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Li J, Shi Y, Li S, Xu H, Tao T, Wang Q, Gilbert KM. The impact of residential environment on stroke onset and its spatial heterogeneity: A multiscale exploration in Shanghai. Prev Med 2024; 186:108067. [PMID: 39009190 DOI: 10.1016/j.ypmed.2024.108067] [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: 11/08/2023] [Revised: 07/08/2024] [Accepted: 07/10/2024] [Indexed: 07/17/2024]
Abstract
BACKGROUND Stroke is a worldwide concern due to its high disability and mortality rates, especially in many countries entering ageing societies. This study aims to understand the spatial heterogeneity of stroke onset and residential environment influence scopes from multiscale. METHODS The 2013 to 2022 spatiotemporal distribution pattern of stroke onset was obtained via out-patient data from a hospital in Shanghai. Then nine residential environmental factors were selected to estimate the association of stroke onset by multiscale geographically weighted regression (MGWR), in three scenarios. RESULTS Accessibility to pubs/bars (PUB) and building density (BD) were the top two residential environmental factors both for the entire sample and by gender. Stress-related environmental factors have a greater impact on the onset of stroke in men but are limited in scope. The population of elderly people have relevance to environmental variables heterogeneity. The indicators relating to unhealthy food and alcohol suggest that habit-inducing environmental factors have a limited impact on stroke onset, but rather that pre-existing habits play a greater role. CONCLUSIONS MGWR analyses individual components across multiple bandwidths, revealing geographical disparities in the impact of elements that would otherwise be undetected on a global scale. Environmental factors have a limited impact on the onset of stroke. When society is faced with both heavy ageing and fiscal constraints, some of the blue-green space budgets can be scaled back to invest in more secure facilities.
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Affiliation(s)
- Jiaqi Li
- College of Surveying and Geo-Informatics, Tongji University, Shanghai 200092, China.
| | - Yishao Shi
- College of Surveying and Geo-Informatics, Tongji University, Shanghai 200092, China.
| | - Shanzhu Li
- Tongji Hospital of Tongji University, Shanghai 200065, China.
| | - Hui Xu
- Tongji Hospital of Tongji University, Shanghai 200065, China.
| | - Tianhui Tao
- College of Surveying and Geo-Informatics, Tongji University, Shanghai 200092, China; Zhejiang University of Water Resources and Electric Power, Hangzhou 310018, China.
| | - Qianxu Wang
- College of Surveying and Geo-Informatics, Tongji University, Shanghai 200092, China.
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Banwell N, Michel S, Senn N. Greenspaces and Health: Scoping Review of studies in Europe. Public Health Rev 2024; 45:1606863. [PMID: 38831866 PMCID: PMC11144923 DOI: 10.3389/phrs.2024.1606863] [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: 11/17/2023] [Accepted: 04/22/2024] [Indexed: 06/05/2024] Open
Abstract
Objectives Access to greenspaces and contact with nature can promote physical activity and have positive effects on physical and mental health. This scoping literature review aims to examine current evidence linking greenspaces and (a) behaviour change, (b) health outcomes and (c) co-benefits. Methods This review was conducted in accordance with the PRISMA scoping review guidelines. Searches were conducted through PubMed and EMBASE databases for studies published between 2000 and March 2023 with a focus on Europe. Results 122 scientific articles and grey literature reports were identified. Access to greenspaces is positively associated with physical and mental health, and reduced risk of all-cause mortality and some non-communicable diseases. Greenspace quality is associated with increased physical activity and reduced risk of obesity. Nature-based therapies or green prescription are effective in improving mental health outcomes and overall health. Importantly, numerous co-benefits of greenspaces are identified. Conclusion Increasing access to greenspaces for populations with particular attention to greenspace quality is important for co-benefits. Responsible governance and use of greenspaces are crucial to minimize public health risks and human disturbance of nature.
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Affiliation(s)
- Nicola Banwell
- Interdisciplinary Centre for Research in Ethics (CIRE), University of Lausanne, Lausanne, Switzerland
| | - Sarah Michel
- Department of Family Medicine, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Nicolas Senn
- Department of Family Medicine, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
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Caston NE, Williams CP, Levitan EB, Griffin R, Azuero A, Wheeler SB, Rocque GB. Why location matters: associations between county-level characteristics and availability of National Cancer Oncology Research Program and National Cancer Institute sites. JNCI Cancer Spectr 2024; 8:pkae038. [PMID: 38745369 PMCID: PMC11163183 DOI: 10.1093/jncics/pkae038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 01/30/2024] [Accepted: 05/03/2024] [Indexed: 05/16/2024] Open
Abstract
BACKGROUND The majority of patients with cancer seek care at community oncology sites; however, most clinical trials are available at National Cancer Institute (NCI)-designated sites. Although the NCI National Cancer Oncology Research Program (NCORP) was designed to address this problem, little is known about the county-level characteristics of NCORP site locations. METHODS This cross-sectional analysis determined the association between availability of NCORP or NCI sites and county-level characteristic theme percentile scores from the Center for Disease Control and Prevention's Social Vulnerability Index themes. Health Resources and Services Administration's Area Health Resource Files were used to determine contiguous counties. We estimated risk ratios and 95% confidence intervals (CIs) using modified Poisson regression models to evaluate the association between county-level characteristics and site availability within singular and singular and contiguous counties. RESULTS Of 3141 included counties, 14% had an NCORP, 2% had an NCI, and 1% had both sites. Among singular counties, for a standard deviation increase in the racial and ethnic theme score, there was a 22% higher likelihood of NCORP site availability (95% CI = 1.10 to 1.36); for a standard deviation increase in the socioeconomic status theme score, there was a 24% lower likelihood of NCORP site availability (95% CI = 0.67 to 0.87). Associations were of smaller magnitude when including contiguous counties. NCI sites were located in more vulnerable counties. CONCLUSIONS NCORP sites were more often in racially diverse counties and less often in socioeconomically vulnerable counties. Research is needed to understand how clinical trial representation will increase if NCORP sites strategically increase their locations in more vulnerable counties.
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Affiliation(s)
- Nicole E Caston
- Division of Hematology and Oncology, Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | - Courtney P Williams
- Division of Preventive Medicine, University of Alabama at Birmingham Department of Medicine, Birmingham, AL, USA
- O’Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Emily B Levitan
- Department of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA
| | - Russell Griffin
- Department of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA
| | - Andres Azuero
- University of Alabama at Birmingham School of Nursing, Birmingham, AL, USA
| | - Stephanie B Wheeler
- Department of Health Policy and Management, Gillings School of Public Health, University of North Carolina (UNC), Chapel Hill, NC, USA
- University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA
| | - Gabrielle B Rocque
- Division of Hematology and Oncology, Department of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
- O’Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA
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Arcaya MC, Ellen IG, Steil J. Neighborhoods And Health: Interventions At The Neighborhood Level Could Help Advance Health Equity. Health Aff (Millwood) 2024; 43:156-163. [PMID: 38315920 DOI: 10.1377/hlthaff.2023.01037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
Housing is tied to neighborhoods. Therefore, to understand how housing affects health and health equity, the role of neighborhood environments must be considered. This article is a critical review of the relationship between neighborhoods and health. We discuss inequality among US neighborhoods and the roots of that inequality. We then explore the ways in which neighborhood environments may shape health, review the evidence about these effects, and discuss policy responses. Many studies document an association between neighborhoods and physical and mental health, and a few studies suggest that some of these relationships are causal. Thus, the evidence suggests that interventions at the neighborhood scale can potentially help advance health equity. Further research on the long-term impacts of neighborhoods on health and more rigorous studies of the impact of particular neighborhood interventions are needed. To advance health equity, policy makers also need to better understand the institutional arrangements and social policies that have created neighborhood inequality and pursue innovative approaches to changing them.
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Affiliation(s)
- Mariana C Arcaya
- Mariana C. Arcaya, Massachusetts Institute of Technology, Cambridge, Massachusetts
| | | | - Justin Steil
- Justin Steil, Massachusetts Institute of Technology
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Kershaw KN, Magnani JW, Diez Roux AV, Camacho-Rivera M, Jackson EA, Johnson AE, Magwood GS, Morgenstern LB, Salinas JJ, Sims M, Mujahid MS. Neighborhoods and Cardiovascular Health: A Scientific Statement From the American Heart Association. Circ Cardiovasc Qual Outcomes 2024; 17:e000124. [PMID: 38073532 DOI: 10.1161/hcq.0000000000000124] [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] [Indexed: 01/17/2024]
Abstract
The neighborhoods where individuals reside shape environmental exposures, access to resources, and opportunities. The inequitable distribution of resources and opportunities across neighborhoods perpetuates and exacerbates cardiovascular health inequities. Thus, interventions that address the neighborhood environment could reduce the inequitable burden of cardiovascular disease in disenfranchised populations. The objective of this scientific statement is to provide a roadmap illustrating how current knowledge regarding the effects of neighborhoods on cardiovascular disease can be used to develop and implement effective interventions to improve cardiovascular health at the population, health system, community, and individual levels. PubMed/Medline, CINAHL, Cochrane Library reviews, and ClinicalTrials.gov were used to identify observational studies and interventions examining or targeting neighborhood conditions in relation to cardiovascular health. The scientific statement summarizes how neighborhoods have been incorporated into the actions of health care systems, interventions in community settings, and policies and interventions that involve modifying the neighborhood environment. This scientific statement presents promising findings that can be expanded and implemented more broadly and identifies methodological challenges in designing studies to evaluate important neighborhood-related policies and interventions. Last, this scientific statement offers recommendations for areas that merit further research to promote a deeper understanding of the contributions of neighborhoods to cardiovascular health and health inequities and to stimulate the development of more effective interventions.
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Zhang Y, Zhao H, Li Y, Long Y, Liang W. Predicting highly dynamic traffic noise using rotating mobile monitoring and machine learning method. ENVIRONMENTAL RESEARCH 2023; 229:115896. [PMID: 37054832 DOI: 10.1016/j.envres.2023.115896] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 04/02/2023] [Accepted: 04/11/2023] [Indexed: 05/21/2023]
Abstract
Traffic noise, characterized by its highly fluctuating nature, is the second biggest environmental problem in the world. Highly dynamic noise maps are indispensable for managing traffic noise pollution, but two key difficulties exist in generating these maps: the lack of large amounts of fine-scale noise monitoring data and the ability to predict noise levels in the absence of noise monitoring data. This study proposed a new noise monitoring method, the Rotating Mobile Monitoring method, that combines the advantages of stationary and mobile monitoring methods and expands the spatial extent and temporal resolution of noise data. A monitoring campaign was conducted in the Haidian District of Beijing, covering 54.79 km of roads and a total area of 22.15 km2, and gathered 18,213 A-weighted equivalent noise (LAeq) measurements at 1-s intervals from 152 stationary sampling sites. Additionally, street view images, meteorological data and built environment data were collected from all roads and stationary sites. Using computer vision and GIS analysis tools, 49 predictor variables were measured in four categories, including microscopic traffic composition, street form, land use and meteorology. Six machine learning models and linear regression models were trained to predict LAeq, with random forest performing the best (R2 = 0.72, RMSE = 3.28 dB), followed by K-nearest neighbors regression (R2 = 0.66, RMSE = 3.43 dB). The optimal random forest model identified distance to the major road, tree view index, and the maximum field of view index of cars in the last 3 s as the top three contributors. Finally, the model was applied to generate a 9-day traffic noise map of the study area at both the point and street levels. The study is easily replicable and can be extended to a larger spatial scale to obtain highly dynamic noise maps.
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Affiliation(s)
- Yuyang Zhang
- Department of Urban Planning and Landscape, North China University of Technology, Beijing, 100144, China
| | - Huimin Zhao
- School of Architecture, Tsinghua University, Beijing, 100084, China
| | - Yan Li
- School of Architecture, Tsinghua University, Beijing, 100084, China.
| | - Ying Long
- School of Architecture, Tsinghua University, Beijing, 100084, China
| | - Weinan Liang
- Department of Urban Planning and Landscape, North China University of Technology, Beijing, 100144, China
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Zhang Y, Deng Q, Guo M, Li Y, Lu F, Chen J, Sun J, Chang J, Hu P, Liu N, Liu J, Long Y. Using street view imagery to examine the association between urban neighborhood disorder and the long-term recurrence risk of patients discharged with acute myocardial infarction in central Beijing, China. CITIES (LONDON, ENGLAND) 2023; 138:104366. [PMID: 37250183 PMCID: PMC7614582 DOI: 10.1016/j.cities.2023.104366] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Background To examine the association between urban neighborhood disorder and the recurrence risk of patients with acute myocardial infarction (AMI) in central Beijing, China. Methods Recurrent AMI was identified by the Beijing Monitoring System for Cardiovascular Diseases through the end of 2019 for patients discharged with AMI between 2007 and 2017. Cox proportional hazards models were performed to estimate associations between neighborhood disorder and AMI recurrence. Results Of 66,238 AMI patients, 11,872 had a recurrent event, and 3117 died from AMI during a median followup of 5.92 years. After covariate adjustment, AMI patients living in the high tertile of neighborhood disorder had a higher recurrence risk (hazard ratio [HR] 1.08, 95 % confidence interval [CI], 1.03-1.14) compared with those in the low tertile. A stronger association was noted for fatal recurrent AMI (HR 1.21, 95 % CI 1.10-1.34). The association was mainly observed in females (HR 1.04, 95 % CI: 1.02 to 1.06). Conclusions Serious neighborhood disorder may contribute to higher recurrence risk, particularly fatal recurrence, among AMI patients. Policies to eliminate neighborhood disorders may play an important role in the secondary prevention of cardiovascular disease.
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Affiliation(s)
- Yuyang Zhang
- School of Architecture, Tsinghua University, Beijing 100084, China
| | - Qiuju Deng
- Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, the Key Laboratory of Remodeling-Related Cardiovascular Diseases, Ministry of Education, and the Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100029, China
| | - Moning Guo
- Beijing Municipal Health Commission Information Center (Beijing Municipal Health Commission Policy Research Center), Beijing, China
| | - Yan Li
- School of Architecture, Tsinghua University, Beijing 100084, China
| | - Feng Lu
- Beijing Municipal Health Commission Information Center (Beijing Municipal Health Commission Policy Research Center), Beijing, China
| | - Jingjia Chen
- School of Architecture, Tsinghua University, Beijing 100084, China
| | - Jiayi Sun
- Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, the Key Laboratory of Remodeling-Related Cardiovascular Diseases, Ministry of Education, and the Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100029, China
| | - Jie Chang
- Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, the Key Laboratory of Remodeling-Related Cardiovascular Diseases, Ministry of Education, and the Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100029, China
| | - Piaopiao Hu
- Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, the Key Laboratory of Remodeling-Related Cardiovascular Diseases, Ministry of Education, and the Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100029, China
| | - Ningrui Liu
- School of Architecture, Tsinghua University, Beijing 100084, China
| | - Jing Liu
- Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, the Key Laboratory of Remodeling-Related Cardiovascular Diseases, Ministry of Education, and the Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100029, China
| | - Ying Long
- School of Architecture and Hang Lung Center for Real Estate, Key Laboratory of Eco Planning & Green Building, Ministry of Education, Tsinghua University, 100084, China
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