Health & Place最新文献

英文中文

Evaluating the protective effect of public open space on social connectedness: evidence from a natural experiment cohort study in three Canadian cities 评估公共开放空间对社会联系的保护作用：来自加拿大三个城市的自然实验队列研究的证据

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

Health & Place

Pub Date : 2025-09-22 DOI: 10.1016/j.healthplace.2025.103541

Meridith Sones , Daniel Fuller , Yan Kestens , Benoit Thierry , Meghan Winters

Community design has the potential to address urban isolation and loneliness at a population level, but limited research on the causal effects of the built environment constrains evidence-based action in cities. This study examined the effect of public open space on changes in social connectedness among adults (n = 665) during the COVID-19 pandemic, using geospatial data from OpenStreetMap and health survey data from three cities (Montréal, Saskatoon, and Vancouver). Treating the pandemic as a natural experiment, we used multilevel models to analyze whether public open space exposure (defined as the ratio of land area within 500m of home) modified changes in community belonging, loneliness, and neighbouring from 2018 to 2020/2021. First, we found little evidence of changes in social connectedness in our cohort overall and within subgroups. On average, loneliness increased slightly, and belonging and neighbouring remained stable. Second, we found that higher public open space exposure (≥10 % neighbourhood land area) had a modest protective effect on community belonging only (0.14, 95 % CI = 0.01 to 0.27). These findings add to a limited but growing evidence base on the role of the built environment in shaping social connectedness, while highlighting challenges involved in examining causal impacts. As cities invest in public open space to support policy goals around sustainability and livability, evaluating co-benefits for social connectedness are critical opportunities for strengthening the evidence on built environment solutions to social isolation and loneliness.

社区设计有可能在人口层面上解决城市隔离和孤独问题，但对建筑环境因果关系的研究有限，限制了城市中基于证据的行动。本研究使用OpenStreetMap的地理空间数据和来自三个城市（蒙塔姆萨、萨斯卡通和温哥华）的健康调查数据，研究了2019冠状病毒病大流行期间公共开放空间对成年人（n = 665）社会联系变化的影响。将大流行视为自然实验，我们使用多层模型分析2018年至2020/2021年期间，公共开放空间暴露（定义为住宅500米内土地面积的比例）是否改变了社区归属感、孤独感和邻里关系的变化。首先，我们发现几乎没有证据表明我们的整个群体和子群体中的社会联系发生了变化。平均而言，孤独感略有增加，归属感和邻居关系保持稳定。其次，我们发现较高的公共开放空间暴露（≥10%的邻里土地面积）仅对社区归属感有适度的保护作用（0.14,95% CI = 0.01至0.27）。这些发现为建筑环境在塑造社会联系方面的作用提供了有限但不断增长的证据，同时强调了研究因果影响所涉及的挑战。随着城市投资于公共开放空间，以支持围绕可持续性和宜居性的政策目标，评估社会连通性的共同效益是加强建筑环境解决社会隔离和孤独问题的证据的关键机会。

{"title":"Evaluating the protective effect of public open space on social connectedness: evidence from a natural experiment cohort study in three Canadian cities","authors":"Meridith Sones , Daniel Fuller , Yan Kestens , Benoit Thierry , Meghan Winters","doi":"10.1016/j.healthplace.2025.103541","DOIUrl":"10.1016/j.healthplace.2025.103541","url":null,"abstract":"<div><div>Community design has the potential to address urban isolation and loneliness at a population level, but limited research on the causal effects of the built environment constrains evidence-based action in cities. This study examined the effect of public open space on changes in social connectedness among adults (n = 665) during the COVID-19 pandemic, using geospatial data from OpenStreetMap and health survey data from three cities (Montréal, Saskatoon, and Vancouver). Treating the pandemic as a natural experiment, we used multilevel models to analyze whether public open space exposure (defined as the ratio of land area within 500m of home) modified changes in community belonging, loneliness, and neighbouring from 2018 to 2020/2021. First, we found little evidence of changes in social connectedness in our cohort overall and within subgroups. On average, loneliness increased slightly, and belonging and neighbouring remained stable. Second, we found that higher public open space exposure (≥10 % neighbourhood land area) had a modest protective effect on community belonging only (0.14, 95 % CI = 0.01 to 0.27). These findings add to a limited but growing evidence base on the role of the built environment in shaping social connectedness, while highlighting challenges involved in examining causal impacts. As cities invest in public open space to support policy goals around sustainability and livability, evaluating co-benefits for social connectedness are critical opportunities for strengthening the evidence on built environment solutions to social isolation and loneliness.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103541"},"PeriodicalIF":4.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comparison of HIV pre-exposure prophylaxis accessibility by public transit- and drive-time in Dallas-Fort Worth, Texas, 2024 2024年德克萨斯州达拉斯-沃斯堡市公共交通和开车时间对艾滋病毒暴露前预防可及性的比较

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

Health & Place

Pub Date : 2025-09-22 DOI: 10.1016/j.healthplace.2025.103550

Hui Luan , Yusuf Ransome , Tamara Taggart , Jeremy Chow , Noah Mancuso , Miranda Grant , Philip Huang , Patrick Sullivan

引用次数: 0

Neighborhood walkability and subsequent health and well-being in urban and rural Japan: An outcome-wide longitudinal study 日本城市和农村的邻里步行与随后的健康和福祉：一项结果广泛的纵向研究

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

Health & Place

Pub Date : 2025-09-21 DOI: 10.1016/j.healthplace.2025.103549

Kenjiro Kawaguchi , Atsushi Nakagomi , Yu-Ru Chen , Katsunori Kondo , Masamichi Hanazato

Background

Walkability notably affects the health of older adults; however, its relationship with various outcomes in different geographical contexts remains unclear. Considering urban–rural differences, this study examined associations between neighborhood walkability and the health and well-being of older adults in Japan.

Methods

Data were obtained from the Japan Gerontological Evaluation Study, a nationwide cohort study of Japanese adults aged ≥65 years, across three waves (2013, 2016, and 2019). This study included 27,354 participants in the survey-based sample and 40,111 participants in the long-term care insurance-based sample. Neighborhood walkability was assessed using a composite index derived from population density, distance to retail and park areas, and road density. Forty-two outcomes across seven domains were analyzed using multilevel regression models stratified by urbanicity. Bonferroni correction was applied (α = 0.0012).

Results

In urban settings, higher walkability was significantly associated with increased walking time. Conversely, in rural areas, higher walkability showed mixed results; it was significantly associated with increased participation in hobby/sports groups and outings, but also with increased risk of functional disability (level ≥2), increased sedentary behavior, and decreased norms of reciprocity. Walkability was not significantly associated with walking time.

Conclusions

Walkability can have different effects on health and well-being in urban and rural areas, highlighting the need for location-specific strategies. While urban efforts could focus on pedestrian infrastructure, effective rural strategies would likely involve an integrated approach that addresses transportation, social connectivity, and activity promotion.

步行能力对老年人健康影响显著；然而，其与不同地理背景下各种结果的关系尚不清楚。考虑到城乡差异，本研究调查了日本老年人的社区步行能力与健康和福祉之间的关系。方法数据来自日本老年学评估研究，这是一项针对≥65岁日本成年人的全国性队列研究，分三波（2013年、2016年和2019年）。本研究包括27,354名基于调查的样本和40,111名基于长期护理保险的样本。社区可步行性的评估采用了由人口密度、到零售和公园区域的距离以及道路密度得出的综合指数。利用城市化分层的多水平回归模型分析了7个领域的42个结果。采用Bonferroni校正（α = 0.0012）。结果在城市环境中，较高的步行适宜性与增加的步行时间显著相关。相反，在农村地区，更高的可步行性带来了不同的结果；它与爱好/运动团体和郊游的参与增加显著相关，但也与功能残疾风险增加（水平≥2）、久坐行为增加和互惠规范降低相关。可步行性与步行时间无显著相关。结论可持续性对城市和农村地区的健康和福祉有不同的影响，因此需要采取因地制宜的策略。虽然城市的努力可以集中在行人基础设施上，但有效的农村战略可能包括解决交通、社会联系和活动促进的综合方法。

{"title":"Neighborhood walkability and subsequent health and well-being in urban and rural Japan: An outcome-wide longitudinal study","authors":"Kenjiro Kawaguchi , Atsushi Nakagomi , Yu-Ru Chen , Katsunori Kondo , Masamichi Hanazato","doi":"10.1016/j.healthplace.2025.103549","DOIUrl":"10.1016/j.healthplace.2025.103549","url":null,"abstract":"<div><h3>Background</h3><div>Walkability notably affects the health of older adults; however, its relationship with various outcomes in different geographical contexts remains unclear. Considering urban–rural differences, this study examined associations between neighborhood walkability and the health and well-being of older adults in Japan.</div></div><div><h3>Methods</h3><div>Data were obtained from the Japan Gerontological Evaluation Study, a nationwide cohort study of Japanese adults aged ≥65 years, across three waves (2013, 2016, and 2019). This study included 27,354 participants in the survey-based sample and 40,111 participants in the long-term care insurance-based sample. Neighborhood walkability was assessed using a composite index derived from population density, distance to retail and park areas, and road density. Forty-two outcomes across seven domains were analyzed using multilevel regression models stratified by urbanicity. Bonferroni correction was applied (α = 0.0012).</div></div><div><h3>Results</h3><div>In urban settings, higher walkability was significantly associated with increased walking time. Conversely, in rural areas, higher walkability showed mixed results; it was significantly associated with increased participation in hobby/sports groups and outings, but also with increased risk of functional disability (level ≥2), increased sedentary behavior, and decreased norms of reciprocity. Walkability was not significantly associated with walking time.</div></div><div><h3>Conclusions</h3><div>Walkability can have different effects on health and well-being in urban and rural areas, highlighting the need for location-specific strategies. While urban efforts could focus on pedestrian infrastructure, effective rural strategies would likely involve an integrated approach that addresses transportation, social connectivity, and activity promotion.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103549"},"PeriodicalIF":4.1,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Walk across Europe: Development of a high-resolution walkability index 徒步穿越欧洲：高分辨率步行指数的开发。

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

Health & Place

Pub Date : 2025-09-18 DOI: 10.1016/j.healthplace.2025.103544

Nishit Patel , Hoang-Ha Nguyen , Jet van de Geest , Alfred Wagtendonk , Mohan J.S. Raju , Payam Dadvand , Kees de Hoogh , Marta Cirach , Mark Nieuwenhuijsen , Thao Minh Lam , Jeroen Lakerveld

Physical inactivity significantly contributes to obesity and other non-communicable diseases, yet efforts to increase population-wide physical activity levels have met with limited success. The built environment plays a pivotal role in encouraging active behaviors like walking. Walkability indices, which aggregate various environmental features, provide a valuable tool for promoting healthy, walkable environments. However, a standardized, high-resolution walkability index for Europe has been lacking. This study addresses that gap by developing a standardized, high-resolution walkability index for the entire European region. Seven core components were selected to define walkability: walkable street length, intersection density, green spaces, slope, public transport access, land use mix, and 15 min walking isochrones. These were derived from harmonized, high-resolution datasets such as Sentinel-2, NASA’s elevation models, OpenStreetMap, and CORINE Land Cover. A 100 m

\times

100 m hierarchical grid system and advanced geospatial methods, like network buffers and distance decay, were used at scale to efficiently model real-world density and proximity effects. The resulting index was weighted by population and analyzed at different spatial levels using visual mapping, spatial clustering, and correlation analysis. Findings revealed a distinct urban-to-rural gradient, with high walkability scores concentrated in compact urban centers rich in street connectivity and land use diversity. The index highlighted cities like Barcelona, Berlin, Munich, Paris, and Warsaw as walkability leaders. This standardized, high-resolution walkability index serves as a practical tool for researchers, planners, and policymakers aiming to support active living and public health across diverse European contexts.

缺乏身体活动在很大程度上导致肥胖和其他非传染性疾病，但提高全民身体活动水平的努力收效甚微。建筑环境在鼓励步行等积极行为方面起着关键作用。适宜步行指数综合了各种环境特征，为促进健康、适宜步行的环境提供了一个有价值的工具。然而，欧洲一直缺乏一个标准化的、高分辨率的步行指数。这项研究通过为整个欧洲地区开发一个标准化的、高分辨率的步行指数来解决这一差距。选择七个核心要素来定义可步行性：可步行街道长度、十字路口密度、绿地、坡度、公共交通通道、土地利用组合和15分钟步行等时线。这些数据来源于统一的高分辨率数据集，如Sentinel-2、NASA的高程模型、OpenStreetMap和CORINE Land Cover。一个100米× 100米的分层网格系统和先进的地理空间方法，如网络缓冲和距离衰减，在规模上有效地模拟现实世界的密度和邻近效应。以人口为权重，采用视觉映射、空间聚类和相关分析等方法对不同空间层次的指数进行分析。研究结果显示了明显的城乡梯度，高步行性得分集中在街道连通性和土地利用多样性丰富的紧凑城市中心。该指数将巴塞罗那、柏林、慕尼黑、巴黎和华沙等城市列为最适宜步行的城市。这个标准化的、高分辨率的步行指数是研究人员、规划人员和政策制定者的实用工具，旨在支持欧洲不同背景下的积极生活和公共健康。

{"title":"A Walk across Europe: Development of a high-resolution walkability index","authors":"Nishit Patel , Hoang-Ha Nguyen , Jet van de Geest , Alfred Wagtendonk , Mohan J.S. Raju , Payam Dadvand , Kees de Hoogh , Marta Cirach , Mark Nieuwenhuijsen , Thao Minh Lam , Jeroen Lakerveld","doi":"10.1016/j.healthplace.2025.103544","DOIUrl":"10.1016/j.healthplace.2025.103544","url":null,"abstract":"<div><div>Physical inactivity significantly contributes to obesity and other non-communicable diseases, yet efforts to increase population-wide physical activity levels have met with limited success. The built environment plays a pivotal role in encouraging active behaviors like walking. Walkability indices, which aggregate various environmental features, provide a valuable tool for promoting healthy, walkable environments. However, a standardized, high-resolution walkability index for Europe has been lacking. This study addresses that gap by developing a standardized, high-resolution walkability index for the entire European region. Seven core components were selected to define walkability: walkable street length, intersection density, green spaces, slope, public transport access, land use mix, and 15 min walking isochrones. These were derived from harmonized, high-resolution datasets such as Sentinel-2, NASA’s elevation models, OpenStreetMap, and CORINE Land Cover. A 100 m <span><math><mo>×</mo></math></span> 100 m hierarchical grid system and advanced geospatial methods, like network buffers and distance decay, were used at scale to efficiently model real-world density and proximity effects. The resulting index was weighted by population and analyzed at different spatial levels using visual mapping, spatial clustering, and correlation analysis. Findings revealed a distinct urban-to-rural gradient, with high walkability scores concentrated in compact urban centers rich in street connectivity and land use diversity. The index highlighted cities like Barcelona, Berlin, Munich, Paris, and Warsaw as walkability leaders. This standardized, high-resolution walkability index serves as a practical tool for researchers, planners, and policymakers aiming to support active living and public health across diverse European contexts.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"96 ","pages":"Article 103544"},"PeriodicalIF":4.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health in place and place in health: 30 years of Health & Place 健康在地方，地方在健康：30年的健康与地方。

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

Health & Place

Pub Date : 2025-09-01 DOI: 10.1016/j.healthplace.2025.103537

Michael J. Widener , Valorie A. Crooks

引用次数: 0

Constant crisis management: service provider perspectives on adapting homeless resources for people who use drugs and alcohol 持续危机管理：服务提供者关于为吸毒和酗酒者调整无家可归者资源的观点

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

Health & Place

Pub Date : 2025-09-01 DOI: 10.1016/j.healthplace.2025.103547

Hannah Brais , Mylene Riva

Homeless service providers in Montreal, Canada face increasingly challenging circumstances in delivering services to people who use drugs and alcohol experiencing homelessness. While this group continues to be overrepresented in homeless counts and conditions to their sustainable exit to homelessness continue to be difficult, this research asks, 1) What are the limitations of the current service provision in Montreal for addressing the needs of homeless substance users? How can services be adapted?; and 2) Which larger societal conditions create barriers for homeless individuals who use drugs and alcohol to access services? Drawing on 10 semi-structured interviews with staff of homeless service providers, this research uses a trauma-informed spaces of care framework to examine the relationship between people, place, and care, with the added variable of trauma. Findings revealed a need for continual harm reduction supports; that the absence of adequate support teams and management led to poor psychosocial accompaniment, lending itself to a state of constant crisis management; that homeless resources were traumatogenic spaces (that is, can cause trauma) for both service users and service providers; and finally, that larger system-level changes need to be addressed to improve the conditions of people experiencing homelessness who use drugs and alcohol. Cumulatively these findings underline the dire and traumatogenic conditions of homeless services in the locus of a housing affordability crisis, opioid crisis, failing public health system, and under an environment of increased stigma towards people who use drugs and alcohol.

加拿大蒙特利尔的无家可归者服务提供者在向吸毒和酗酒的无家可归者提供服务方面面临越来越大的挑战。虽然这一群体在无家可归者的人数中仍然占比过高，而且他们可持续地摆脱无家可归的条件仍然很困难，但本研究提出了以下问题：1)蒙特利尔目前提供的服务在解决无家可归者药物使用者的需求方面存在哪些局限性？如何调整服务？2)哪些更大的社会条件对吸毒和酗酒的无家可归者获得服务造成了障碍？通过对无家可归者服务提供者工作人员的10次半结构化访谈，本研究使用创伤知情的护理空间框架来检查人、地点和护理之间的关系，并添加了创伤变量。调查结果显示，需要持续提供减少伤害的支持；缺乏适当的支助小组和管理导致心理社会陪伴不良，使其处于不断进行危机管理的状态；无家可归者资源对服务使用者和服务提供者来说都是造成创伤的空间（即可能造成创伤）；最后，需要解决更大的系统层面的变化，以改善吸毒和酗酒的无家可归者的状况。总的来说，这些发现强调了在住房负担能力危机、阿片类药物危机、公共卫生系统失灵以及对吸毒和酗酒者的耻辱感增加的环境下，无家可归者服务的可怕和创伤性条件。

{"title":"Constant crisis management: service provider perspectives on adapting homeless resources for people who use drugs and alcohol","authors":"Hannah Brais , Mylene Riva","doi":"10.1016/j.healthplace.2025.103547","DOIUrl":"10.1016/j.healthplace.2025.103547","url":null,"abstract":"<div><div>Homeless service providers in Montreal, Canada face increasingly challenging circumstances in delivering services to people who use drugs and alcohol experiencing homelessness. While this group continues to be overrepresented in homeless counts and conditions to their sustainable exit to homelessness continue to be difficult, this research asks, 1) What are the limitations of the current service provision in Montreal for addressing the needs of homeless substance users? How can services be adapted?; and 2) Which larger societal conditions create barriers for homeless individuals who use drugs and alcohol to access services? Drawing on 10 semi-structured interviews with staff of homeless service providers, this research uses a trauma-informed spaces of care framework to examine the relationship between people, place, and care, with the added variable of trauma. Findings revealed a need for continual harm reduction supports; that the absence of adequate support teams and management led to poor psychosocial accompaniment, lending itself to a state of constant crisis management; that homeless resources were traumatogenic spaces (that is, can cause trauma) for both service users and service providers; and finally, that larger system-level changes need to be addressed to improve the conditions of people experiencing homelessness who use drugs and alcohol. Cumulatively these findings underline the dire and traumatogenic conditions of homeless services in the locus of a housing affordability crisis, opioid crisis, failing public health system, and under an environment of increased stigma towards people who use drugs and alcohol.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103547"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to “Connecting place and nature-based traditional and spiritual practices among American Indian and First Nation Youth” [Health Place 92 2025 103424] “在美洲印第安人和第一民族青年中连接地方和基于自然的传统和精神习俗”[保健处92 2025 103424]的勘误表。

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

Health & Place

Pub Date : 2025-09-01 DOI: 10.1016/j.healthplace.2025.103459

Helen Russette , Tina Handeland , Faith Price , Don Warne , Allison Kelliher , Zack Holden , Erin Landguth , Melissa Walls , Kelley Sittner

引用次数: 0

Corrigendum to “Higher ultraviolet light exposure is associated with lower mortality: An analysis of data from the UK biobank cohort study” [Health and Place (2024), (89), 103328] “较高的紫外线照射与较低的死亡率相关：对英国生物银行队列研究数据的分析”[健康与地方（2024），（89），103328]。

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

Health & Place

Pub Date : 2025-09-01 DOI: 10.1016/j.healthplace.2025.103518

Andrew C. Stevenson , Tom Clemens , Erola Pairo-Castineira , David J. Webb , Richard B. Weller , Chris Dibben

引用次数: 0

Crossing streams: Merging sanitation justice and ecological sanitation through female urinals 跨溪：女便池融合卫生正义与生态卫生

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

Health & Place

Pub Date : 2025-09-01 DOI: 10.1016/j.healthplace.2025.103516

Marisa Manheim , Julia Cavicchi , Tatiana Schreiber , Robin Fitzgerald , Hayley Joyell Smith

引用次数: 0

Spatial and socioeconomic disparities in the availability of healthy food via online food delivery services in Nanjing, China: An analysis based on absolute and relative measures 南京市在线外卖服务中健康食品可得性的空间和社会经济差异：基于绝对和相对度量的分析

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

Health & Place

Pub Date : 2025-09-01 DOI: 10.1016/j.healthplace.2025.103546

Yu Kong , Feng Zhen , Erpan Ubul , Shanqi Zhang , Hui Luan

As part of the urban food environment, online food delivery services (OFDS) have expanded the channels and options for residents to access food. While it may be seen as a way to improve food access, there is widespread debate over whether it can provide healthy food options for residents. Existing studies have primarily measured the absolute indicators of healthy food supply through OFDS, but have lacked comparative analyses of absolute and relative indicators. The spatial and socioeconomic disparities in the supply of healthy food through OFDS remain to be further explored. This study seeks to address this question through a case study of Nanjing. The findings indicate significant spatial differences in the characteristics of healthy food delivery availability when comparing relative and absolute metrics. For communities in central areas, both absolute healthy and unhealthy food delivery outlets form high-high clusters, but the relative proportion and diversity of healthy food outlets fall into low-low clusters. This contrasts with the spatial characteristics observed in peripheral communities, where both relative and absolute metrics of healthy food delivery availability show opposite patterns. Additionally, communities with lower housing prices, larger working populations, and higher proportions of young or older residents have relatively fewer opportunities to access healthy food delivery outlets. Our findings suggest that differentiated community-based strategies and platform-level interventions are essential to improve healthy food access and diversity via OFDS.

作为城市食品环境的一部分，在线食品配送服务（OFDS）扩大了居民获取食品的渠道和选择。虽然这可能被视为改善食物获取的一种方式，但对于它是否能为居民提供健康的食物选择，人们存在广泛的争论。现有研究主要通过OFDS测量健康食品供应的绝对指标，但缺乏绝对指标和相对指标的比较分析。通过OFDS提供健康食品的空间和社会经济差异仍有待进一步探讨。本研究试图通过对南京的个案研究来解决这一问题。研究结果表明，在比较相对和绝对指标时，健康食品配送可得性的特征存在显著的空间差异。对于中心区域的社区，绝对健康和不健康外卖网点均呈高-高集群，而健康餐饮网点的相对比例和多样性呈低-低集群。这与在周边社区观察到的空间特征形成对比，在那里，健康食品供应的相对和绝对指标都显示出相反的模式。此外，在房价较低、工作人口较多、年轻或老年居民比例较高的社区，获得健康食品外卖的机会相对较少。我们的研究结果表明，差异化的社区策略和平台级干预措施对于通过OFDS改善健康食品的获取和多样性至关重要。

{"title":"Spatial and socioeconomic disparities in the availability of healthy food via online food delivery services in Nanjing, China: An analysis based on absolute and relative measures","authors":"Yu Kong , Feng Zhen , Erpan Ubul , Shanqi Zhang , Hui Luan","doi":"10.1016/j.healthplace.2025.103546","DOIUrl":"10.1016/j.healthplace.2025.103546","url":null,"abstract":"<div><div>As part of the urban food environment, online food delivery services (OFDS) have expanded the channels and options for residents to access food. While it may be seen as a way to improve food access, there is widespread debate over whether it can provide healthy food options for residents. Existing studies have primarily measured the absolute indicators of healthy food supply through OFDS, but have lacked comparative analyses of absolute and relative indicators. The spatial and socioeconomic disparities in the supply of healthy food through OFDS remain to be further explored. This study seeks to address this question through a case study of Nanjing. The findings indicate significant spatial differences in the characteristics of healthy food delivery availability when comparing relative and absolute metrics. For communities in central areas, both absolute healthy and unhealthy food delivery outlets form high-high clusters, but the relative proportion and diversity of healthy food outlets fall into low-low clusters. This contrasts with the spatial characteristics observed in peripheral communities, where both relative and absolute metrics of healthy food delivery availability show opposite patterns. Additionally, communities with lower housing prices, larger working populations, and higher proportions of young or older residents have relatively fewer opportunities to access healthy food delivery outlets. Our findings suggest that differentiated community-based strategies and platform-level interventions are essential to improve healthy food access and diversity via OFDS.</div></div>","PeriodicalId":49302,"journal":{"name":"Health & Place","volume":"95 ","pages":"Article 103546"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Health & Place

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀