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The neighbourhood built environment affects driving behaviours of older adults: a combined geographic information systems and machine learning method. 社区建筑环境影响老年人的驾驶行为:一种结合地理信息系统和机器学习的方法。
Pub Date : 2025-11-17 DOI: 10.1080/23748834.2025.2578565
Rayeheh Hafezifar, Shahab Alizadeh, Anne Dickerson, Brenda Vrkljan, Ganesh M Babulal, Sayeh Bayat

Driving space is considered as the transaction between built environment features and driving behaviour. Driving keeps people active and engaged, particularly in later life. Using Geospatial Information Systems (GIS) and machine learning, this study examined the driving space of older drivers (aged ≥65; n = 134) living in St. Louis City, St. Louis County, USA from 1 January 2019, to 31 December 2019. Driving variables, such as total distance, trip frequency, ratio of short trips long trips, were analyzed. Built environment measures included transit accessibility, land use mix, and road network characteristics. Our findings indicate that the most important features predictive of driving space of older adults were public transit density and land use diversity within residential areas. This study demonstrates the non-linear relationship between built environment factors and driving space variables. Total distance has a complex relationship with each built environment variable. The differences in short-distance and long-distance driving are linked to varied land use types, balanced transport density, and intersection density. These findings highlight the value of using in-vehicle monitoring technologies to determine how specific characteristics of the built environment can influence everyday driving behaviours in later life.

驾驶空间被认为是建筑环境特征和驾驶行为之间的交易。开车能让人保持活跃和投入,尤其是在晚年。利用地理空间信息系统(GIS)和机器学习技术,研究了2019年1月1日至2019年12月31日期间居住在美国圣路易斯县圣路易斯市的老年驾驶员(年龄≥65岁,n = 134)的驾驶空间。对总距离、出行频率、短途出行和长途出行比例等驾驶变量进行了分析。建筑环境措施包括交通可达性、土地利用组合和道路网络特征。研究结果表明,预测老年人驾驶空间的最重要特征是公共交通密度和居住区内的土地利用多样性。研究表明,建筑环境因子与驱动空间变量之间存在非线性关系。总距离与各建筑环境变量之间存在着复杂的关系。短途和长途驾驶的差异与不同的土地利用类型、平衡的交通密度和交叉口密度有关。这些发现强调了使用车载监控技术来确定建筑环境的具体特征如何影响以后生活中的日常驾驶行为的价值。
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引用次数: 0
Spatial and policy analysis of livability in the city of St. Louis, Missouri, USA. 美国密苏里州圣路易斯市宜居性空间与政策分析
Pub Date : 2025-07-29 DOI: 10.1080/23748834.2025.2526258
Ana Luiza Favarão Leão, Milena Franco Silva, Raúl D Gierbolini-Rivera, Courtney Shaw, Áine O'Connor, Eugen Resendiz B, Melanie Lowe, Deborah Salvo, Rodrigo Siqueira Reis

A livable city ensures safety, health, inclusivity, sustainability, housing, mobility, and opportunities for all. The Global Observatory of Healthy and Sustainable Cities (GOHSC) launched the 1000 Cities Challenge to assess urban health and sustainability globally. This study uses the GOHSC's spatial and policy indicators to evaluate livability in St. Louis, Missouri. Using a mixed-methods approach, we analyzed the spatial distribution of built environment and transport features alongside planning and sustainability policies. Spatial indicators were derived from open data. Policy documents were coded for their governance level, alignment with evidence from healthy cities, and inclusion of measurable targets. Most residents (91.7%) lived in neighborhoods with optimal street intersection density (100 intersections/km2). However, only 2.8% lived in areas with optimal population density (5,700 people/km2). Just 26.3% lived near public transit, and 44.5% had access to large public open spaces below the GOHSC city averages (44.6% and 66%). While there was good coverage of policies, policy quality was low (31%), with most lacking measurable targets. The policy and spatial indicators enabled a comprehensive evaluation of livability. Future research should synthesize local and regional policies, supplement livability indicators with measures of environmental (in)justice within cities and utilize streetscape micro-scale data to deepen livability analysis.

宜居城市确保所有人的安全、健康、包容性、可持续性、住房、流动性和机会。全球健康和可持续城市观察站(GOHSC)发起了1000个城市挑战,以评估全球的城市健康和可持续性。本研究使用GOHSC的空间和政策指标来评估密苏里州圣路易斯市的宜居性。采用混合方法,我们分析了建筑环境和交通特征的空间分布以及规划和可持续性政策。空间指标来源于公开数据。政策文件根据其治理水平、与健康城市证据的一致性以及纳入可衡量目标进行编码。大多数居民(91.7%)居住在十字路口密度最优的街区(100个十字路口/km2)。然而,只有2.8%的人居住在最佳人口密度(5700人/平方公里)的地区。只有26.3%的人住在公共交通附近,44.5%的人可以进入大型公共开放空间,低于GOHSC城市平均水平(44.6%和66%)。虽然政策覆盖面很好,但政策质量较低(31%),大多数政策缺乏可衡量的目标。政策和空间指标使宜居性得到全面评价。未来的研究应综合地方和区域政策,在宜居性指标的基础上补充城市环境正义指标,并利用微尺度街景数据深化宜居性分析。
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引用次数: 0
The symbolic meanings and experience of place among residents in public housing awaiting relocation in Baltimore, Maryland. 马里兰州巴尔的摩市等待搬迁的公共住房居民的象征意义和场所体验。
Pub Date : 2025-03-01 Epub Date: 2025-01-21 DOI: 10.1080/23748834.2025.2451544
Jessie Chien, Ashley Q Truong, Abigail Pollock, Ernestine Chambers, Anita Donaldson, Subira Brown, Haneefa T Saleem, Sabriya L Linton

Public housing in the United States is often depicted as areas of decay and using racialized tropes about low-income communities of color. Despite these negative portrayals, residents of public housing often characterize their place as meaningful homes where they engage in place-making and community-building to challenge their social marginalization. The presence of strong connections to community and place among residents may help explain why public housing redevelopment programs focused on demolition and forced relocation have led to mixed results for improved mental and social well-being. This study explores how residents of a predominately Black public housing community undergoing redevelopment construct meanings of place and how these meanings influence their well-being and perceptions of redevelopment. We conducted semi-structured interviews with 29 adults relocating from a public housing site in Baltimore, Maryland and showcased how the social conditions of public housing intersect with individual characteristics, life experiences, and personal desires to dictate residents' notions of home, attachments to place and community, and experiences with stigma before relocation. Our findings demonstrate how residents' experiences with redevelopment and relocating can vary depending on their meanings of place, emphasizing the need to elevate residents' experiential knowledge in housing interventions to promote individual and community health.

美国的公共住房经常被描绘成衰败的地区,并使用种族化的比喻来形容低收入的有色人种社区。尽管有这些负面的描述,但公共住房的居民往往将他们的地方描述为有意义的家园,在那里他们参与场所建设和社区建设,以挑战他们的社会边缘化。居民与社区和地方的紧密联系可能有助于解释,为什么侧重于拆迁和强制搬迁的公共住房重建项目,在改善心理和社会福祉方面产生了好坏参半的结果。本研究探讨了一个以黑人为主的公共住房社区的居民如何构建地方的意义,以及这些意义如何影响他们的幸福感和对重建的看法。我们对29名从马里兰州巴尔的摩市的一个公共住房搬迁过来的成年人进行了半结构化访谈,并展示了公共住房的社会条件如何与个人特征、生活经历、个人愿望相交叉,这些愿望决定了居民对家的概念、对地方和社区的依恋,以及搬迁前的耻辱经历。我们的研究结果表明,居民对重建和搬迁的体验会因其对地方的理解而有所不同,强调有必要提高居民在住房干预方面的经验知识,以促进个人和社区健康。
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引用次数: 0
Green infrastructure and community health: exploring the characteristics of campus users in three university towns in Texas. 绿色基础设施与社区卫生:德克萨斯州三个大学城校园用户特征探讨
Pub Date : 2024-08-07 DOI: 10.1080/23748834.2024.2381966
Ryun Jung Lee, Zhicheng Xu, Galen Newman, Chanam Lee, Yang Song, Wonmin Sohn, Dongying Li, Yizhen Ding

Green infrastructure in college campuses and their surrounding communities can bring public health benefits. Using green infrastructure measures in three university towns in Texas, United States, this study explores if and how green infrastructure can impact the physical and mental health status of university campus users in the community. Campus users were estimated as the number of visitors to campus using the SafeGraph mobility data, green infrastructure was measured with land cover and Landsat 8 satellite images, and health status was measured with the CDC health status data. The results of spatial error models suggest a significant moderating effect of tree canopy coverage indicating that green infrastructure could potentially benefit campus users' health. This gives indirect evidence supporting the health-significant roles of the campus environment. For city planners and policymakers, increasing tree canopy coverage stands out as a promising green infrastructure planning and management strategy that can contribute to the health of campus users/communities.

大学校园及其周边社区的绿色基础设施可以为公众健康带来好处。本研究利用美国德克萨斯州三个大学城的绿色基础设施措施,探讨绿色基础设施是否以及如何影响社区大学校园用户的身心健康状况。使用SafeGraph移动数据估计校园用户为校园访客数量,使用土地覆盖和Landsat 8卫星图像测量绿色基础设施,使用CDC健康状况数据测量健康状况。空间误差模型的结果表明,树冠覆盖率具有显著的调节作用,表明绿色基础设施可能有利于校园用户的健康。这为支持校园环境对健康的重要作用提供了间接证据。对于城市规划者和决策者来说,增加树冠覆盖率是一种有前途的绿色基础设施规划和管理策略,可以促进校园用户/社区的健康。
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引用次数: 0
Is your city planned for all citizens as they age? Selecting the indicators to measure neighbourhoods’ age-friendliness in the urban planning field 你的城市是否为所有上了年纪的市民做好了规划?在城市规划领域选择衡量邻里友好度的指标
Pub Date : 2023-11-13 DOI: 10.1080/23748834.2023.2270686
Silvia Urra-Uriarte, Patricia Molina-Costa, Unai Martin, Uyen Nhu Tram, Juanita Devis Clavijo
In many countries, urban population ageing trends are a recognized policy issue that requires a multidisciplinary approach. Although some fields, such as urban planning, encounter challenges in incorporating age-friendliness, they are crucial in enhancing the quality of life and well-being of all urban inhabitants. Additionally, they should provide solutions on how cities can cater to the needs of a population that is living longer than ever before. To accomplish this, older people’s needs can be translated into multidomain indicators to be adopted when planning the cities. Using the World Health Organization’s age-friendly cities indicators framework as a basis, the objective of this research is to establish a new indicators framework for urban planners and policymakers. With this aim, within the H2020 URBANAGE project, various cities have followed a process to adapt the WHO´s general framework to their specific needs and interests, through research, iteration with the cities and co-creation methodologies with older people and civil servants. This process has resulted in the definition of an indicators framework, which aims to evaluate the age-friendliness of various neighbourhoods within a city. It also intends to inform the development of decision-support technologies to achieve age-friendly cities in the different cities involved.
在许多国家,城市人口老龄化趋势是一个公认的政策问题,需要采取多学科办法。虽然一些领域,如城市规划,在纳入对老年人友好方面遇到挑战,但它们对提高所有城市居民的生活质量和福祉至关重要。此外,他们应该为城市如何满足比以往任何时候都长寿的人口的需求提供解决方案。为了实现这一目标,老年人的需求可以转化为城市规划时采用的多领域指标。以世界卫生组织的老年人友好型城市指标框架为基础,本研究的目标是为城市规划者和决策者建立一个新的指标框架。为此,在H2020 URBANAGE项目中,各城市通过研究、城市迭代以及与老年人和公务员共同创造的方法,遵循了使世卫组织总体框架适应其特定需求和利益的过程。这一过程导致了指标框架的定义,其目的是评估城市内各个社区对老年人的友好程度。它还打算为不同城市的决策支持技术的发展提供信息,以实现老年人友好型城市。
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引用次数: 0
Time to treat the climate and nature crisis as one indivisible global health emergency 是时候将气候和自然危机视为一个不可分割的全球卫生紧急事件
Pub Date : 2023-11-03 DOI: 10.1080/23748834.2023.2276427
Kamran Abbasi, Parveen Ali, Virginia Barbour, Thomas Benfield, Kirsten Bibbins-Domingo, Gregory E. Erhabor, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Robert Mash, Peush Sahni, Wadeia Mohammad Sharief, Paul Yonga, Chris Zielinski
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引用次数: 0
Research for city practice 城市实践研究
Pub Date : 2023-10-20 DOI: 10.1080/23748834.2023.2262202
Marcus Grant
Evidence supports what we all intuitively know; that human health and planetary health are heavily influenced by the urban environments we create. Outcomes for human and planetary health show worrying trends of ongoing and increasing risks. These are of global concern, so It is imperative that we use urban policy, programmes and projects to test for potential solutions. This requires concerted action. Cities & Health is dedicated to supporting a multidirectional flow of knowledge to support such action. Our aim is to foster connections and conversations between researchers, practitioners, policy-makers, communities, and decision-makers in cities. That is the specific purpose of this section of the journal, with its short ‘City Know-how’ policy briefings derived from research findings. The team at Cities & Health, and our two knowledge partners (International Society for Urban Health and SALUS.Global), invite you to join their networks, and to contribute to the dialogue. We encourage communities, researchers, practitioners and policy-makers to consider publishing in Cities & Health to help influence urban policy.
证据支持我们直觉上的认知;人类健康和地球健康受到我们创造的城市环境的严重影响。人类和地球健康的结果显示出持续存在和日益增加的风险趋势,令人担忧。这些都是全球关注的问题,因此我们必须利用城市政策、规划和项目来测试潜在的解决方案。这需要协调一致的行动。城市与卫生组织致力于支持知识的多向流动,以支持此类行动。我们的目标是促进研究人员、从业人员、政策制定者、社区和城市决策者之间的联系和对话。这就是该杂志这一部分的具体目的,其简短的“城市诀窍”政策简报源自研究结果。城市与健康的团队,以及我们的两个知识合作伙伴(国际城市健康协会和SALUS.Global),邀请您加入他们的网络,并为对话做出贡献。我们鼓励社区、研究人员、从业人员和决策者考虑在《城市与卫生》上发表文章,以帮助影响城市政策。
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引用次数: 0
Examining discrimination in home improvement financing (Home Mortgage Disclosure Act 2012–2016) and neighborhood health in the United States 研究美国住房改善融资中的歧视(2012-2016年住房抵押贷款披露法)和社区健康
Pub Date : 2023-10-20 DOI: 10.1080/23748834.2023.2260188
Brigette A. Davis, Mariana C. Arcaya, David R. Williams, Molly Metzger, Nancy Krieger
Institutional racism by financial institutions historically denied Black homeowners access to home mortgage loans. An understudied aspect of the homeownership continuum is home repair and maintenance, with few studies assessing discrimination in access to funding for home improvement. Using US Home Mortgage Disclosure Act data between 2012 and 2016, we assess individual and census-tract level predictors of applying to, and being denied home improvement loans. We find non-Hispanic Black applicants are significantly more likely to be denied loans (OR: 2.28 p < 0.01), and that loans for areas with a high proportion of non-Hispanic Black residents (OR: 1.09, p < 0.01) are most likely to be denied, while applications in tracts with the highest proportion of non-Hispanic white residents (OR: 0.90, p < 0.01) are least likely to be denied. We find that white (r = 0.203), but not Black (r = 0.02) home improvement applications are correlated with the proportion of Black residents currently residing in the census tract. Additionally, at the census tract level, home improvement loan denial rates are associated with usually getting less than 7 hours of sleep, which is associated with adverse health outcomes. Future research on institutional racism should consider the social and health impacts of discrimination in home improvement loan financing for Black applicants and within Black communities.
金融机构的制度性种族主义历来拒绝黑人房主获得住房抵押贷款。房屋所有权连续体的一个未充分研究的方面是房屋维修和维护,很少有研究评估在获得房屋改善资金方面的歧视。利用2012年至2016年美国住房抵押贷款披露法案的数据,我们评估了个人和人口普查区申请和被拒绝住房改善贷款的预测因素。我们发现,非西班牙裔黑人申请者更有可能被拒绝贷款(OR: 2.28 p < 0.01),非西班牙裔黑人居民比例高的地区(OR: 1.09, p < 0.01)的贷款最可能被拒绝,而非西班牙裔白人居民比例最高的地区(OR: 0.90, p < 0.01)的申请最不可能被拒绝。我们发现,白人(r = 0.203)而非黑人(r = 0.02)的家装应用与目前居住在人口普查区的黑人居民的比例相关。此外,在人口普查区一级,住房改善贷款拒绝率与通常睡眠不足7小时有关,这与不利的健康结果有关。未来对制度性种族主义的研究应考虑黑人申请人和黑人社区在住房改善贷款融资中歧视的社会和健康影响。
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引用次数: 0
The practices of urban health equity: a call for greater humility 城市卫生公平实践:呼吁更加谦逊
Pub Date : 2023-10-20 DOI: 10.1080/23748834.2023.2262306
Jason Corburn, Marcus Grant, Smruti Jukur, Francisco Obando
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引用次数: 0
Towards climate change resilience and informal workers’ health in Zimbabwe: an action-research case study 促进津巴布韦气候变化适应能力和非正规工人健康:行动研究案例研究
Pub Date : 2023-10-20 DOI: 10.1080/23748834.2023.2261755
Artwell Kadungure, Rangarirai Machemedze, Wisborn Malaya, Nathan Banda, Rene Loewenson, Alice Sverdlik
Despite rising concern for climate change in cities, urban informal workers are rarely considered in climate and health interventions. Globally, about two billion people work in the ‘informal economy,’ which encompasses all livelihoods lacking legal recognition or social protections. To encourage more holistic studies of workers’ health in urban areas, we discuss recent action-research in Zimbabwe’s cities of Harare (population 2.4m) and Masvingo (urban population 207,000). Using surveys (N=418) and focus group discussions (N=207) with informal urban agriculture workers and plastic waste-pickers, we analysed their climate-related, occupational, and environmental health risks. Approximately 55% of waste-pickers and urban agriculture workers reported that heat extremes already shortened their working times and lowered incomes. We highlight the close links between living and working conditions; discuss gendered differences in risks; and examine how heatwaves, water scarcity, and floods are affecting informal workers. In Masvingo, local authorities have begun collaborating with informal workers to tackle these risks. We recommend multi-sectoral, co-produced strategies that can simultaneously promote health and resilient livelihoods. Although climate change could further entrench urban inequalities, there may also be unusual opportunities to spark action on climate change by using a health lens to improve livelihoods and foster more inclusive, resilient urbanisation pathways.
尽管对城市气候变化的关注日益增加,但在气候和健康干预措施中很少考虑到城市非正规工人。全球约有20亿人在“非正规经济”中工作,其中包括所有缺乏法律承认或社会保护的生计。为了鼓励对城市地区工人健康进行更全面的研究,我们讨论了最近在津巴布韦城市哈拉雷(人口240万)和马斯温戈(城市人口20.7万)进行的行动研究。通过调查(N=418)和焦点小组讨论(N=207),我们分析了非正式城市农业工人和塑料废物拾取者的气候相关、职业和环境健康风险。大约55%的拾荒者和城市农业工人报告说,极端高温已经缩短了他们的工作时间,降低了他们的收入。我们强调生活条件和工作条件之间的密切联系;讨论风险的性别差异;并研究热浪、缺水和洪水是如何影响非正规工人的。在马斯温戈,地方当局已开始与非正规工人合作,以应对这些风险。我们建议采取多部门共同制定的战略,同时促进健康和有复原力的生计。尽管气候变化可能进一步加剧城市不平等,但也可能有非同寻常的机会,通过从健康的角度改善生计和培育更具包容性和弹性的城市化道路,来激发应对气候变化的行动。
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引用次数: 0
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