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Egan SM, Pope J. Streets ahead: Neighborhood safety and active outdoor play in early childhood using a nationally representative sample of 5-year-olds. Child Dev 2024. [PMID: 39073404 DOI: 10.1111/cdev.14132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/30/2024]
Abstract
Using data from a nationally representative sample of 5-year-olds in the Growing Up in Ireland study (N = 9001, 51% male), this research investigated the role of factors in the neighborhood environment on levels of active outdoor play in young children. Primary caregivers (98% mothers; 81% Irish) responded to questions regarding their child's levels of active outdoor play (e.g., chasing) and their perceptions of their neighborhood (e.g., social cohesion and antisocial behavior). Hierarchical regression analyses indicated that levels of active outdoor play were associated with parental perceptions of neighborhood safety and traffic levels, even after other factors were controlled for (i.e., family income). The results are discussed from a bioecological systems perspective. Implications for policy makers and parents are considered.
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Affiliation(s)
- Suzanne M Egan
- Mary Immaculate College, University of Limerick, Limerick, Ireland
| | - Jennifer Pope
- Mary Immaculate College, University of Limerick, Limerick, Ireland
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2
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Mac Fadden I, Cocchioni R, Delgado-Serrano MM. A Co-Created Assessment Framework to Measure Inclusive Health and Wellbeing in a Vulnerable Context in the South of Europe. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:510. [PMID: 38673421 PMCID: PMC11050556 DOI: 10.3390/ijerph21040510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Revised: 04/05/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024]
Abstract
Rapid urbanisation exacerbates health and wellbeing disparities in vulnerable contexts and underscores the imperative need to develop innovative and participatory co-creation approaches to understand and address the specificities of these contexts. This paper presents a method to develop an assessment framework that integrates top-down dimensions with bottom-up perspectives to monitor the impact of inclusive health and wellbeing interventions tailored to the neighbourhood's needs in Las Palmeras, a vulnerable neighbourhood in Cordoba (Spain). Drawing upon studies in the literature examining urban health and wellbeing trends, it delineates a participatory and inclusive framework, emphasising the need for context-specific indicators and assessment tools. Involving diverse stakeholders, including residents and professionals, it enriches the process and identifies key indicators and assessment methods. This approach provides valuable insights for managing innovative solutions, aligning them with local expectations, and measuring their impact. It contributes to the discourse on inclusive urban health by advocating for participatory, context-specific strategies and interdisciplinary collaboration. While not universally applicable, the framework offers a model for health assessment in vulnerable contexts, encouraging further development of community-based tools for promoting inclusive wellbeing.
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Affiliation(s)
- Isotta Mac Fadden
- Department of Agriculture Economics, Universidad de Córdoba, E-14005 Córdoba, Spain;
| | | | - María Mar Delgado-Serrano
- WEARE Research Group, Department of Agriculture Economics, Universidad de Córdoba, E-14005 Córdoba, Spain
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Jamalishahni T, Davern M, Villanueva K, Turrell G, Foster S. The contribution of objective and perceived crime to neighbourhood socio-inequity in loneliness. Health Place 2024; 85:103165. [PMID: 38183728 DOI: 10.1016/j.healthplace.2023.103165] [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] [Received: 08/21/2023] [Revised: 11/28/2023] [Accepted: 11/30/2023] [Indexed: 01/08/2024]
Abstract
Loneliness tends to be more prevalent in socioeconomically disadvantaged neighbourhoods, yet few studies explore the environmental differences contributing to area-based inequity in loneliness. This study examined how perceived and objective crime contributed to differences in loneliness between advantaged and disadvantaged neighbourhoods. The study used cross-sectional data from 3749 individuals aged between 48 and 77 years, residing in 200 neighbourhoods in Brisbane, Australia. We found that participants in disadvantaged neighbourhoods reported higher levels of loneliness and perceived crime, and the most disadvantaged neighbourhoods also had highest prevalence of objective crime. However, while perceived and objective crime were positively correlated with loneliness, only perceived crime accounted for socio-economic inequity in loneliness. Consequently, perceived crime plays an important role in addressing loneliness in disadvantaged communities and requires equitable resourcing for multiple strategies that aim to decrease crime and increase perceived safety.
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Affiliation(s)
- Tara Jamalishahni
- Centre for Urban Research, RMIT University, Melbourne, Victoria, 3000, Australia.
| | - Melanie Davern
- Centre for Urban Research, RMIT University, Melbourne, Victoria, 3000, Australia; Centre for Health Equity, Melbourne School of Global and Population Health, University of Melbourne, Victoria, 3010, Australia
| | - Karen Villanueva
- Policy and Equity, Murdoch Children's Research Institute, Melbourne, Victoria, 3052, Australia; Social and Global Studies Centre, RMIT University, Melbourne, Victoria, 3000, Australia
| | - Gavin Turrell
- Centre for Urban Research, RMIT University, Melbourne, Victoria, 3000, Australia
| | - Sarah Foster
- Centre for Urban Research, RMIT University, Melbourne, Victoria, 3000, Australia
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Gocer O, Wei Y, Ozbil Torun A, Alvanides S, Candido C. Multidimensional attributes of neighbourhood quality: A systematic review. Heliyon 2023; 9:e22636. [PMID: 38034601 PMCID: PMC10687291 DOI: 10.1016/j.heliyon.2023.e22636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 10/28/2023] [Accepted: 11/15/2023] [Indexed: 12/02/2023] Open
Affiliation(s)
- Ozgur Gocer
- School of Architecture, Design and Planning, The University of Sydney, Sydney, NSW, Australia
| | - Yuan Wei
- School of Architecture, Design and Planning, The University of Sydney, Sydney, NSW, Australia
| | - Ayse Ozbil Torun
- Department of Architecture and Built Environment, Northumbria University, Newcastle Upon Tyne, UK
| | - Seraphim Alvanides
- Department of Architecture and Built Environment, Northumbria University, Newcastle Upon Tyne, UK
| | - Christhina Candido
- Melbourne School of Design, Faculty of Architecture, Building and Planning, The University of Melbourne, Melbourne, VIC, Australia
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Keller SA, Lim S, Buckingham WR, Kind AJH. Life Course Assessment of Area-Based Social Disadvantage: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6982. [PMID: 37947540 PMCID: PMC10647563 DOI: 10.3390/ijerph20216982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 10/13/2023] [Accepted: 10/24/2023] [Indexed: 11/12/2023]
Abstract
Area-based social disadvantage, which measures the income, employment, and housing quality in one's community, can impact an individual's health above person-level factors. A life course approach examines how exposure to disadvantage can affect health in later life. This systematic review aimed to summarize the approaches used to assess exposure to area-based disadvantage over a life course, specifically those that define the length and timing of exposure. We reviewed the abstracts of 831 articles based on the following criteria: (1) whether the abstract described original research; (2) whether the study was longitudinal; (3) whether area-based social disadvantage was an exposure variable; (4) whether area-based social disadvantage was assessed at multiple points; and (5) whether exposure was assessed from childhood to older adulthood. Zero articles met all the above criteria, so we relaxed the fifth criterion in a secondary review. Six studies met our secondary criteria and were eligible for data extraction. The included studies followed subjects from childhood into adulthood, but none assessed disadvantages in late life. The approaches used to assess exposure included creating a cumulative disadvantage score, conducting a comparison between life course periods, and modeling the trajectory of disadvantage over time. Additional research was needed to validate the methodologies described here, specifically in terms of measuring the impact of area-based social disadvantage on health.
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Affiliation(s)
- Sarah A. Keller
- Center for Health Disparities Research, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USA
- Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USA
| | - Sarah Lim
- Center for Health Disparities Research, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USA
| | - William R. Buckingham
- Center for Health Disparities Research, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USA
| | - Amy J. H. Kind
- Center for Health Disparities Research, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USA
- Wisconsin Alzheimer’s Disease Research Center, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USA
- Department of Medicine, Geriatrics Division, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53726, USA
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Constable Fernandez C, Patalay P, Vaughan L, Church D, Hamer M, Maddock J. Subjective and objective indicators of neighbourhood safety and physical activity among UK adolescents. Health Place 2023; 83:103050. [PMID: 37348294 DOI: 10.1016/j.healthplace.2023.103050] [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: 03/08/2023] [Revised: 05/30/2023] [Accepted: 05/30/2023] [Indexed: 06/24/2023]
Abstract
BACKGROUND The health benefits of regular physical activity in adolescence are well-documented and many health-related behaviours are established in adolescence. The neighbourhood environment is a key setting for physical activity for adolescents and feeling unsafe in their neighbourhood may be a potential barrier to physical activity. AIM This study aimed to examine associations between neighbourhood safety and physical activity using objective and subjective measures for both. METHODS Participants (n = 10,913) came from the Millennium Cohort Study, a nationally representative UK longitudinal birth cohort. Linear regression and Zero Inflated Poisson models were used to examine associations between subjective and objective indicators of safety (self-reported safety, Index of Multiple Deprivation crime, Reported Crime Incidence) and physical activity (self-reported weekly and device-measured physical activity). RESULTS Adolescents who feel unsafe in their neighbourhood, or who live in areas with high IMD crime or violent crime rates report 0.29 (95% CI -0.49, -0.09) 0.32 (95% CI -0.47, -0.16) and 0.20 (95% CI -0.39, -0.20) fewer days of physical activity, respectively. No associations were found between Reported Crime Incidence and either objective or subjective measures of physical activity. CONCLUSIONS This study demonstrates varying associations between subjective safety and objective crime with physical activity levels in adolescence, highlighting the complexities around subjective and objective measurements and their associations with health outcomes.
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Affiliation(s)
| | - Praveetha Patalay
- MRC Unit for Lifelong Health and Ageing, UCL, London, UK; Centre for Longitudinal Studies, Social Research Institute, UCL, London, UK
| | - Laura Vaughan
- The Bartlett School of Architecture, UCL, London, UK
| | - David Church
- Centre for Longitudinal Studies, Social Research Institute, UCL, London, UK
| | - Mark Hamer
- Institute of Sport Exercise & Health, Division of Surgery & Interventional Science, UCL, London, UK
| | - Jane Maddock
- MRC Unit for Lifelong Health and Ageing, UCL, London, UK
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Shareck M, Aubé E, Sersli S. Neighborhood Physical and Social Environments and Social Inequalities in Health in Older Adolescents and Young Adults: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5474. [PMID: 37107756 PMCID: PMC10139110 DOI: 10.3390/ijerph20085474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 04/05/2023] [Accepted: 04/07/2023] [Indexed: 05/11/2023]
Abstract
Poor health and well-being are prevalent among young people. Neighborhoods may play a role in promoting good health. Little is known on if and how neighborhood characteristics affect health, and social inequalities therein, among young people. In this scoping review, we asked: (1) what features of the neighborhood physical and social environments have been studied in association with the physical and mental health and well-being of young people 15 to 30 years old; and (2) to what extent have social differentials in these associations been studied, and how? We identified peer-reviewed articles (2000 to 2023) through database and snowball searches. We summarized study characteristics, exposure(s), outcome(s) and main findings, with an eye on social inequalities in health. Out of the 69 articles reviewed, most were quantitative, cross-sectional, conducted among 18-year-olds and younger, and focused on the residential neighborhood. Neighborhood social capital and mental health were the most common exposure and outcome studied, respectively. Almost half of the studies examined social inequalities in health, mostly across sex/gender, socioeconomic status, and ethnicity. Evidence gaps remain, which include exploring settings other than residential neighborhoods, studying the older age stratum of young adulthood, and assessing a broader range of social inequalities. Addressing these gaps can support research and action on designing healthy and equitable neighborhoods for young people.
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Affiliation(s)
- Martine Shareck
- Département des Sciences de la Santé Communautaire, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, 3001 12e Avenue Nord, Sherbrooke, QC J1H 5N4, Canada
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Impact of subjective and objective neighbourhood characteristics and individual socioeconomic position on allostatic load: A cross-sectional analysis of an all-age UK household panel study. Health Place 2022; 78:102930. [DOI: 10.1016/j.healthplace.2022.102930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 10/14/2022] [Accepted: 10/21/2022] [Indexed: 11/07/2022]
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Yakubovich AR, Heron J, Barter C, Humphreys DK. Trajectories of Exposure to Neighborhood Deprivation and the Odds of Experiencing Intimate Partner Violence Among Women: Are There Sensitive Periods for Exposure? JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP5728-NP5746. [PMID: 32960156 PMCID: PMC8980452 DOI: 10.1177/0886260520959626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Neighborhood disadvantage is commonly hypothesized to be positively associated with intimate partner violence (IPV) against women. However, longitudinal investigation of this association has been limited, with no studies on whether the timing of exposure matters. We used data from 2,115 women in the UK-based Avon Longitudinal Study of Parents and Children. Exposure to neighborhood-level deprivation was measured at 10-time points from baseline (gestation) until age 18. Family-level socioeconomic characteristics were measured at baseline. At age 21, participants self-reported whether they had experienced any IPV since age 18. We used a three-step bias-adjusted longitudinal latent class analysis to investigate how different patterns of neighborhood deprivation exposure were associated with the odds of experiencing IPV. A total of 32% of women experienced any IPV between ages 18 and 21. Women who consistently lived in deprived neighborhoods (chronic high deprivation) or spent their early childhoods in more deprived neighborhoods and later moved to less deprived neighborhoods (decreasing deprivation) had higher odds of experiencing IPV compared to those who consistently lived in non-deprived neighborhoods. The odds of experiencing IPV did not consistently differ between women who lived in non-deprived neighborhoods during early childhood and later moved to deprived neighborhoods (increasing deprivation) and those stably in non-deprived neighborhoods. Living in more deprived neighborhoods during early childhood, regardless of later exposure, was associated with higher odds of experiencing later IPV. This is congruent with prior research demonstrating the persistent effects of early neighborhood disadvantage on health and well-being. Replication, and underlying mechanisms, should be assessed across contexts.
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Affiliation(s)
- Alexa R. Yakubovich
- University of Oxford, Oxford, United Kingdom
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Ontario, Canada
| | - Jon Heron
- University of Bristol, Bristol, United Kingdom
| | - Christine Barter
- University of Central Lancashire, Preston, Lancashire, United Kingdom
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