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Espinoza Suarez NR, Loignon C, Dupere S, Dufour I, Shareck M, Apparicio P, Ouellet J, Pineault J, Amagnamoua S, Laferrière MC, Wilson I. Uncovering the state of knowledge about healthcare gentrification: a scoping review protocol. BMJ Open 2024; 14:e085375. [PMID: 39002957 PMCID: PMC11253761 DOI: 10.1136/bmjopen-2024-085375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 06/28/2024] [Indexed: 07/15/2024] Open
Abstract
INTRODUCTION Healthcare gentrification is the process in which the distribution of healthcare resources within a neighbourhood affects residents' access to healthcare services. To understand the complexity of healthcare access and to consider the socio-structural dimensions affecting equity in access to care, we aim to explore how healthcare gentrification has been described in the scientific literature and to document the reported relations between gentrification and healthcare access. METHODS AND ANALYSIS We will conduct a scoping review from data published from inception to September 2024 based on the methodology developed by Arksey and O'Malley (2005) and improved by Levac et al (2010). We will search the following databases: MEDLINE (OVID), Embase (embase.com), CINAHL Plus with Full Text (EBSCO), Web of Science and Geobase (Engineering Village). The review will be conducted from February 2024 to September 2024. The search strategy will be elaborated in conjunction with a professional librarian. Screening of titles and abstracts and full-text screening will be done in duplicates. A third reviewer will arbitrate discrepancies during the screening process. We will present our results narratively. ETHICS AND DISSEMINATION This scoping review does not require ethical approval since it will be collected from publicly available documents. The results of this scoping review will also be presented as a scientific article, scientific conferences, research webinars also in social media, workshops and conferences organised by healthcare organisations or academic institutions or on any appropriate platform.
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Affiliation(s)
| | - Christine Loignon
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Sophie Dupere
- Faculty of Nursing, Laval University, Quebec, Quebec, Canada
| | - Isabelle Dufour
- Faculty of Nursing, Sherbrooke University, Sherbrooke, Quebec, canada
- Research Center on Aging, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Martine Shareck
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Philippe Apparicio
- Department of Applied Geomatics, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Julie Ouellet
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Justine Pineault
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Simone Amagnamoua
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | | | - Isabelle Wilson
- Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
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Breton-Carbonneau AC, Anguelovski I, O'Brien K, Echevarría-Ramos M, Fina N, Genty J, Seeder A, Binet A, Williams PC, Cole HV, Triguero-Mas M. Exploring ownership of change and health equity implications in neighborhood change processes: A community-led approach to enhancing just climate resilience in Everett, MA. Health Place 2024; 89:103294. [PMID: 38941653 DOI: 10.1016/j.healthplace.2024.103294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Revised: 04/08/2024] [Accepted: 06/07/2024] [Indexed: 06/30/2024]
Abstract
Traditional planning processes have perpetuated the exclusion of historically marginalized communities, imposing vulnerability to climate (health) crises. We investigate how ownership of change fosters equitable climate resilience and community well-being through participatory action research. Our study highlights the detrimental effects of climate gentrification on community advocacy for climate security and health, negatively impacting well-being. We identify three key processes of ownership of change: ownership of social identity, development and decision-making processes, and knowledge. These approaches emphasize community-led solutions to counter climate health challenges and underscore the interdependence of social and environmental factors in mental health outcomes in climate-stressed communities.
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Affiliation(s)
- Andréanne C Breton-Carbonneau
- Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), Edifici Z (ICTA-ICP), Carrer de les Columnes s/n, Campus de la UAB, 08193, Cerdanyola del Vallès, Spain; Barcelona Lab for Urban Environmental Justice and Sustainability (BCNUEJ), Carrer de Sant Antoni Maria Claret, 171, 08041, Barcelona, Spain.
| | - Isabelle Anguelovski
- Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), Edifici Z (ICTA-ICP), Carrer de les Columnes s/n, Campus de la UAB, 08193, Cerdanyola del Vallès, Spain; Barcelona Lab for Urban Environmental Justice and Sustainability (BCNUEJ), Carrer de Sant Antoni Maria Claret, 171, 08041, Barcelona, Spain; Institució Catalana de Recerca i Estudis Avançats (ICREA), Passeig de Lluís Companys, 23, 08010, Barcelona, Spain.
| | - Kathleen O'Brien
- Everett Community Growers (ECG), 471 Broadway, Suite 8, Everett, MA, 02419, USA; Healthy Neighborhoods Research Consortium, Massachusetts, USA.
| | | | - Nicole Fina
- Everett Community Growers (ECG), 471 Broadway, Suite 8, Everett, MA, 02419, USA; Healthy Neighborhoods Research Consortium, Massachusetts, USA.
| | - Josée Genty
- Everett Community Growers (ECG), 471 Broadway, Suite 8, Everett, MA, 02419, USA; Healthy Neighborhoods Research Consortium, Massachusetts, USA.
| | - Andrew Seeder
- Conservation Law Foundation (CLF) Massachusetts, 62 Summer Street, Boston, MA, 02110, USA; Healthy Neighborhoods Research Consortium, Massachusetts, USA.
| | - Andrew Binet
- School of Community and Regional Planning (SCARP), University of British Columbia (UBC), 1933 West Mall, Vancouver, BC, Canada, V6T 1Z2; Healthy Neighborhoods Research Consortium, Massachusetts, USA.
| | - Patrice C Williams
- School of Public Policy and Urban Affairs, Northeastern University, 310 Renaissance Park, 1135 Tremont Street, Boston, MA, 02120, USA; Healthy Neighborhoods Research Consortium, Massachusetts, USA.
| | - Helen Vs Cole
- Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), Edifici Z (ICTA-ICP), Carrer de les Columnes s/n, Campus de la UAB, 08193, Cerdanyola del Vallès, Spain; Barcelona Lab for Urban Environmental Justice and Sustainability (BCNUEJ), Carrer de Sant Antoni Maria Claret, 171, 08041, Barcelona, Spain.
| | - Margarita Triguero-Mas
- Barcelona Lab for Urban Environmental Justice and Sustainability (BCNUEJ), Carrer de Sant Antoni Maria Claret, 171, 08041, Barcelona, Spain; Department of Urban Studies and Planning (DUSP), Massachusetts Institute of Technology (MIT), 77 Massachusetts Avenue, Cambridge, MA, 02138, USA; Barcelona Institute for Global Health, ISGlobal, Barcelona Biomedical Research Park (PRBB). Doctor Aiguader, 88, 08003, Barcelona, Spain.
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Galuska DA, Fulton JE, O'Neal LJ. Data for Decision Makers: Finding Policy, Systems, and Environmental Solutions for Public Health Problems. Prev Chronic Dis 2024; 21:E44. [PMID: 38870030 PMCID: PMC11192493 DOI: 10.5888/pcd21.240165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2024] Open
Affiliation(s)
- Deborah A Galuska
- Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
- Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS S107-5, Atlanta, GA 30341
| | - Janet E Fulton
- Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - LaToya J O'Neal
- University of Florida, Institute of Food and Agricultural Sciences, Department of Family, Youth and Community Sciences, Gainesville, Florida
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Ocaña-Ortiz A, Gea-Caballero V, Juárez-Vela R, Peiró R, Pérez-Sanz E, Santolalla-Arnedo I, Sufrate-Sorzano T, Garrote-Cámara ME, Paredes-Carbonell JJ. Health equity in urban and rural settings: implementation of the place standard tool in Spain. Front Public Health 2024; 12:1292032. [PMID: 38803816 PMCID: PMC11129683 DOI: 10.3389/fpubh.2024.1292032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Accepted: 04/17/2024] [Indexed: 05/29/2024] Open
Abstract
The physical, social, and economic characteristics of neighborhoods and municipalities determine the health of their residents, shaping their behaviors and choices regarding health and well-being. Addressing local environmental inequalities requires an intersectoral, participatory, and equity-focused approach. Community participation plays a vital role by providing deeper insights into local contexts, integrating community knowledge and values into processes, and promoting healthier, fairer, and more equitable actions. In recent years, various tools have been developed to assess places and transform them into health-promoting settings. One such tool, the Place Standard Tool (PST), facilitates discussions on Social Determinants of Health grouped into 14 themes, serving as a starting point for local health interventions. In this study, that took place between August 2019 and February 2020, we described the resident's perceptions of two municipalities in the Valencian Community, Spain, using the validated Spanish version of the PST. A mixed-method convergent-parallel design was used to gain a holistic insight into residents' experiences concerning their physical, economic, and social environment. A total of 356 individuals from both municipalities participated in the study through discussion groups, structured interviews, and online survey. Descriptive analysis of the individual questionnaire answers was conducted, and differences between municipalities were explored. Qualitative thematic analysis was conducted on structured interviews and discussion groups. Quantitative and qualitative data were integrated to facilitate their comparison and identify areas of convergence or divergence in the findings. Overall, rural areas received more favorable evaluations compared to urban ones. Public Transport as well as Work and Local Economy were consistently rated the lowest across all groups and contexts, while Identity and Belonging received the highest ratings. In the urban area, additional negative ratings were observed for Traffic and Parking, Housing and Community, and Care and Maintenance. Conversely, Identity and Belonging, Natural Spaces, Streets and Spaces, Social Interaction, and Services emerged as the highest-rated themes overall. In the rural context, positive evaluations were given to Walking or Cycling, Traffic and Parking, Housing and Community, and Influence and Sense of Control. Significant differences (p < 0.01) between urban and rural settings were observed in dimensions related to mobility, spaces, housing, social interaction, and identity and belonging. Our study illustrated the capacity of the PST to identifying aspects within local settings that influence health, revealing both positive and challenging factors. Successful implementation requires appropriate territorial delineation, support from local authorities, and effective management of expectations. Furthermore, the tool facilitated community participation in decision-making about local environments, promoting equity by connecting institutional processes with citizen needs.
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Affiliation(s)
- Ana Ocaña-Ortiz
- Local Action and Health Equity Group (ALES Group), Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Valencia, Spain
- Gandia Health Department, Gandia, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, VIU Valencia International University, Valencia, Spain
- Research Group SALCOM Community Health and Care, Valencia International University, Valencia, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
- GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Rosana Peiró
- Local Action and Health Equity Group (ALES Group), Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Valencia, Spain
- Publica Health General Directorate, Health Department, Generalitat Valenciana, Valencia, Spain
- CIBERESP ISCIII, Madrid, Spain
| | - Elena Pérez-Sanz
- Local Action and Health Equity Group (ALES Group), Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Valencia, Spain
- Publica Health General Directorate, Health Department, Generalitat Valenciana, Valencia, Spain
| | - Iván Santolalla-Arnedo
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
- GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Teresa Sufrate-Sorzano
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
- GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - María Elena Garrote-Cámara
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
- GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Joan Josep Paredes-Carbonell
- Local Action and Health Equity Group (ALES Group), Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Valencia, Spain
- Public Health Center of Alzira, Valencia, Spain
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Du R, Liu K, Zhao D, Fang Q. Urban amenity and urban economic resilience: evidence from China. Front Public Health 2024; 12:1392908. [PMID: 38784582 PMCID: PMC11112008 DOI: 10.3389/fpubh.2024.1392908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Accepted: 04/15/2024] [Indexed: 05/25/2024] Open
Abstract
Under the influence of multiple uncertain factors at home and abroad, urban amenities, as the underlying support for urban renewal activities, are of great significance in enhancing urban economic resilience. The panel data of Chinese cities from 2011 to 2019 is used in this study. Urban amenity is measured from artificial amenities and climate amenities, respectively. By using a two-way fixed effects model, we empirically test the impact of urban amenities on urban economic resilience. The key findings of this study are as follows. (1) Urban amenities can significantly enhance urban economic resilience. (2) Heterogeneity analysis shows that there are regional differences in the role of urban amenities in promoting urban economic resilience, with cities in the eastern region, strong environmental regulations, and high urbanization rates benefiting more. (3) We further find that urban amenities mainly enhance economic resilience by promoting population agglomeration, attracting labor migration, improving the quality of human capital, and stimulating urban innovation. Our conclusions recommend to rationally allocate and optimize urban amenity resources, strengthen urban planning and construction management, and create a more livable urban environment, thereby enhancing urban economic resilience.
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Affiliation(s)
- Ran Du
- School of Economics, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Ke Liu
- International Business School, Shaanxi Normal University, Xi'an, Shaanxi, China
| | - Dangru Zhao
- School of Economics, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Qiyun Fang
- School of Economics, Huazhong University of Science and Technology, Wuhan, Hubei, China
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Kiani B, Thierry B, Apparicio P, Firth C, Fuller D, Winters M, Kestens Y. Associations between gentrification, census tract-level socioeconomic status, and cycling infrastructure expansions in Montreal, Canada. SSM Popul Health 2024; 25:101637. [PMID: 38426032 PMCID: PMC10901850 DOI: 10.1016/j.ssmph.2024.101637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 01/18/2024] [Accepted: 02/17/2024] [Indexed: 03/02/2024] Open
Abstract
Background Cycling infrastructure investments support active transportation, improve population health, and reduce health inequities. This study examines the relationship between changes in cycling infrastructure (2011-2016) and census tract (CT)-level measures of material deprivation, visible minorities, and gentrification in Montreal. Methods Our outcomes are the length of protected bike lanes, cyclist-only paths, multi-use paths, and on-street bike lanes in 2011, and change in total length of bike lanes between 2011 and 2016 at the CT level. Census data provided measures of the level of material deprivation and of the percentage of visible minorities in 2011, and if a CT gentrified between 2011 and 2016. Using a hurdle modeling approach, we explore associations among these CT-level socioeconomic measures, gentrification status, baseline cycling infrastructure (2011), and its changes (2011-2016). We further tested if these associations varied depending on the baseline level of existing infrastructure, to assess if areas with originally less resources benefited less or more. Results In 2011, CTs with higher level of material deprivation or greater percentages of visible minorities had less cycling infrastructure. Overall, between 2011 and 2016, cycling infrastructure increased from 7.0% to 10.9% of the road network, but the implementation of new cycling infrastructure in CTs with no pre-existing cycling infrastructure in 2011 was less likely to occur in CTs with a higher percentage of visible minorities. High-income CTs that were ineligible for gentrification between 2011 and 2016 benefited less from new cycling infrastructure implementations compared to low-income CTs that were not gentrified during the same period. Conclusion Montreal's municipal cycling infrastructure programs did not exacerbate socioeconomic disparities in cycling infrastructure from 2011 to 2016 in CTs with pre-existing infrastructure. However, it is crucial to prioritize the implementation of cycling infrastructure in CTs with high populations of visible minorities, particularly in CTs where no cycling infrastructure currently exists.
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Affiliation(s)
- Behzad Kiani
- Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia
| | - Benoit Thierry
- Centre de Recherche en Santé Publique, Université de Montréal, 7101, Avenue du Parc, Montréal, H3N 1X9, Canada
| | - Philippe Apparicio
- Department of Applied Geomatics, Université de Sherbrooke, 2500, boulevard de l'Université, Sherbrooke, J1K 2R1, Canada
| | - Caislin Firth
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, Seattle, WA 98195, USA
| | - Daniel Fuller
- University of Saskatchewan, 105 Administration Place, Saskatoon, S7N 5A2, Canada
| | - Meghan Winters
- Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, V5A 1S6, Canada
| | - Yan Kestens
- Centre de Recherche en Santé Publique, Université de Montréal, 7101, Avenue du Parc, Montréal, H3N 1X9, Canada
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Granai G, Borrelli C, Mariti C, Di Iacovo F. Animals and Cities: A Reflection on Their Potential in Innovating Nature-Based Solutions. Animals (Basel) 2024; 14:680. [PMID: 38473065 DOI: 10.3390/ani14050680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 12/21/2023] [Accepted: 12/22/2023] [Indexed: 03/14/2024] Open
Abstract
In recent decades, nature-based solutions (NBSs) have spread in scientific research, and they are increasingly deployed in cities' strategic planning. While the number of nonhuman animals in cities is growing, a specific reflection on the advantages of human-animal interactions as potential NBSs is still lacking. This article aims to provide an overview of the current situation of animals in cities and to explore the roles of animals and their interactions with humans in such a context. These topics are crucial to the European project IN-HABIT in Lucca (Italy), which aims to codify an integrated policy on the relationship between people and animals; its outputs will then be transferred and replicated in other cities. This article concludes by highlighting the need for the involvement of different stakeholders in public-private-people partnerships to implement actions that aim to valorize human-animal relationships and their positive effects. This study presents a perspective on the relevance of animal NBSs to increase the quality of life in cities, both for citizens and for animals living in cities, and to also introduce the opportunity to develop an integrated animal urban policy able to valorize human-animal interactions in cities.
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Affiliation(s)
- Giulia Granai
- Department of Veterinary Science, University of Pisa, Viale delle Piagge 2, 56124 Pisa, Italy
| | - Carmen Borrelli
- Department of Veterinary Science, University of Pisa, Viale delle Piagge 2, 56124 Pisa, Italy
| | - Chiara Mariti
- Department of Veterinary Science, University of Pisa, Viale delle Piagge 2, 56124 Pisa, Italy
| | - Francesco Di Iacovo
- Department of Veterinary Science, University of Pisa, Viale delle Piagge 2, 56124 Pisa, Italy
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Pichardo CM, Ezeani A, Pichardo MS, Agurs‐Collins T, Powell‐Wiley TM, Ryan B, Minas TZ, Bailey‐Whyte M, Tang W, Dorsey TH, Wooten W, Loffredo CA, Ambs S. Association of neighborhood gentrification with prostate cancer and immune markers in African American and European American men. Cancer Med 2024; 13:e6828. [PMID: 38151903 PMCID: PMC10807554 DOI: 10.1002/cam4.6828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 10/11/2023] [Accepted: 10/24/2023] [Indexed: 12/29/2023] Open
Abstract
BACKGROUND Prior studies showed that neighborhood deprivation increases the risk of lethal prostate cancer. However, the role of neighborhood gentrification in prostate cancer development and outcome remains poorly understood. We examined the relationships of gentrification with prostate cancer and serum proteome-defined inflammation and immune function in a diverse cohort. METHODS The case-control study included 769 cases [405 African American (AA), 364 European American (EA) men] and 1023 controls (479 AA and 544 EA), with 219 all-cause and 59 prostate cancer-specific deaths among cases. Geocodes were linked to a neighborhood gentrification index (NGI) derived from US Census data. Cox and logistic regression, and MANOVA, were used to determine associations between NGI, as continuous or quintiles (Q), and outcomes. RESULTS Adjusting for individual socioeconomic status (SES), continuous NGI was positively associated with prostate cancer among all men (odds ratio [OR] 1.07, 95% confidence interval [CI] 1.01-1.14). AA and low-income men experienced the highest odds of prostate cancer when residing in tracts with moderate gentrification, whereas EA men experienced reduced odds of regional/metastatic cancer with increased gentrification in SES-adjusted analyses. Continuous NGI also associated with mortality among men presenting with localized disease and low-income men in SES-adjusted Cox regression analyses. NGI was not associated with serum proteome-defined chemotaxis, inflammation, and tumor immunity suppression. CONCLUSIONS Findings show that neighborhood gentrification associates with prostate cancer and mortality in this diverse population albeit associations were heterogenous within subgroups. The observations suggest that changing neighborhood socioeconomic environments may affect prostate cancer risk and outcome, likely through multifactorial mechanisms.
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Affiliation(s)
| | - Adaora Ezeani
- Division of Cancer Control and Population Sciences, NCINIHRockvilleMarylandUSA
| | - Margaret S. Pichardo
- Department of Surgery, Hospital of the University of PennsylvaniaPenn MedicinePhiladelphiaPennsylvaniaUSA
| | - Tanya Agurs‐Collins
- Division of Cancer Control and Population Sciences, NCINIHRockvilleMarylandUSA
| | - Tiffany M. Powell‐Wiley
- Social Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute (NHLBI)National Institutes of HealthBethesdaMarylandUSA
- Intramural Research Program, National Institute on Minority Health and Health Disparities (NIMHD)National Institutes of HealthBethesdaMarylandUSA
| | - Brid Ryan
- Laboratory of Human Carcinogenesis, National Cancer Institute (NCI)National Institutes of Health (NIH)BethesdaMarylandUSA
| | - Tsion Zewdu Minas
- Laboratory of Human Carcinogenesis, National Cancer Institute (NCI)National Institutes of Health (NIH)BethesdaMarylandUSA
| | - Maeve Bailey‐Whyte
- Laboratory of Human Carcinogenesis, National Cancer Institute (NCI)National Institutes of Health (NIH)BethesdaMarylandUSA
- School of MedicineUniversity of LimerickLimerickIreland
| | - Wei Tang
- Laboratory of Human Carcinogenesis, National Cancer Institute (NCI)National Institutes of Health (NIH)BethesdaMarylandUSA
- Data Science & Artificial Intelligence, R&DAstraZenecaGaithersburgMarylandUSA
| | - Tiffany H. Dorsey
- Laboratory of Human Carcinogenesis, National Cancer Institute (NCI)National Institutes of Health (NIH)BethesdaMarylandUSA
| | - William Wooten
- University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center Biostatistics Shared ServiceBaltimoreMarylandUSA
| | - Christopher A. Loffredo
- Cancer Prevention and Control Program, Lombardi Comprehensive Cancer CenterGeorgetown University Medical CenterWashingtonDistrict of ColumbiaUSA
| | - Stefan Ambs
- Laboratory of Human Carcinogenesis, National Cancer Institute (NCI)National Institutes of Health (NIH)BethesdaMarylandUSA
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Abstract
Buildings, parks, and roads are all elements of the "built environment," which can be described as the human-made structures that comprise the neighborhoods and communities where people live, work, learn, and recreate (https://www.epa.gov/smm/basic-information-about-built-environment). The design of communities where children and adolescents live, learn, and play has a profound impact on their health. Moreover, the policies and practices that determine community design and the built environment are a root cause of disparities in the social determinants of health that contribute to health inequity. An understanding of the links between the built environment and pediatric health will help to inform pediatricians' and other pediatric health care professionals' care for patients and advocacy on their behalf. This policy statement outlines community design solutions that can improve pediatric physical and mental health, and improve health equity. It describes opportunities for pediatricians and the health care sector to incorporate this knowledge in patient care, as well as to play a role in advancing a health-promoting built environment for all children and families. The accompanying technical report reviews the range of pediatric physical and mental health conditions influenced by the built environment, as well as historical and persistent effects of the built environment on health disparities.
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Affiliation(s)
- Aparna Bole
- Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio
| | - Aaron Bernstein
- Department of General Pediatrics, Boston Children's Hospital, and Center for Climate, Health and the Global Environment, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Michelle J White
- Department of Pediatrics, Duke University Medical Center, Durham, North Carolina
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Yang J, Zhong Q, Liao Z, Pan C, Fan Q. Socioeconomic deprivation, medical services accessibility, and income-related health inequality among older Chinese adults: evidence from a national longitudinal survey from 2011 to 2018. Fam Pract 2023; 40:671-681. [PMID: 36928561 DOI: 10.1093/fampra/cmad018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
BACKGROUND Health inequality poses a challenge to improving the quality of life of older adults as well as the service system. The literature rarely explores the moderating role of medical services accessibility in the association between socioeconomic deprivation and health inequality. OBJECTIVE This study examines the socioeconomic deprivation and medical services accessibility associated with health inequality among older Chinese adults, which will contribute to the medical policy reform. METHODS Using data from the 2011, 2014, and 2018 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we analyse 14,232 older adults. This paper uses a concentration index (CI) to measure the income-related health inequality among the target population and employs a recentered influence function-concentration index-ordinary least squares (RIF-CI-OLS) model to empirically analyse the correlation between socioeconomic deprivation and health inequality among older Chinese adults. Based on the correlation analysis, we discuss the moderating effect of medical services accessibility. RESULTS We find that health inequality exists among older Chinese adults and that the relative deprivation in socioeconomic status (SES) is significantly associated with health inequality (β∈ [0.1109, 0.1909], P < 0.01). The correlation between socioeconomic deprivation and health inequality is moderated by medical services accessibility, which means that an increase in medical services accessibility can weaken the correlation between socioeconomic deprivation and health inequality. CONCLUSION China needs an in-depth reform of its medical services accessibility system to promote the equitable distribution of medical services resources, strengthen medical costs and quality management, and ultimately mitigate the SES reason for health inequality among older Chinese adults.
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Affiliation(s)
- Jing Yang
- Research Institute of Public Health and Social Security, School of Public Administration, Hunan University, Changsha, China
| | - Qiao Zhong
- Research Institute of Public Health and Social Security, School of Public Administration, Hunan University, Changsha, China
| | - Zangyi Liao
- School of Political Science and Public Administration, China University of Political Science and Law, Beijing, China
| | - Changjian Pan
- Economic Research Office, Tea Research Institute of Chinese Academy of Agricultural Sciences, Hangzhou, China
| | - Qiuyan Fan
- Dong Fureng Institute of Economic and Social Development, Wuhan University, Wuhan, China
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Silva JP, Santos CJ, Torres E, Martínez-Manrique L, Barros H, Ribeiro AI. A double-edged sword: Residents' views on the health consequences of gentrification in Porto, Portugal. Soc Sci Med 2023; 336:116259. [PMID: 37806145 DOI: 10.1016/j.socscimed.2023.116259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 08/24/2023] [Accepted: 09/19/2023] [Indexed: 10/10/2023]
Abstract
Gentrification is currently shaping the urban environment in important ways. It also contributes to shaping the health of the inhabitants of gentrifying cities, although it is still unclear how. Gentrification processes are often linked to different drivers and have specific local translations, further complicating the study of the relationship between gentrification and health. We investigated this relationship in Porto, Portugal, a southern European city undergoing rampant transnational gentrification. In order to study how gentrification impacts health from the point of view of that city's residents, we conducted a study using photovoice with a sample of participants recruited from a population-based cohort, which was divided into three different groups: one from gentrifying areas of Porto, another from deprived non-gentrifying areas, and the other from affluent areas. The thematic analysis of data generated six themes, each referring to a change, or a set of connected changes, related to gentrification: increasing floating population, lack of housing access and displacement, construction and rehabilitation, changing local commerce, loss of place, and broader socioeconomic change. According to the accounts from participants, these changes affect health in different ways, both beneficial and harmful. Participants also reflected on how to act on this issue. This research adds to the knowledge about the relationship between gentrification and health by providing detailed and nuanced views about this relationship considering its city-wide impacts.
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Affiliation(s)
- José Pedro Silva
- EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Portugal; Instituto de Sociologia da Universidade do Porto, Portugal.
| | - Cláudia Jardim Santos
- EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Portugal; Faculdade de Medicina da Universidade do Porto, Portugal
| | - Ema Torres
- EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Portugal; Faculdade de Medicina da Universidade do Porto, Portugal
| | - Lucía Martínez-Manrique
- Preventive Medicine Department, Hospital Universitario de Móstoles, C. Dr. Luis Montes, S/N, 28935, Madrid, Spain; Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, 28801, Madrid, Spain
| | - Henrique Barros
- EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Portugal; Faculdade de Medicina da Universidade do Porto, Portugal
| | - Ana Isabel Ribeiro
- EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Portugal; Faculdade de Medicina da Universidade do Porto, Portugal
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12
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Pichardo MS, Pichardo CM, Talavera GA, Gallo LC, Kuo CC, Castañeda SF, Chambers EC, Daviglus ML, Pirzada A, Perreira KM, Sotres-Alvarez D, Peña Ortiz TY, Plascak JJ. Change in Neighborhood Socioeconomic Status and Adherence to the Cancer Prevention Lifestyle Guidelines in Hispanic/Latino Adults: Results from the HCHS/SOL Study. CANCER RESEARCH COMMUNICATIONS 2023; 3:1981-1991. [PMID: 37783658 PMCID: PMC10542571 DOI: 10.1158/2767-9764.crc-23-0187] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/03/2023] [Accepted: 09/05/2023] [Indexed: 10/04/2023]
Abstract
Neighborhood conditions are dynamic; the association of changing neighborhood socioeconomic factors with cancer preventive behaviors remains unclear. We examined associations of neighborhood socioeconomic deprivation, gentrification, and change in income inequality with adherence to the American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention in The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). The HCHS/SOL enrolled 16,415 adults, ages 18–74 years, at baseline (2008–2011), from communities in the Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA. Geocoded baseline addresses were linked to the 2000 decennial Census and 5-year American Community Survey (2005–2009 and 2012–2016) tracts to operationalize neighborhood deprivation index (NDI), gentrification, and income inequality. Complex survey multinominal logistic regression models estimated the relative risk ratio (RRR) with overall guideline adherence level (low, moderate, high) and by components—diet, physical activity, body mass index (BMI), and alcohol intake. Overall, 14%, 60%, and 26% of the population had low, moderate, and high ACS guideline adherence, respectively. NDI was negatively associated with risk of high (vs. low) guideline adherence [RRR = 0.87, 95% confidence interval (CI) = 0.78–0.98], although attenuated after controlling for individual socioeconomic status (SES; RRR = 0.89, 95% CI = 0.80–1.00), and associated with lower adherence to BMI recommendations (low vs. moderate RRR = 0.90, 95% CI = 0.84–0.97; high RRR = 0.86, 95% CI = 0.77–0.97). Gentrification was associated with higher likelihood of meeting the dietary recommendations (low vs. moderate RRR = 1.04, 95% CI = 1.01–1.07), but not with overall adherence or individual components. Change in income inequality was not associated with outcomes. Neighborhood deprivation may be negatively associated with ACS guideline adherence among Hispanic/Latino adults. SIGNIFICANCE This study provides new evidence on the link between neighborhood gentrification, changing income inequality and adoption and maintenance of cancer preventive behaviors in an understudied population in cancer research. We observed that while neighborhood deprivation may deter from healthy lifestyle behaviors, positive changes in neighborhood SES via the process of gentrification, may not influence lifestyle guideline adherence among Hispanic/Latino adults.
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Affiliation(s)
- Margaret S. Pichardo
- Department of Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Catherine M. Pichardo
- South Bay Latino Research Center, Department of Psychology, San Diego State University, San Diego, California
| | | | - Linda C. Gallo
- Department of Psychology, San Diego State University, San Diego, California
| | - Charlene C. Kuo
- Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, Maryland
| | | | - Earle C. Chambers
- Department of Family and Social Medicine, Albert Einstein College of Medicine, The Bronx, New York
| | - Martha L. Daviglus
- Institute for Minority Health Research, University of Illinois Chicago, Chicago, Illinois
| | - Amber Pirzada
- Institute for Minority Health Research, University of Illinois Chicago, Chicago, Illinois
| | - Krista M. Perreira
- Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | - Daniela Sotres-Alvarez
- Department of Biostatistics, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | | | - Jesse J. Plascak
- Division of Cancer Prevention and Control, Ohio State University College of Medicine, Columbus, Ohio
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13
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Neupane SN, Ruel E. Association between Racial Residential Segregation and COVID-19 Mortality. J Urban Health 2023; 100:937-949. [PMID: 37715049 PMCID: PMC10618147 DOI: 10.1007/s11524-023-00780-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/02/2023] [Indexed: 09/17/2023]
Abstract
This study investigates the impact of racial residential segregation on COVID-19 mortality during the first year of the US epidemic. Data comes from the Center for Disease Control and Prevention (CDC), and the Robert Wood Johnson Foundation's and the University of Wisconsin's joint county health rankings project. The observation includes a record of 8,670,781 individuals in 1488 counties. We regressed COVID-19 deaths, using hierarchical logistic regression models, on individual and county-level predictors. We found that as racial residential segregation increased, mortality rates increased. Controlling for segregation, Blacks and Asians had a greater risk of mortality, while Hispanics and other racial groups had a lower risk of mortality, compared to Whites. The impact of racial residential segregation on COVID-19 mortality did not vary by racial group.
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Affiliation(s)
- Suresh Nath Neupane
- Urban Studies Institute, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA, USA.
| | - Erin Ruel
- Department of Sociology, Georgia State University, Atlanta, GA, USA
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14
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Adabanya U, Awosika A, Moon JH, Reddy YU, Ugwuja F. Changing a Community: A Holistic View of the Fundamental Human Needs and Their Public Health Impacts. Cureus 2023; 15:e44023. [PMID: 37638264 PMCID: PMC10449002 DOI: 10.7759/cureus.44023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2023] [Indexed: 08/29/2023] Open
Abstract
There are many approaches to changing a community to ensure it serves the people's fundamental needs. For example, enabling equitable access to critical aspects of the community, such as quality healthcare, high-quality education, and job training, is vital for promoting community safety through enhancing tolerance and respect for diversity. However, creating a community that serves the fundamental needs of the people demands a substantive investment of effort. Understanding the nature of these efforts requires discussion of community engagement, examining community networks and their role in fostering cooperative action, enhancing public safety, and identifying the structures of involvement and pertinent routes for developing community land. Understanding such efforts entails knowing the issues related to gentrification and disbandment. These hands-on possibilities can help avert the possibility of people being pushed out of their community settings. These insights further shed light on how the family unit and larger community are able to create collective unity and foster each member's responsibility in community service provision that promotes community integration. Examining how violence and other factors affect a community's collective power is necessary to determine how a community can avoid such violence and encourage positive changes at the individual and family levels to promote community cooperation and safety. Essentially, changing a community can yield significant improvements in public health. Addressing factors such as access to nutritious food, healthcare, physical activity, and social amenities and fostering social cohesion through community engagement can collectively contribute to reducing the burden of chronic diseases and promoting overall well-being. This review provides insight into crucial issues that have long plagued the societal disconnect between the local community and the leadership, policymakers, or other authoritative institutions that govern them, thus affecting the implementation of strategic social and public health initiatives. We will also explore strategies to mitigate these potential pitfalls.
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Affiliation(s)
| | - Ayoola Awosika
- College of Medicine, University of Illinois, Chicago, USA
| | - Jin Hyung Moon
- General Medicine, Mercer University School of Medicine, Columbus, USA
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15
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Delong S. Urban health inequality in shifting environment: systematic review on the impact of gentrification on residents' health. Front Public Health 2023; 11:1154515. [PMID: 37546305 PMCID: PMC10399630 DOI: 10.3389/fpubh.2023.1154515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 06/09/2023] [Indexed: 08/08/2023] Open
Abstract
The impacts of changing neighborhoods, and the influence of neighborhood stability on residents' health have not received enough attention in the literature; one of the most important aspects is gentrification. Research on the impact of gentrification on residents' health has gradually increased in recent years, mainly from North America. Based on the guidelines of PRISMA 2020 and SCIE, 66 papers were included for analysis, six aspects of selected studies are discussed: the research design, theoretical framework, methods of analysis, definition and measurement of gentrification effects, and impact pathways. In general, most of the literature in this field can be seen as using an ecological research design, of which cross-sectional research accounts for a large proportion. The identified effects vary in their direction as well as strength due to difference in population, temporal, and geographical characteristics. Gentrification could affect health outcomes through the combination of economic, social, and physical environment factors. Existing research could be improved in the following aspects: (1) The definition and measurement of gentrification should be both generic and site-specific; Various measurement methods should be compared to enhance the robustness of the results. Furthermore, more consideration should be given to the impact of spatial issues; (2) As for health outcomes, it is suggested to expand the scope of the discussion of health outcomes and strengthen the biological explanation of the influencing mechanisms. It is also necessary to determine the research time points according to the characteristics of the incubation period of different diseases; (3) As for research design, applying longitudinal research design is more likely to improve the reliability; (4) Theoretical frameworks should be addressed to link the definition and measurement of gentrification, patterns of health outcomes, methodology and pathways.
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Affiliation(s)
- Sun Delong
- Key Laboratory of Ecology and Energy Saving Study of Dense Habitat, Ministry of Education, Shanghai, China
- School of Architecture, Tianjin University, Tianjin, China
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16
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Soltani S, Hinman JA, Blanco-Velazquez I, Banchoff AW, Campero MI, Nelson LM, King AC. Bringing Micro to the Macro: How Citizen Science Data Enrich Geospatial Visualizations to Advance Health Equity. JOURNAL OF MAPS 2023; 19:2216217. [PMID: 37448978 PMCID: PMC10338004 DOI: 10.1080/17445647.2023.2216217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 04/13/2023] [Accepted: 05/16/2023] [Indexed: 07/18/2023]
Abstract
Social and spatial contexts affect health, and understanding nuances of context is key to informing successful interventions for health equity. Layering mixed methods and mixed scale data sources to visualize patterns of health outcomes facilitates analysis of both broad trends and person-level experiences across time and space. We used micro-scale citizen scientist-collected data from four Bay Area communities along with aggregate epidemiologic and population-level data sets to illustrate barriers to, and facilitators of, physical activity in low-income aging adults. These data integrations highlight the synergistic value added by combining data sources, and what might be missed by relying on either a micro- or macro-level data source alone. Mixed methods and granularity data integration can generate a deeper understanding of environmental context, which in turn can inform more relevant and attainable community, advocacy, and policy improvements.
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Affiliation(s)
- Shamsi Soltani
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305
| | - Jessica A Hinman
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305
| | - Isela Blanco-Velazquez
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305
| | - Ann W Banchoff
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305
| | - Maria I Campero
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305
| | - Lorene M Nelson
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305
| | - Abby C King
- Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94305
- Department of Medicine (Stanford Prevention Research Center), Stanford University School of Medicine, Stanford, CA 94305
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17
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Gullón P, Fry D, Plascak JJ, Mooney SJ, Lovasi GS. Measuring changes in neighborhood disorder using Google Street View longitudinal imagery: a feasibility study. CITIES & HEALTH 2023; 7:823-829. [PMID: 37850028 PMCID: PMC10578651 DOI: 10.1080/23748834.2023.2207931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 04/24/2023] [Indexed: 10/19/2023]
Abstract
Few studies have used longitudinal imagery of Google Street View (GSV) despite its potential for measuring changes in urban streetscapes characteristics relevant to health, such as neighborhood disorder. Neighborhood disorder has been previously associated with health outcomes. We conducted a feasibility study exploring image availability over time in the Philadelphia metropolitan region and describing changes in neighborhood disorder in this region between 2009, 2014, and 2019. Our team audited Street View images from 192 street segments in the Philadelphia Metropolitan Region. On each segment, we measured the number of images available through time, and for locations where imagery from more than one time point was available, we collected 8 neighborhood disorder indicators at 3 different times (up to 2009, up to 2014, and up to 2019). More than 70% of streets segments had at least one image. Neighborhood disorder increased between 2009 and 2019. Future studies should study the determinants of change of neighborhood disorder using longitudinal GSV imagery.
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Affiliation(s)
- Pedro Gullón
- Public Health and Epidemiology Research Group. Department of Surgery, Social and Medical Sciences. School of Medicine and Health Sciences, Universidad de Alcala, Alcala de Henares, Madrid, Spain
- Centre for Urban Research, RMIT University, Melbourne, Australia
| | - Dustin Fry
- Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health Drexel University, Philadelphia, PA, USA
| | - Jesse J. Plascak
- Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Stephen J. Mooney
- Department of Epidemiology, University of Washington, Seattle, WA, USA
| | - Gina S. Lovasi
- Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health Drexel University, Philadelphia, PA, USA
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18
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An equity-focused approach to improving access to COVID-19 vaccination using mobile health clinics. HEALTHCARE (AMSTERDAM, NETHERLANDS) 2023; 11:100690. [PMID: 36996736 PMCID: PMC10033254 DOI: 10.1016/j.hjdsi.2023.100690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 03/12/2023] [Accepted: 03/21/2023] [Indexed: 03/25/2023]
Abstract
This article describes the implementation of an equity-focused strategy to increase the uptake of COVID-19 vaccination among communities of color and in traditionally underserved geographic areas using mobile health clinics (MHCs). The MHC Vaccination Program was implemented through a large integrated healthcare system in North Carolina using a grassroots development and engagement strategy along with a robust model for data-informed decision support to prioritize vulnerable communities. Several valuable lessons from this work can replicated for future outreach initiatives and community-based programming: •Health systems can no longer operate under the assumption that community members will come to them, particularly those experiencing compounding social and economic challenges. The MHC model had to be a proactive outreach to community members, rather than a responsive delivery mechanism. •Barriers to access included financial, legal, and logistical challenges, in addition to mistrust among historically underserved and marginalized communities. •A MHC model can be adaptable and responsive to data-informed decision-making approaches for targeted service delivery. •A MHC model is not a one-dimensional solution to access, but part of a broader strategy to create diverse points of entry into the healthcare system that fall within the rhythm of life of community members.
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19
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Piera Pi-Sunyer B, Andrews JL, Orben A, Speyer LG, Blakemore SJ. The relationship between perceived income inequality, adverse mental health and interpersonal difficulties in UK adolescents. J Child Psychol Psychiatry 2023; 64:417-425. [PMID: 36377042 PMCID: PMC10100326 DOI: 10.1111/jcpp.13719] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/11/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND Adolescence is a period of life when young people increasingly define themselves through peer comparison and are vulnerable to developing mental health problems. In the current study, we investigated whether the subjective experience of economic disadvantage among friends is associated with social difficulties and poorer mental health in early adolescence. METHODS We used latent change score modelling (LCSM) on data from the UK Millennium Cohort Study, collected at ages 11 and 14 (N = 12,995). Each LCSM modelled the mean of an outcome related to mental health and interpersonal difficulties at age 11 (including self-esteem, well-being, emotional difficulties, peer problems, bullying, victimisation and externalising difficulties), the change of the outcome from ages 11 to 14 and its predictors, including perceived income inequality among friends (i.e. perceiving oneself as belonging to a poorer family than the families of one's friends). RESULTS Perceived income inequality predicted adverse mental health and a range of interpersonal difficulties during adolescence, even when controlling for objective family income. Follow-up analyses highlighted that, at 11 years, young people who perceived themselves as belonging to poorer families than their friends reported worse well-being, self-esteem, internalising problems, externalising problems and victimisation at the same age (relative to those who perceived themselves as richer than or equal to their friends, or who did not know). Longitudinal analyses suggested that victimisation decreased from ages 11 to 14 to a greater extent for adolescents who perceived themselves as poorer than other adolescents. CONCLUSIONS The salience of economic inequalities in proximal social environments (e.g. among friends) in early adolescence could further amplify the negative effects of economic disadvantage on mental health and behavioural difficulties during this period.
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Affiliation(s)
- Blanca Piera Pi-Sunyer
- Department of Psychology, University of Cambridge, Cambridge, UK.,Institute of Cognitive Neuroscience, University College London, London, UK
| | - Jack L Andrews
- Institute of Cognitive Neuroscience, University College London, London, UK.,School of Psychology, UNSW, Sydney, New South Wales, Australia
| | - Amy Orben
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - Lydia G Speyer
- Department of Psychology, University of Cambridge, Cambridge, UK
| | - Sarah-Jayne Blakemore
- Department of Psychology, University of Cambridge, Cambridge, UK.,Institute of Cognitive Neuroscience, University College London, London, UK
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20
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Kohler S, Dippon L, Helsper N, Rütten A, Abu-Omar K, Birkholz L, Pfeifer K, Weber P, Semrau J. Population-based physical activity promotion with a focus on health equity: a review of reviews. Int J Equity Health 2023; 22:18. [PMID: 36703145 PMCID: PMC9878967 DOI: 10.1186/s12939-023-01834-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 01/16/2023] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND The extent to which people are physically active is dependent upon social gradients. Numerous studies have shown that especially people with social disadvantages do not meet the physical activity (PA) recommendations. A promising strategy to alleviate this issue are approaches that promote PA in the general population. In addition, several researchers have raised concerns that population-based health interventions may increase health inequities. The aim of the current review of reviews was therefore to identify successful population-based PA promotion approaches with a particular focus on health equity. METHODS Six electronic databases were examined for systematic reviews on population-based PA promotion for the period 2015 to 2021. A reference list and grey literature search were also conducted. Two independent reviewers used inclusion/exclusion criteria to screen titles and abstracts of the potentially relevant literature and conducted a quality assessment for each identified review. All included reviews of population-based approaches for PA promotion with a focus on disadvantaged populations and/or health equity were narratively summarized. RESULTS Our search resulted in 4,411 hits. After a systematic review process, six reviews met the inclusion criteria and were included after they were all rated as high quality. We identified that mass-media campaigns, point-of-decision prompts, environmental approaches, policy approaches, and community-based multi-component approaches can promote PA in the general population. Across populations with social disadvantages mass-media campaigns, point-of-decision prompts and policy approaches are likely to be effective as long as they are tailored. Regarding environmental approaches, the results are inconsistent. None of the reviews on community-based multi-component approaches provided evidence on health equity. CONCLUSION There are several effective approaches to promote PA in the general population but evidence regarding health equity is still sparse. Future studies should therefore pay more attention to this missing focus. Furthermore, there is a lack of evidence regarding the type of tailoring and the long-term impact of population-based approaches to PA promotion. However, this requires appropriate funding programmes, complex study designs and evaluation methods.
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Affiliation(s)
- Simone Kohler
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Lea Dippon
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Natalie Helsper
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Alfred Rütten
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Karim Abu-Omar
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Leonie Birkholz
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Klaus Pfeifer
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Philipp Weber
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
| | - Jana Semrau
- grid.5330.50000 0001 2107 3311Department of Sport Science and Sport, Friedrich-Alexander University Erlangen Nuremberg, Gebbertstr, 123B, 91058 Erlangen, Germany
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21
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Bhavsar NA, Yang LZ, Phelan M, Shepherd-Banigan M, Goldstein BA, Peskoe S, Palta P, Hirsch JA, Mitchell NS, Hirsch AG, Lunyera J, Mohottige D, Diamantidis CJ, Maciejewski ML, Boulware LE. Association between Gentrification and Health and Healthcare Utilization. J Urban Health 2022; 99:984-997. [PMID: 36367672 PMCID: PMC9727003 DOI: 10.1007/s11524-022-00692-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/13/2022] [Indexed: 11/13/2022]
Abstract
There is tremendous interest in understanding how neighborhoods impact health by linking extant social and environmental drivers of health (SDOH) data with electronic health record (EHR) data. Studies quantifying such associations often use static neighborhood measures. Little research examines the impact of gentrification-a measure of neighborhood change-on the health of long-term neighborhood residents using EHR data, which may have a more generalizable population than traditional approaches. We quantified associations between gentrification and health and healthcare utilization by linking longitudinal socioeconomic data from the American Community Survey with EHR data across two health systems accessed by long-term residents of Durham County, NC, from 2007 to 2017. Census block group-level neighborhoods were eligible to be gentrified if they had low socioeconomic status relative to the county average. Gentrification was defined using socioeconomic data from 2006 to 2010 and 2011-2015, with the Steinmetz-Wood definition. Multivariable logistic and Poisson regression models estimated associations between gentrification and development of health indicators (cardiovascular disease, hypertension, diabetes, obesity, asthma, depression) or healthcare encounters (emergency department [ED], inpatient, or outpatient). Sensitivity analyses examined two alternative gentrification measures. Of the 99 block groups within the city of Durham, 28 were eligible (N = 10,807; median age = 42; 83% Black; 55% female) and 5 gentrified. Individuals in gentrifying neighborhoods had lower odds of obesity (odds ratio [OR] = 0.89; 95% confidence interval [CI]: 0.81-0.99), higher odds of an ED encounter (OR = 1.10; 95% CI: 1.01-1.20), and lower risk for outpatient encounters (incidence rate ratio = 0.93; 95% CI: 0.87-1.00) compared with non-gentrifying neighborhoods. The association between gentrification and health and healthcare utilization was sensitive to gentrification definition.
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Affiliation(s)
- Nrupen A Bhavsar
- Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
- Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
| | | | | | - Megan Shepherd-Banigan
- Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA
- Durham VA Medical Center, Durham, NC, USA
| | - Benjamin A Goldstein
- Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, NC, USA
- Duke Clinical Research Institute, Durham, NC, USA
| | - Sarah Peskoe
- Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, NC, USA
| | - Priya Palta
- Department of Medicine, College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, NY, USA
- Department of Epidemiology, Joseph P. Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY, USA
| | - Jana A Hirsch
- Dornsife School of Public Health, Urban Health Collaborative, Drexel University, Philadelphia, PA, USA
- Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Nia S Mitchell
- Department of Medicine, Duke University School of Medicine, Durham, NC, USA
| | - Annemarie G Hirsch
- Department of Epidemiology and Health Services Research, Geisinger, Danville, PA, USA
| | - Joseph Lunyera
- Department of Medicine, Duke University School of Medicine, Durham, NC, USA
| | | | - Clarissa J Diamantidis
- Department of Medicine, Duke University School of Medicine, Durham, NC, USA
- Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA
- Durham VA Medical Center, Durham, NC, USA
| | - Matthew L Maciejewski
- Department of Medicine, Duke University School of Medicine, Durham, NC, USA
- Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA
- Durham VA Medical Center, Durham, NC, USA
| | - L Ebony Boulware
- Department of Medicine, Duke University School of Medicine, Durham, NC, USA
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22
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Mui Y, Headrick G, Chien J, Pollack C, Saleem HT. Revisiting revitalization: exploring how structural determinants moderate pathways between neighborhood change and health. Int J Equity Health 2022; 21:165. [DOI: 10.1186/s12939-022-01771-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 09/16/2022] [Accepted: 09/27/2022] [Indexed: 11/19/2022] Open
Abstract
AbstractVacant housing can produce many issues that affect residents’ quality of life, especially in historically segregated communities of color. To address these challenges, local governments invest in strategic, place-based revitalization initiatives focused on the regeneration of vacant housing. Yet, the outcomes of these efforts remain contested. To maximize health benefits of revitalization investments, a more nuanced understanding of pathways between neighborhood changes and residents’ responses, adaptations, and ability to thrive is necessary, though, remains largely absent in the literature. Using the Vacants to Value initiative in Baltimore, MD as a case study, we explore (1) how health manifests among certain groups in the context of vacant housing revitalization; (2) how vacant housing and its regeneration engender social and cultural environmental change i.e., gentrification; and (3) what structural determinants (cultural norms, policies, institutions, and practices) contribute to the distribution of material resources and benefits of revitalization. Results suggest that vacant housing revitalization requires more than just physical remedies to maximize health. Our findings demonstrate how vacant housing revitalization influences the physical environment, social environment, and structural determinants of material resources and community engagement that can ultimately impact residents’ physical, mental, and social health. This study recommends that because housing disparities are rooted in structural inequalities, how policies, practices, and processes moderate pathways for residents to adapt and benefit from neighborhood changes is consequential for health and health equity. Establishing shared governance structures is a promising approach to foster equitable decision-making and outcomes. Going forward in urban regeneration, pathways to retain and strengthen the social environment while revitalizing the physical environment may be promising to achieve healthy communities.
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23
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Greening, Revitalization, and Health in South Wilmington, Delaware. Dela J Public Health 2022; 8:78-84. [PMID: 36177162 PMCID: PMC9495474 DOI: 10.32481/djph.2022.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
We highlight the potential for paradoxical impacts of green infrastructure integrated with urban redevelopment. Absent directly addressing social inequalities in parallel efforts, green infrastructure may lead to negative health outcomes of disadvantaged residents, including eventual displacement. We present the research literature and reviews on this topic. We next highlight the case of recent in-migration of higher-income Whites and others in South Wilmington, Delaware, spurred on by high-end Riverfront redevelopment at Christina Landing. This migration may obscure how greening efforts—such as a new wetlands park to control area flooding—influence health outcomes in Southbridge, a low-income, African American neighborhood also within South Wilmington. The area’s Census tract boundary, often used in both health and equity assessments, is shared by these distinctive communities. When viewed through the lens of inequality, greening can have multi-faceted impacts that structure health outcomes. We underscore the importance of the mitigation of its potentially harmful effects.
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24
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Ruiz MS, Williams A, O’Rourke A, MacIntosh E, Moné S, Clay C. The Impact of Housing Insecurity on Access to Care and Services among People Who Use Drugs in Washington, DC. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137561. [PMID: 35805220 PMCID: PMC9265701 DOI: 10.3390/ijerph19137561] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 06/07/2022] [Accepted: 06/17/2022] [Indexed: 12/05/2022]
Abstract
People who use drugs are highly marginalized communities and are disproportionately affected by environmental changes—e.g., neighborhood gentrification—that affect housing availability and stability, particularly in urban locations. These changes could negatively affect individuals’ access to and utilization of health care and social services, resulting in poorer health outcomes. This study examined the impact of gentrification and housing instability on drug users’ access to harm reduction and other health services. Data were collected from 139 clients of a large harm reduction organization. Results showed that 67% of the participants were either unstably housed or homeless, and about one-third of participants indicated that their current housing situations negatively affected their access to primary care (33.9%), behavioral health services (36.7%) and basic services (38.3%). While homeless individuals were still able to access services generally, a greater percentage—compared to those unstably or stably housed—reported difficulty accessing care. As these data were collected prior to the COVID pandemic, it is likely that many of our participants faced greater struggles with housing insecurity and health care access issues due to shutdowns and increased need for social isolation and quarantine. More work is needed to address housing instability and homelessness among already marginalized populations.
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Affiliation(s)
- Monica S. Ruiz
- Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Ave. NW, Suite 300, Washington, DC 20052, USA;
- Correspondence: ; Tel.: +1-202-994-3676
| | - Allison Williams
- Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Ave. NW, Suite 300, Washington, DC 20052, USA;
| | - Allison O’Rourke
- DC Center for AIDS Research, Department of Psychological and Brain Sciences, 2125 G St. NW, Washington, DC 20052, USA;
| | - Elizabeth MacIntosh
- Honoring Individual Power and Strength (HIPS), 906 H St. NE, Washington, DC 20002, USA; (E.M.); (S.M.); (C.C.)
| | - Shareese Moné
- Honoring Individual Power and Strength (HIPS), 906 H St. NE, Washington, DC 20002, USA; (E.M.); (S.M.); (C.C.)
| | - Cyndee Clay
- Honoring Individual Power and Strength (HIPS), 906 H St. NE, Washington, DC 20002, USA; (E.M.); (S.M.); (C.C.)
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25
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Borde E, Hernández-Álvarez M. Fractured lives in fractured cities: Towards a critical understanding of urban violence in the context of market-driven urban restructuring processes in Bogotá and Rio de Janeiro. Soc Sci Med 2022; 298:114854. [PMID: 35228095 DOI: 10.1016/j.socscimed.2022.114854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 01/18/2022] [Accepted: 02/22/2022] [Indexed: 11/29/2022]
Abstract
Based on a comparative case study on two neighborhoods in Bogota and Rio de Janeiro (2017-2019) and a comprehensive literature review, this article proposes a critical Public Health approach to urban violence and makes a case for understanding the phenomenon in the context of market-driven urban territorial restructuring processes that assume specific qualities in cities of the Global South. The case studies are based on focus groups and semi-structured interviews with residents, specialists and community leaders. It is argued that urban violence is a key public health challenge, particularly in Latin America, given its dimensions and its impact on the populations' life and health. In this regard it configures "fractured lives" in what urban scholars have termed "fractured cities" - essentially unequal and polarized cities that are not merely sites of urban violence but, as we argue in this article, fundamentally shape urban violence, its qualities, dynamics and dimensions. The study is informed by a unique theoretical articulation between Latin American Social Medicine and Collective Health, critical (Latin American) geographical theory and authoritarian neoliberalism literature and shows how urban violence is directly implied in the territorial making and un-making of the cities, driven by commodification as well as both legal and illegal capitalist market logics, that include but are not limited to drug trade. The cases reflect the violence implied in permanent threats of eviction and displacement, "necropolitical" police/military interventions and what is described as a silent imposition of a "slow death" on infrastructure, the neighborhood and ultimately also its residents, which "fracture" the lives of significant parts of the urban population, produce "ill-being" and bring about health consequences that are rarely considered in relation to urban violence.
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Affiliation(s)
- Elis Borde
- Federal University of Minas Gerais / Universidade Federal de Minas Gerais (UFMG), Department of Preventive and Social Medicine, School of Medicine, Brazil.
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26
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Transition towards a Sustainable Mobility in a Suburbanising Urban Area: The Case of Barcelona. SUSTAINABILITY 2022. [DOI: 10.3390/su14052560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article aims to address the apparent contradiction between the urban demographic and migratory trends and the transition towards a more sustainable mobility that local and metropolitan governments seek. To that end, it uses the case of Barcelona, and its metropolitan area during the first decades of the 21st century, characterized by suburbanisation and gentrification. Employing demographic, mobility and transport, and air quality statistics, we intend to analyse: (a) the spatial demographic trends in the metropolitan area of Barcelona (AMB), particularly regarding the core and periphery population growth or decline; (b) trends in daily mobility and how the public and private transport mix has changed; and (c) pollution data changes confirming the success or failure of the private vehicle reduction policy. Findings confirm our initial hypothesis: the slow but steady transition towards sustainable forms of mobility in the core city and the dense contiguous municipalities is counterbalanced by what occurs in the peripheral suburbs. There, the use of private vehicles is still preeminent and growing. Nevertheless, the air quality has improved in the most central municipalities of the AMB (for which data are available), even if not all parameters have seen a similar pollution reduction.
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27
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Anguelovski I, Cole HVS, O'Neill E, Baró F, Kotsila P, Sekulova F, Pérez Del Pulgar C, Shokry G, García-Lamarca M, Argüelles L, Connolly JJ, Honey-Rosés J, López-Gay A, Fontán-Vela M, Matheney A, Oscilowicz E, Binet A, Triguero-Mas M. Gentrification pathways and their health impacts on historically marginalized residents in Europe and North America: Global qualitative evidence from 14 cities. Health Place 2021; 72:102698. [PMID: 34717079 DOI: 10.1016/j.healthplace.2021.102698] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 10/04/2021] [Accepted: 10/12/2021] [Indexed: 11/25/2022]
Abstract
As global cities grapple with the increasing challenge of gentrification and displacement, research in public health and urban geography has presented growing evidence about the negative impacts of those unequal urban changes on the health of historically marginalized groups. Yet, to date comprehensive research about the variety of health impacts and their pathways beyond single case sites and through an international comparative approach of different gentrification drivers and manifestations remains scarce. In this paper, we analyze qualitative data on the pathways by which gentrification impacts the health of historically marginalized residents in 14 cities in Europe and North America. We build on 77 interviews with key neighborhood stakeholders. Data analysis indicates four main concurrent processes: Threats to housing and financial security; Socio-cultural displacement; Loss of services and amenities through institutional gentrification; and Increased risks of criminal behavior and compromised public safety. Gentrification is experienced as a chain of physical and emotional community and individual traumas - an overall shock for historically marginalized groups - because of permanent pressures of insecurity, loss, state of displaceability, and the associated exacerbation of socio-environmental disadvantages.
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Affiliation(s)
- Isabelle Anguelovski
- Catalan Institution for Research and Advanced Studies (ICREA), Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain; Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain.
| | - Helen V S Cole
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain
| | - Ella O'Neill
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain
| | - Francesc Baró
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain; Vrije Universiteit Brussel (VUB), Geography and Sociology Departments, Brussels, Belgium
| | - Panagiota Kotsila
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain
| | - Filka Sekulova
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain
| | - Carmen Pérez Del Pulgar
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain; Department Environmental Politics, Helmholtz Centre for Environmental Research-UFZ, Leipzig, Germany
| | - Galia Shokry
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain
| | - Melissa García-Lamarca
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain; Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Spain
| | - Lucia Argüelles
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain; Universitat Oberta de Catalunya (UOC), Estudis d'Economia i Empresa and Internet Interdisciplinary Institute (IN3), Spain
| | - James Jt Connolly
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain; University of British Columbia (UBC), School of Community and Regional Planning (SCARP), Vancouver, Canada
| | - Jordi Honey-Rosés
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Spain
| | - Antonio López-Gay
- Universitat Autònoma de Barcelona (UAB), Department of Geography, Spain; Center for Demographic Studies (CED-CERCA), Spain
| | - Mario Fontán-Vela
- Public Health and Epidemiology Research Group, School of Medicine, Universidad de Alcalá; Preventive Medicine Department, Infanta Leonor University Hospital, Madrid, Spain
| | - Austin Matheney
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain
| | - Emilia Oscilowicz
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain
| | - Andrew Binet
- Massachusetts Institute of Technology (MIT), Department of Urban Studies and Planning, USA
| | - Margarita Triguero-Mas
- Universitat Autònoma de Barcelona (UAB), Institute for Environmental Science and Technology (ICTA), Hospital del Mar Medical Research Institute (IMIM), Barcelona Laboratory for Urban Environmental Justice and Sustainability (BCNUEJ), Spain; Massachusetts Institute of Technology (MIT), Department of Urban Studies and Planning, USA
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28
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Mental Health Outcomes in Barcelona: The Interplay between Gentrification and Greenspace. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179314. [PMID: 34501901 PMCID: PMC8430678 DOI: 10.3390/ijerph18179314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 08/28/2021] [Accepted: 08/30/2021] [Indexed: 12/16/2022]
Abstract
Greenspace is widely related to mental health benefits, but this relationship may vary by social group. Gentrification, as linked to processes of unequal urban development and conflict, potentially impacts health outcomes. This study explores the relationships between greenspace and mental health and between gentrification and mental health associations. It also further examines gentrification as an effect modifier in the greenspace-mental health association and SES as an effect modifier in the gentrification-mental health association. We used cross-sectional Barcelona (Spain) data from 2006, which included perceived mental health status and self-reported depression/anxiety from the Barcelona Health Survey. Greenspace exposure was measured as residential access to (1) all greenspace, (2) greenways and (3) parks in 2006. Census-tract level gentrification was measured using an index including changes in sociodemographic indicators between 1991 and 2006. Logistic regression models revealed that only greenways were associated with better mental health outcomes, with no significant relationship between mental health and parks or all greenspace. Living in gentrifying neighborhoods was protective for depression/anxiety compared to living in non-gentrifying neighborhoods. However, only residents of gentrifiable census tracts benefited from the exposure to greenways. SES was not found to be an effect modifier in the association between gentrification and mental health. Future research should tackle this study's limitations by incorporating a direct measure of displacement in the gentrification status indicator, accounting for qualitative aspects of greenspace and user's perceptions. Gentrification may undermine the health benefits provided by greenspace interventions.
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29
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Correlates of Levels of Willingness to Engage in Climate Change Actions in the United States. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179204. [PMID: 34501794 PMCID: PMC8431161 DOI: 10.3390/ijerph18179204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 08/20/2021] [Accepted: 08/23/2021] [Indexed: 11/17/2022]
Abstract
While the majority of the American public believe climate change is occurring and are worried, few are engaged in climate change action. In this study, we assessed factors associated with the level of willingness to engage in climate change actions using an online, longitudinal US study of adults. Climate change action outcomes included the level of willingness to post materials online, take political actions, talk with peers about climate change, and donate to or help an organization. Predictors included climate change attitudes, environmental attitudes, political ideology, political party affiliation, and demographic variables. Most (72%) of the 644 respondents only talked about climate change with peers a few times a year or less, though 65% were very or extremely worried about climate change. Many respondents indicated a willingness to do somewhat or a lot more, from 38% willing to talk to peers to 25% for willing to take political actions. In multinomial regression models, the Climate Change Concern scale was strongly and consistently associated with willingness to engage in climate change action. These findings indicate a need to both identify those who are willing to act and finding activities that fit with their interests and availability.
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30
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Sustainable Construction Investment, Real Estate Development, and COVID-19: A Review of Literature in the Field. SUSTAINABILITY 2021. [DOI: 10.3390/su13137420] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Aspects of sustainable construction investment and real estate development (CIRED) and their interrelations during the period pre-, intra-, and post-COVID-19, are presented in the research. Applications of the topic model, environmental psychology theory, building life cycle method, and certain elements of bibliometrics, webometrics, article level metrics, altmetrics, and scientometrics make it possible to perform a quantitative analysis on CIRED. The CIRED topic model was developed in seven steps. This paper aims to present a literature review on CIRED throughout the pandemic and to look at the responses from the real estate and construction sector. This sector is a field that appears to be rapidly expanding, judging from the volume of current research papers. This review focuses on last year’s leading peer-reviewed journals. A combination of various keywords was applied for the review and the criteria for paper selections included construction investment, real estate development, civil engineering, COVID-19, and sustainability, as well as residential, industrial, commercial, land, and special purpose real estate, along with their risks, strategies, and trends. The articles reviewed for this paper, which analyzes three hypotheses, look at pre-, intra-, and post-pandemic CIRED. The three hypotheses were validated by analyzing scientific publications from around the world. Two innovative elements make this study stand out among the most advanced research on pre-, intra-, and post-pandemic CIRED. The first of the two innovations is the integrated analysis of the COVID-19 pandemic, COVID-19-related national policies, and business investment strategies relevant to CIRED and the interests of investors as well as on the impact a CIRED policy and investors make on the spread of COVID-19. In addition, this research demonstrates a marked increase in the effectiveness of a CIRED analysis, when the life cycle of a CIRED, the involved stakeholders with their own individual interests, the COVID-19 situation, and the external micro-, meso-, and macro-environments are covered comprehensively as a single entity.
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