Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103374
Alexandra L. Bellows , Amanda C. Palmer , Frank Curriero , Andrew L. Thorne-Lyman , Abu Ahmed Shamim , Saijuddin Shaikh , Rezwanul Haque , Hasmot Ali , Jonathon D. Sugimoto , Parul Christian , Keith P. West Jr. , Alain B. Labrique
Background
The nutrition transition underway in South Asia is likely mediated by changes to the food environment. Yet, few studies have been conducted in rural areas of South Asia to describe how the food environment has changed.
Objective
This analysis assessed changes in household availability of and proximity to markets, grocery shops, and tea shops over a 16-year time period in Gaibandha, Bangladesh.
Methods
We analyzed household demographic and geospatial data collected at 3 time points from 2004 to 2020 in a contiguous rural area (435 km2). We defined availability as number of food vendors within 400- and 1600-m radius of households and proximity as distance to nearest vendor. We used linear and Poisson models to estimate associations between household socioeconomic status (SES) and food vendor availability and proximity. We used multi-level models to conduct similar analyses for community-level urbanicity.
Results
From 2004 to 2020, the numbers of markets, grocery shops and tea shops increased by 21%, 66% and 270%, respectively. Food vendor proximity did not change by household SES, but less urban households witnessed larger increases in proximity to markets (p for interaction<0.001) and tea shops (p for interaction<0.001) over time. Grocery shop and tea shop availability was initially higher and increased more over time for households in higher urbanicity areas (p for interaction<0.001).
Conclusion
Over a 16-year period, this rural area of Bangladesh became more urbanized, increasing the availability of and proximity to markets, grocery shops, and tea shops. Further research is needed to see how these changes impact rural residents’ intake and nutritional status.
{"title":"Changes in urbanicity and household availability of and proximity to food vendors from 2004 to 2020 in a rural district of northwestern Bangladesh","authors":"Alexandra L. Bellows , Amanda C. Palmer , Frank Curriero , Andrew L. Thorne-Lyman , Abu Ahmed Shamim , Saijuddin Shaikh , Rezwanul Haque , Hasmot Ali , Jonathon D. Sugimoto , Parul Christian , Keith P. West Jr. , Alain B. Labrique","doi":"10.1016/j.healthplace.2024.103374","DOIUrl":"10.1016/j.healthplace.2024.103374","url":null,"abstract":"<div><h3>Background</h3><div>The nutrition transition underway in South Asia is likely mediated by changes to the food environment. Yet, few studies have been conducted in rural areas of South Asia to describe how the food environment has changed.</div></div><div><h3>Objective</h3><div>This analysis assessed changes in household availability of and proximity to markets, grocery shops, and tea shops over a 16-year time period in Gaibandha, Bangladesh.</div></div><div><h3>Methods</h3><div>We analyzed household demographic and geospatial data collected at 3 time points from 2004 to 2020 in a contiguous rural area (435 km<sup>2</sup>). We defined availability as number of food vendors within 400- and 1600-m radius of households and proximity as distance to nearest vendor. We used linear and Poisson models to estimate associations between household socioeconomic status (SES) and food vendor availability and proximity. We used multi-level models to conduct similar analyses for community-level urbanicity.</div></div><div><h3>Results</h3><div>From 2004 to 2020, the numbers of markets, grocery shops and tea shops increased by 21%, 66% and 270%, respectively. Food vendor proximity did not change by household SES, but less urban households witnessed larger increases in proximity to markets (p for interaction<0.001) and tea shops (p for interaction<0.001) over time. Grocery shop and tea shop availability was initially higher and increased more over time for households in higher urbanicity areas (p for interaction<0.001).</div></div><div><h3>Conclusion</h3><div>Over a 16-year period, this rural area of Bangladesh became more urbanized, increasing the availability of and proximity to markets, grocery shops, and tea shops. Further research is needed to see how these changes impact rural residents’ intake and nutritional status.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103374"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640239","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103384
Stephan Voss , Julia Bauer , Caroline Jung-Sievers , Graham Moore , Eva Rehfuess , Laura Corinna Wagner , Michaela Coenen
Worldwide, the number and proportion of people living in cities continue to grow. Building new districts creates opportunities for designing urban environments that promote the health of their residents from the get-go. In this study, we used the photovoice methodology to explore the perspectives of adolescents on health and well-being in a new urban development area in Munich, Germany. Eleven adolescents aged 13–19 years were recruited in the new residential development area of Freiham on the Southwestern outskirts of Munich. Participants were given ten days to take photographs in the study area, focusing on objects or sceneries they considered to be important for their health. We then conducted qualitative interviews related to these photographs. Interviews were transcribed verbatim and analyzed using thematic analysis. We identified eight recurring themes: emotional well-being, meeting peers, being physically active, growing as a person, safety, waste, development of the urban environment, aesthetics of the urban environment. Adolescents highlighted aspects of mental and social health when assessing the urban environment. Interacting with other young people was an important reason for our participants to visit public places. Public health professionals and urban planners should consider the specific needs of this age group when building new urban areas, and especially provide safe and clean public spaces that adolescents can use for recreation and social interactions.
{"title":"“A place where I have lost and made friends”: A photovoice study on adolescents’ perspectives on health in a new residential development area in Munich, Germany","authors":"Stephan Voss , Julia Bauer , Caroline Jung-Sievers , Graham Moore , Eva Rehfuess , Laura Corinna Wagner , Michaela Coenen","doi":"10.1016/j.healthplace.2024.103384","DOIUrl":"10.1016/j.healthplace.2024.103384","url":null,"abstract":"<div><div>Worldwide, the number and proportion of people living in cities continue to grow. Building new districts creates opportunities for designing urban environments that promote the health of their residents from the get-go. In this study, we used the photovoice methodology to explore the perspectives of adolescents on health and well-being in a new urban development area in Munich, Germany. Eleven adolescents aged 13–19 years were recruited in the new residential development area of Freiham on the Southwestern outskirts of Munich. Participants were given ten days to take photographs in the study area, focusing on objects or sceneries they considered to be important for their health. We then conducted qualitative interviews related to these photographs. Interviews were transcribed verbatim and analyzed using thematic analysis. We identified eight recurring themes: emotional well-being, meeting peers, being physically active, growing as a person, safety, waste, development of the urban environment, aesthetics of the urban environment. Adolescents highlighted aspects of mental and social health when assessing the urban environment. Interacting with other young people was an important reason for our participants to visit public places. Public health professionals and urban planners should consider the specific needs of this age group when building new urban areas, and especially provide safe and clean public spaces that adolescents can use for recreation and social interactions.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103384"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635049","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103371
Annalie Wentzel , Michelle Eichinger , Leegan Govender , Bevan Esterhuizen , Machoene Derrick Sekgala , Kim Nguyen , Peter von Philipsborn , Zandile J. Mchiza
Background
The targeted marketing of unhealthy food and beverages to vulnerable populations, particularly children and adolescents in lower-income communities, is pervasive and coincides with increased non-communicable disease (NCD) rates. This study examined the extent of food and beverage advertising surrounding schools in three townships in Cape Town, South Africa: Gugulethu, Nyanga, and Kensington.
Methodology
Trained fieldworkers used web-based surveys on smartphones to capture all observable outdoor food and beverage advertisements in the three townships. Surveys recorded product brand, type, placement, Global Positioning System (GPS) coordinates, and a digital photograph. Advertisements were categorised as sugar-sweetened beverages (SSBs), unhealthy food (excluding beverages), alcohol, staple food, and miscellaneous food, following the INFORMAS Outdoor Food Advertising Protocol. Advertisements visible within 100m- and 400m buffer zones surrounding primary and secondary schools were mapped using the Quantum Geographic Information System (QGIS) software. Descriptive analyses were conducted to determine the extent of outdoor food and beverage advertising surrounding schools.
Results
We mapped 26 primary and 7 secondary schools, observing 253 and 1587 food and beverage advertisements within 100m and 400m of schools, respectively. Unhealthy advertisements comprised 69.9% and 68.5% of all observations within 100m- and 400m zones, respectively. There were 117 SSB, 57 unhealthy food, 3 alcohol, 64 staple food, and 12 miscellaneous food advertisements within 100m zones. Nyanga zones contained the most SSB (71, 60.7%) and unhealthy food advertisements (37, 64.9%). Secondary schools had higher SSB advertisement rates than primary schools (p < 0.001). Within 400m zones, there were 623 SSB, 370 unhealthy food, 93 alcohol, 445 staple food, and 56 miscellaneous food advertisements, with Nyanga leading in SSB (335, 53.8%) and unhealthy food advertisements (224, 54.9%).
Conclusion
The results highlight a concerning level of exposure to unhealthy food and beverage advertisements around schools, particularly secondary schools in low-income townships. This could have implications for the dietary choices and health of students in these areas. The findings underscore the need for policy interventions and community awareness programs to address and regulate the advertising environment around schools, promoting healthier food and beverage choices for students.
{"title":"The extent of outdoor food and beverage advertising surrounding primary and secondary schools in poorly resourced townships in Cape Town, South Africa","authors":"Annalie Wentzel , Michelle Eichinger , Leegan Govender , Bevan Esterhuizen , Machoene Derrick Sekgala , Kim Nguyen , Peter von Philipsborn , Zandile J. Mchiza","doi":"10.1016/j.healthplace.2024.103371","DOIUrl":"10.1016/j.healthplace.2024.103371","url":null,"abstract":"<div><h3>Background</h3><div>The targeted marketing of unhealthy food and beverages to vulnerable populations, particularly children and adolescents in lower-income communities, is pervasive and coincides with increased non-communicable disease (NCD) rates. This study examined the extent of food and beverage advertising surrounding schools in three townships in Cape Town, South Africa: Gugulethu, Nyanga, and Kensington.</div></div><div><h3>Methodology</h3><div>Trained fieldworkers used web-based surveys on smartphones to capture all observable outdoor food and beverage advertisements in the three townships. Surveys recorded product brand, type, placement, Global Positioning System (GPS) coordinates, and a digital photograph. Advertisements were categorised as sugar-sweetened beverages (SSBs), unhealthy food (excluding beverages), alcohol, staple food, and miscellaneous food, following the INFORMAS Outdoor Food Advertising Protocol. Advertisements visible within 100m- and 400m buffer zones surrounding primary and secondary schools were mapped using the Quantum Geographic Information System (QGIS) software. Descriptive analyses were conducted to determine the extent of outdoor food and beverage advertising surrounding schools.</div></div><div><h3>Results</h3><div>We mapped 26 primary and 7 secondary schools, observing 253 and 1587 food and beverage advertisements within 100m and 400m of schools, respectively. Unhealthy advertisements comprised 69.9% and 68.5% of all observations within 100m- and 400m zones, respectively. There were 117 SSB, 57 unhealthy food, 3 alcohol, 64 staple food, and 12 miscellaneous food advertisements within 100m zones. Nyanga zones contained the most SSB (71, 60.7%) and unhealthy food advertisements (37, 64.9%). Secondary schools had higher SSB advertisement rates than primary schools (p < 0.001). Within 400m zones, there were 623 SSB, 370 unhealthy food, 93 alcohol, 445 staple food, and 56 miscellaneous food advertisements, with Nyanga leading in SSB (335, 53.8%) and unhealthy food advertisements (224, 54.9%).</div></div><div><h3>Conclusion</h3><div>The results highlight a concerning level of exposure to unhealthy food and beverage advertisements around schools, particularly secondary schools in low-income townships. This could have implications for the dietary choices and health of students in these areas. The findings underscore the need for policy interventions and community awareness programs to address and regulate the advertising environment around schools, promoting healthier food and beverage choices for students.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103371"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640242","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103376
Jenny Head , Paul Norman , Nicola Shelton , Brian Beach , Emily T. Murray
Poor health is a key reason for early exit from the labour market. Few studies have explored how the health of local populations is related to occupational differences in employment outcomes among older people. Our study used data for England and Wales from the ONS Longitudinal Study linked with 2001 Census measures of the health of the older working age population at local authority level. We included 128,710 people aged 40-64y in 2001 who were in paid work in the previous five years. We investigated the associations of both occupation and area level with two employment outcomes ten years later (in 2011): i) in paid work or not; ii) economic activity (employed (reference), unemployed, retired, sick/disabled, other). People in elementary occupations were more likely to not be in paid work in 2011 compared to those in managerial occupations (RRR 1·55 [95%CI 1·47,1·64]). Compared to the healthiest third of local authority areas, being resident in the unhealthiest third was associated with greater likelihood of not being in paid employment ten years later (RRR 1·25 [95% CI 1·18,1·33]). While area level health was associated with employment outcomes for all major occupation groups, the gap between the healthiest and unhealthiest areas was most marked for skilled trades; process, plant and machine operatives; and elementary occupations. Occupational differences for the economic activity outcome were most marked for the sick/disabled category. Policies to improve the health of local populations may support retention and reduce occupational inequalities in employment rates of older workers.
{"title":"Does the health of local populations modify occupational differences in employment rates of older workers? Findings from the ONS Longitudinal Study 2001–2011","authors":"Jenny Head , Paul Norman , Nicola Shelton , Brian Beach , Emily T. Murray","doi":"10.1016/j.healthplace.2024.103376","DOIUrl":"10.1016/j.healthplace.2024.103376","url":null,"abstract":"<div><div>Poor health is a key reason for early exit from the labour market. Few studies have explored how the health of local populations is related to occupational differences in employment outcomes among older people. Our study used data for England and Wales from the ONS Longitudinal Study linked with 2001 Census measures of the health of the older working age population at local authority level. We included 128,710 people aged 40-64y in 2001 who were in paid work in the previous five years. We investigated the associations of both occupation and area level with two employment outcomes ten years later (in 2011): i) in paid work or not; ii) economic activity (employed (reference), unemployed, retired, sick/disabled, other). People in elementary occupations were more likely to not be in paid work in 2011 compared to those in managerial occupations (RRR 1·55 [95%CI 1·47,1·64]). Compared to the healthiest third of local authority areas, being resident in the unhealthiest third was associated with greater likelihood of not being in paid employment ten years later (RRR 1·25 [95% CI 1·18,1·33]). While area level health was associated with employment outcomes for all major occupation groups, the gap between the healthiest and unhealthiest areas was most marked for skilled trades; process, plant and machine operatives; and elementary occupations. Occupational differences for the economic activity outcome were most marked for the sick/disabled category. Policies to improve the health of local populations may support retention and reduce occupational inequalities in employment rates of older workers.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103376"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635050","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103377
Oskar Halling Ullberg , Susanna Toivanen , Abby C. King , Katarina Bälter
The socio ecological model states that individual behaviors at work are shaped by the interactions between individual employees and their work environments. This study used citizen science to gain insights into which elements of the built, social, and organizational environment in an office and surrounding neighborhoods in two Swedish cities were perceived as barriers to or facilitators of healthy and sustainable behaviors at work. Participants in the eight-week Sustainable Office Intervention pilot study (SOFIA) (n = 33) were cluster-randomized into an experimental arm (sustainable lifestyle) or a control intervention arm (healthy lifestyle). They used the Our Voice Healthy Neighborhood Discovery Tool mobile app to document contextual elements at their workplaces. In total, 114 photos and text-based narratives were recorded, and four themes emerged: built environment, building design, office ergonomics, and food and beverages. Eighteen percent of the photos were linked to pro-environmental behaviors, all exclusively captured by the experimental arm. Twelve barriers and solutions for improving the workplace environment were identified during discussions with participants in both arms. The findings provide insights for designing or renovating office spaces and urban planning to promote healthier and more sustainable lifestyles for office workers.
{"title":"Using citizen science to explore barriers and facilitators for healthy and sustainable lifestyles in office environments","authors":"Oskar Halling Ullberg , Susanna Toivanen , Abby C. King , Katarina Bälter","doi":"10.1016/j.healthplace.2024.103377","DOIUrl":"10.1016/j.healthplace.2024.103377","url":null,"abstract":"<div><div>The socio ecological model states that individual behaviors at work are shaped by the interactions between individual employees and their work environments. This study used citizen science to gain insights into which elements of the built, social, and organizational environment in an office and surrounding neighborhoods in two Swedish cities were perceived as barriers to or facilitators of healthy and sustainable behaviors at work. Participants in the eight-week <strong>S</strong>ustainable <strong>Of</strong>fice <strong>I</strong>ntervention pilot study (SOFIA) (n = 33) were cluster-randomized into an experimental arm (sustainable lifestyle) or a control intervention arm (healthy lifestyle). They used the <em>Our Voice</em> Healthy Neighborhood Discovery Tool mobile app to document contextual elements at their workplaces. In total, 114 photos and text-based narratives were recorded, and four themes emerged: built environment, building design, office ergonomics, and food and beverages. Eighteen percent of the photos were linked to pro-environmental behaviors, all exclusively captured by the experimental arm. Twelve barriers and solutions for improving the workplace environment were identified during discussions with participants in both arms. The findings provide insights for designing or renovating office spaces and urban planning to promote healthier and more sustainable lifestyles for office workers.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103377"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593806","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103378
Sarah B. Andrea , Anna Booman , Jean P. O'Malley , Carrie J. Tillotson , Miguel Marino , Katherine Chung-Bridges , Jennifer DeVoe , Janne Boone-Heinonen
Background
Neighborhood socioeconomic marginalization and racial residential segregation are associated with differential health outcomes in adulthood and pregnancy, but the intergenerational effects of these exposures on early childhood growth are underexplored. Our objective was to investigate racial and ethnic differences in the association between neighborhood deprivation and early childhood growth trajectories, with modification by neighborhood racial concentration.
Methods
Using longitudinal clinical data among 58,860 children receiving care in community-based clinics in the ADVANCE Clinical Data Research Network, we identified four early childhood (0–24 months) body mass index (BMI) trajectories using group-based trajectory modeling: Low, Catch-Up, Moderate, and High. In race- and ethnicity-stratified multinomial logistic regression analyses, trajectory group membership was modeled as a function of neighborhood deprivation, neighborhood racial concentration, neighborhood deprivation*racial concentration interactions, and confounders.
Results
Greater neighborhood deprivation was marginally associated with greater odds of Catch-Up trajectory for most racial and ethnic groups, with a null association observed among Assimilated Hispanic children. Conversely, neighborhood deprivation was not associated with Low trajectory for non-Hispanic Black or White children; however, in Less Assimilated Hispanic children, higher neighborhood deprivation was marginally associated with higher odds of Low trajectory, most strongly in neighborhoods with higher vs. lower Hispanic concentration. Associations between neighborhood deprivation and High trajectories varied substantially by race and ethnicity, ranging from inverse among Less Assimilated Hispanic children to a positive association among non-Hispanic White children that was attenuated in neighborhoods with higher White concentration.
Conclusion
Greater neighborhood deprivation was generally associated with greater or similar odds of each alternative growth trajectory, most consistently for non-Hispanic White and Black children. Associations were largely similar across levels of neighborhood racial concentration. Further research is needed to understand contextual or behavioral factors that contribute to the observed racial and ethnic differences in the association between neighborhood deprivation and early childhood growth.
{"title":"Does ethnic concentration buffer effects of neighborhood deprivation on early childhood growth?","authors":"Sarah B. Andrea , Anna Booman , Jean P. O'Malley , Carrie J. Tillotson , Miguel Marino , Katherine Chung-Bridges , Jennifer DeVoe , Janne Boone-Heinonen","doi":"10.1016/j.healthplace.2024.103378","DOIUrl":"10.1016/j.healthplace.2024.103378","url":null,"abstract":"<div><h3>Background</h3><div>Neighborhood socioeconomic marginalization and racial residential segregation are associated with differential health outcomes in adulthood and pregnancy, but the intergenerational effects of these exposures on early childhood growth are underexplored. Our objective was to investigate racial and ethnic differences in the association between neighborhood deprivation and early childhood growth trajectories, with modification by neighborhood racial concentration.</div></div><div><h3>Methods</h3><div>Using longitudinal clinical data among 58,860 children receiving care in community-based clinics in the ADVANCE Clinical Data Research Network, we identified four early childhood (0–24 months) body mass index (BMI) trajectories using group-based trajectory modeling: <em>Low, Catch-Up, Moderate,</em> and <em>High</em>. In race- and ethnicity-stratified multinomial logistic regression analyses, trajectory group membership was modeled as a function of neighborhood deprivation, neighborhood racial concentration, neighborhood deprivation*racial concentration interactions, and confounders.</div></div><div><h3>Results</h3><div>Greater neighborhood deprivation was marginally associated with greater odds of <em>Catch-Up</em> trajectory for most racial and ethnic groups, with a null association observed among Assimilated Hispanic children. Conversely, neighborhood deprivation was not associated with <em>Low</em> trajectory for non-Hispanic Black or White children; however, in Less Assimilated Hispanic children, higher neighborhood deprivation was marginally associated with higher odds of <em>Low</em> trajectory, most strongly in neighborhoods with higher vs. lower Hispanic concentration. Associations between neighborhood deprivation and <em>High</em> trajectories varied substantially by race and ethnicity, ranging from inverse among Less Assimilated Hispanic children to a positive association among non-Hispanic White children that was attenuated in neighborhoods with higher White concentration.</div></div><div><h3>Conclusion</h3><div>Greater neighborhood deprivation was generally associated with greater or similar odds of each alternative growth trajectory, most consistently for non-Hispanic White and Black children. Associations were largely similar across levels of neighborhood racial concentration. Further research is needed to understand contextual or behavioral factors that contribute to the observed racial and ethnic differences in the association between neighborhood deprivation and early childhood growth.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103378"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593807","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103380
Rebecca Bennett , Laura Alston , Christina Zorbas , Sachin Wasnik , Claire Lemke , Cindy Needham
Online food delivery platforms are an emerging but poorly understood aspect of food retail environments. We collected data via web scraping methods from the two leading online food delivery platforms in Victoria, Australia, identifying 11,154 food outlets from Menulog, and 12,939 from Uber Eats (with 21,733 unique outlets available across both platforms). Outlets were classified according to their healthiness using a tool developed with Australian dietitians and public health nutritionists, and assigned a food environment score. Area level (suburb/neighbourhood) socioeconomic disadvantage was determined using the Socio-Economic Indexes for Areas Index of Relative Socio-economic Disadvantage, and relative remoteness was determined using both the Accessibility/Remoteness Index of Australia and the Modified Monash Model. Across both food delivery platforms, approximately 15% of food outlets were classified as “unhealthy”, 82% were classified as “less healthy”, and 3% were classified as “healthy”. More food outlets were available in areas of socioeconomic advantage, and in metropolitan areas. Food environment scores indicated that unhealthy outlets were significantly more available in areas with higher socioeconomic disadvantage and greater relative remoteness. Disparities in the healthiness of food outlets available through online food delivery platforms may have a negative influence on the purchasing and dietary behaviours of residents in these areas, thereby widening diet related health inequalities. Further research is required to understand the potential influence of online food delivery platforms on inequities in population diets and health.
在线食品配送平台是食品零售环境中一个新兴的方面，但人们对其了解甚少。我们从澳大利亚维多利亚州的两个主要在线食品外卖平台上通过网络刮擦方法收集数据，从 Menulog 上识别出 11,154 家食品店，从 Uber Eats 上识别出 12,939 家食品店（两个平台上共有 21,733 家独特的食品店）。我们使用与澳大利亚营养师和公共卫生营养学家共同开发的工具，根据食品店的健康程度对其进行分类，并给予食品环境评分。地区级（郊区/社区）社会经济劣势通过 "地区社会经济相对劣势指数"（Socio-Economic Indexes for Areas Index of Relative Socio-economic Disadvantage）来确定，相对偏远则通过 "澳大利亚可达性/偏远指数"（Accessibility/Remoteness Index of Australia）和 "修正莫纳什模型"（Modified Monash Model）来确定。在这两种食品配送平台上，约有 15%的食品店被归类为 "不健康"，82%的食品店被归类为 "不太健康"，3%的食品店被归类为 "健康"。在社会经济条件优越的地区和大都市，有更多的食品店。食品环境得分表明，在社会经济条件较差和相对偏远的地区，不健康食品店明显较多。通过网络食品配送平台提供的食品店在健康方面的差异可能会对这些地区居民的购买和饮食行为产生负面影响，从而扩大与饮食相关的健康不平等。要了解在线食品配送平台对居民饮食和健康不平等的潜在影响，还需要进一步的研究。
{"title":"The healthiness of Australian food outlets available through online delivery platforms, by level of socioeconomic disadvantage and remoteness","authors":"Rebecca Bennett , Laura Alston , Christina Zorbas , Sachin Wasnik , Claire Lemke , Cindy Needham","doi":"10.1016/j.healthplace.2024.103380","DOIUrl":"10.1016/j.healthplace.2024.103380","url":null,"abstract":"<div><div>Online food delivery platforms are an emerging but poorly understood aspect of food retail environments. We collected data via web scraping methods from the two leading online food delivery platforms in Victoria, Australia, identifying 11,154 food outlets from Menulog, and 12,939 from Uber Eats (with 21,733 unique outlets available across both platforms). Outlets were classified according to their healthiness using a tool developed with Australian dietitians and public health nutritionists, and assigned a food environment score. Area level (suburb/neighbourhood) socioeconomic disadvantage was determined using the Socio-Economic Indexes for Areas Index of Relative Socio-economic Disadvantage, and relative remoteness was determined using both the Accessibility/Remoteness Index of Australia and the Modified Monash Model. Across both food delivery platforms, approximately 15% of food outlets were classified as “unhealthy”, 82% were classified as “less healthy”, and 3% were classified as “healthy”. More food outlets were available in areas of socioeconomic advantage, and in metropolitan areas. Food environment scores indicated that unhealthy outlets were significantly more available in areas with higher socioeconomic disadvantage and greater relative remoteness. Disparities in the healthiness of food outlets available through online food delivery platforms may have a negative influence on the purchasing and dietary behaviours of residents in these areas, thereby widening diet related health inequalities. Further research is required to understand the potential influence of online food delivery platforms on inequities in population diets and health.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103380"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645273","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103385
Yuxuan Zou, Donggen Wang
The link between the built environment and physical activity (PA) has received substantial research attention in health geography and public health studies. Limited research efforts have been spent to investigate if the link would be different for people with or without obesity, and prior studies often overlook potential nonlinear associations. Knowledge of such potential differences will be essential for developing tailor-made urban planning or spatial policies to promote physical activities and health for different population groups. This study aims to address this research gap by exploring the nonlinear relationships between the built environment and PA engagement for people with normal weight, overweight, and obesity. Data are derived from a two-day household activity-travel diary survey conducted in 2018 in Shanghai, China. Using gradient boosting decision tree models, this study found distinct influences of the built environment on total PA duration and active PA for different weight status groups. Residents with obesity tend to have a shorter total PA duration and a lower rate of participating in active PA. By comparing the model results, it shows that the impact of the built environment on active PA is larger than that on the total PA duration for all three weight groups, and this increase is more pronounced for the obesity group. Population density, public transit, and land use mix are the three key built environment variables that exert nonlinear effects on PA engagement across all weight groups, with variations in trend and threshold values between groups. This research presents new insights into the relationship between the built environment and physical activities, which are relevant for promoting physical activities among people with different weight statuses.
{"title":"Differences in the influence of the built environment on physical activities for people with normal weight, overweight, and obesity","authors":"Yuxuan Zou, Donggen Wang","doi":"10.1016/j.healthplace.2024.103385","DOIUrl":"10.1016/j.healthplace.2024.103385","url":null,"abstract":"<div><div>The link between the built environment and physical activity (PA) has received substantial research attention in health geography and public health studies. Limited research efforts have been spent to investigate if the link would be different for people with or without obesity, and prior studies often overlook potential nonlinear associations. Knowledge of such potential differences will be essential for developing tailor-made urban planning or spatial policies to promote physical activities and health for different population groups. This study aims to address this research gap by exploring the nonlinear relationships between the built environment and PA engagement for people with normal weight, overweight, and obesity. Data are derived from a two-day household activity-travel diary survey conducted in 2018 in Shanghai, China. Using gradient boosting decision tree models, this study found distinct influences of the built environment on total PA duration and active PA for different weight status groups. Residents with obesity tend to have a shorter total PA duration and a lower rate of participating in active PA. By comparing the model results, it shows that the impact of the built environment on active PA is larger than that on the total PA duration for all three weight groups, and this increase is more pronounced for the obesity group. Population density, public transit, and land use mix are the three key built environment variables that exert nonlinear effects on PA engagement across all weight groups, with variations in trend and threshold values between groups. This research presents new insights into the relationship between the built environment and physical activities, which are relevant for promoting physical activities among people with different weight statuses.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103385"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645276","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103381
Zana Bayley , Lucia Crowther
The examination of hospice settings from the position of space and place is an emerging area of academic interest. Engaging with this perspective, this paper explores how topophilia and topophobia of the physical hospice setting coincides with and informs a broader love and fear of hospice care and UK hospice organisations. We report the findings of a qualitative study of 53 participants in the catchment population of a hospice in England. The coexistence of topophilia and topophobia of hospice is argued to have potential implications for equitable access to hospice care and may both facilitate and hinder efforts towards patient education and service improvement.
{"title":"Hospice topophilia and topophobia as experienced by a local population: Implications for equity of access","authors":"Zana Bayley , Lucia Crowther","doi":"10.1016/j.healthplace.2024.103381","DOIUrl":"10.1016/j.healthplace.2024.103381","url":null,"abstract":"<div><div>The examination of hospice settings from the position of space and place is an emerging area of academic interest. Engaging with this perspective, this paper explores how topophilia and topophobia of the physical hospice setting coincides with and informs a broader love and fear of hospice care and UK hospice organisations. We report the findings of a qualitative study of 53 participants in the catchment population of a hospice in England. The coexistence of topophilia and topophobia of hospice is argued to have potential implications for equitable access to hospice care and may both facilitate and hinder efforts towards patient education and service improvement.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103381"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635052","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}
Pub Date : 2024-11-01DOI: 10.1016/j.healthplace.2024.103360
Maya Costa-Pinto
This article explores aquatic engagements – particularly the practice of therapeutic sea bathing – in Goa, a coastal state in India. Goa accommodates a number of natural water bodies and residents engage with them in various ways, including by participating in sea bathing and swimming activities. This article uses the practice of sea bathing as a departure point to examine embodied aquatic engagements among women in Goa. It situates these practices within broader constraints imposed by structural and material restrictions while simultaneously showing how these embodied aquatic engagements create an inclusive space that offers new ways of thinking about well-being. The article argues that multiple framings of sea bathing provide a lens through which to understand the diverse domains that constitute well-being in India. In doing so, this article provides novel insights on the relationship between blue spaces and well-being.
{"title":"Aquatic engagements, cultures of immersion and practices of well-being in India","authors":"Maya Costa-Pinto","doi":"10.1016/j.healthplace.2024.103360","DOIUrl":"10.1016/j.healthplace.2024.103360","url":null,"abstract":"<div><div>This article explores aquatic engagements – particularly the practice of therapeutic sea bathing – in Goa, a coastal state in India. Goa accommodates a number of natural water bodies and residents engage with them in various ways, including by participating in sea bathing and swimming activities. This article uses the practice of sea bathing as a departure point to examine embodied aquatic engagements among women in Goa. It situates these practices within broader constraints imposed by structural and material restrictions while simultaneously showing how these embodied aquatic engagements create an inclusive space that offers new ways of thinking about well-being. The article argues that multiple framings of sea bathing provide a lens through which to understand the diverse domains that constitute well-being in India. In doing so, this article provides novel insights on the relationship between blue spaces and well-being.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103360"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662506","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}
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