Pub Date : 2024-11-30DOI: 10.1016/j.healthplace.2024.103387
Charlotte Wendelboe-Nelson , Jessica C. Fisher , Tanja M. Straka , Rita Sousa-Silva , Claudia Menzel , Julius C. Alejandre , Sian de Bell , Rachel R.Y. Oh , Aletta Bonn , Melissa R. Marselle
Despite the multifaceted and diverse challenges that refugees, migrants, and asylum-seekers experience when entering a new country, they remain notably underrepresented in the evaluation and understanding of the health and wellbeing impacts of outdoor health interventions. We addressed this knowledge gap by a mixed-methods evaluation (questionnaires, focus groups and photo elicitation activity) facilitated by a community researcher. Qualitative data (focus groups and photo elicitation activity) revealed that the participants saw the social component of outdoor activities as a critical factor in improving their wellbeing, an insight not captured by established quantitative wellbeing scales. Given the diverse backgrounds of refugee, migrant, and asylum-seeker populations, we underline the importance of a transdisciplinary, collaborative, and mixed-methods research approach.
{"title":"Outdoor health intervention for refugees, migrants, and asylum-seekers: A mixed-methods pilot study","authors":"Charlotte Wendelboe-Nelson , Jessica C. Fisher , Tanja M. Straka , Rita Sousa-Silva , Claudia Menzel , Julius C. Alejandre , Sian de Bell , Rachel R.Y. Oh , Aletta Bonn , Melissa R. Marselle","doi":"10.1016/j.healthplace.2024.103387","DOIUrl":"10.1016/j.healthplace.2024.103387","url":null,"abstract":"<div><div>Despite the multifaceted and diverse challenges that refugees, migrants, and asylum-seekers experience when entering a new country, they remain notably underrepresented in the evaluation and understanding of the health and wellbeing impacts of outdoor health interventions. We addressed this knowledge gap by a mixed-methods evaluation (questionnaires, focus groups and photo elicitation activity) facilitated by a community researcher. Qualitative data (focus groups and photo elicitation activity) revealed that the participants saw the social component of outdoor activities as a critical factor in improving their wellbeing, an insight not captured by established quantitative wellbeing scales. Given the diverse backgrounds of refugee, migrant, and asylum-seeker populations, we underline the importance of a transdisciplinary, collaborative, and mixed-methods research approach.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103387"},"PeriodicalIF":3.8,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744203","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 : 2024-11-28DOI: 10.1016/j.healthplace.2024.103386
Puig-García M , Parker LA , Caicedo-Montaño C , Márquez-Figueroa M , Chilet-Rosell E
While many studies focus on urban areas, it's vital to understand health-related behaviours in rural communities. This paper aims to explore the factors that influence dietary habits and physical activity from the perspective of men and women of different ethnic groups living in a hard-to-reach rural area in Ecuador. We conducted 5 focus groups with 37 participants (26 women) from diverse cultural and ethnic backgrounds in marginalized communities in Esmeraldas. The thematic analysis showed environment and culture shape dietary habits and physical activity, influenced by taste preferences, economic factors, and societal norms, with gender roles and beauty standards playing significant roles.
{"title":"Hard-to-reach communities in the rural Ecuador: A qualitative perspective on dietary habits and physical activity","authors":"Puig-García M , Parker LA , Caicedo-Montaño C , Márquez-Figueroa M , Chilet-Rosell E","doi":"10.1016/j.healthplace.2024.103386","DOIUrl":"10.1016/j.healthplace.2024.103386","url":null,"abstract":"<div><div>While many studies focus on urban areas, it's vital to understand health-related behaviours in rural communities. This paper aims to explore the factors that influence dietary habits and physical activity from the perspective of men and women of different ethnic groups living in a hard-to-reach rural area in Ecuador. We conducted 5 focus groups with 37 participants (26 women) from diverse cultural and ethnic backgrounds in marginalized communities in Esmeraldas. The thematic analysis showed environment and culture shape dietary habits and physical activity, influenced by taste preferences, economic factors, and societal norms, with gender roles and beauty standards playing significant roles.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"91 ","pages":"Article 103386"},"PeriodicalIF":3.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744204","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.2024.103383
Meghan Taylor Holtan , Elizabeth Bowen , Jordana Maisel , Mylene Riva
Researchers and policymakers have used a four-pillar framework— condition, consistency, context, and cost—to describe the characteristics of housing that are important for health equity. We propose adding a fifth pillar: care and connection. Housing for care and connection refers to the housing design, institutional policies, and housing programs that strengthen social connections, caregiving relationships, access to resources, and a sense of self in community. Attending to these needs in housing is especially important for people who are in transition in and out of homelessness, living in poverty, are very young or very old, or living with a disability or activity limitation.
{"title":"Housing for care, connection, and health equity","authors":"Meghan Taylor Holtan , Elizabeth Bowen , Jordana Maisel , Mylene Riva","doi":"10.1016/j.healthplace.2024.103383","DOIUrl":"10.1016/j.healthplace.2024.103383","url":null,"abstract":"<div><div>Researchers and policymakers have used a four-pillar framework— condition, consistency, context, and cost—to describe the characteristics of housing that are important for health equity. We propose adding a fifth pillar: care and connection. Housing for care and connection refers to the housing design, institutional policies, and housing programs that strengthen social connections, caregiving relationships, access to resources, and a sense of self in community. Attending to these needs in housing is especially important for people who are in transition in and out of homelessness, living in poverty, are very young or very old, or living with a disability or activity limitation.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103383"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645272","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.2024.103373
Alethea Jerebine , Emma L.J. Eyre , Natalie Lander , Michael J. Duncan , Lisa M. Barnett
This study investigated (i) the social and political factors driving risk averse decision making for children's physically active play in schools, and (ii) the policies shaping these decisions in Victoria, Australia. A theory-informed multi-method case study design combined policy document mapping, semi-structured interviews, and photo elicitation with 30 education policy actors. Data were analysed using reflexive thematic analysis. Findings showed the policy landscape was heavily skewed towards managing risk and safety (84%; n = 42), with fewer, mostly optional, policies for promoting physical activity, and a lack of policy to promote or protect play. Thematic findings indicated an intersecting range of factors in this setting (including occupational health and safety, knowledge and skill gaps, parent factors, children's physical capabilities, an undervaluing of play) can deter schools from providing an environment that enables children's freely chosen, physically active play. Multi-faceted, systems-based approaches that go beyond interventions aimed at individual behaviour change are needed.
{"title":"Forces at play: A qualitative study of risk aversion, policy and decision making for children's physically active play in schools","authors":"Alethea Jerebine , Emma L.J. Eyre , Natalie Lander , Michael J. Duncan , Lisa M. Barnett","doi":"10.1016/j.healthplace.2024.103373","DOIUrl":"10.1016/j.healthplace.2024.103373","url":null,"abstract":"<div><div>This study investigated (i) the social and political factors driving risk averse decision making for children's physically active play in schools, and (ii) the policies shaping these decisions in Victoria, Australia. A theory-informed multi-method case study design combined policy document mapping, semi-structured interviews, and photo elicitation with 30 education policy actors. Data were analysed using reflexive thematic analysis. Findings showed the policy landscape was heavily skewed towards managing risk and safety (84%; n = 42), with fewer, mostly optional, policies for promoting physical activity, and a lack of policy to promote or protect play. Thematic findings indicated an intersecting range of factors in this setting (including occupational health and safety, knowledge and skill gaps, parent factors, children's physical capabilities, an undervaluing of play) can deter schools from providing an environment that enables children's freely chosen, physically active play. Multi-faceted, systems-based approaches that go beyond interventions aimed at individual behaviour change are needed.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"90 ","pages":"Article 103373"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549773","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.2024.103374
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.
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