Health & Place最新文献_第5页

Digital, social, and built environment influences on loneliness among older adults in China 数字、社会和建筑环境对中国老年人孤独感的影响

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103581

Yongchen Zou , Pauline E.W. van den Berg , Melvin Wong , Astrid D.A.M. Kemperman

Loneliness can be experienced at any stage of life, but it is a particular physical and psychological concern for older adults, a growing demographic group in many societies. To date, studies on loneliness have focused mainly on the effect of individual factors. However, it is increasingly recognized that broader societal and contextual factors, such as factors of the social environment, the digital environment, and the built environment also influence loneliness. This research explores the interplay between factors from the digital, social, and physical environment and socio-demographics on the feelings of loneliness of older adults in China. A Bayesian Belief Network estimated with survey data from 198 older adults reveals that there are direct and indirect associations between these factors and loneliness. The results highlight that ICT use affects the loneliness of older adults’ through the social environment. A greater variety of ICT use, both information-orientated and communication-orientated contributes to larger social networks, increasing social support. In addition, factors in the built and social environment exert indirect effects on loneliness through social support. Policymakers are advised to pay more attention to the prevention of loneliness among older adults by promoting the use of smartphone-based ICT, expanding their social networks, and strengthening social support. In addition, creating safe and age-friendly physical environments is crucial, especially in low socioeconomic neighborhoods, to improve social support and mitigate feelings of loneliness.

孤独可以在生命的任何阶段经历，但对于老年人来说，这是一个特别的生理和心理问题，在许多社会中，老年人是一个不断增长的人口群体。迄今为止，对孤独的研究主要集中在个体因素的影响上。然而，人们越来越认识到，更广泛的社会和背景因素，如社会环境、数字环境和建筑环境等因素也会影响孤独感。本研究探讨了数字、社会和自然环境因素与社会人口统计学因素对中国老年人孤独感的相互作用。根据对198名老年人的调查数据估计，贝叶斯信念网络显示，这些因素与孤独之间存在直接和间接的联系。研究结果表明，信息通信技术的使用通过社会环境影响老年人的孤独感。更多种类的信息通信技术的使用，包括信息导向和通信导向，有助于扩大社会网络，增加社会支持。此外，建筑环境和社会环境因素通过社会支持对孤独感产生间接影响。建议政策制定者通过推广使用基于智能手机的信息通信技术、扩大老年人的社交网络和加强社会支持，更多地关注老年人孤独感的预防。此外，创造安全和老年人友好的物理环境至关重要，特别是在社会经济水平较低的社区，以改善社会支持和减轻孤独感。

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引用次数: 0

Heavy menstrual bleeding and association with menstruation-specific resources: A multinational cross-sectional study in low- and middle-income countries 月经大出血与经期特异性资源的关系：一项低收入和中等收入国家的跨国横断面研究。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103576

Zarmeen Shakil , Bethany A. Caruso , Madeleine Patrick , Thea L. Mink , Tanushree Bhan , Tanvir Ahmed , Jenala Chipungu , Malini Reddy , Chibwe Beatrice Chiwala , Sheela S. Sinharoy

Heavy menstrual bleeding (HMB), clinically defined as excessive menstrual blood loss which interferes with a woman's physical, emotional, social, and/or material quality of life, is a highly prevalent yet understudied global health problem. This cross-sectional study examines associations between HMB and menstruation-related resources, to understand factors that may contribute to HMB.

We conducted secondary analyses of household survey data collected from women in eight cities across five countries: Meherpur and Saidpur, Bangladesh; Narsapur, Tiruchirappalli, and Warangal, India; Dakar, Senegal; Kampala, Uganda; and Lusaka, Zambia. HMB was assessed using the clinically validated SAMANTA scale, and menstruation-specific resources were measured through validated scales for safety and security, privacy, financial assets, and time. We conducted regression analyses, controlling for demographic covariates and clustering, of associations between HMB and menstruation-specific resources.

Among our analytic sample of 3962 participants, 44.7 % were categorized as experiencing HMB. Results indicated that financial dependence on others for menstruation-related expenses and limited control over time were significantly associated with higher prevalence of HMB. Specifically, each one-point increase in financial dependence was associated with a 9 % higher HMB prevalence (p = 0.008), while greater control over time was associated with a 20 % lower prevalence (p < 0.001). The use of menstrual materials not specifically designed for menstruation, such as cotton wool or toilet paper, was also significantly associated with higher HMB prevalence.

These findings highlight the critical importance of control over menstruation-specific resources, particularly financial resources and time, as well as improved access to affordable and high-quality menstrual materials, for menstrual health in urban populations.

大量月经出血（HMB），临床上定义为月经失血过多，干扰妇女的身体、情感、社会和/或物质生活质量，是一个非常普遍但尚未得到充分研究的全球健康问题。本横断面研究探讨了HMB与月经相关资源之间的关系，以了解可能导致HMB的因素。我们对五个国家八个城市的妇女家庭调查数据进行了二次分析：孟加拉国的梅尔布尔和赛义德布尔；印度的Narsapur， Tiruchirappalli和Warangal；塞内加尔达喀尔的;坎帕拉,乌干达;以及赞比亚的卢萨卡。HMB采用经临床验证的SAMANTA量表进行评估，月经特异性资源通过经临床验证的安全、隐私、金融资产和时间量表进行测量。我们对HMB与经期特异性资源之间的关联进行了回归分析，控制了人口统计学协变量和聚类。在我们的3962名参与者的分析样本中，44.7% %被归类为经历HMB。结果表明，在经期相关费用上依赖他人以及对时间的控制有限与HMB的高患病率显著相关。具体而言，经济依赖每增加1个点，HMB患病率就会增加9 % (p = 0.008)，而随着时间的推移，更大的控制与患病率降低20 %相关(p

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引用次数: 0

Cultivating choices: A photovoice study exploring lived experiences of food environments for vegetable-rich diets across Fiji's rural–urban gradient 培养选择：一项摄影语音研究探索了斐济农村-城市梯度中富含蔬菜饮食的食物环境的生活体验。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103573

Ana Irache , Mari Skar Manger , Lucrezia Caselli , Chiara Cresta , Asaeli Naika , Viola Lesi , Rebecca Brooks , Kristie Smith , Sophie Goudet , Ee Von Goh , Jody Harris

Understanding structural barriers and enablers of food choice (i.e., the processes by which people consider, select, prepare, distribute, and consume food and beverages, influenced by both individual and external drivers) is critical for tackling poor diets in Fiji. This study used Photovoice to explore how Fijians across five communities in diverse physical contexts—from urban Suva to remote Ovalau—experience vegetable food environments. Thirty-two purposively selected adults captured photographs on five prompts and discussed them in talanoa interviews. Thematic analysis, guided by socioecological and nutrition-equity frameworks, identified factors at the individual, social, physical and macro levels. Key interlinked insights include: (1) Cultivation and wild foraging are the major sources of vegetables, outweighing retail sourcing in rural contexts; (2) Climate variability jeopardises supply, with flooding and drought regularly damaging crops; (3) Social norms steer preferences—communal labour (solesolevaki), gendered food work, and family and peer influence in different directions shaped what was grown, bought, and eaten; (4) Cost and convenience constrain urban intake in particular. Participants universally recognized vegetables as “healthy”; yet affordability, land tenure, and seasonal shocks limited consumption. Respondents called for sustained government and NGO support to diversify and stabilise vegetable availability and access. This study contributes participatory evidence on the lived experience of Fijians of their food environments in a range of physical contexts, adding evidence on structural drivers of food choice for an under-researched food group – vegetables – and in an under-researched context – the Pacific. By centring community voices, this study reveals spatial inequities in Fijian food environments and identifies actionable, place-based levers for healthier diets.

了解食物选择的结构性障碍和促进因素（即人们在个人和外部驱动因素的影响下考虑、选择、准备、分发和消费食物和饮料的过程）对于解决斐济的不良饮食问题至关重要。这项研究使用Photovoice来探索五个社区的斐济人如何在不同的物理环境中（从苏瓦城市到偏远的奥瓦卢）体验蔬菜食物环境。32名有目的地挑选的成年人在5个提示上拍摄照片，并在talanoa访谈中讨论这些照片。在社会生态和营养公平框架的指导下，专题分析确定了个人、社会、物质和宏观层面的因素。关键的相互关联的见解包括：(1)种植和野生觅食是蔬菜的主要来源，超过了农村地区的零售采购；(2)气候变化危及粮食供应，洪涝和干旱经常破坏农作物；(3)社会规范引导偏好——公共劳动（solesolevaki）、性别食品工作、家庭和同伴在不同方向上的影响决定了种植、购买和食用的东西；(4)成本和便利性尤其制约了城市人口的吸收。参与者普遍认为蔬菜是“健康的”；然而，负担能力、土地使用权和季节性冲击限制了消费。受访者呼吁政府和非政府组织提供持续支持，以实现蔬菜供应和获取的多样化和稳定。这项研究为斐济人在一系列自然环境下的食物环境的生活经验提供了参与性证据，为研究不足的食物群体（蔬菜）和研究不足的环境（太平洋）的食物选择的结构性驱动因素提供了证据。通过集中社区的声音，本研究揭示了斐济粮食环境中的空间不平等，并确定了可操作的、基于地方的更健康饮食杠杆。

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引用次数: 0

Increasing equity to mental health treatment by adapting churches as alternative facilities: a location-allocation analysis 通过调整教堂作为替代设施来增加精神健康治疗的公平性：地点分配分析。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103580

Hui Luan , Insang Song , Tamara Taggart , Kimberly Arnold , Bridgette Rice , Yusuf Ransome

引用次数: 0

Uneven access to essential services and amenities: Geographic disparities in ‘third place’ availability across the United States from 2010 to 2021 获得基本服务和便利设施的不平衡：2010年至2021年美国“第三名”可用性的地理差异。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103583

Yue Sun , Michael H. Esposito , Mallory Sagehorn , Robert A. Melendez , Jessica M. Finlay

‘Third places’ are pivotal to daily life as community sites outside of home (first place) and work (second place) that foster civic engagement, social cohesion, upward mobility, and population health. However, their distribution is uneven, and accelerated closures since the Great Recession may deepen socio-geographic disparities across the United States. Using Census tract-level data from the National Establishment Time-Series Database, we investigated changes in third place availability from 2010 to 2021 across 12 categories: art galleries, beauty and barber shops, civic and social organizations, coffee shops, fast-food outlets, grocery stores, libraries, movie theaters, museums, recreation centers, restaurants, and senior centers. Generalized additive mixed models assessed variations by racial/ethnic composition, educational attainment, and rural-urban status. Despite their importance to individual and collective health, all categories experienced widespread closures from 2019 to 2021. While disparities in reduced availability varied by third place categories, declines were particularly acute in Census tracts with higher concentrations of socially vulnerable populations and in rural areas. Our findings demonstrate substantial geographic variation and ongoing change in third place availability. Identifying these disparities is essential to address widening gaps in socioeconomic opportunity and health equity. Targeted interventions and policies that promote more equitable access to third places are essential to support communities ‘left behind’ and advance both individual and collective health.

“第三场所”对日常生活至关重要，作为家庭（第一）和工作（第二）之外的社区场所，促进公民参与、社会凝聚力、向上流动和人口健康。然而，它们的分布是不平衡的，大衰退以来加速关闭可能会加深美国各地的社会地理差异。利用国家建立时间序列数据库的人口普查数据，我们调查了2010年至2021年12个类别中第三名可用性的变化：艺术画廊、美容和理发店、公民和社会组织、咖啡店、快餐店、杂货店、图书馆、电影院、博物馆、娱乐中心、餐馆和老年中心。广义加性混合模型评估了种族/民族构成、教育程度和城乡状况的差异。尽管它们对个人和集体健康都很重要，但从2019年到2021年，所有类别都经历了广泛的关闭。虽然可用性减少的差异因第三名类别而异，但在社会弱势人口较为集中的人口普查区和农村地区，减少的情况尤其严重。我们的研究结果表明，第三名的可用性存在巨大的地理差异和持续变化。确定这些差距对于解决社会经济机会和卫生公平方面日益扩大的差距至关重要。有针对性的干预措施和政策，促进更公平地获得第三地，对于支持“落后”社区和促进个人和集体健康至关重要。

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引用次数: 0

Sea swimming during pregnancy and matrescence: Embodiment, experiences and the environment 孕期和孕中期的海游泳：体现、体验和环境。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103551

Eva McGrath , Jill Shawe

There is a knowledge gap around pregnant women's experiences of sea swimming both within the social research sphere and wider public health communications. Using creative methods, this cross-disciplinary research focuses upon the embodiment and experiences of 13 pregnant and 5 matrescent women who sea swam during winter in the UK. Findings document the women's perceived health and wellbeing benefits of cold water swimming through pregnancy including a protected space for mothers to create time for themselves. Cold water immersion was reported as easing aches and pains associated with pregnancy. Some women used the controlled breath of entering cold water as a pre-emptive strategy for labour, parallel to wider hypnobirthing strategies recommended by midwives, doulas or health care providers. The relationship between the midwife and women is discussed, particularly in relation to exchange of knowledge, healthcare concerns and risks such as the condition and quality of the water. The paper includes two research poems written by the lead author that weave the questions, concerns and experiences of the participants involved following in-person interviews in coastal locations in South West UK and research workshops. The poems summarise why women wish to continue swimming in the sea through their pregnancy, despite safety and environmental challenges. Altogether, this paper sets out new and novel parameters for conducting health and place research using sequential mixed methods with a survey and qualitative techniques including poetry, diaries and photography, that honour the voices and stories of the women involved.

在社会研究领域和更广泛的公共卫生宣传方面，都存在着关于孕妇海游泳经历的知识差距。采用创造性的方法，这项跨学科的研究集中在13名孕妇和5名孕妇的体现和经验，她们在英国冬季进行海游。调查结果记录了女性认为在怀孕期间冷水游泳对健康和幸福的好处，包括为母亲提供了一个受保护的空间，为自己创造时间。据报道，冷水浸泡可以缓解与怀孕有关的疼痛。一些妇女将进入冷水时控制呼吸作为分娩的先发制人策略，与助产士、助产师或卫生保健提供者推荐的更广泛的催眠分娩策略类似。讨论了助产士与妇女之间的关系，特别是在知识交流、保健问题和水的条件和质量等风险方面。这篇论文包括由主要作者写的两首研究诗，它们编织了参与者在英国西南部沿海地区和研究研讨会上的亲自采访后的问题、关注和经历。这些诗总结了为什么女性希望在怀孕期间继续在海里游泳，尽管存在安全和环境方面的挑战。总而言之，本文提出了新的和新颖的参数，用于开展健康和地方研究，使用顺序混合方法与调查和定性技术，包括诗歌、日记和摄影，以尊重所涉妇女的声音和故事。

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引用次数: 0

Active public spaces can protect against multiple dimensions of loneliness: Qualitative evidence from an Australian sample in the COVID-19 pandemic 活跃的公共空间可以防止多维度的孤独：来自澳大利亚COVID-19大流行样本的定性证据。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103567

Laura McGrath , Marlee Bower , Kylie Valentine , Amarina Donohoe-Bales , Erin Fearn-Smith , Caitlin Buckle , Julia Macauley , Peta Wolifson

Among many long-term policy questions raised by the COVID-19 pandemic, renewed energy has been given to arguments about the importance of built environments to wellbeing. Restricting access to space outside the home helped to newly expose the relational value of public spaces, including mundane commercial spaces. Drawing on qualitative evidence from mapping interviews with 46 Australians during the period of restrictions, we explore the ways that loss of access to public space influenced multiple forms of loneliness—emotional, social, collective, and existential. Public space, we argue, can be seen as a specific kind of relational resource, producing forms of connection difficult to replicate in other spatial contexts: collective, expansive and incidental relationality. Whilst some social connection could be digitally replaced, it was these incidental or emergent forms of connection that were lost in the mass relocation to household space. A full understanding of the relationship between the built environment and loneliness, therefore, needs to integrate an understanding of the full range of forms of connection and belonging, including indirect and collective relational experiences. Implications for design and planning are discussed.

在2019冠状病毒病大流行引发的许多长期政策问题中，关于建筑环境对健康重要性的争论再次受到关注。限制进入住宅外的空间有助于揭示公共空间的关系价值，包括世俗的商业空间。在限制期间，我们从对46名澳大利亚人的地图访谈中获得定性证据，探讨了失去进入公共空间的途径对多种形式的孤独（情感、社会、集体和存在）的影响。我们认为，公共空间可以被视为一种特殊的关系资源，它产生了难以在其他空间环境中复制的联系形式：集体的、扩张性的和偶然的关系。虽然一些社会联系可以被数字取代，但正是这些偶然的或紧急的联系形式在大规模迁移到家庭空间中丢失了。因此，要充分理解建筑环境和孤独之间的关系，就需要综合理解各种形式的联系和归属感，包括间接的和集体的关系体验。讨论了对设计和规划的影响。

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引用次数: 0

Impact of heat on emergency department visits and hospital admissions in the Paris region 高温对巴黎地区急诊就诊和住院人数的影响。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103582

Gauthier Forceville , Sarah Goria , Morgane Stempfelet , Magali Corso , Vérène Wagner , Sabine Host , Erwan Cordeau , Jean-Marie Alessandrini , Marco Conte , Anne Fouillet , Aude Lemonsu , Mathilde Pascal

Background

To adapt the health system to climate change, it is important to understand how heat affects healthcare use. This study examines the impact of heat on emergency department (ED) visits and hospital admissions (HA) by age (15–64, 65 and over), sex, type of urban environment and social deprivation, in the Paris region (France).

Method

Daily ED visits and HA were collected for the 527 postal codes and 1,287 municipalities, for cardiovascular, respiratory, renal, heat-related causes, by age and sex, from 2010 to 2019. Daily mean temperatures were estimated for each postal code and municipality using 1.25 km gridded data. Time-series analyses using non-linear distributed lag models were used.

Results

Heat was associated with an increase in ED visits and HA for heat-related causes, respiratory causes and renal causes in all areas, age groups and sex. Around 27,000 ED visits and 4,800 HA were attributable to heat between 2010 and 2019 in the Paris region, including around 15,000 ED visits for malaise, and 3,100 HA for respiratory causes.

Discussion

The results highlight that the effects of heat are numerous, and are not uniform depending on the causes and health indicators studied. They call for a stronger action to prevent the impacts of heat on morbidity.

背景：为了使卫生系统适应气候变化，了解热量如何影响医疗保健使用是很重要的。本研究在法国巴黎地区按年龄（15-64岁、65岁及以上）、性别、城市环境类型和社会剥夺程度考察了高温对急诊科（ED）就诊和住院（HA）的影响。方法：收集2010 - 2019年527个邮政编码和1287个城市的每日急诊科就诊和HA，按年龄和性别分列心血管、呼吸、肾脏、热相关疾病。使用1.25 公里网格数据估计了每个邮政编码和城市的日平均气温。采用非线性分布滞后模型进行时间序列分析。结果：在所有地区、年龄组和性别中，高温与急诊科就诊和高温相关原因、呼吸原因和肾脏原因的HA增加有关。2010年至2019年期间，巴黎地区约有2.7万例急诊科就诊和4800例HA可归因于高温，其中约1.5万例急诊科就诊是因为不适，3100例HA是因为呼吸道原因。讨论：结果突出表明，热量的影响是多种多样的，并不是均匀的，取决于所研究的原因和健康指标。他们呼吁采取更有力的行动来防止高温对发病率的影响。

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引用次数: 0

Space, place, and the politics of access: Service provider perspectives on health system responses to sexual- and gender-based violence in rural communities 空间、地点和获取的政治：服务提供者对卫生系统应对农村社区性暴力和基于性别的暴力的看法。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103572

Madeleine D. Sheppard-Perkins, Francine E. Darroch

Background: Sexual- and gender-based violence (SGBV) remains a pervasive public health concern in Canada, with rural communities facing disproportionate rates of severe violence alongside significant barriers to care. While previous research has documented rural service scarcity, less attention has been paid to the socio-spatial dynamics that shape how health and support services are experienced, accessed, and provided.

Methods

This qualitative study draws on semi-structured interviews with 18 SGBV service providers working in rural Ontario. Guided by an intersectional geography framework, we examine how providers interpret and navigate the spatial, structural, and sociocultural conditions influencing care, particularly for groups experiencing intersecting forms of marginalization. Reflexive thematic analysis was used to identify key themes across institutional healthcare settings and community-based supports.

Findings

Two overarching themes emerged: (1) SGBV care pathways in a rural context: Fragmentation, stigma, and scope of support, which highlights how institutionally-constrained systems (i.e., emergency and primary care) often operate on crisis-driven thresholds that may not be suited to meet survivors where they are; and (2) Reimagining rural SGBV response through multi-service hubs, which explores integrated, place-based care models as promising but underfunded alternatives. Across interviews, participants emphasized that access is shaped not only by geographic distance and logistical specificities, but by safety, stigma, trust, and relational continuity.

Conclusion

This study illustrates how spatial and institutional inequities intersect to limit meaningful access to SGBV-related healthcare in rural contexts. Findings support the development of community-embedded models that respond to the place-based realities of survivors and providers alike, such as rural care hubs.

背景：性暴力和基于性别的暴力（SGBV）在加拿大仍然是一个普遍存在的公共卫生问题，农村社区面临着不成比例的严重暴力，同时也面临着重大的护理障碍。虽然以前的研究记录了农村服务的稀缺性，但较少关注影响如何体验、获取和提供卫生和支持服务的社会空间动态。方法：本定性研究采用半结构化访谈，访谈对象为18位在安大略省农村工作的SGBV服务提供者。在交叉地理框架的指导下，我们研究了提供者如何解释和驾驭影响护理的空间、结构和社会文化条件，特别是对于经历交叉形式的边缘化的群体。反身性专题分析用于确定机构医疗保健环境和社区支持的关键主题。发现：出现了两个总体主题：(1)农村背景下的性暴力护理途径：碎片化、污名化和支持范围，这突出了受制度限制的系统（即急诊和初级保健）往往是如何根据危机驱动的阈值运作的，这些阈值可能不适合满足幸存者所在的地方；(2)通过多服务中心重新构想农村SGBV应对措施，探索综合的、基于场所的护理模式，作为有希望但资金不足的替代方案。在访谈中，参与者强调，获取不仅受到地理距离和后勤特殊性的影响，还受到安全、耻辱、信任和关系连续性的影响。结论：本研究说明了空间和制度上的不平等如何相互交叉，限制了农村地区有意义地获得与性暴力相关的医疗服务。研究结果支持开发社区嵌入式模型，以响应幸存者和提供者的地方现实，例如农村护理中心。

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引用次数: 0

Real-time mobile sensing calibrated by random forest for spatiotemporal assessment of air pollution exposure distribution and inequality 随机森林校准的实时移动传感用于空气污染暴露分布和不平等的时空评估。

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

Health & Place

Pub Date : 2025-11-01 DOI: 10.1016/j.healthplace.2025.103579

Dong Liu , Zhenchuan Yang , Zihan Kan , Mei-Po Kwan , Jiangyu Song

Air pollution has been broadly acknowledged as a significant contributor to various health issues. However, air pollution has conventionally been measured by fixed monitoring stations with limited spatiotemporal resolution. This research leverages real-time mobile sensing to conduct the spatiotemporal assessment of air pollution distribution and inequality in Hong Kong across multiple temporal levels including daytime/nighttime, weekday/weekend, and four seasons. Using the population-weighted exposure method and the Gini coefficient, the study reveals that districts like Sha Tin, Central & Western, Yau Tsim Mong, and Sham Shui Po consistently exhibit elevated pollution levels compared to the Hong Kong average across various timeframes. Furthermore, regarding intra-district pollution inequality, Large Subunit Groups (LSUGs) near the border with Mainland China within the districts of North, Tai Po, Tuen Mun, and Yuen Long in the New Territories, as well as LSUGs within Wan Chai near the district boundary with Central & Western on Hong Kong Island, and LSUGs within Kowloon City near the district boundary with Yau Tsim Mong and Sham Shui Po in Kowloon, exhibit higher levels of air pollution exposure compared to their intra-district LSUG counterparts located further inland. These findings help policymakers formulate targeted interventions to improve air quality across Hong Kong.

空气污染已被广泛认为是造成各种健康问题的一个重要因素。然而，空气污染通常是由固定的监测站测量的，其时空分辨率有限。本研究利用实时移动传感技术，对香港的空气污染分布和不平等进行了时空评估，包括白天/夜间、工作日/周末和四季。研究采用人口加权暴露法及基尼系数，发现沙田、中西区、油尖及深水埗等地区的污染水平在不同时段均高于全港平均水平。此外，就地区内污染不平等而言，新界北区、大埔区、屯门区及元朗区内靠近中国内地边界的大型亚单位群，以及湾仔区靠近港岛中西区边界的大型亚单位群，以及九龙城内靠近九龙油尖区及深水埗地区边界的大型亚单位群，与位于内陆的区域内LSUG相比，它们暴露在空气污染中的水平更高。研究结果有助政策制定者制订有针对性的干预措施，改善香港的空气质素。

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引用次数: 0