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Exploring resiliencies to housing eviction and alcohol-related harms: A photo elicitation study 探索住房驱逐和酒精相关危害的复原力:一项照片启发研究
IF 2.2 Q2 GEOGRAPHY Pub Date : 2026-01-07 DOI: 10.1016/j.wss.2026.100344
Michelle Dougherty , Sara E. Baumann , Maya I. Ragavan , Robert W.S. Coulter , Sarah L. Pedersen , Christina Mair

Background

Housing eviction is interrelated with alcohol consumption and harms that are fully and partially attributable to alcohol. For populations experiencing an increased risk of both eviction and alcohol-related harms, understanding community resiliencies that protect against both issues could reveal key intervention opportunities.

Methods

We recruited adults (n = 16) from Allegheny County, PA with lived experiences of eviction/eviction threat and regular alcohol use (ages 24–59, 68.8% identified as Black, 68.8% as female, 93.8% as heterosexual). Through semi-structured baseline interviews and follow-up photo elicitation interviews, participants discussed and photographed assets in their neighborhood and living environments that prevented or reduced the negative impacts of alcohol and/or eviction. We analyzed data from interviews using thematic analysis.

Results

Challenges discussed by participants included eviction threat and post-eviction housing insecurity, drinking to cope with eviction-related stress, and alcohol-related harms and problems, which included eviction. Assets that protected against challenges related to both alcohol and eviction included social support, legal and financial assistance for housing, access (including transportation) to employment that pays a living wage, access to green space, opportunities to exercise, and community spaces. Community spaces increased access to other assets by facilitating social ties, resource dissemination, and activities to help cope with eviction-related stress.

Conclusions

Improving community resources and spaces could reduce the impacts of eviction and alcohol-related harms. Strategies that address housing insecurity in conjunction with other social determinants of health may reduce the burden of alcohol and eviction.
住房驱逐与酒精消费和完全或部分归因于酒精的危害有关。对于面临驱逐和酒精相关危害风险增加的人群,了解防止这两个问题的社区复原力可以揭示关键的干预机会。方法:我们从宾夕法尼亚州阿勒格尼县(Allegheny County)招募了有过驱逐/驱逐威胁和经常饮酒经历的成年人(n = 16)(年龄24-59岁,68.8%为黑人,68.8%为女性,93.8%为异性恋)。通过半结构化的基线访谈和后续的照片引出访谈,参与者讨论并拍摄了其社区和生活环境中防止或减少酒精和/或驱逐的负面影响的资产。我们使用专题分析来分析访谈数据。结果参与者讨论的挑战包括驱逐威胁和驱逐后的住房不安全,饮酒以应对驱逐相关压力,以及与酒精相关的危害和问题,其中包括驱逐。防范与酗酒和驱逐有关的挑战的资产包括社会支持、住房方面的法律和财政援助、获得支付生活工资的就业机会(包括交通)、获得绿色空间、锻炼机会和社区空间。社区空间通过促进社会联系、资源传播和帮助应对驱逐相关压力的活动,增加了获得其他资产的机会。结论改善社区资源和空间可以减少驱逐和酒精相关危害的影响。将解决住房不安全问题的战略与健康的其他社会决定因素结合起来,可以减轻酗酒和驱逐的负担。
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引用次数: 0
Temporal uncertainty, spatial stressors and disrupted connections: temporary accommodation and family life, health and wellbeing 时间不确定性、空间压力源和中断的联系:临时住宿和家庭生活、健康和福祉
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-30 DOI: 10.1016/j.wss.2025.100341
Hannah Fairbrother , Nicholas Woodrow , Eleanor Holding , Peter Kraftl , Mary Crowder , Elizabeth Goyder , Kiya Hurley , Sarah Rodgers , Anne-Marie Burn
The growing unaffordability of housing in many high-income countries is pushing more people into temporary living situations. While housing is a recognised social determinant of health, less is known about the impact of housing insecurity and ‘hidden homelessness’, where families are not living on the street, but face repeated moves or protracted periods in temporary accommodation. This paper explores, from the perspective of parents and children, the impact of living in temporary accommodation on families’ health and wellbeing.
We undertook 38 interviews with parents and children across three geographical areas in England: South Yorkshire, the North West and London. Families were living (or had lived) in various forms of temporary accommodation including hotels, hostels, and bed and breakfast accommodation. Interviews took place in person, over the phone and online via video call. We utilised framework analysis to analyse our data.
Our analysis generated key themes focusing on: (i) the constant, cumulative stress associated with not knowing if, when and where stable accommodation might be secured, (ii) the spatial unsuitability of temporary accommodation for family life and (iii) the disconnection and disruption to social support, education and employment for families living in temporary accommodation.
This paper is the first to mobilise slow violence within a social determinants framework in understanding the multiple interacting ways in which temporary accommodation impacts on the health and wellbeing of families.
在许多高收入国家,越来越多的人无法负担住房,这迫使更多的人进入临时住所。虽然住房是公认的健康的社会决定因素,但人们对住房不安全和“隐性无家可归”的影响知之甚少,这些家庭不是流落街头,而是反复搬家或长期住在临时住所。本文从父母和孩子的角度探讨了临时住所对家庭健康和福祉的影响。我们对英格兰三个地理区域的父母和孩子进行了38次采访:南约克郡、西北部和伦敦。家庭住在(或曾经住过)各种形式的临时住所,包括旅馆、青年旅社和住宿加早餐的住所。采访分别进行了面对面、电话和在线视频通话。我们使用框架分析来分析我们的数据。我们的分析产生的关键主题集中在:(i)不知道是否、何时、何地可以获得稳定的住房所带来的持续、累积的压力;(ii)临时住房在空间上不适合家庭生活;(iii)生活在临时住房中的家庭在社会支持、教育和就业方面的脱节和中断。本文首次在社会决定因素框架内动员缓慢暴力,以理解临时住宿对家庭健康和福祉影响的多种相互作用方式。
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引用次数: 0
Better than Nothing? A scoping review on tiny homes and sleeping cabins as a response to homelessness in high-income countries 聊胜于无?对高收入国家应对无家可归问题的小房子和睡木屋的范围审查
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-13 DOI: 10.1016/j.wss.2025.100339
Carrie Anne Marshall , Julia Holmes , Corinna Easton , Brooklyn Ward , Shauna Perez , Roxanne Isard , Nick Kerman , Cheryl Forchuk , Rebecca Gewurtz
Tiny homes and sleeping cabins are often touted as a quick and efficient solution to providing shelter or housing for unhoused individuals. No known knowledge syntheses have amalgamated this body of literature, and this is needed to inform future research, practice and policy. To address this gap, we conducted a scoping review using the framework advanced by Arksey and O’Malley. We searched seven databases supplemented by a search of grey literature. We included studies that were empirical, non-empirical, of any design, and both peer-reviewed and non-peer-reviewed literature. This search yielded 116 unique articles following the removal of duplicates. Over half of the included articles were empirical (n = 65; 56 %) and less than half were peer-reviewed (n = 43; 37.1 %). The majority of articles represented literature pertaining to the United States (n = 89; 76.7) and Canada (n = 14; 12.1 %). We generated four themes in our narrative synthesis: 1) Tiny homes and sleeping cabins as a viable component of a broader solution to homelessness; 2) How to make it happen; 3) Critical perspectives on the use of tiny homes and sleeping cabins as a response to homelessness; and 4) It’s better than nothing. We conclude that a range of articles on this topic have been published, yet this literature remains under-developed with few empirical studies providing evidence for the effectiveness of tiny homes and sleeping cabins over other interventions. More empirical research is needed to warrant the use of tiny homes and sleeping cabins as a response to homelessness in light of literature on alternative approaches.
小房子和小木屋经常被吹捧为为无家可归的人提供住所或住房的快速有效的解决方案。没有已知的知识综合已经合并了这些文献,这是需要为未来的研究,实践和政策提供信息。为了解决这一差距,我们使用Arksey和O 'Malley提出的框架进行了范围审查。我们检索了七个数据库,并检索了灰色文献。我们纳入了经验性的、非经验性的、任何设计的研究,以及同行评议和非同行评议的文献。在删除重复条目后,这次搜索产生了116篇独特的文章。超过一半的纳入文章是经验性的(n = 65; 56%),不到一半是同行评议的(n = 43; 37.1%)。大多数文献来自美国(n = 89, 76.7%)和加拿大(n = 14, 12.1%)。我们在叙述合成中产生了四个主题:1)作为解决无家可归问题的可行组成部分的小房子和睡眠小屋;2)如何实现;3)关于使用微型房屋和睡眠小屋作为对无家可归者的回应的批判性观点;4)聊胜于无。我们得出的结论是,关于这一主题的一系列文章已经发表,但这些文献仍然不够发达,很少有实证研究提供证据证明小房子和睡小屋比其他干预措施有效。需要更多的实证研究来保证使用小房子和睡小屋作为对替代方法的文献的回应。
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引用次数: 0
Leisure for whom? Socioeconomic disparities in the well-being benefits of third places 谁的闲暇?社会经济差异带来的福利位居第三
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-13 DOI: 10.1016/j.wss.2025.100337
Elizabeth W. Chan , Felix Cheung , Michael J. Widener
With increasing divestments from physical community spaces and the rise of online social networks, there is renewed interest in how third places—places that are not home or work—may support a happier life. However, a key consideration often overlooked is that experiencing the benefits of third places may heavily depend on the resources people have like time and money. Whereas past work in this area has largely focused on health outcomes, life satisfaction offers a measure of one’s summative assessment of their lives overall, thus allowing us to evaluate how third places may be linked to overall quality of life. This preregistered study examined whether the association between the number of third places (e.g., parks, retail stores) and life satisfaction varies by income level in a representative U.S. sample totaling 1.6 million participants. Using points of interest data from the Gallup U.S. Daily Poll and National Neighborhood Data Archive, our analyses revealed that residing in areas with more Eating and Drinking Places, Personal Care Services, Social Services, and Retail Establishments was associated with larger gains in life satisfaction for lower-income individuals than middle- and higher-income individuals. However, lower-income individuals experienced fewer gains in life satisfaction with a larger quantity of Arts, Entertainment, and Leisure than middle- and higher-income individuals. Altogether, the mere presence of more third places may not lead to benefits for all—rather, their association to life satisfaction differs significantly for individuals in different income groups.
随着越来越多的人从实体社区空间撤资,以及在线社交网络的兴起,人们重新开始关注第三个地方——除了家或工作之外的地方——是如何支持更幸福的生活的。然而,经常被忽视的一个关键因素是,体验第三名的好处可能在很大程度上取决于人们拥有的资源,如时间和金钱。过去在这一领域的研究主要集中在健康结果上,而生活满意度提供了一种衡量一个人对其整体生活的总结性评估,从而使我们能够评估第三名与整体生活质量的关系。这项预先注册的研究考察了第三个地方(如公园、零售商店)的数量与生活满意度之间的关系是否因收入水平的不同而不同。使用盖洛普美国每日民意调查和国家社区数据档案的兴趣点数据,我们的分析显示,居住在有更多餐饮场所、个人护理服务、社会服务和零售场所的地区,低收入个人的生活满意度比中收入和高收入个人的生活满意度更高。然而,与中高收入人群相比,低收入人群通过大量的艺术、娱乐和休闲活动获得的生活满意度提高较少。总之,更多的第三名的存在可能不会给所有人带来好处——相反,它们与生活满意度的关系在不同收入群体的个人之间存在显著差异。
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引用次数: 0
Caught in a machine that de-emphasizes human potential: Using Goffman’s theory of the total institution to understand service provider perspectives on boredom among unhoused persons 陷入一台不强调人的潜力的机器:利用戈夫曼的总体制度理论来理解服务提供者对无家可归者无聊的看法
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-13 DOI: 10.1016/j.wss.2025.100338
Carrie Anne Marshall (Principal Investigator, Associate Professor) , Rebecca Gewurtz (Associate Professor) , Abrial Cooke (Research Assistant) , Caleigh Inman (Research Assistant) , Jordana Bengall (Research Assistant) , Suliman Aryobi (Research Assistant)
Boredom has been identified as a factor affecting the lives of individuals during and following homelessness, yet no known studies have explored this experience from the perspectives of service providers. To address this gap, we conducted semi-structured qualitative interviews with 20 service providers working in shelters, drop-in programs, and housing services in two communities in Ontario, Canada. We analyzed our data using reflexive thematic analysis, guided by Goffman’s theory of the ‘staff world’ in his concept of the ‘total institution.’ The central essence characterizing our analysis was: Caught in a machine that de-emphasizes human potential. This essence is expressed through three themes: 1) “I think boredom is huge;” 2) “we just keep going back, and keep trying, and keep trying, and keep trying;” and 3) Housing is “…a shell that you could, with encouragement…potentially flourish in.” We conclude that the profound and pervasive boredom described in this research and in previous studies is symptomatic of broader structural problems created through inadequate responses to supporting individuals living with mental illness in our communities, contributing to rising and chronic homelessness. We argue that institutionalization of persons living with mental illness, which ended due to the neglect observed in such settings, has been replaced by an equally neglectful system of service provision taking the form of housing and homelessness services. We advocate for a system that not only provides basic resources for survival but also supports thriving through the provision of housing and opportunities for mitigating boredom through access to meaningful activities.
无聊已被确定为影响无家可归期间和之后个人生活的一个因素,但没有已知的研究从服务提供者的角度探讨这种经历。为了解决这一差距,我们对加拿大安大略省两个社区的收容所、收容项目和住房服务的20名服务提供者进行了半结构化的定性访谈。在Goffman的“总机构”概念中的“员工世界”理论的指导下,我们使用反身性主题分析来分析我们的数据。“我们分析的核心特征是:陷入一台不强调人类潜力的机器。这个本质通过三个主题来表达:1)“我认为无聊是巨大的;”2)“我们只是不断地往回走,不断地尝试,不断地尝试,不断地尝试;”3)住房是“一个壳,在鼓励下,你可能会在其中蓬勃发展。”我们的结论是,这项研究和之前的研究中所描述的深刻而普遍的无聊是更广泛的结构性问题的症状,这些问题是由我们社区对精神疾病患者的支持反应不足造成的,导致了无家可归现象的增加和长期存在。我们认为,由于在这种环境中观察到的忽视,精神疾病患者的制度化已经结束,取而代之的是同样被忽视的服务提供系统,以住房和无家可归者服务的形式。我们提倡一个系统,不仅为生存提供基本资源,而且通过提供住房和通过获得有意义的活动来减轻无聊的机会来支持繁荣。
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引用次数: 0
Stakeholder perspectives on needs and priorities in home-based stroke rehabilitation: A concept mapping study 利益相关者对家庭卒中康复需求和优先事项的看法:一项概念映射研究
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-10 DOI: 10.1016/j.wss.2025.100335
Marie Elf , Laila de Vries , Frida Smith , Hélène Pessah-Rasmussen , Charlotte Ytterberg , Maya Kylén
Despite growing emphasis on home-based rehabilitation following stroke, there remains limited understanding of how to effectively tailor services to individual needs. This study employed concept mapping to explore diverse stakeholder perspectives on adapting home-based rehabilitation to better support the recovery process after stroke. Through this mixed-methods participatory approach, we engaged 89 stakeholders, including stroke survivors, significant others, healthcare professionals, managers, and architects. Participants generated, sorted, and rated statements about what matters most in home-based stroke rehabilitation. A hierarchical cluster analysis was conducted to organize the data into concepts. Five clusters were identified: 1) social support at home and beyond; 2) professional competence; 3) supportive home environment; 4) teamwork and resources; and 5) patient involvement. Patient involvement was rated highest for importance and feasibility, followed by professional competence. Specifically, stakeholders emphasized that rehabilitation should feel meaningful and be tailored to the patient's needs. No generated ideas from the cluster “supportive home environment” were found in the go-zone, and adapting rehabilitation to diverse home environments was recognized as crucial but hard to implement. The findings underscore the need for individualized, context-sensitive approaches and suggest that strengthening professional competence, particularly in navigating diverse environments and engaging support networks, will be essential to translating person-centered principles into everyday rehabilitation practice.
尽管人们越来越重视中风后的家庭康复,但对如何有效地根据个人需求定制服务的了解仍然有限。本研究采用概念图的方法探讨不同利益相关者的观点,以适应家庭康复,以更好地支持中风后的康复过程。通过这种混合方法的参与式方法,我们与89名利益相关者进行了接触,包括中风幸存者、重要他人、医疗保健专业人员、管理人员和建筑师。参与者对家庭中风康复中最重要的因素进行生成、分类和评分。通过层次聚类分析将数据组织成概念。确定了五个类别:1)家庭内外的社会支持;2)专业能力;3)支持性家庭环境;4)团队合作与资源;5)病人参与。患者参与的重要性和可行性被评为最高,其次是专业能力。具体而言,利益相关者强调,康复应该感觉有意义,并根据患者的需要量身定制。在go-zone中没有发现来自集群“支持性家庭环境”的想法,并且将康复适应不同的家庭环境被认为是至关重要的,但很难实施。研究结果强调了个性化、环境敏感方法的必要性,并建议加强专业能力,特别是在驾驭不同环境和参与支持网络方面,将以人为本的原则转化为日常康复实践至关重要。
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引用次数: 0
Leveraging sustainable development by integrated analysis of citizen's thermal comfort with GIS data 利用GIS数据综合分析市民的热舒适度,实现可持续发展
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-10 DOI: 10.1016/j.wss.2025.100336
Ebere Donatus Okonta , Farzad Rahimian , Vladimir Vukovic , Sergio Rodriguez
This study investigates the integration of user-reported thermal comfort feedback into Geographic Information Systems (GIS) to enhance the spatial analysis of urban environments. The research aims to provide actionable insights to inform sustainable urban planning, improve residents' thermal comfort, and mitigate climate change impacts. The research employs a mixed-method approach, combining narrative literature reviews and case study methodologies. Using the THERCOM app, thermal comfort feedback from residents across 11 UK postcodes was collected and integrated into QGIS. The study identified significant spatial variations in thermal comfort and mould growth risks across urban areas. Birmingham and Harrogate demonstrated higher thermal comfort levels, with minimal reports of discomfort, attributed to better building conditions and environmental planning. Conversely, Middlesbrough and Saltburn-by-the-Sea exhibited widespread thermal discomfort, with frequent reports of very cold and very hot conditions, exacerbated by insufficient building insulation and ventilation. High humidity levels in these areas also correlated with increased mould growth potential, particularly during specific months such as May and August. The results emphasize the critical need for urban interventions, including enhanced insulation, adaptive building designs, and green infrastructure, to mitigate discomfort and health risks. The study highlights the value of incorporating community input to enhance urban planning processes, foster sustainable urban environments, and address health risks associated with thermal discomfort and humidity.
本研究探讨了将用户报告的热舒适反馈整合到地理信息系统(GIS)中,以增强城市环境的空间分析。该研究旨在为可持续城市规划提供可操作的见解,提高居民的热舒适性,减轻气候变化的影响。本研究采用文献叙述法与个案研究法相结合的混合研究方法。使用THERCOM应用程序,收集了来自英国11个邮政编码地区居民的热舒适反馈并将其集成到QGIS中。该研究发现,城市地区的热舒适度和霉菌生长风险存在显著的空间差异。伯明翰和哈罗盖特表现出更高的热舒适水平,由于更好的建筑条件和环境规划,不适的报告很少。相反,米德尔斯堡和海边的索尔特本表现出广泛的热不适,经常报告非常冷和非常热的条件,由于建筑绝缘和通风不足而加剧。这些地区的高湿度水平也与霉菌生长潜力增加有关,特别是在特定的月份,如5月和8月。研究结果强调了对城市干预措施的迫切需要,包括加强隔热、适应性建筑设计和绿色基础设施,以减轻不适和健康风险。该研究强调了将社区投入纳入城市规划过程的价值,促进可持续的城市环境,并解决与热不适和湿度相关的健康风险。
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引用次数: 0
Student perceptions of people and places in their school that are influential for mental health and emotional wellbeing, and implications for wellbeing policies in Wales 学生对学校中对心理健康和情感健康有影响的人和地方的看法,以及对威尔士福利政策的影响
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-10 DOI: 10.1016/j.wss.2025.100333
Rachel Brown , Jessica Lennon , Caitlyn Donaldson , Rebecca Anthony , Abbey Rowe , Graham Moore
There have been reported increases in mental health challenges among young people in the UK, including since the Covid-19 pandemic. There is increasing interest in the role of school environment as both a potential contributing factor to these challenges and as a site for intervention. In Wales, this is embodied in 2021 government legislation which mandates schools to take a whole school approach to emotional and mental wellbeing. This research interviewed pupils in a range of school sites across Wales to discuss aspects of the social and physical environment in school that are perceived as more and less conducive to mental wellbeing. Twelve case study schools were recruited as part of a wider evaluation of the whole school approach in Wales and, within these, twenty-two group interviews took place with pupils of both primary and secondary age. This involved discussion of people and places in the school environment and a draw-write task. Findings highlighted differences between age groups on which adults in school were considered as key in supporting mental wellbeing, although all age groups reflected similarly on the qualities of supportive adults and on the role of peers. There were also overlaps in terms of spaces in school that were most challenging, with noise, crowding and lack of supervision key. Findings suggest that approaches aimed at tackling multiple aspects of both the social and physical school environment may be supportive of positive mental wellbeing, however not all of these aspects are equally amenable to change or under school control.
据报道,自2019冠状病毒病大流行以来,英国年轻人的心理健康挑战有所增加。人们对学校环境的作用越来越感兴趣,因为它既是造成这些挑战的潜在因素,也是进行干预的场所。在威尔士,这体现在2021年的政府立法中,该立法要求学校采取全校的方法来实现情感和心理健康。这项研究采访了威尔士各地的一系列学校的学生,讨论学校的社会和物理环境的各个方面,这些方面被认为是或多或少有利于心理健康。作为对威尔士整个学校方法进行更广泛评估的一部分,招募了12所案例研究学校,在这些学校中,对小学和中学年龄的学生进行了22次小组访谈。这包括讨论学校环境中的人和地点,以及画写任务。研究结果强调了不同年龄组之间的差异,认为学校里的成年人是支持心理健康的关键,尽管所有年龄组在支持成年人的品质和同伴的作用方面反映相似。在学校空间方面也有重叠,这是最具挑战性的,噪音,拥挤和缺乏监督。研究结果表明,旨在解决学校社会和物理环境的多个方面的方法可能有助于积极的心理健康,但并非所有这些方面都同样可以改变或在学校控制之下。
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引用次数: 0
“Like a family without being a family”: Social connectedness between social housing tenants in Aotearoa New Zealand “像一个家庭,但不是一个家庭”:新西兰奥特罗阿社会住房租户之间的社会联系
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-10 DOI: 10.1016/j.wss.2025.100334
Elinor Chisholm , Amber Logan , Karen Witten , Crystal Victoria Olin , Ed Randal , Lori Leigh , Philippa Howden-Chapman
The association of isolation and loneliness with early death and a range of poor mental and physical outcomes has resulted in the World Health Organization’s recent call to recognise social connectedness as a global health priority. This article explores what supports and constrains social connectedness for social housing tenants in Aotearoa New Zealand. Here, as in various countries, social housing is targeted at low-income, high-needs people who find it difficult to access housing on the private market. Our study is framed around the concept of social infrastructure and draws on 54 in-depth interviews with tenants, the majority of whom were aged 55+ and lived alone. We show that living in medium- and high-density multi-unit housing complexes with common and shared spaces enables people to form social connections. For many people, these connections develop into relationships of mutual support and provide a sense of collective efficacy. Finally, we identify barriers to people forming social connections. Our findings suggest policies, interventions and design decisions to encourage social connectedness.
孤立和孤独与早逝以及一系列不良的精神和身体后果之间存在关联,因此世界卫生组织最近呼吁将社会联系视为全球卫生的优先事项。本文探讨了新西兰奥特罗阿社会住房租户的社会联系的支持和制约因素。与许多国家一样,这里的社会住房针对的是那些难以在私人市场上获得住房的低收入、高需求人群。我们的研究围绕社会基础设施的概念进行,并对54名租户进行了深入访谈,其中大多数租户年龄在55岁以上,独居。我们表明,生活在具有公共和共享空间的中高密度多单元住宅综合体中,人们可以形成社会联系。对许多人来说,这些联系发展成相互支持的关系,并提供一种集体效能感。最后,我们确定了阻碍人们形成社会联系的障碍。我们的研究结果为鼓励社会联系的政策、干预和设计决策提供了建议。
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引用次数: 0
Germany Ahr Valley flood 2021: a social and mental health perspective of older adults (65+) experiences 德国Ahr谷洪水2021:老年人(65岁以上)经历的社会和心理健康视角
IF 2.2 Q2 GEOGRAPHY Pub Date : 2025-12-06 DOI: 10.1016/j.wss.2025.100332
Chen Song, Funda Atun, Justine I. Blanford, Carmen Anthonj
This study investigates the social and mental health impacts of the 2021 Ahr Valley flood in Germany on older adults (aged 65+).
We used a mixed-methods approach, combining household surveys, spatial GIS analysis, qualitative in-depth interviews, and group discussions with older adults, physicians, nurses, and social service providers. Mental health was assessed using the PHQ-4 and PC-PTSD-5, while social health was measured through adapted Likert scales on belonging, social support, and information access. Spatial analysis in ArcGIS Pro used self-reported flood depth data and secondary sources, applying inverse distance weighting and kernel density estimation to map perceived flooding and related health outcomes.
Three years after the flood, 47% of older adults screened positive for anxiety, 38% for depression, and 39% for PTSD. Women reported slightly greater flood exposure than men. Social health scores were not statistically significant, but indicated strong place attachment and social support, and insufficient information flow during the disaster. Spatial analysis revealed clear hotspots of mental and social health challenges in severely affected areas like Bad Neuenahr-Ahrweiler and Dernau, and captured indoor flood water heights.
For many, the Ahr Valley was not merely a geographic space but a social and emotional anchor that embodied their identity and life history. The study bridges environmental, social, and mental dimensions of disaster impact, providing evidence for more context-sensitive, community-based interventions. The findings contribute to European flood research by addressing knowledge gaps.
We suggest a future need for longitudinal, interdisciplinary designs that capture older adults’ vulnerability and resilience after climate-related disasters.
本研究调查了2021年德国Ahr谷洪水对老年人(65岁以上)的社会和心理健康影响。我们采用了混合方法,结合了家庭调查、空间GIS分析、定性深度访谈以及与老年人、医生、护士和社会服务提供者的小组讨论。心理健康采用PHQ-4和PC-PTSD-5进行评估,社会健康采用李克特归属、社会支持和信息获取量表进行评估。ArcGIS Pro中的空间分析使用自我报告的洪水深度数据和辅助来源,应用逆距离加权和核密度估计来绘制感知的洪水和相关的健康结果。洪水发生三年后,47%的老年人焦虑症筛查呈阳性,38%的老年人抑郁症筛查呈阳性,39%的老年人PTSD筛查呈阳性。女性报告的洪水暴露程度略高于男性。社会健康得分无统计学意义,但表明灾害期间有较强的地方依恋和社会支持,信息流动不足。空间分析揭示了Bad Neuenahr-Ahrweiler和Dernau等严重受灾地区的心理和社会健康挑战热点,并捕获了室内洪水高度。对许多人来说,Ahr山谷不仅仅是一个地理空间,而且是一个社会和情感的锚,体现了他们的身份和生活史。该研究将灾害影响的环境、社会和心理层面联系起来,为更加注重环境、基于社区的干预措施提供了证据。这些发现通过解决知识差距为欧洲的洪水研究做出了贡献。我们建议未来需要纵向、跨学科的设计,以捕捉老年人在气候相关灾害后的脆弱性和复原力。
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Wellbeing Space and Society
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