Health & Place最新文献

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The association of neighborhood walkability and food environment with incident cardiovascular disease in The Maastricht Study

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-03-01 DOI: 10.1016/j.healthplace.2025.103432

Jeffrey Alexander Chan , Rachelle Meisters , Jeroen Lakerveld , Miranda T. Schram , Hans Bosma , Annemarie Koster

Built environmental determinants can drive lifestyle behaviors and potentially reduce chronic disease prevalence. Few studies exist that have examined the association of obesogenic environment exposures with cardiovascular disease (CVD) outcomes. We aim to specifically examine the association between neighborhood walkability, food environment and CVD. Data from 6117 Dutch participants of The Maastricht Study, between the ages of 40 and 75 years in the Netherlands were examined. Home addresses were linked to geographic information systems data from the Geoscience and Health Cohort Consortium to create neighborhood exposures of walkability and food environment. Perceived walkability was obtained from the Abbreviated Neighborhood Environment Walkability Scale. An 11-year incidence of CVD was defined by self-reported non-fatal or fatal event (as registered by Statistics Netherlands). Cox regression models examined the association of environment exposures with incident CVD adjusted for demographic and socioeconomic variables. There was lower incidence of CVD using the perceived walkability questionnaire in those living in the most walkable neighborhood (Quartile 4 HR: .77; 95% CI = .62, .97) but not using the objective walkability index (Quartile 4 HR: 1.10; 95% CI = .89, 1.38). There was no association between the food environment and incident CVD (Quartile 4 HR: .82; 95% CI = .65, 1.04). The discordant findings between walkability measures suggest integrating residential feedback and accounting for lived experiences should be prioritized by policymakers when designing equitable neighborhoods to prevent CVD.

{"title":"The association of neighborhood walkability and food environment with incident cardiovascular disease in The Maastricht Study","authors":"Jeffrey Alexander Chan , Rachelle Meisters , Jeroen Lakerveld , Miranda T. Schram , Hans Bosma , Annemarie Koster","doi":"10.1016/j.healthplace.2025.103432","DOIUrl":"10.1016/j.healthplace.2025.103432","url":null,"abstract":"<div><div>Built environmental determinants can drive lifestyle behaviors and potentially reduce chronic disease prevalence. Few studies exist that have examined the association of obesogenic environment exposures with cardiovascular disease (CVD) outcomes. We aim to specifically examine the association between neighborhood walkability, food environment and CVD. Data from 6117 Dutch participants of The Maastricht Study, between the ages of 40 and 75 years in the Netherlands were examined. Home addresses were linked to geographic information systems data from the Geoscience and Health Cohort Consortium to create neighborhood exposures of walkability and food environment. Perceived walkability was obtained from the Abbreviated Neighborhood Environment Walkability Scale. An 11-year incidence of CVD was defined by self-reported non-fatal or fatal event (as registered by Statistics Netherlands). Cox regression models examined the association of environment exposures with incident CVD adjusted for demographic and socioeconomic variables. There was lower incidence of CVD using the perceived walkability questionnaire in those living in the most walkable neighborhood (Quartile 4 HR: .77; 95% CI = .62, .97) but not using the objective walkability index (Quartile 4 HR: 1.10; 95% CI = .89, 1.38). There was no association between the food environment and incident CVD (Quartile 4 HR: .82; 95% CI = .65, 1.04). The discordant findings between walkability measures suggest integrating residential feedback and accounting for lived experiences should be prioritized by policymakers when designing equitable neighborhoods to prevent CVD.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103432"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring relationships between household crowding and health in two First Nations communities

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-03-01 DOI: 10.1016/j.healthplace.2025.103441

Shannon Hyslop , Shelley Kirychuk , Chandima P. Karunanayake , Wanda Martin , Donna Rennie , Lori Bradford , Vivian R. Ramsden , Brooke Thompson , Clarice Roberts , Jeremy Seeseequasis , Kathleen McMullin , Mark Fenton , Sylvia Abonyi , Punam Pahwa , James A. Dosman

Lasting results of federal government influence for housing on-reserve include challenges with housing quantity and quality. Some First Nations communities face distressing housing shortages and household crowding. This study used a cross-sectional survey and the Canadian National Occupancy Standard definition of crowding to explore how household crowding affects health of people living on-reserve. and. First Nations Peoples from two reserve communities in Saskatchewan participated, a total of 831 individuals 18 years and older from 379 households. Household crowding and reports of respiratory diseases were high. The household crowding measure was significantly associated with chronic bronchitis. A culturally appropriate lens and more context are needed to understand household crowding on-reserve.

引用次数: 0

Exploring neighborhood transformations and community gardens to meet the cultural food needs of immigrants and refugees: A scoping review

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-03-01 DOI: 10.1016/j.healthplace.2025.103433

Elizabeth Onyango, Destiny Otoadese, Keji Mori, Nkechinyere Chinedu-Asogwa, Joyce Kiplagat, Binita Jirel

International migration is contributing to changes in the sociocultural and the economic landscapes of many cities in the world. As part of the changes in cities, we are witnessing an increased use of community gardens as spaces for wellbeing restoration, for social connection, and for addressing the challenge of food insecurity, particularly cultural food insecurity. Cultural food security is one major under-recognized issue, yet is pivotal to address given its role in positively supporting immigrants’ settlement and health. However, there is lack of comprehensive evidence of how neighborhoods are changing to accommodate these initiatives and meet the cultural food needs of diverse communities. Our scoping review explored evidence from existing literature on how neighborhoods are changing to accommodate community gardens (CG) as a novel means to address cultural food insecurity among immigrant communities and support place-making and resettlement. Our literature search identified several areas of transformations including the different kinds of community gardens that have emerged, the associated physical, social, cultural, environmental, economic, and policy changes that have been reported in other countries in the Global North. The review also identified multifold benefits of CG in this regard, including benefits to health and wellbeing – the physical (i.e. nutrition and physical activity), mental (e.g., a place for healing for immigrants fleeing war-torn countries, domestic violence, trauma; fostering a connection to the land in new environments via place-making), and social (e.g., fostering community connections and cultural knowledge exchange). Despite the known benefits of community gardens to immigrants' health and wellbeing, there remains a lack of comprehensive evidence in Canada on how neighborhoods are changing to accommodate these initiatives and meet the cultural food needs of diverse communities. Such studies will serve as sources of evidence for novel ideas to address the cultural food needs and food insecurity of immigrant communities, which is becoming a growing public health concern.

{"title":"Exploring neighborhood transformations and community gardens to meet the cultural food needs of immigrants and refugees: A scoping review","authors":"Elizabeth Onyango, Destiny Otoadese, Keji Mori, Nkechinyere Chinedu-Asogwa, Joyce Kiplagat, Binita Jirel","doi":"10.1016/j.healthplace.2025.103433","DOIUrl":"10.1016/j.healthplace.2025.103433","url":null,"abstract":"<div><div>International migration is contributing to changes in the sociocultural and the economic landscapes of many cities in the world. As part of the changes in cities, we are witnessing an increased use of community gardens as spaces for wellbeing restoration, for social connection, and for addressing the challenge of food insecurity, particularly cultural food insecurity. Cultural food security is one major under-recognized issue, yet is pivotal to address given its role in positively supporting immigrants’ settlement and health. However, there is lack of comprehensive evidence of how neighborhoods are changing to accommodate these initiatives and meet the cultural food needs of diverse communities. Our scoping review explored evidence from existing literature on how neighborhoods are changing to accommodate community gardens (CG) as a novel means to address cultural food insecurity among immigrant communities and support place-making and resettlement. Our literature search identified several areas of transformations including the different kinds of community gardens that have emerged, the associated physical, social, cultural, environmental, economic, and policy changes that have been reported in other countries in the Global North. The review also identified multifold benefits of CG in this regard, including benefits to health and wellbeing – the physical (i.e. nutrition and physical activity), mental (e.g., a place for healing for immigrants fleeing war-torn countries, domestic violence, trauma; fostering a connection to the land in new environments via place-making), and social (e.g., fostering community connections and cultural knowledge exchange). Despite the known benefits of community gardens to immigrants' health and wellbeing, there remains a lack of comprehensive evidence in Canada on how neighborhoods are changing to accommodate these initiatives and meet the cultural food needs of diverse communities. Such studies will serve as sources of evidence for novel ideas to address the cultural food needs and food insecurity of immigrant communities, which is becoming a growing public health concern.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103433"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Policymaker and stakeholder perspectives on determinants of fertility decisions through changing environmental and economic conditions in Greenland

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-03-01 DOI: 10.1016/j.healthplace.2025.103443

Malory Peterson , Augustine Rosing , Gitte Adler Reimer , Christina VL. Larsen , Julia Haggerty , Mark Schure , Elizabeth Rink

This study explored linkages between natural resources and determinants of fertility decisions in Greenland. Interviews were conducted with 26 policymakers and key stakeholders in two communities about climate adaptation, hunting and fishing, economic development, and fertility and reproductive health. Participants link fertility outcomes to disparate community socioeconomic circumstances that affect individual access to education and financial mobility. Workforce and education challenges in Greenland limit ability to expand culturally grounded reproductive healthcare. Coordinating healthcare, education, and housing policy may improve material resources to support fertility decisions in Greenland. We contextualize drivers of fertility decisions within Greenland's climate adaptation policy options.

引用次数: 0

Novel indices of state- and county-level social disadvantage in older Americans and disparities in mortality 美国老年人的州和县一级社会不利条件新指数及死亡率差异

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-03-01 DOI: 10.1016/j.healthplace.2025.103438

Yi Wang , Emma X. Zang , Kendra Davis-Plourde , Thomas M. Gill , Robert D. Becher

Studying and defining social contextual disadvantage in community-living older persons is vitally important, yet no composite indices of social disadvantage have been developed and validated specifically for the geriatric population. The current study aims to create two novel composite indices representing state- and county-level social contextual disadvantage in older (≥65 years) persons in the United States (US), and to evaluate whether disparities in mortality exist between index-defined disadvantaged and non-disadvantaged groups. Publicly-available state- and county-level (2006–2014) contextual factors from all 50 US states and 3132 counties were used to create indices of social contextual disadvantage. Associations of disadvantage-status with mortality (2010–2019) were assessed by negative binomial models. We found mortality rates were significantly higher in index-defined disadvantaged states/counties compared with non-disadvantaged ones for 2010–2015 and 2014–2019. For both periods, compared with non-disadvantaged states, the disadvantaged states had at least 11% increased mortality risk. At the county-level, the disadvantaged counties had an approximately 10% increased mortality risk. The findings suggest that the two indices of state- and county-level contextual disadvantage in older persons may serve as useful tools for identifying place-based disadvantaged populations of older Americans and as multidimensional factors driving mortality disparities. State- and county-level social contextual disadvantage should be considered when formulating public health policies and interventions aimed at reducing health disparities.

{"title":"Novel indices of state- and county-level social disadvantage in older Americans and disparities in mortality","authors":"Yi Wang , Emma X. Zang , Kendra Davis-Plourde , Thomas M. Gill , Robert D. Becher","doi":"10.1016/j.healthplace.2025.103438","DOIUrl":"10.1016/j.healthplace.2025.103438","url":null,"abstract":"<div><div>Studying and defining social contextual disadvantage in community-living older persons is vitally important, yet no composite indices of social disadvantage have been developed and validated specifically for the geriatric population. The current study aims to create two novel composite indices representing state- and county-level social contextual disadvantage in older (≥65 years) persons in the United States (US), and to evaluate whether disparities in mortality exist between index-defined disadvantaged and non-disadvantaged groups. Publicly-available state- and county-level (2006–2014) contextual factors from all 50 US states and 3132 counties were used to create indices of social contextual disadvantage. Associations of disadvantage-status with mortality (2010–2019) were assessed by negative binomial models. We found mortality rates were significantly higher in index-defined disadvantaged states/counties compared with non-disadvantaged ones for 2010–2015 and 2014–2019. For both periods, compared with non-disadvantaged states, the disadvantaged states had at least 11% increased mortality risk. At the county-level, the disadvantaged counties had an approximately 10% increased mortality risk. The findings suggest that the two indices of state- and county-level contextual disadvantage in older persons may serve as useful tools for identifying place-based disadvantaged populations of older Americans and as multidimensional factors driving mortality disparities. State- and county-level social contextual disadvantage should be considered when formulating public health policies and interventions aimed at reducing health disparities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103438"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum to “Transport accessibility and hospital attributes: A nonlinear analysis of their impact on Women's prenatal care seeking behavior” [Health & Place 87 (2024) 103250] 交通便利性与医院属性：对妇女产前就医行为影响的非线性分析》[Health & Place 87 (2024) 103250]。

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-03-01 DOI: 10.1016/j.healthplace.2024.103382

Huaxiong Jiang , Yuxiao Wang , Yang Cheng , Mengmeng Zhang , Ling Feng , Shaoshuai Wang

引用次数: 0

Would intervening on financial strain reduce inequalities in mental health between renters and homeowners?

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-03-01 DOI: 10.1016/j.healthplace.2025.103434

Daina Kosīte , Maria Gueltzow , Frank J. van Lenthe , Mariëlle A. Beenackers , Joost Oude Groeniger

Background

Renters generally experience higher psychological distress than homeowners, which may be partially due to financial strain and difficulties to cover the costs of living. Whether interventions targeting financial strain will reduce the mental health disparities between renters and homeowners needs further investigation.

Aims

We investigated the potential impact of hypothetical interventions targeting the reduction of financial strain on the observed inequality in mental health between renters and homeowners.

Method

We analysed longitudinal data from the Dutch GLOBE study (2011–2014, N = 2400). Causal mediation analysis (marginal structural model with inverse probability weighting) was employed as a methodological framework to assess how much the observed inequality in mental health between homeowners and renters would be reduced if no one would experience financial strain (estimated using the counterfactual disparity measure (CDM)) and if renters would experience the same levels of financial strain as homeowners (estimated using the interventional analogue of the natural direct effect (NDE_analogue)).

Results

Our findings revealed a substantial inequality in mental health scores between renters and homeowners, with renters exhibiting an average mental health score of 5.36 (95% CI = 4.05, 7.09) points lower on a 100-point scale. The CDM suggested that complete elimination of financial strain could lead to a 16% reduction in the observed mental health inequality between renters and homeowners (CDM = 4.51 (95% CI = 3.04, 6.56)). The NDE_analogue indicated a 14% reduction in mental health inequality under a hypothetical intervention where the distribution of financial strain among renters was set to that of the homeowners (NDE = 4.60 (95% CI = 2.75, 6.49)).

Conclusion

Addressing financial strain may reduce the disparities in mental health outcomes associated with housing tenure.

{"title":"Would intervening on financial strain reduce inequalities in mental health between renters and homeowners?","authors":"Daina Kosīte , Maria Gueltzow , Frank J. van Lenthe , Mariëlle A. Beenackers , Joost Oude Groeniger","doi":"10.1016/j.healthplace.2025.103434","DOIUrl":"10.1016/j.healthplace.2025.103434","url":null,"abstract":"<div><h3>Background</h3><div>Renters generally experience higher psychological distress than homeowners, which may be partially due to financial strain and difficulties to cover the costs of living. Whether interventions targeting financial strain will reduce the mental health disparities between renters and homeowners needs further investigation.</div></div><div><h3>Aims</h3><div>We investigated the potential impact of hypothetical interventions targeting the reduction of financial strain on the observed inequality in mental health between renters and homeowners.</div></div><div><h3>Method</h3><div>We analysed longitudinal data from the Dutch GLOBE study (2011–2014, N = 2400). Causal mediation analysis (marginal structural model with inverse probability weighting) was employed as a methodological framework to assess how much the observed inequality in mental health between homeowners and renters would be reduced if no one would experience financial strain (estimated using the counterfactual disparity measure (CDM)) and if renters would experience the same levels of financial strain as homeowners (estimated using the interventional analogue of the natural direct effect (NDE<sub>analogue</sub>)).</div></div><div><h3>Results</h3><div>Our findings revealed a substantial inequality in mental health scores between renters and homeowners, with renters exhibiting an average mental health score of 5.36 (95% CI = 4.05, 7.09) points lower on a 100-point scale. The CDM suggested that complete elimination of financial strain could lead to a 16% reduction in the observed mental health inequality between renters and homeowners (CDM = 4.51 (95% CI = 3.04, 6.56)). The NDE<sub>analogue</sub> indicated a 14% reduction in mental health inequality under a hypothetical intervention where the distribution of financial strain among renters was set to that of the homeowners (NDE = 4.60 (95% CI = 2.75, 6.49)).</div></div><div><h3>Conclusion</h3><div>Addressing financial strain may reduce the disparities in mental health outcomes associated with housing tenure.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103434"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the mental health impacts of Israeli occupation infrastructure in the West Bank by combining geospatial data with a representative survey of Palestinian youth

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-02-22 DOI: 10.1016/j.healthplace.2025.103420

Nadia Almasalkhi , Peter Glick , Samer Atshan , Wenjing Huang , Jad Isaac , Umaiyeh Khammash , Daniel Egel

Palestinian youth in the West Bank, occupied Palestinian territory (oPt) live in proximity to various forms of Israeli occupation infrastructure, such as checkpoints, road obstructions, a separation barrier, and Israeli settlements. We investigated the effect of proximity to such infrastructure on youth mental health and health risk behaviors by linking geospatial data on the locations of occupation infrastructure to geocoded survey data collected from a representative sample of Palestinian youth living in the West Bank. We estimated the relationship of youth mental health and proximity to each type of occupation infrastructure with controls for exposure to conflict-related violence and a range of demographic factors. We found that youth mental health is strongly negatively impacted by proximity to manned checkpoints (for males and females) and proximity to settlements (for females), and these impacts appear to be direct rather than mediated by conflict-related trauma exposure. The results indicate the importance of environmental aspects of the conflict for youth mental health, in addition to conflict-related violence itself.

{"title":"Assessing the mental health impacts of Israeli occupation infrastructure in the West Bank by combining geospatial data with a representative survey of Palestinian youth","authors":"Nadia Almasalkhi , Peter Glick , Samer Atshan , Wenjing Huang , Jad Isaac , Umaiyeh Khammash , Daniel Egel","doi":"10.1016/j.healthplace.2025.103420","DOIUrl":"10.1016/j.healthplace.2025.103420","url":null,"abstract":"<div><div>Palestinian youth in the West Bank, occupied Palestinian territory (oPt) live in proximity to various forms of Israeli occupation infrastructure, such as checkpoints, road obstructions, a separation barrier, and Israeli settlements. We investigated the effect of proximity to such infrastructure on youth mental health and health risk behaviors by linking geospatial data on the locations of occupation infrastructure to geocoded survey data collected from a representative sample of Palestinian youth living in the West Bank. We estimated the relationship of youth mental health and proximity to each type of occupation infrastructure with controls for exposure to conflict-related violence and a range of demographic factors. We found that youth mental health is strongly negatively impacted by proximity to manned checkpoints (for males and females) and proximity to settlements (for females), and these impacts appear to be direct rather than mediated by conflict-related trauma exposure. The results indicate the importance of environmental aspects of the conflict for youth mental health, in addition to conflict-related violence itself.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103420"},"PeriodicalIF":3.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neighborhood intergenerational mobility and population health inequality: Spatial dependency and heterogeneity

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-02-21 DOI: 10.1016/j.healthplace.2025.103429

Ning Xiong, Yehua Dennis Wei, Yu Wang

Health inequity represents a significant social injustice with major policy implications. This study examines the role of neighborhood intergenerational mobility (IM)—deﬁned as the extent to which children within a speciﬁc neighborhood can achieve better socioeconomic outcomes than their parents—in shaping population health, addressing widening health inequalities. We propose that neighborhood IM is positively associated with population health, moderated by spatial dependency and heterogeneity. Analyzing over 69,000 census tracts in the contiguous United States using spatially-lagged X models, we find that neighborhood IM is positively associated with health status. The positive relationship weakens in neighborhoods surrounded by neighborhoods with higher levels of IM and strengthens in neighborhoods surrounded by neighborhoods with lower levels of IM. It also weakens in more advantaged environments—characterized by higher socioeconomic indicators, better built environment features, and more favorable natural environment conditions—and strengthens in less advantaged environments with poorer socioeconomic, built, and natural conditions. Our ﬁndings underscore the critical role of neighborhood context and heterogeneity in shaping the effects of social determinants on health, suggesting that policymakers should prioritize resources for disadvantaged neighborhoods with lower IM, particularly those surrounded by similarly low-IM areas, to mitigate health disparities more effectively. Our study provides new insights into the role of neighborhood IM in population health and demonstrates the value of geographic approaches for understanding and mitigating health disparities.

{"title":"Neighborhood intergenerational mobility and population health inequality: Spatial dependency and heterogeneity","authors":"Ning Xiong, Yehua Dennis Wei, Yu Wang","doi":"10.1016/j.healthplace.2025.103429","DOIUrl":"10.1016/j.healthplace.2025.103429","url":null,"abstract":"<div><div>Health inequity represents a significant social injustice with major policy implications. This study examines the role of neighborhood intergenerational mobility (IM)—deﬁned as the extent to which children within a speciﬁc neighborhood can achieve better socioeconomic outcomes than their parents—in shaping population health, addressing widening health inequalities. We propose that neighborhood IM is positively associated with population health, moderated by spatial dependency and heterogeneity. Analyzing over 69,000 census tracts in the contiguous United States using spatially-lagged X models, we find that neighborhood IM is positively associated with health status. The positive relationship weakens in neighborhoods surrounded by neighborhoods with higher levels of IM and strengthens in neighborhoods surrounded by neighborhoods with lower levels of IM. It also weakens in more advantaged environments—characterized by higher socioeconomic indicators, better built environment features, and more favorable natural environment conditions—and strengthens in less advantaged environments with poorer socioeconomic, built, and natural conditions. Our ﬁndings underscore the critical role of neighborhood context and heterogeneity in shaping the effects of social determinants on health, suggesting that policymakers should prioritize resources for disadvantaged neighborhoods with lower IM, particularly those surrounded by similarly low-IM areas, to mitigate health disparities more effectively. Our study provides new insights into the role of neighborhood IM in population health and demonstrates the value of geographic approaches for understanding and mitigating health disparities.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103429"},"PeriodicalIF":3.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spatial heterogeneity of blood pressure control and its influencing factors in elderly patients with essential hypertension: A small-scale spatial analysis

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health & Place

Pub Date : 2025-02-20 DOI: 10.1016/j.healthplace.2025.103428

Jingming Wei , Yudong Miao , Jingbao Zhang , Jian Wu , Zhanlei Shen , Junwen Bai , Dongfang Zhu , Ruizhe Ren , Xinran Li , Mingyue Zhen , Jiajia Zhang , Jinxin Cui , Dan Guo , Wenyong Dong , Clifford Silver Tarimo , Qiuping Zhao , Rongmei Liu , Jianping Hu , Miaojun Li

Background

The blood pressure control status and its influencing factors in elderly patients with essential hypertension are complex. Existing studies often overlook spatial differences or utilize coarse spatial scales, which limits the understanding of the fine patterns of spatial heterogeneity and the design and implementation of further prevention and control policies.

Methods

In August 2023, A community-based survey was carried out in Jia County, China, involving a total of 19080 patients over 65 years old. Traditional linear regression and multi-scale geographically weighted regression were used to analyze the influencing factors and their spatial heterogeneity.

Results

Low blood pressure control rate was concentrated in the central urban communities, characterized by a significant low-low cluster, while high blood pressure control rate was concentrated in some northwest and southeast rural communities, with a prominent high-high cluster. There was spatial heterogeneity in the influencing factors. For example, obesity was significantly negatively correlated with blood pressure control rate in central urban communities, while physical activity exhibited a positive correlation in northwest and southeast rural communities.

Conclusion

This underscores the need to implement hypertension management services according to local conditions in terms of strengthening the weight management of patients in urban communities and the guidance of physical activity in rural communities. The government should increase financial investment in medical and health care in rural communities and reduce the burden of health costs. This study proves that the geospatial approach can provide objective scientific data support for public health policy innovation.

{"title":"Spatial heterogeneity of blood pressure control and its influencing factors in elderly patients with essential hypertension: A small-scale spatial analysis","authors":"Jingming Wei , Yudong Miao , Jingbao Zhang , Jian Wu , Zhanlei Shen , Junwen Bai , Dongfang Zhu , Ruizhe Ren , Xinran Li , Mingyue Zhen , Jiajia Zhang , Jinxin Cui , Dan Guo , Wenyong Dong , Clifford Silver Tarimo , Qiuping Zhao , Rongmei Liu , Jianping Hu , Miaojun Li","doi":"10.1016/j.healthplace.2025.103428","DOIUrl":"10.1016/j.healthplace.2025.103428","url":null,"abstract":"<div><h3>Background</h3><div>The blood pressure control status and its influencing factors in elderly patients with essential hypertension are complex. Existing studies often overlook spatial differences or utilize coarse spatial scales, which limits the understanding of the fine patterns of spatial heterogeneity and the design and implementation of further prevention and control policies.</div></div><div><h3>Methods</h3><div>In August 2023, A community-based survey was carried out in Jia County, China, involving a total of 19080 patients over 65 years old. Traditional linear regression and multi-scale geographically weighted regression were used to analyze the influencing factors and their spatial heterogeneity.</div></div><div><h3>Results</h3><div>Low blood pressure control rate was concentrated in the central urban communities, characterized by a significant low-low cluster, while high blood pressure control rate was concentrated in some northwest and southeast rural communities, with a prominent high-high cluster. There was spatial heterogeneity in the influencing factors. For example, obesity was significantly negatively correlated with blood pressure control rate in central urban communities, while physical activity exhibited a positive correlation in northwest and southeast rural communities.</div></div><div><h3>Conclusion</h3><div>This underscores the need to implement hypertension management services according to local conditions in terms of strengthening the weight management of patients in urban communities and the guidance of physical activity in rural communities. The government should increase financial investment in medical and health care in rural communities and reduce the burden of health costs. This study proves that the geospatial approach can provide objective scientific data support for public health policy innovation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"92 ","pages":"Article 103428"},"PeriodicalIF":3.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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