6 %, adjudicated) than HRS (15.4 %, reported). Census tract-level household income, median rent, and home values were higher in HRS. Thirty-two of the 44 census tract variables evaluated had associations with incident stroke that differed between cohorts by less than log(0.05). For example, the proportion of housing units built 1980–1999 was associated with stroke incidence in both REGARDS (HR per SD = 0.94 [95 % CI: 0.88, 0.99)] and HRS (HR per SD = 0.92 [95 % CI: 0.87, 0.99) after adjustment for individual-level confounders and state of residence. Five predictors had significant (p < 0.05) interactions with race in HRS, but none of these interactions replicated in REGARDS. Strengthening the evidence base linking neighborhood disadvantage with stroke disparities is essential. Systematic exploration of how heterogeneity in sample composition and outcome ascertainment contributes to diverging findings across studies is needed.

将不良社区环境与偶发卒中差异联系起来的研究可能反映了偶然关联的发表偏倚。我们比较了脑卒中地理和种族差异的原因（REGARDS, n = 25,126，年龄≥45岁，41 %非西班牙裔黑人，12 % 50岁，15 %非西班牙裔黑人，20 %）

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引用次数: 0

A place that is their own: Understanding a gender-specific safer-use space as a therapeutic landscape 一个属于他们自己的地方：将特定性别的安全使用空间理解为治疗景观

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

Health & Place

Pub Date : 2026-01-15 DOI: 10.1016/j.healthplace.2025.103604

Xin Ke Law-Gallagher , Allison Williams , Mary-Elizabeth Vaccaro

Safer-Use Spaces are recognized as one of the most effective ways to reduce the harms associated with the opioid and toxic drug crisis. This study performed an analysis of a gender-specific safer-use space in Hamilton, Ontario, using the therapeutic landscapes conceptual framework. We conducted eight in-depth one-on-one interviews with staff at the site, asking what parts of the social, built, and symbolic environments encouraged people who use drugs to return to the site. The thematic analysis found that the practicality and safety offered by the site, the control and agency felt by the clientele, and the ways in which clientele find sanctuary and oasis were valued by the clients. The study concludes with remarks on the importance of creating gender-specific, accessible, and empowering harm-reducing services for people who use drugs.

安全使用空间被认为是减少与阿片类药物和有毒药物危机相关危害的最有效方法之一。本研究使用治疗景观概念框架，对安大略省汉密尔顿的一个性别特定的安全使用空间进行了分析。我们对现场的工作人员进行了八次深入的一对一访谈，询问社会、建筑和象征环境的哪些部分鼓励吸毒者重返现场。主题分析发现，场地提供的实用性和安全性，客户感受到的控制性和代理性，以及客户找到庇护所和绿洲的方式受到客户的重视。该研究报告总结了为吸毒者建立针对性别的、可获得的和授权的减少伤害服务的重要性。

引用次数: 0

Extreme heat and physical and mental health: A qualitative study with low-income women in South Texas 极端高温与身心健康：对德克萨斯州南部低收入妇女的定性研究。

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2026.103609

Carmen R. Valdez , Rodrigo Leal , Ana Chatham , Gabriella Meltzer , Erik Arroyo , Lourdes Flores , Miriam Solis

Heat waves in the US are becoming more frequent, longer, and more intense due to climate change. South Texas is especially vulnerable because it is experiencing the highest increases in heat “danger days” nationally and has a high number of residents living in unincorporated neighborhoods known as colonias, which often lack basic infrastructure. The purpose of this qualitative study is to explore how extreme heat affects the physical and mental health of Latina women who live in South Texas colonias. Focus groups with 18 women ages 20–70 revealed a cycle of physical and mental health consequences of extreme heat in which heat-related physical stress and exhaustion were followed by a sense of despair, worry, and anxiety. Participants described inadequate infrastructure within their homes and in their neighborhoods to tolerate heat, leading them to avoid being outdoors during daytime but still enduring heat in homes without proper cooling options. Being indoors also contributed to sedentarism, which participants linked to greater risk for developing medical conditions such as diabetes and heart disease. Women with depression were at further risk of isolation when outdoor time was reduced. Implications for the built and natural environment in low-resource neighborhoods, as well as for research on the physical and mental health impacts of extreme heat, are explained.

由于气候变化，美国的热浪变得越来越频繁、更长、更强烈。南德克萨斯州尤其容易受到影响，因为它正在经历全国最高的高温“危险日”，并且有大量居民生活在被称为殖民地的非建制社区，这些社区往往缺乏基本的基础设施。本定性研究的目的是探讨极端高温如何影响居住在德克萨斯州南部殖民地的拉丁裔妇女的身心健康。18名年龄在20-70岁之间的女性的焦点小组揭示了极端高温对身心健康的影响循环，其中与热相关的身体压力和疲惫之后是绝望、担忧和焦虑感。参与者描述了他们家中和社区的基础设施不足，无法忍受高温，导致他们白天避免在户外活动，但在没有适当冷却选择的家中仍然忍受高温。待在室内也会导致久坐不动，参与者认为这增加了患糖尿病和心脏病等疾病的风险。当户外活动时间减少时，患有抑郁症的妇女更有可能被孤立。解释了对低资源社区的建筑和自然环境的影响，以及对极端高温对身心健康影响的研究。

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引用次数: 0

The blue Un/Commons: Tracing new directions in research on outdoor swimming, health and place 蓝色的联合国/公共场所：探索户外游泳、健康和场所研究的新方向。

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2025.103571

Rebecca Olive , Ronan Foley , Kate Moles

This discussion provides an introduction to our special issue, The Blue Un/Commons: Tracing new directions in research on outdoor swimming, health and place. This introduction provides a rationale and overview of the social and research contexts the special issue is immersed in, including the growing multi-disciplinary literature on the established health and wellbeing swimming benefits of swimming. Our aim is to extend this ‘health and wellbeing’ focus and develop a new research agenda that reflects positive connections, while simultaneously considering critical dimensions of feminist, anticolonial, environmental, posthuman, and inclusionary research. The main sections examine the literature around four core themes; access, risk, the blue commons, and more-than-human water. Access is considered as both a material and affectual component that is shaped by varied permissions/allowances. Risk is considered in terms of relational immersions between bodies and waters that have personal, societal, environmental and cultural dimensions. The idea of a blue (un)commons is critically described in relation to key inclusions and exclusions, recognising wider existential threats around ownership and sustainability. The final theme considers the more-than-human water itself, in terms of nature and mood, cultural and practical knowledges and ecological allyship. The final section of the article identifies significant potential for research about outdoor swimming, health and wellbeing and specifically engages with the potential of future work on diverse swimming bodies, relational swimming spaces, swimming practices, cultures and knowledges, innovative methodological possibilities and swimming as a lifelong health-promoting practice. Uncovering new immersive connections with water promotes the idea of a blue spatial justice as a productive co-collaboration that supports not just human but also planetary wellbeing.

这一讨论为我们的特刊《蓝色的Un/Commons：追踪户外游泳、健康和场所研究的新方向》提供了一个介绍。这个介绍提供了一个基本原理和社会和研究背景的概述，特别问题是沉浸在，包括越来越多的多学科文献建立健康和福利游泳游泳的好处。我们的目标是扩展这种“健康和幸福”的焦点，并制定一个反映积极联系的新研究议程，同时考虑女权主义、反殖民主义、环境、后人类和包容性研究的关键维度。主要部分围绕四个核心主题考察文献；获取，风险，蓝色公地，以及超越人类的水。访问被认为是由不同的许可/允许形成的物质和情感组成部分。风险是根据个人、社会、环境和文化层面的身体和水域之间的关系浸入来考虑的。蓝色（非）公地的概念被批判性地描述为关键的包含和排除，认识到围绕所有权和可持续性的更广泛的存在威胁。最后一个主题考虑了超越人类的水本身，从自然和情绪、文化和实践知识以及生态盟友的角度来看。文章的最后一部分确定了户外游泳，健康和福祉研究的重大潜力，并特别涉及未来各种游泳机构，相关游泳空间，游泳实践，文化和知识，创新方法可能性以及游泳作为终身健康促进实践的潜力。揭示与水的新的沉浸式联系促进了蓝色空间正义的理念，这是一种富有成效的合作，不仅支持人类，也支持地球的福祉。

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引用次数: 0

Exposure to green, blue, and biodiverse spaces and their associations with loneliness in urban adults: Findings from the EPIPorto cohort 城市成年人暴露于绿色、蓝色和生物多样性空间及其与孤独感的关系：来自EPIPorto队列的研究结果。

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2026.103610

Mariana Ramos Castro , Henrique Telo Alves , Carla Moreira , Thomas Astell-Burt , Marilyne Cancela , Filipa Guilherme , Ana Isabel Ribeiro

Emerging evidence suggests green space may reduce loneliness, while the role of blue space and biodiversity remains under-researched. This study examines associations between exposure to green, blue, and biodiverse spaces and loneliness in adults in Porto, Portugal and explores potential effect modifiers.

Loneliness was assessed in 2022 in 657 EPIPorto cohort participants using the UCLA Loneliness Scale (>32 indicating ‘high loneliness’). Vegetation and surface water were measured using Normalized Difference Vegetation Index (NDVI) and Modified Normalized Difference Water Index (MNDWI) within 100m, 300m, and 500m pedestrian buffers. Biodiversity was assessed using a species richness index. Cross-sectional associations between these variables and loneliness were estimated with linear regression (robust standard errors) and logistic regression. Additional models considered long-term trends of NDVI and MNDWI since baseline (1999). Effect modification of sex, marital status, cohabitation and age was assessed through multiplicative interactions. Models were adjusted for confounders, including markers of socioeconomic status.

Cross-sectionally, greater amounts of vegetation within 100m [β per one-unit increase = −1.555, 95 %CI (−3.090; −0.007)] and higher species richness within 300m and 500m [-0.514 (−1.027; −0.001) and −0.581 (−1.132; −0.031)] were associated with lower levels of loneliness, while blue space presence showed non-significant associations. Concerning long-term trends, the results lacked significance. Non-significant results were found for loneliness as a binary outcome and no effect modification was confirmed.

This study suggests that near home greenness and biodiversity may reduce levels of loneliness, while the association with blue spaces is inconsistent. This highlights the potential of urban greening and biodiversity to help mitigate loneliness.

新出现的证据表明，绿地可能会减少孤独感，而蓝色空间和生物多样性的作用仍有待研究。本研究考察了葡萄牙波尔图成年人接触绿色、蓝色和生物多样性空间与孤独感之间的关系，并探讨了潜在的影响调节因素。2022年，657名EPIPorto队列参与者使用加州大学洛杉矶分校孤独量表（bbb32表示“高度孤独”）对孤独感进行了评估。利用归一化植被指数（NDVI）和修正归一化水体指数（MNDWI）测量100m、300m和500m行人缓冲区内的植被和地表水。生物多样性评价采用物种丰富度指数。通过线性回归（稳健标准误差）和逻辑回归估计这些变量与孤独感之间的横断面关联。其他模型考虑了自基线（1999年）以来NDVI和MNDWI的长期趋势。通过乘法交互作用评估性别、婚姻状况、同居状况和年龄的影响。模型根据混杂因素进行了调整，包括社会经济地位的标志。在横断面上，100m范围内植被数量越多[β /单位增加 = -1.555,95% CI (-3.090; -0.007)]， 300m和500m范围内物种丰富度越高[-0.514（-1.027;-0.001）和-0.581(-1.132;-0.031)]，孤独感水平越低，而蓝色空间存在的相关性不显著。关于长期趋势，结果缺乏意义。孤独感作为一种二元结局未发现显著性结果，且未证实有效应修正。这项研究表明，离家近的绿地和生物多样性可能会降低孤独感的水平，而与蓝色空间的联系则不一致。这凸显了城市绿化和生物多样性有助于缓解孤独感的潜力。

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引用次数: 0

Visualising the impacts of COVID-19 on health service delivery during the height of the pandemic in Papua New Guinea; a photovoice study 可视化COVID-19在巴布亚新几内亚大流行高峰期对卫生服务提供的影响；光声研究

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2025.103601

Jamee Newland , Agnes Kupul Mek , Ruthy Neo-Boli , Nalisa Neuendorf , Lisa Vallely , Anna Maalsen , Angela Kelly-Hanku

In Papua New Guinea (PNG), like other countries, health service access, engagement and the provision of primary health and public health infectious disease care changed dramatically during the height of the COVID-19 pandemic. To understand this disruption a photovoice study was conducted with community members (n = 12), clients of health services (n = 10) and healthcare workers (n = 5) and in six provinces in PNG during the third and largest wave of COVID-19 in country. The key findings from this study highlight how COVID-19 fear, and absence and avoidance of health facilities during COVID-19 directly influenced how healthcare was accessed and provided during COVID-19 in PNG. Spatiality, specifically the distance to service, to each other, and to treatment and care were directly influenced by health facility changes, service provision reconfigurations, and fear of COVID-19. This fear and these changes were presented through stark, but symbolic, images of health facilities empty and devoid of clients and healthcare workers. People struggled to get to health facilities due to a lack of transport, and when they could entry was restricted by locked gates and doors, and movement across health facility spaces was controlled by security. This article follows the varying, but mostly similar, experience of healthcare works and clients with respect to health setting spatiality and its important influence in providing or accessing care during COVID-19 – providing important lessons for the management of health facilities for future health emergencies and pandemics.

在巴布亚新几内亚（巴布亚新几内亚），与其他国家一样，在COVID-19大流行高峰期，卫生服务的获取、参与以及初级卫生和公共卫生传染病护理的提供发生了巨大变化。为了了解这种破坏，在巴布亚新几内亚第三波也是最大的COVID-19疫情期间，在巴布亚新几内亚的六个省对社区成员（n = 12）、卫生服务客户（n = 10）和卫生工作者（n = 5）进行了一项光声研究。本研究的主要发现强调了COVID-19恐惧以及COVID-19期间对医疗设施的缺席和回避如何直接影响巴布亚新几内亚在COVID-19期间获得和提供医疗保健的方式。空间性，特别是与服务的距离、彼此之间的距离以及与治疗和护理的距离，直接受到卫生设施变化、服务提供重新配置和对COVID-19的恐惧的影响。这种恐惧和这些变化是通过卫生设施空空如也、没有客户和卫生保健工作者的鲜明但具有象征意义的形象表现出来的。由于缺乏交通工具，人们难以到达卫生设施，他们可以进入的时间受到锁着的大门和门的限制，在卫生设施空间内的行动受到安全控制。本文追踪了在2019冠状病毒病期间，卫生保健工作和客户在卫生环境空间及其对提供或获得医疗服务的重要影响方面的不同（但大多相似）经验，为卫生设施管理应对未来突发卫生事件和大流行提供了重要经验教训。

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引用次数: 0

Leveraging LLMs and explainable AI to decode citizen complaints for neighborhood respiratory health prediction 利用法学硕士和可解释的人工智能来解码市民投诉，以预测邻里呼吸健康。

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2025.103606

Haoxiang Zhao , Junhan Hu , Meilin Yang , Yuan Lai

Respiratory illnesses pose spatially varying threats to human well-being, yet effective monitoring approaches remain limited. This study introduces a novel, place-based framework for predicting neighborhood-level respiratory health by decoding citizen complaints. Utilizing 2.3 million 311 non-urgent service request records in New York City, we demonstrate that citizen complaints outperform conventional census-derived variables in predicting census tract-level asthma prevalence, achieving higher accuracy and reduced systemic bias. Incorporating large language models (LLMs) yields an additional 8 % performance gain through context-aware weighting of complaint content. Explainable AI techniques reveal the marginal contributions of complaint data, identifying the categories most influential in prediction. Our findings uncover neighborhood respiratory health signals embedded in complaint records, and present the value of AI in translating unstructured urban data into predictive capacity and actionable insights. By pairing publicly available data with cutting-edge AI methods, our approach offers an efficient, scalable tool for assessing respiratory health disparities and informing timely, targeted, place-based interventions.

呼吸系统疾病对人类福祉构成的威胁在空间上各不相同，但有效的监测方法仍然有限。本研究引入一种新颖的、基于地点的框架，通过解码市民投诉来预测邻里水平的呼吸健康。利用纽约市230万311份非紧急服务请求记录，我们证明公民投诉在预测人口普查区水平哮喘患病率方面优于传统的人口普查衍生变量，实现了更高的准确性并减少了系统偏差。结合大型语言模型（llm）通过对投诉内容进行上下文感知加权，可获得额外的8 %的性能增益。可解释的人工智能技术揭示了投诉数据的边际贡献，确定了在预测中最具影响力的类别。我们的研究结果揭示了投诉记录中嵌入的社区呼吸健康信号，并展示了人工智能在将非结构化城市数据转化为预测能力和可操作见解方面的价值。通过将公开可用的数据与尖端的人工智能方法相结合，我们的方法提供了一种有效的、可扩展的工具，用于评估呼吸健康差异，并及时提供有针对性的、基于地点的干预措施。

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引用次数: 0

The socioeconomic patterning of Great Britain's fast-food outlets and supermarkets: A repeated cross-sectional study of area-level deprivation and food outlet density from 2011 to 2024 英国快餐店和超市的社会经济模式：2011年至2024年对区域水平剥夺和食品出口密度的重复横断面研究

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2025.103603

Alexandra Boskovic, Thomas Burgoine, Jody Chantal Hoenink

Although previous research has demonstrated socioeconomic differences in the distribution of food outlets, no study to date has examined these patterns across the entire territory of Great Britain (GB) over time. This study provides an up-to-date repeated cross-sectional analysis into distributional changes in GB's fast-food outlets and supermarkets from 2011 to 2024 and its socioeconomic distribution. In this study, coordinates of all fast-food outlets and supermarkets in GB from the Ordnance Survey Points-of-Interest data were used to calculate outlet densities within small areas, adjusted by yearly population estimates and linked to Index of Multiple Deprivation measures. Counts of the different food outlets were combined in the modified Retail Food Environment Index (mRFEI). Multi-level linear regression and beta-regression models were used to assess associations between deprivation and fast-food outlet density, supermarket density and mRFEI). Results show that in GB, fast-food outlet density increased by 36 %, supermarket density increased by 17 % and mRFEI decreased by 5 % from 2011 to 2024. More deprived areas were associated with greater fast-food outlet density and lower mRFEI in all years compared to less deprived areas; the gap in fast-food outlet density between the most and least deprived areas widened by 28 % from 2011 to 2024. There were no statistically significant trends in supermarket density by area-level deprivation. Our findings indicate that higher densities of fast-food outlets in more deprived areas are not compensated for by a similar higher density of supermarkets. This imbalance may be limiting healthier dietary choices for residents in these areas. Given the links between food outlet exposure and dietary behaviours in GB, policies aiming to improve dietary outcomes should prioritise more deprived areas, thereby contributing to the reduction of socioeconomic inequalities in the retail food environment, diet, and health outcomes.

虽然以前的研究已经证明了食品销售点分布的社会经济差异，但迄今为止还没有研究在英国整个领土上长期观察这些模式。本研究对2011年至2024年英国快餐店和超市的分布变化及其社会经济分布进行了最新的重复横断面分析。在这项研究中，我们使用了英国所有快餐店和超市的坐标，这些坐标来自于地形测量局的兴趣点数据，通过每年的人口估计进行调整，并与多重剥夺指数（Index of Multiple Deprivation）相关联，计算出小范围内的门店密度。不同食品销售点的数量在修订后的零售食品环境指数（mRFEI）中合并。采用多层次线性回归和β回归模型评估剥夺与快餐店密度、超市密度和mRFEI之间的关系。结果表明，2011 - 2024年，快餐店密度增长了36% %，超市密度增长了17% %，mRFEI下降了5% %。与贫困程度较低的地区相比，贫困程度越高的地区快餐店密度越大，mRFEI越低；从2011年到2024年，最贫困地区和最贫困地区之间的快餐店密度差距扩大了28% %。从统计上看，超市密度在地区层面上没有显著的变化趋势。我们的研究结果表明，在更贫困的地区，快餐店的密度更高并没有得到类似的更高超市密度的补偿。这种不平衡可能会限制这些地区居民选择更健康的饮食。鉴于食品店暴露与英国饮食行为之间的联系，旨在改善饮食结果的政策应优先考虑更贫困的地区，从而有助于减少零售食品环境、饮食和健康结果中的社会经济不平等。

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引用次数: 0

Neighborhood deprivation and cardiometabolic risk factors in people living with HIV in urban South Africa 南非城市艾滋病毒感染者的邻里剥夺和心脏代谢危险因素

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2026.103607

Nicola Bulled , Siphamandla Gumede , Eustasius Musenge , Samanta Lalla-Edward

Neighborhood deprivation has been shown in the United States to be associated with prevalence of chronic diseases, including cardiometabolic risk factors. The impact of neighborhood deprivation on people living with HIV in populations in sub-Saharan Africa is not well understood, and further, there are no studies exploring such associations with other comorbidities. Adult patients living with HIV (n = 22,253), who attended a public health clinic in nine ward areas of Johannesburg, South Africa, and completed an intake survey between 2022 and 2024, were included in the study. We used multi-level models to determine the association between the validated South African Index of Multiple Deprivation (SAIMD), a multi-dimensional tool that measures deprivation, with four cardiometabolic risk factors: body weight (kg), systolic blood pressure (SBP), elevated total cholesterol, and diabetes. In multivariable-adjusted models, neighborhood deprivation remained statistically significantly positively associated with SBP. The adjusted odds ratios (aORs) for indicators of poorly controlled SBP (>140 mmHg) revealed increases between the least and most deprived neighborhoods. In multivariable-adjusted models, higher levels of neighborhood deprivation were statistically significantly positively associated with indicators of cardiometabolic risk among adults living with HIV. These findings suggest that shared neighborhood level deprivation contributes to comorbid disease burden in PLWH.

在美国，邻里剥夺已被证明与慢性疾病的流行有关，包括心脏代谢危险因素。在撒哈拉以南非洲的人群中，邻里剥夺对艾滋病毒感染者的影响尚不清楚，此外，没有研究探索这种与其他合并症的关联。成年艾滋病毒感染者（n = 22253）在南非约翰内斯堡的9个病区的公共卫生诊所就诊，并在2022年至2024年间完成了摄入调查，他们被纳入了这项研究。我们使用多层次模型来确定南非多重剥夺指数（SAIMD）（一种衡量剥夺的多维工具）与四个心脏代谢危险因素之间的关联：体重（kg）、收缩压（SBP）、总胆固醇升高和糖尿病。在多变量调整模型中，邻里剥夺仍然与收缩压呈统计学显著正相关。收缩压控制不良指标（>140 mmHg）的调整优势比（aORs）显示，最贫困和最贫困社区之间的优势比增加。在多变量调整模型中，较高水平的邻里剥夺与艾滋病毒感染者心脏代谢风险指标呈统计学显著正相关。这些发现表明，共同的社区水平剥夺有助于PLWH的共病疾病负担。

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引用次数: 0

Theory of planned behaviour on physical activity among Hong Kong university students: A cross-sectional study considering gender and living arrangement 香港大学生体育活动的计划行为理论：一项考虑性别及生活安排的横断面研究。

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

Health & Place

Pub Date : 2026-01-01 DOI: 10.1016/j.healthplace.2025.103605

Oscar Rhodes , Benson Wui Man Lau , Choi Yeung Andy Tse , José Devís-Devís , Nadia Bevan , Chung-Ying Lin

Physical activity (PA) rates decrease as students’ progress through their academic journey, with the steepest decline observed in the transition from high school to university. In Hong Kong, PA participation rates among university students are concerningly low, varying by sex and residence. The present study utilised the Theory of Planned Behaviour (TPB) to explain PA intention and behaviour in Hong Kong university students. Participants were 402 (male = 140; 34.8 %—female = 246; 61.2 %) Hong Kong university students (M age = 21.8) who completed an online survey between February and May 2024, including measures of TPB and self-reported PA with demographic information. Linear regression analyses showed that attitudes and perceived behavioural control (PBC) (p < 0.001) were significantly associated with PA intention. Mediation analysis suggested that attitude and subjective norms were associated with intention, with intention linked to PA participation. Subjective norms held a negative statistically significant effect with PA participation directly. Attitude was significantly associated with PA intention across all subsamples (p < 0.001). PBC was moderately associated with PA intention in female students and students who resided on-campus and off-campus (p < 0.05). Strong associations were reported by students who did not move away from their hometown (p < 0.001). Furthermore, intention was the sole factor explaining PA participation for Hong Kong university students. Disparities in TPB explained variance in PA participation differed by sex, living arrangement and moving to university. Findings suggest sex and living arrangements may need to be considered when devising PA interventions for this student demographic.

体育活动（PA）率随着学生在学业上的进步而下降，从高中到大学的过渡阶段下降幅度最大。在香港，由于性别和居住地的不同，大学生的PA参与率很低。本研究运用计划行为理论（Theory of Planned behavior， TPB）来解释香港大学生的PA意向和行为。参与者为402名（男性 = 140；34.8 %-女性 = 246;61.2 %）香港大学生（M年龄 = 21.8），于2024年2月至5月完成了一项在线调查，包括测量TPB和自报PA与人口统计信息。线性回归分析显示，态度和感知行为控制（PBC）与PA意图显著相关（p < 0.001）。中介分析表明，态度和主观规范与意向相关，意向与PA参与相关。主观规范与PA参与直接负向显著影响。在所有子样本中，态度与PA意图显著相关（p < 0.001）。女学生、住校生和住校生的PBC与PA意向有中度相关（p < 0.05）。没有离开家乡的学生报告了强烈的关联（p < 0.001）。此外，意向是香港大学生参加PA的唯一因素。TPB的差异解释了不同性别、居住安排和大学迁入程度的PA参与差异。研究结果表明，在为这类学生设计PA干预措施时，可能需要考虑性别和生活安排。

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