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Gummaraj Srinivas N, Chen Y, Rodday AM, Ko D. Disparities in Liver Transplant Outcomes: Race/Ethnicity and Individual- and Neighborhood-Level Socioeconomic Status. Clin Nurs Res 2024; 33:509-518. [PMID: 39192612 PMCID: PMC11421193 DOI: 10.1177/10547738241273128] [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] [Indexed: 08/29/2024]
Abstract
Race/ethnicity and individual-level socioeconomic status (SES) may contribute to health disparities in liver transplant (LT) outcomes. The socioeconomic conditions of a neighborhood may either mitigate or exacerbate these health disparities. This retrospective study investigated the relationship between race/ethnicity, individual- and neighborhood-level SES, and LT outcomes, and whether neighborhood-level SES modified the relationship between individual factors and LT outcomes. Adult individuals who underwent LT between 2010 and 2019 (n = 55,688) were identified from the United Network for Organ Sharing database. Primary exposures were race/ethnicity, education, primary insurance type, and the Social Deprivation Index (SDI) scores. Education and primary insurance type were used as proxies for individual-level SES, while SDI scores were used as a proxy for neighborhood-level SES. The primary outcome was time to occurrence of graft failure or mortality. Cox proportional hazard models were used to examine the associations between the exposures and outcomes. LT recipients who were Black (hazard ratio [HR]: 1.27, p < .0001), completed high school or less (HR: 1.06, p = .002), and had public insurance (HR: 1.14, p < .0001) had a higher rate of graft failure or mortality than those who were White, completed more than high school, and had private insurance, respectively. The SDI scores were not significantly associated with LT outcomes when adjusting for individual factors (HR: 1.02, p = .45) and did not modify the associations between individual factors and LT outcomes. Findings of this study suggest that disparities based on individual factors were not modified by neighborhood-level SES. Tailored interventions targeting the unique needs associated with race/ethnicity and individual-level SES are needed to optimize LT outcomes.
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Affiliation(s)
| | - Ye Chen
- Biostatistics, Epidemiology, and Research Design (BERD) Center, Tufts Medical Center, Boston, MA, USA
| | - Angie Mae Rodday
- Biostatistics, Epidemiology, and Research Design (BERD) Center, Tufts Medical Center, Boston, MA, USA
| | - Dami Ko
- School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA
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Hajlasz M, Pei S. Predictability of human mobility during the COVID-19 pandemic in the United States. PNAS NEXUS 2024; 3:pgae308. [PMID: 39114577 PMCID: PMC11305134 DOI: 10.1093/pnasnexus/pgae308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 07/10/2024] [Indexed: 08/10/2024]
Abstract
Human mobility is fundamental to a range of applications including epidemic control, urban planning, and traffic engineering. While laws governing individual movement trajectories and population flows across locations have been extensively studied, the predictability of population-level mobility during the COVID-19 pandemic driven by specific activities such as work, shopping, and recreation remains elusive. Here we analyze mobility data for six place categories at the US county level from 2020 February 15 to 2021 November 23 and measure how the predictability of these mobility metrics changed during the COVID-19 pandemic. We quantify the time-varying predictability in each place category using an information-theoretic metric, permutation entropy. We find disparate predictability patterns across place categories over the course of the pandemic, suggesting differential behavioral changes in human activities perturbed by disease outbreaks. Notably, predictability change in foot traffic to residential locations is mostly in the opposite direction to other mobility categories. Specifically, visits to residences had the highest predictability during stay-at-home orders in March 2020, while visits to other location types had low predictability during this period. This pattern flipped after the lifting of restrictions during summer 2020. We identify four key factors, including weather conditions, population size, COVID-19 case growth, and government policies, and estimate their nonlinear effects on mobility predictability. Our findings provide insights on how people change their behaviors during public health emergencies and may inform improved interventions in future epidemics.
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Affiliation(s)
- Michal Hajlasz
- Department of Computer Science, Columbia University, 500 W 120th St, New York, NY 10027, USA
| | - Sen Pei
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 W 168th St, New York, NY 10032, USA
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Tian S, Wu W, Li X, Wang Y, Yang J, Cong X. Investigation on the coupling coordination of pseudo human settlements in the urban agglomerations in eastern China. Sci Rep 2024; 14:17402. [PMID: 39075083 PMCID: PMC11286774 DOI: 10.1038/s41598-024-67851-8] [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: 03/06/2024] [Accepted: 07/16/2024] [Indexed: 07/31/2024] Open
Abstract
In the information age, digital information technology has gradually become a new quality of productivity to improve international competitiveness, and the status and importance of the pseudo human settlements(PHS) constructed by digital and information has been increasing in the human settlements(HS) system. In this context, exploring the coupling coordination of the internal systems of the PHS provides a theoretical basis for promoting the comprehensive improvement of the quality of the HS in the urban agglomerations, provides a theoretical reference for rationally interpreting the new type of human-land relationship in the information age, and provide a new perspective for the study of the human settlements geography. Currently, research on PHS is in its nascent stages, therefore, we construct a theoretical framework for the coupling coordination of the "three states" of the HS, takes the internal system of PHS as the entry point, empirically analyze the spatiotemporal characteristics of the PHS coupling coordination degree within urban agglomerations in eastern China and the driving factors by using the coupling coordination degree, spatial autocorrelation, the center of gravity and the ellipse of the standard deviation, and geo-detector models. Research shows: (1) Time course: exhibits an upward "inverted L" trend. (2) Spatial pattern: exhibits a general spatial pattern of "high in the north and low in the south". (3) Spatial correlation: shows a spatially positively correlated clustering trend. (4) Spatial evolution: demonstrates a decentralized pattern of migration from the northeast to the southwest, indicating that the coupling coordination grows faster in the southwest than in the northeast. (5) Driving factor: the development of coupling coordination degree of PHS results from multiple factors and systems. This research provides theoretical support for promoting the comprehensive improvement of the quality of PHS in the urban agglomerations in eastern China, and offers scientific reference for the construction of PHS in other regions of China.
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Affiliation(s)
- Shenzhen Tian
- School of Geography, Liaoning Normal University, Dalian, Liaoning, China
- Center for Human Settlements, Liaoning Normal University, Dalian, Liaoning, China
- Research Base of Urban Agglomeration in Central-South Liaoning of China Urban Agglomeration Research Base Alliance, Liaoning Normal University, Dalian , Liaoning, China
| | - Wenmei Wu
- School of Geography, Liaoning Normal University, Dalian, Liaoning, China
- Center for Human Settlements, Liaoning Normal University, Dalian, Liaoning, China
- Research Base of Urban Agglomeration in Central-South Liaoning of China Urban Agglomeration Research Base Alliance, Liaoning Normal University, Dalian , Liaoning, China
| | - Xueming Li
- School of Geography, Liaoning Normal University, Dalian, Liaoning, China.
- Center for Human Settlements, Liaoning Normal University, Dalian, Liaoning, China.
- Research Base of Urban Agglomeration in Central-South Liaoning of China Urban Agglomeration Research Base Alliance, Liaoning Normal University, Dalian , Liaoning, China.
| | - Yadan Wang
- School of Geography, Liaoning Normal University, Dalian, Liaoning, China
- Center for Human Settlements, Liaoning Normal University, Dalian, Liaoning, China
- Research Base of Urban Agglomeration in Central-South Liaoning of China Urban Agglomeration Research Base Alliance, Liaoning Normal University, Dalian , Liaoning, China
| | - Jun Yang
- School of Geography, Liaoning Normal University, Dalian, Liaoning, China
- Center for Human Settlements, Liaoning Normal University, Dalian, Liaoning, China
- Research Base of Urban Agglomeration in Central-South Liaoning of China Urban Agglomeration Research Base Alliance, Liaoning Normal University, Dalian , Liaoning, China
| | - Xueping Cong
- School of Geography, Liaoning Normal University, Dalian, Liaoning, China
- Center for Human Settlements, Liaoning Normal University, Dalian, Liaoning, China
- Research Base of Urban Agglomeration in Central-South Liaoning of China Urban Agglomeration Research Base Alliance, Liaoning Normal University, Dalian , Liaoning, China
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de la Prada ÀG, Small ML. How people are exposed to neighborhoods racially different from their own. Proc Natl Acad Sci U S A 2024; 121:e2401661121. [PMID: 38950373 PMCID: PMC11252919 DOI: 10.1073/pnas.2401661121] [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: 01/24/2024] [Accepted: 05/07/2024] [Indexed: 07/03/2024] Open
Abstract
In US cities, neighborhoods have long been racially segregated. However, people do not spend all their time in their neighborhoods, and the consequences of residential segregation may be tempered by the contact people have with other racial groups as they traverse the city daily. We examine the extent to which people's regular travel throughout the city is to places "beyond their comfort zone" (BCZ), i.e., to neighborhoods of racial composition different from their own-and why. Based on travel patterns observed in more than 7.2 million devices in the 100 largest US cities, we find that the average trip is to a neighborhood less than half as racially different from the home neighborhood as it could have been given the city. Travel to grocery stores is least likely to be BCZ; travel to gyms and parks, most likely; however, differences are greatest across cities. For the first ~10 km people travel from home, neighborhoods become increasingly more BCZ for every km traveled; beyond that point, whether neighborhoods do so depends strongly on the city. Patterns are substantively similar before and after COVID-19. Our findings suggest that policies encouraging more 15-min travel-that is, to amenities closer to the home-may inadvertently discourage BCZ movement. In addition, promoting use of certain "third places" such as restaurants, bars, and gyms, may help temper the effects of residential segregation, though how much it might do so depends on city-specific conditions.
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Affiliation(s)
- Àlex G. de la Prada
- Department of Sociology, SOCIUM: Research Center on Inequality and Social Policy, University of Bremen, Bremen28359, Germany
| | - Mario L. Small
- Department of Sociology, Columbia University, New York, NY10027
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Lee S, Kim J, Cho K. Temporal dynamics of public transportation ridership in Seoul before, during, and after COVID-19 from urban resilience perspective. Sci Rep 2024; 14:8981. [PMID: 38637570 PMCID: PMC11026405 DOI: 10.1038/s41598-024-59323-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] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 04/09/2024] [Indexed: 04/20/2024] Open
Abstract
We delve into the temporal dynamics of public transportation (PT) ridership in Seoul, South Korea, navigating the periods before, during, and after the COVID-19 pandemic through a spatial difference-in-difference model (SDID). Rooted in urban resilience theory, the study employs micro-level public transportation card data spanning January 2019 to December 2023. Major findings indicate a substantial ridership decline during the severe COVID impact phase, followed by a period in the stable and post-COVID phases. Specifically, compared to the pre-COVID phase, PT ridership experienced a 32.1% decrease in Severe, followed by a reduced magnitude of 21.8% in Stable and 13.5% in post-COVID phase. Interestingly, the observed decrease implies a certain level of adaptability, preventing a complete collapse. Also, contrasting with findings in previous literature, our study reveals a less severe impact, with reductions ranging from 27.0 to 34.9%. Moreover, while the ridership in the post-COVID phase exhibits recovery, the ratio (Post/Pre) staying below 1.0 suggests that the system has not fully returned to its pre-pandemic state. This study contributes to the urban resilience discourse, illustrating how PT system adjusts to COVID, offering insights for transportation planning.
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Affiliation(s)
- Sangwan Lee
- LX Spatial Information Research Institute, Korea Land and Geospatial Informatix Corporation, 42, Jisaje 2-ro, Iseo-myeon, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - Jooae Kim
- LX Spatial Information Research Institute, Korea Land and Geospatial Informatix Corporation, 42, Jisaje 2-ro, Iseo-myeon, Wanju-gun, Jeollabuk-do, Republic of Korea
| | - Kuk Cho
- LX Spatial Information Research Institute, Korea Land and Geospatial Informatix Corporation, 42, Jisaje 2-ro, Iseo-myeon, Wanju-gun, Jeollabuk-do, Republic of Korea.
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Neira M, Molinero C, Marshall S, Arcaute E. Urban segregation on multilayered transport networks: a random walk approach. Sci Rep 2024; 14:8370. [PMID: 38600261 PMCID: PMC11006669 DOI: 10.1038/s41598-024-58932-9] [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: 08/18/2023] [Accepted: 04/04/2024] [Indexed: 04/12/2024] Open
Abstract
We present a novel method for analysing socio-spatial segregation in cities by considering constraints imposed by transportation networks. Using a multilayered network approach, we model the interaction probabilities of socio-economic groups with random walks and Lévy flights. This method allows for evaluation of new transport infrastructure's impact on segregation while quantifying each network's contribution to interaction opportunities. The proposed random walk segregation index measures the probability of individuals encountering diverse social groups based on their available means of transit via random walks. The index incorporates temporal constraints in urban mobility with a parameter, α ∈ [ 0 , 1 ) , of the probability of the random walk continuing at each time step. By applying this to a toy model and conducting a sensitivity analysis, we explore how the index changes dependent on this temporal constraint. When the parameter equals zero, the measure simplifies to an isolation index. When the parameter approaches one it represents the city's overall socio-economic distribution by mirroring the steady-state of the random walk process. Using Cuenca, Ecuador as a case study, we illustrate the method's applicability in transportation planning as a valuable tool for policymakers, addressing spatial distribution of socio-economic groups and the connectivity of existing transport networks, thus promoting equitable interactions throughout the city.
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Affiliation(s)
- Mateo Neira
- Alan Turing Institute, British Library, London, NW1 2DB, UK.
- Centre for Advanced Spatial Analysis, University College London, London, W1T 4TJ, UK.
| | - Carlos Molinero
- Centre for Advanced Spatial Analysis, University College London, London, W1T 4TJ, UK
| | - Stephen Marshall
- Bartlett School of Planning, University College London, London, WC1H 0QB, UK
| | - Elsa Arcaute
- Alan Turing Institute, British Library, London, NW1 2DB, UK
- Centre for Advanced Spatial Analysis, University College London, London, W1T 4TJ, UK
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Couture V. Urban youth most isolated in largest cities. Nature 2024; 625:667-668. [PMID: 38212610 DOI: 10.1038/d41586-023-04083-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
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