Disabled-by-design: effects of inaccessible urban public spaces on users of mobility assistive devices - a systematic review

PURPOSE

Despite the increase of users of Mobility Assistive Devices (MobAD), there has been a lack of accessibility in urban environments in many parts of the world. We present a systematic review of how the inaccessible design of public spaces affects quality-of-life - including aspects of health and safety, independence, and social participation - of MobAD users.

MATERIALS AND METHODS

We conducted a literature search in three databases (i.e., Scopus, Web of Science, and PubMed) and initially discovered 3980 publications. We analysed 48 peer-reviewed journal articles published in English from 2005 to 2021 and assessed their quality of evidence via the Mixed Methods Appraisal Tool.

RESULTS

Findings indicated a substantial number of inaccessible elements for MobAD users in public spaces. Pathway characteristics, boarding ramps, entrance features, confined spaces, and service surfaces were deemed to be the least accessible elements. These barriers had multifaceted effects on MobAD users' quality of life with aspects of physical health, mobility, and use of public transport being most affected.

CONCLUSIONS

Notwithstanding that the reviewed studies mostly ocused on wheelchair users residing in high-income countries, this review outlines the critical role of the design of the built environment as a factor of disablement for MobAD users. We conclude by highlighting a few recommendations for future research and practice, especially inclusive approaches and adaptive techniques to assist MobAD users with performing tasks in public spaces independently.Implications for RehabilitationUsers of Mobility Assistive Devices experience a lack of accessibility provisions in public open spaces and buildings internationally.Physical barriers in public spaces substantially diminish the health and safety, autonomy, and social participation of users of Mobility Assistive Devices.There is a definite need for the adoption of inclusive strategies and adaptive techniques in placemaking processes so that users of Mobility Assistive Devices can have equitable access to public spaces.

"It's Like a Drive by Misogyny": Sexual Violence at UK Music Festivals

Despite increasing scholarly and media attention on sexual violence in public spaces, including those associated with the night-time economy and licensed venues, music festivals have been largely absent from research and policy. This paper presents the findings from the first UK study of sexual violence at music festivals, drawing on data from interviews with 13 women who have experienced some form of sexual harassment or assault at a festival. Analysis reveals that sexual violence at festivals occurs on a continuum and represents an extension of rape culture through which sexual violence is culturally condoned and normalized, enabled through a number of environmental and culture features that are unique to festivals.

The Americans with Disabilities Act and Equal Access to Public Spaces

Since the passage of the landmark Americans with Disabilities Act of 1990, the United States federal government, states, and localities have passed laws and created policies intended to ensure that people with disabilities had full and equal access to public spaces. Nevertheless, more than three decades after the ADA, people with disabilities continue to face architectural and other barriers to community inclusion and participation. This article describes laws, policies, and initiatives that are implemented in the United States at the federal, state, and local levels to address these barriers, examines their effectiveness, and describes the views of advocates working in furtherance of the rights of people with disabilities and the inclusiveness of public spaces. We conclude by providing brief recommendations for ways federal, state, and local governments may ensure people with disabilities have full and equal access to public spaces.

Building Sustainable Habitats for Free-Roaming Cats in Public Spaces: A Systematic Literature Review

This review article examines the possibility of providing a toolkit to prepare habitats for free-roaming cats (FRCs) in public spaces. The toolkit targets local communities, authorities, stakeholders, and advocates in the cities of the Global South, to raise awareness and improve the welfare of FRCs living in urban communities. This article explores a relatively new area in urban studies and veterinary science, and its connection to Sustainable Development Goals (SDGs). A systematic review was conducted using bibliometric analysis, which illustrated how the literature on urban studies ignores the sustainability of public spaces as a living space for FRCs. This study contributes to our understanding of the current situation of FRCs from a theoretical perspective, in relation to the urban transformation of low-income and high-poverty countries. The article concludes with a four-pillar toolkit to help impoverished communities use public spaces as a resource, build sustainable habitats, and provide living spaces for FRCs.

Occupation's Role in Inclusion of Spanish-Speaking Older Adults in a Senior Center

Occupation-based literature has not explored the specific community-level occupational processes that support inclusion or exclusion of Latine older adults in senior centers. This study examined occupation at the community level and its role in the inclusion or exclusion of older adult Spanish speakers in a senior center community. In addition, it sought to examine potential roles for occupational therapy practice in this realm. A 6-month ethnographic study used interviews, observations, document review, group mapping activities, and collaborative analysis to explore occupation of a senior center as the community and staff welcomed older adult Spanish speakers. Being culturally proactive, considering values and interests, offering regular activities, and cross-group doing together encouraged cohesion and communal habits of inclusion. These tailored modes of community occupation benefit Spanish-speaking older adults. Occupational therapy practitioners have opportunities to utilize tailored community occupations to support community inclusion and cohesion for this population.

Interpreting Inclusion for Sanitation Perspectives from India: A Contextual Approach to Universal Design

Access to water, sanitation, and hygiene (WASH) for all is fundamental for sustenance. Goal 6 of the UN's Sustainable Development Goals urges that 'universal access to drinking water, sanitation and hygiene' is fundamental as a response in the current post-COVID scenario. Despite Government of India's efforts through programs like Swachh Bharat (Clean India) Mission, there is a long way to go to integrate equity and inclusion in the sanitation facilities of the public realm. This paper is an attempt to understand the aspect of inclusion in sanitation systems of urban public spaces of India, limiting the study to Delhi and Noida, which are in the National Capital Region (NCR). The aim is to explore the contextual challenges of universal design in public sanitation and develop an understanding of what makes a public toilet inclusive in the urban Indian context. A field-based, mixed methods approach is followed which begins with a literature review of government policies & schemes and theoretical understanding of inclusion as well as the role of universal design as an approach to achieve inclusion. This is followed by on-ground studies involving ethnographic surveys, analysis of imagery and field observations. The results show an analysis of the inclusive aspects of sanitation under the thematic domains of public perception, usage preferences and issues in the public toilet experience. The sanitation facilities in urban public spaces are used by a diverse population and the results showcase a collection of the qualitative experiences of a varied set of user groups. The subjective challenges of inclusive sanitation are highlighted through the various stages and components of the entire sanitation system - the design & infrastructure, operations & maintenance, and behavioural patterns. This paper tries to raise new grounded questions to further explore the highlighted marginal distinctions between inclusion and accessibility in the urban public sanitation experience of India.

'Transgender Persons (Protection of Rights) Act' of India: An Analysis of Substantive Access to Rights of a Transgender Community

The amendments to the Transgender Persons (Protection of Rights) Act of India in 2019 address non-binary persons' constitutional rights, recognition of their gender identity, and non-discrimination laws across institutional spaces (for example, family, workplace, education, and healthcare). The Act discusses legal rights in isolation of praxis, structural support and, more importantly, lacks guidelines needed to substantively access rights. Such a disconnection relegates human rights to merely legal changes with limited practice. In this article, we discuss the achievements and failures of the act from the perspective of a transgender community in India, and the impact it has had on their lives from its formulation in 2014. Although non-binary communities are recognized, they face severe abuse and discrimination. We analyse accounts of 15 transgender persons' lived experiences and challenges they faced in claiming their rights in Kolkata, a metropolis in eastern India. We used the framework of substantive access to rights, that is, the actual ability to practice and access documented rights, to critically discuss our findings across family, work, education, and healthcare spaces, often showing the gaps between achieved legal status, and the practical realities on the ground. We provide several recommendations to bridge these gaps-improving educational equity for non-binary people, including transgender specific training for healthcare providers and, more importantly, increasing the adequate representation of non-binary people in the positions of negotiation. The road to claiming social and economic rights following legal rights for non-binary gender communities cannot be achieved without overcoming their erasure within families and hypervisibility in public spaces.

A Systematic Review Protocol of Opportunities for Noncommunicable Disease Prevention via Public Space Initiatives in African Cities

Public spaces have the potential to produce equitable improvements in population health. This mixed-methods systematic review aims to understand the components of, determinants, risks, and outcomes associated with public space initiatives in African cities. This study will include quantitative and qualitative study designs that describe public space initiatives in African cities with implications for promoting health and wellbeing, particularly through the prevention of noncommunicable diseases. Only studies published after 1990 and that contain primary or secondary data will be included in the review. Literature search strategies will be developed with a medical librarian. We will search PubMed, using both text words and medical subject headings. We will adapt this search to Scopus, Global Health, and Web of Science. This systematic review will adopt a mixed methods analytical approach. Mixing will occur in extracting both qualitative and quantitative findings; in synthesizing findings; and in the analysis where we will integrate the qualitative and quantitative strands. The learnings from this study will contribute to advancing knowledge on noncommunicable disease prevention through public space initiatives in African cities.

Scenarios of social isolation during the first wave of the COVID‐19 pandemic in Rio de Janeiro, Brazil

This work analyses the construction of social isolation as a public problem during the first wave of COVID‐19, drawing on experiences in Rio de Janeiro which, in addition to being one of the country’s major cities, had among the highest mortality rates in Brazil in 2020. We consider both the legal measures enacted by government agencies to contain the contagion and media coverage on the effects of these measures at the local level. The results show that, in the absence of compulsory confinement measures, urban public spaces were deployed both by government agencies and the media in a process by which social isolation was framed as a public problem. Legal measures affected daily patterns of movement, mobility, and sociability, and intervened in the dynamics of central urban functions and in access to and use of public spaces. Media reports gave voice to levels of public agreement or disagreement with regulations and emphasised the significance of legal measures to contain the spread of the virus. Public spaces are at the core of debates about compliance with legal measures to enforce social isolation because they are privileged places where social issues become visible and problematic material expressions of relationships between citizens and the law.

Covid-19 pandemic and public spaces: improving quality and flexibility for healthier places

The current Covid-19 pandemic has interested the whole word, changing habits and use of places and cities. In the lockdown period, cities and public spaces became completely empty and new urban landscapes substituted the previous ones, transforming the private in public. Children, young and elder people were those who mainly had problems: to them, real life was negated at the time of their life in which this is more important. In Italy, the second country after China which was interested by the Covid-19 pandemic lockdown, the reopening of all the public spaces happened after 2 months of closure. This allowed again “in presence” social interactions, although in respect of the physical distance, confirming the importance of these places for all people. Starting from these premises, the aim of this paper is to present the results of a study carried in the framework of the Horizon 2020 research project Urban Maestro, New Governance Strategies for Urban Design, of the ISMed-National Research Council post Covid research, and of the INU Community Public Space, the last two initiatives coordinated by the author. The objective is to identify the relationships between theory and practice of the Charter of Public Space after 10 years of its creation, and verify its validity, in particular, in this Covid-19 emergency period. The Charter of Public Space was adopted during the second Biennial of Public Space held in Rome in 2013 and presented at the Quito Habitat 3 Conference in 2016. In those events many principles were used for the New Urban Agenda discussion concerning quality of public spaces. To achieve the goal of the research, an original method of analysis was created and about thirty case studies were collected, nine of which will be illustrated in this paper. The cases were selected because they follow many principles of the Charter and are then characterized by quality of design and flexibility of use. Accordingly, the update of some principles of the Charter was necessary to meet the new Covid-19 pandemic needs.

Marketplaces as Public Spaces in Times of The Covid-19 Coronavirus Outbreak: First Reflections

Marketplaces are regarded as quintessential public spaces, providing not only access to fresh produce but also functioning as important social infrastructures. However, many marketplaces closed down or changed fundamentally in response to the COVID-19 coronavirus outbreak. In this paper, we reflect on the effects of the crisis on Dutch marketplaces from two interdependent analytical levels. From a ground level, we illustrate their 'temporary death' as public spaces and reflect on their changing social dynamics. From an organisational level, we analyse traders' responses to the institutional measures taken to combat the crisis. Combining pre-corona, in-situ research with (social) media analysis, we show how a variegated institutional landscape of market regulation emerged. Whereas some markets closed down, others remained open in a highly regulated manner; representing merely economic infrastructures. Our first reflections lead to new avenues to explore how the COVID-19 crisis affects the everyday geographies of public space.

Soil and Sand Contamination with Canine Intestinal Parasite Eggs as a Risk Factor for Human Health in Public Parks in Niš (Serbia)

Regarding geographical distribution and clinical relevance, the most common canine geohelminths are Toxocara canis, ancylostomatids, and Trichuris vulpis. Canine intestinal parasites from the soil and sand present an important potential serious human health hazard, especially for the children preschool and school - age. This paper aimed to establish the degree of contamination of soil and sand with zoonotic parasites from the canine feces and the degree of risk they could pose for human health in public places and playgrounds in the city of Niš. Our parasitological study involved 200 soil samples and 50 sand samples from the public parks in the city of Niš in southeastern Serbia (43°19'15″N, 21°53'45″ E). From several locations, about 100 g of soil and sand was collected based on the bioclimatic indices. Parasitological diagnosis was performed using conventional qualitative and quantitative coprological methods, abiding by the recommendations about the diagnosis of parasitic diseases. In 38 - 46 % of soil samples and 40 % of sand samples seven species of endoparasites were diagnosed. In the samples of soil, a medium and high degree of contamination with the ascarid T. canis (14 - 22 %) was detected, as well as a low and medium degree of contamination with ancylostomatids (4 - 12 %), and in the samples of sand, a variable degree of contamination with the helminths T. canis (26 %) and A. alata (16 %) was found. A statistically significant difference was found in the contamination with A. alata eggs between the samples of sand and samples of soil. The studied public surfaces represent the reservoir of zoonotic parasites, which is a public health problem requiring a synergistic action of several factors to be successfully resolved, i.e. the implementation of prevention, surveillance, and control measures.

An Investigation of Soundscape Factors Influencing Perceptions of Square Dancing in Urban Streets: A Case Study in a County Level City in China

Square dancing is a popular music-related group physical exercise for health benefits in China mainly participated by mid-aged women and elderly people. This paper investigates the soundscape and enjoyment of the square dancing in urban streets through a case study in Lichuan, a county level city in southwest China, in December 2017. It examines the impact of gender, age, participation and places on perceptions of square dancing soundscape. Two sites along two main urban streets in the city were selected to conduct onsite investigations where residents spontaneously perform square dancing on a daily basis. Ethnographical observations were conducted to identify the social-physical features and sounds of both sites during the dance and without dance. Sound pressure measurements (LAeq and LAmax) were also conducted under the two conditions. An off-site survey was distributed through the local social media groups to understand residents’ everyday experiences and perceptions of square dancing in the city; 106 responses were received for the off-site survey. T-tests and Chi-squared tests were used for statistical analysis of the survey data. The results show gender does appear to be a factor influencing the regularity of participation in square dancing, with a bias towards more female participants. Participation frequency of square dance has an impact on the enjoyment of square dancing. There is no correlation between the dislike of watching square dancing, or dislike of the music and a desire to restrict locations for square dancing.

Translating Occupational Justice Education Into Action: Reflections From an Exploratory Single Case Study

There is a growing body of scholarly literature about occupational justice, human rights, and power redistribution ready to be integrated into occupational science and occupational therapy education. As students around the world become familiar with the concepts and intents underlying occupational justice, it will be important to investigate their translation of occupational justice understandings into actions outside the classroom. This exploratory single case study describes curricular, university, and regional factors related to one former student's engagement in social protests following her occupational justice education. Based on her reflections, we emphasize the need to provide classroom opportunities where students can apply and critically reflect on (a) knowledge about occupational justice and (b) unintended consequences and potential professional tensions that may arise in relation to pursuing occupational justice. Future research will benefit from broader comparative studies that analyze personal, contextual, and programmatic differences among instances of occupational justice education and students' engagement in occupational reconstructions.

Poor survival of Methicillin-resistant Staphylococcus aureus on inanimate objects in the public spaces

We investigated the prevalence of Staphylococcus aureus on shopping baskets in Osaka Prefecture, Japan. Multilocus sequence typing was performed to determine the genotypes of S. aureus isolates, and then a polymerase chain reaction method was used to detect staphylococcal enterotoxins and antibiotic resistance genes. In addition, desiccation tolerance of S. aureus isolates was evaluated in vitro. Forty‐six (6.2%) S. aureus isolates were collected from 740 shopping baskets, though only one MRSA strain was identified. In multilocus sequence typing findings, ten sequence types and 24 singletons were classified, which were divided into ten clonal complexes and six singletons. The most frequent staphylococcal enterotoxin gene was seg (30.4%). Our in vitro findings demonstrated that 70% of the S. aureus isolates, including the MRSA strain, became undetectable at 12 h after desiccation at an appropriate cell density, while the others remained viable for up to 24 h. Thus, it is difficult for MRSA organisms to survive on dry surfaces found in public areas. We speculated that inanimate objects in the community are unlikely to be a potential source for transmission of MRSA and that S. aureus on such objects outside of hospital settings is not a public health threat.

Experience of Multisensory Environments in Public Space among People with Visual Impairment

This qualitative study explored the role of sensory characteristics embedded in the built environment and whether they support or hinder people with visual impairment in their use of public spaces. An online survey link was e-mailed to the presidents and committee members of each state's chapters and associations of the National Federation of the Blind in the United States, resulting in 451 direct invitations to participate. Written responses of the survey questions from 48 respondents with visual impairment were analyzed. Three main themes: Barriers, Supporters, and Context-Dependence emerged from the respondents' experience of multisensory characteristics within the built environment. The four subthemes subsumed in Barriers were: (1) Population specific design, (2) Extreme sensory backgrounds, (3) Uneven ground surfaces and objects, and (4) Inconsistent lighting. For Supporters, respondents provided specific examples of various sensory characteristics in built environments, including audible cues and echoes, smells, tactile quality of the ground surface, and temperature. Context-Dependence referred to the effects of sensory characteristics embedded in public spaces depending on one's vision condition, the proximity to the sensory cues and the purpose of the activities one was performing at that moment. Findings provide occupational therapy practitioners an in-depth understanding of the transactional relationship between embedded sensory characteristics in the built environment, occupations, and people with visual impairment in order to make appropriate modifications or removal of barriers that affect occupational performance and engagement. Suggestions for occupational therapists as well as architects, designers, planners, policy makers/legislators related to functional sensory cues in the design of built environments were provided to increase accessibility in the use of public spaces by people with visual impairment.

Perception of length to width relations of city squares

In this paper, we focus on how people perceive the aspect ratio of city squares. Earlier research has focused on distance perception but not so much on the perceived aspect ratio of the surrounding space. Furthermore, those studies have focused on “open” spaces rather than urban areas enclosed by walls, houses and filled with people, cars, etc. In two experiments, we therefore measured, using a direct and an indirect method, the perceived aspect ratio of five city squares in the historic city center of Delft, the Netherlands. We also evaluated whether the perceived aspect ratio of city squares was affected by the position of the observer on the square. In the first experiment, participants were asked to set the aspect ratio of a small rectangle such that it matched the perceived aspect ratio of the city square. In the second experiment, participants were asked to estimate the length and width of the city square separately. In the first experiment, we found that the perceived aspect ratio was in general lower than the physical aspect ratio. However, in the second experiment, we found that the calculated ratios were close to veridical except for the most elongated city square. We conclude therefore that the outcome depends on how the measurements are performed. Furthermore, although indirect measurements are nearly veridical, the perceived aspect ratio is an underestimation of the physical aspect ratio when measured in a direct way. Moreover, the perceived aspect ratio also depends on the location of the observer. These results may be beneficial to the design of large open urban environments, and in particular to rectangular city squares.