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Developing a matrix and manual for mapping access to outdoor environments for older adults and care workers at residential care facilities 制定一份矩阵和手册,用于绘制老年人和养老院护工出入室外环境的地图
IF 2.2 Q2 GEOGRAPHY Pub Date : 2026-06-01 Epub Date: 2026-01-14 DOI: 10.1016/j.wss.2026.100350
Madeleine Liljegren , Anna Bengtsson , Göran Lindahl , Helle Wijk
Although quantitative and qualitative tools exist for assessing environments for older adults and care workers at residential care facilities (RCFs), a method for mapping quantitative accesses to physical outdoor environmental aspects, such as windows, entrances, balconies, patios, gardens, parks, and squares is lacking. The aim of this study is to develop a matrix and manual for quantitatively mapping the existence of access to physical environmental aspects of outdoor environments for older adults and care workers at RCFs. The matrix and manual are developed through an interdisciplinary approach involving healthcare science, architecture, and landscape architecture, and included a ten-step process comprising the identification of a theoretical basis, definition of physical environmental aspects, construction of the matrix, development of a manual, a pilot study, iterative revisions, and quality assurance. The matrix and manual are developed for use at a national level, but can also be applied locally, for example within a single municipality. The matrix comprises 26 physical environmental aspects, and the manual describes how to carry out the mapping. By using the matrix and the manual, insights can be gained into physical environmental conditions for outdoor environments as part of everyday life and arenas for person-centred care and rehabilitation. Insights from such research can contribute to a broader understanding of how to meet the needs and wishes of older adults and care workers related to outdoor environments at RCFs and in similar healthcare settings, both nationally and internationally.
尽管存在定量和定性工具来评估居住护理设施(rcf)中老年人和护理人员的环境,但缺乏定量绘制室外物理环境方面(如窗户、入口、阳台、露台、花园、公园和广场)的方法。这项研究的目的是编制一份矩阵和手册,以定量地描绘出老年人和护理人员在rcf的室外环境的物理环境方面的存在情况。矩阵和手册是通过涉及医疗科学、建筑学和景观建筑学的跨学科方法开发的,包括十个步骤的过程,包括确定理论基础、定义物理环境方面、构建矩阵、开发手册、试点研究、迭代修订和质量保证。编制矩阵和手册是为了在国家一级使用,但也可以在地方上应用,例如在一个城市内。该矩阵包括26个物理环境方面,手册描述了如何进行映射。通过使用矩阵和手册,可以深入了解户外环境的物理环境条件,作为日常生活的一部分,以及以人为中心的护理和康复场所。此类研究的见解有助于更广泛地了解如何在国家和国际上满足rcf和类似医疗保健机构中老年人和护理人员与户外环境有关的需求和愿望。
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引用次数: 0
Reach and representativeness within a rural randomized controlled trial designed to improve community health through civic engagement for built environment change in Texas and New York 一项农村随机对照试验的覆盖面和代表性,该试验旨在通过公民参与改善德克萨斯州和纽约州的建筑环境变化来改善社区健康
IF 2.2 Q2 GEOGRAPHY Pub Date : 2026-06-01 Epub Date: 2026-01-16 DOI: 10.1016/j.wss.2026.100351
Rebecca A. Seguin-Fowler , Meredith L. Graham , Grace A. Marshall , Karla L. Hanson , Galen D. Eldridge , Deyaun L. Villarreal , Emma C. Lewis , Sara C. Folta , Jay Maddock

Background

Community-based trials are important for developing effective, real-world health improvement approaches that address built environment changes, but they often lack rural representation. This paper reports on community (n = 12) and study participant (n = 2420) characteristics of the Change Club (CC) project. Study participant characteristics are compared to publicly available data to determine reach and representativeness, and therefore, generalizability.

Methods

Weighted means of publicly available data by Zip Code Tabulation Area were calculated for community characteristics. Reach was calculated as the proportion of study participants enrolled in each community out of the total number of adults in the community. Participant means for each community were calculated for sociodemographic and health variables. Chi-square statistics and ratios of study participants to target populations were also calculated.

Results

On average, the CC study reached 1.3 % of the adult population across communities. Study communities were similar to rural nationwide and rural state populations in sociodemographic and health variables with some exceptions related to race and ethnicity. The study participant population was similar to their community population in many characteristics but differed in few (e.g., in 2–3 communities, participants were less likely to be older than 65; less likely to be Black or Hispanic; more likely to be unemployed; and/or less likely to be in fair or poor health).

Conclusions

These findings indicate that the CC study had reach and representativeness of rural communities and their residents in ranges similar to previous rural studies. Clearer standards for comparing differences between study samples and target populations are needed to ensure generalizability of future trials.
以社区为基础的试验对于制定有效的、现实世界的健康改善方法以应对建筑环境变化非常重要,但它们往往缺乏农村代表性。本文报道了Change Club (CC)项目的社区特征(n = 12)和研究参与者特征(n = 2420)。将研究参与者的特征与公开可用的数据进行比较,以确定覆盖面和代表性,从而确定普遍性。方法采用邮政编码制表区公开数据加权方法计算社区特征。Reach的计算方法是每个社区的研究参与者占该社区成年人总数的比例。根据社会人口学和健康变量计算每个社区的参与者均值。还计算了研究参与者与目标人群的卡方统计和比率。结果平均而言,CC研究覆盖了整个社区成年人口的1.3%。在社会人口学和健康变量方面,研究社区与全国农村和州农村人口相似,但在种族和族裔方面有一些例外。研究参与者人口在许多特征上与其所在社区人口相似,但在少数特征上有所不同(例如,在2-3个社区中,参与者年龄在65岁以上的可能性较小;黑人或西班牙裔的可能性较小;失业的可能性较大;和/或健康状况不佳或健康状况不佳的可能性较小)。结论CC研究在农村社区及其居民的覆盖范围和代表性与以往农村研究相似。需要更明确的标准来比较研究样本和目标人群之间的差异,以确保未来试验的普遍性。
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引用次数: 0
Language-friendliness as minority governance: Finnish-speaking older people’s experiences of age-friendly policy in Sweden 语言友好作为少数民族治理:瑞典芬兰语老年人友好政策的经验
IF 2.2 Q2 GEOGRAPHY Pub Date : 2026-06-01 Epub Date: 2025-11-22 DOI: 10.1016/j.wss.2025.100327
Maarit Jaakkola
National minorities are ageing, and their linguistic and cultural rights are becoming an urgency for local policies. This paper examines the policy concept of language-friendliness in the context of national-minority older people. An analysis is conducted on the experiences of Finnish-speaking older people regarding their relationship with city governance communication and citizen policies in the second-largest city in Sweden. Gothenburg, part of the Finnish-language administrative area along with 65 other Swedish municipalities, was the first Swedish city to join the World Health Organization’s (WHO) Age-friendly Cities and Communities (AFCC) network in 2016. Accordingly, the Age-Friendly Gothenburg Policy for 2016–2024 set out goals to make the city age-appropriate in the six domains identified by WHO: communication and information, health services, outdoor spaces, housing, transportation, as well as social participation and inclusion. These domains were critically examined through the lenses of minority-language community with a mixed-method design: first, an online questionnaire with open-ended responses (N = 27) in parallel to a majority-directed survey (N = 817), second, focus group interviews with Finnish-speaking representatives of the national minority at retirement age (N = 18), and, third, in-depth interviews with administrative area employees (N = 3). The results indicate that there are structural obstacles for applying linguistically and culturally responsive services for the older people. Based on the thematic analysis, language-friendliness is conceptualized as a linguistically congruent cross-sectoral policy framework. Finally, some methodological issues specific of national-minority older people are raised.
少数民族正在老龄化,他们的语言和文化权利正成为地方政策的当务之急。本文探讨了少数民族老年人语言友好的政策理念。本文分析了瑞典第二大城市讲芬兰语的老年人与城市治理、沟通和公民政策的关系。哥德堡是芬兰语行政区的一部分,与其他65个瑞典城市一起,是2016年第一个加入世界卫生组织(世卫组织)老年友好城市和社区(AFCC)网络的瑞典城市。因此,《2016-2024年哥德堡老年友好政策》制定了在世卫组织确定的六个领域使城市符合年龄的目标:通信和信息、卫生服务、户外空间、住房、交通以及社会参与和包容。这些领域通过少数民族语言社区的镜头进行了严格的检查,采用混合方法设计:首先,一份开放式在线问卷(N = 27)与多数人主导的调查(N = 817)并行,第二,对退休年龄的少数民族讲芬兰语的代表进行焦点小组访谈(N = 18),第三,对行政部门员工进行深度访谈(N = 3)。结果表明,在为老年人提供语言和文化响应服务方面存在结构性障碍。在主题分析的基础上,语言友好被定义为语言上一致的跨部门政策框架。最后,提出了少数民族老年人的研究方法问题。
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引用次数: 0
“Bring back the culture!”: An exploration of the relationship between cultural heritage, nostalgia and older adult subjective wellbeing in Singapore’s Chinatown “把文化带回来!:探索新加坡唐人街的文化遗产、怀旧和老年人主观幸福感之间的关系
IF 2.2 Q2 GEOGRAPHY Pub Date : 2026-06-01 Epub Date: 2026-01-14 DOI: 10.1016/j.wss.2026.100349
Thomas A. Lowe , Lucas Puah , Zoe Jane-Lara Hildon
Continued population ageing in Singapore means there is a growing proportion of older adults, who are remaining in the community for longer, in line with the ageing in place policy encouraged in almost all ageing populations. This article focuses on Singapore’s Chinatown as a unique place where cultural heritage and older adults intersect and where both are experience and perceiving change in different ways, which contributes toward older adults’ subjective wellbeing. Utilising focus group discussions with community members of Chinatown, this article aims to: 1. To discover how the relationship between nostalgia and cultural heritage plays a role in the subjective wellbeing of older adults in Singapore’s Chinatown; and based on the relationship discovered: 2. To explore what solutions there are to some of the concerns raised by participants in terms of the cultural heritage and older adults of Singapore’s Chinatown. Our reflexive thematic analysis emphasises that participants felt that cultural heritage, has changed for the worse for older adults and this means older adults feel nostalgic for a past Chinatown. While most participants feel that the past Chinatown is gone, they feel some elements can be re/enacted or brought back. Ultimately, participants identified solutions which aimed to improve both the subjective wellbeing of older adults and help pass on and restore the cultural heritage of Singapore’s Chinatown. The findings have significant implications for the role of older adults in the community, in terms of ageing in place and as guardians of, but also part of cultural heritage themselves.
新加坡持续的人口老龄化意味着老年人的比例越来越大,他们在社区生活的时间更长,这与几乎所有老龄化人口都鼓励的就地老龄化政策相一致。这篇文章的重点是新加坡唐人街作为一个独特的地方,文化遗产和老年人相交,在这里体验和感知变化以不同的方式,这有助于老年人的主观幸福感。本文利用与唐人街社区成员的焦点小组讨论,旨在:1。探索怀旧与文化遗产之间的关系在新加坡唐人街老年人主观幸福感中的作用;并根据关系发现:2。探讨参与者在文化遗产和新加坡唐人街老年人方面提出的一些问题的解决方案。我们的反身性主题分析强调,参与者认为文化遗产对老年人来说已经变得更糟了,这意味着老年人对过去的唐人街感到怀旧。虽然大多数参与者觉得过去的唐人街已经一去不复返了,但他们觉得有些元素可以重新制定或带回。最终,参与者确定了旨在提高老年人主观幸福感和帮助传承和恢复新加坡唐人街文化遗产的解决方案。这一发现对老年人在社区中的角色有着重要的影响,就老龄化和作为文化遗产的守护者而言,他们本身也是文化遗产的一部分。
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引用次数: 0
Correlation between sustainability perception and recreational well-being in urban parks: A case study of Beijing olympic forest Park, China 城市公园可持续性感知与休闲幸福感的相关性研究——以北京奥林匹克森林公园为例
IF 2.2 Q2 GEOGRAPHY Pub Date : 2026-06-01 Epub Date: 2026-01-14 DOI: 10.1016/j.wss.2026.100347
En Wu , Mengjun Shen , Xue-e Chai
In the context of global sustainable development, the sustainable construction of urban parks has attracted much attention. The developing countries represented by China have insufficient experience in park construction. The park is mainly for sightseeing and lacks the methods of sustainable park construction. At present, studies on the sustainability of urban parks are mostly carried out from the perspectives of index evaluation and expert evaluation, and few are considered from the perspective of citizens' use. There are also few studies that establish correlation between sustainability and well-being for unified analysis. This study investigates the correlation between the sustainability of urban parks and recreational well-being from the citizens’ perspective, based on which a correlation model was constructed. Suggestions for the planning, design, construction, and management of sustainable urban parks (to improve recreational well-being) are provided. The Beijing Olympic Forest Park in China was investigated as a case study, and 444 valid questionnaires were used in a structural equation model analysis for empirical tests. The results show that: (1) The sustainability perception of urban parks can significantly positively affect the recreational well-being of citizens (2) The intensity of the impacts of park sustainability assessment factors on recreational well-being was as follows: sense of place > leisure and health > economic perception > green construction and nature conservation > education value > natural environment > infrastructure. The construction of parks should not only improve the ecological environment, but also consider green construction, nature protection, and the functions of space and facilities, which can increase surrounding business opportunities. Moreover, stakeholders should consider the protection and shaping of the sense of place so as to build people’s emotional connection to urban parks.
在全球可持续发展的背景下,城市公园的可持续建设备受关注。以中国为代表的发展中国家在园区建设方面经验不足。公园以观光为主,缺乏可持续的公园建设方法。目前对城市公园可持续性的研究多从指标评价和专家评价的角度展开,很少从市民使用的角度进行考虑。也很少有研究建立可持续性和福祉之间的相关性进行统一分析。本研究从市民的角度探讨了城市公园可持续性与游憩幸福感的相关性,并在此基础上构建了相关模型。为可持续城市公园的规划、设计、建设和管理提供建议(以提高娱乐福祉)。以北京奥林匹克森林公园为例,采用结构方程模型分析444份有效问卷进行实证检验。结果表明:(1)城市公园可持续性感知显著正向影响市民游憩幸福感;(2)公园可持续性评价因子对游憩幸福感的影响强度依次为:场所感、休闲与健康感、经济感知、绿色建设与自然保护感、教育价值感、自然环境感、基础设施感。公园的建设不仅要改善生态环境,还要考虑绿色建设、保护自然、空间设施的功能,可以增加周边的商业机会。此外,利益相关者应考虑对场所感的保护和塑造,从而建立人们与城市公园的情感联系。
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引用次数: 0
Experiences of the Shieling: A phenomenological study of a Gaelic culture-specific outdoor learning program 盾的经验:盖尔文化特定户外学习计划的现象学研究
IF 2.2 Q2 GEOGRAPHY Pub Date : 2026-06-01 Epub Date: 2026-01-22 DOI: 10.1016/j.wss.2026.100354
Melissa Stancil , Robbie Nicol , N.Ruth Little , Qiang Wu , Huabin Luo
Green prescriptions—nature-based interventions to improve human health—are becoming increasingly popular, and this growing popularity highlights concerns regarding inclusive access and overly simplistic approaches. Despite culture as a key factor for how humans conceive of and engage with nature, it is mostly absent from green prescription program design and research. Better insight into participant experience of a culture-specific nature-based intervention would help design, conduct, and implement green prescriptions. This study aimed to explore the phenomenon of an immersive 6-day Gaelic culture-specific outdoor learning program and assess relevance of culture-specific design. A purposive sample of participants (n = 25) were recruited from the Shieling Project in Scotland, United Kingdom, and data were collected through semi-structured interviews from June 27 to September 3, 2022. Thematic analyses showed four key themes regarding the culture-specific relevance of the program: positive value of traditional ways of living, importance of traditional knowledge, personal values, and history. Culture-specific program design was key to positive outdoor learning experience suggesting that culture-specific green prescriptions may serve to improve equitable access and minimize reductionistic approaches to green prescriptions.
绿色处方——以自然为基础的改善人类健康的干预措施——正变得越来越流行,而这种日益流行凸显了对包容性获取和过于简单化的方法的担忧。尽管文化是人类如何看待自然和与自然互动的关键因素,但它在绿色处方项目的设计和研究中却大多缺失。更好地了解参与者对特定文化的自然干预的体验,将有助于设计、实施和实施绿色处方。本研究旨在探索为期6天的沉浸式盖尔文化特定户外学习计划的现象,并评估文化特定设计的相关性。从英国苏格兰的shield项目中招募了有目的的参与者样本(n = 25),并于2022年6月27日至9月3日通过半结构化访谈收集了数据。专题分析显示了该计划与文化相关的四个关键主题:传统生活方式的积极价值、传统知识的重要性、个人价值观和历史。特定文化的项目设计是积极的户外学习体验的关键,这表明特定文化的绿色处方可能有助于提高公平获取,并最大限度地减少对绿色处方的简化。
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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 : 2026-06-01 Epub 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
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 : 2026-06-01 Epub 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
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 : 2026-06-01 Epub 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
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 : 2026-06-01 Epub 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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