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  Subjects -> HEALTH AND SAFETY (Total: 1389 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (89 journals)
    - HEALTH AND SAFETY (594 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (388 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (107 journals)
    - PHYSICAL FITNESS AND HYGIENE (106 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (594 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 24)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 40)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 12)
American Journal of Health Education     Hybrid Journal   (Followers: 31)
American Journal of Health Promotion     Hybrid Journal   (Followers: 28)
American Journal of Health Sciences     Open Access   (Followers: 7)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 216)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 8)
Behavioral Healthcare     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 6)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 9)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 20)
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access   (Followers: 1)
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 4)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 20)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 20)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 7)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 7)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 13)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 8)
Health and Social Work     Hybrid Journal   (Followers: 56)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 21)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 43)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 3)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 52)
Health Psychology Bulletin     Open Access  
Health Psychology Research     Open Access   (Followers: 19)
Health Psychology Review     Hybrid Journal   (Followers: 40)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 13)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
Histoire, médecine et santé     Open Access  
HIV & AIDS Review     Full-text available via subscription   (Followers: 12)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 6)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 4)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IJS Global Health     Open Access  
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)

        1 2 3 | Last

Journal Cover
Health & Place
Journal Prestige (SJR): 1.506
Citation Impact (citeScore): 3
Number of Followers: 15  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1353-8292
Published by Elsevier Homepage  [3155 journals]
  • “Being seen” at the clinic: Zambian and South African health worker
           reflections on the relationship between health facility spatial
           organisation and items and HIV stigma in 21 health facilities, the HPTN
           071 (PopART) study
    • Abstract: Publication date: Available online 7 December 2018Source: Health & PlaceAuthor(s): Virginia Bond, Sinazo Nomsenge, Monde Mwamba, Daniel Ziba, Alice Birch, Constance Mubekapi-Musadaidzwa, Nosivuyile Vanqa, Lario Viljoen, Triantafyllos Pliakas, Helen Ayles, James Hargreaves, Graeme Hoddinott, Anne Stangl, Janet Seeley, on behalf of the HPTN 071 (PopART) study team Health workers in 21 government health facilities in Zambia and South Africa linked spatial organisation of HIV services and material items signifying HIV-status (for example, coloured client cards) to the risk of People Living with HIV (PLHIV) ‘being seen’ or identified by others. Demarcated HIV services, distinctive client flow and associated-items were considered especially distinguishing. Strategies to circumvent any resulting stigma mostly involved PLHIV avoiding and/or reducing contact with services and health workers reducing visibility of PLHIV through alterations to structures, items and systems. HIV spatial organisation and item adjustments, enacting PLHIV-friendly policies and wider stigma reduction initiatives could combined reduce risks of identification and enhance the privacy of health facility space and diminish stigma.
       
  • Disrupting assumptions of risky play in the context of structural
           marginalization: A community engagement project in a Canadian inner-city
           neighbourhood
    • Abstract: Publication date: Available online 30 November 2018Source: Health & PlaceAuthor(s): Alison J. Gerlach, Emily Jenkins, Kate Hodgson
       
  • Exposure to nature for children with autism spectrum disorder: Benefits,
           caveats, and barriers
    • Abstract: Publication date: Available online 29 November 2018Source: Health & PlaceAuthor(s): Dongying Li, Linda Larsen, Yan Yang, Lan Wang, Yujia Zhai, William C. Sullivan Autism spectrum disorder (ASD) is the fastest growing developmental disorder in countries across the world. Although recent studies have demonstrated the health benefits of nature for typically developing children and children with attention deficit hyperactivity disorder, it is unclear whether these benefits extend to children with ASD. In this study, we investigated whether benefits associated with exposure to nature could be observed by parents of children diagnosed with ASD. We conducted semi-structured interviews with 22 parents and caregivers of children on the spectrum from two cities in China. Results showed that exposure to nature provided motor-sensory, emotional and social benefits to children with ASD, although some of the identified benefits also come with concerns. Participants identified a wide range of barriers that make exposing their children to nature difficult. Among them, inappropriate behaviors, safety concerns, phobias and issues with the public realm emerged as critical hurdles. These findings suggest that practitioners should consider nature exposure as an intervention strategy, and planners and designers should create places that better accommodate the needs of children with ASD.
       
  • Restorative effects of urban green environments and the role of
           urban-nature orientedness and noise sensitivity: A field experiment
    • Abstract: Publication date: Available online 28 November 2018Source: Health & PlaceAuthor(s): Ann Ojala, Kalevi Korpela, Liisa Tyrväinen, Pekka Tiittanen, Timo Lanki In this experiment we investigated how individual differences in orientation towards built vs. nature environment as well as noise sensitivity affect psychological and physiological restoration in a constructed urban park, urban woodland and city centre of Helsinki, Finland. The participants, 30–61-year-old healthy women (N = 83), visited each study site once. The experiment consisted of a 15-min viewing session, followed by a 30-min walking session in each environment. We measured restorative effects: perceived restorative outcomes, vitality, and blood pressure in these three environments. The data were analysed in SAS with a linear mixed model. We found significant differences between environments in psychological restorative effects, but not in blood pressure. The urban-nature orientedness, and to a lesser extent noise sensitivity, modified the effect of environment on restoration. In conclusion, individual characteristics affect psychological restoration provided by various urban environments. Varying needs of individuals should be taken into account in city planning.
       
  • Comparing subjective and objective neighbourhood deprivation and their
           association with health over time among older adults in England
    • Abstract: Publication date: Available online 22 November 2018Source: Health & PlaceAuthor(s): Simran Godhwani, Stephen Jivraj, Alan Marshall, Laia Bécares The importance of neighbourhood on individual health is widely documented. Less is known about the relative role of objective and subjective reports of neighbourhood conditions, how their effect on health changes as people age, and whether they moderate each other’s impact on health. This study uses the English Longitudinal Study of Ageing (ELSA) to determine whether older adults report worse self-rated health as they age, and whether this differs between objective and subjective measures of neighbourhood. ELSA data contain 53,988 person-years across six waves collected biannually between 2002 and 03 and 2012 and 13. Objective neighbourhood conditions are measured by the 2004 Index of Multiple Deprivation, and subjective neighbourhood conditions are captured by a summative neighbourhood dissatisfaction score. We find both objective and subjective neighbourhood composite scores independently predict poor health. There is no change over time in the probability of reporting poor health by baseline objective or subjective neighbourhood scores, suggesting neighbourhood effects do not compound as older adults age. There is no moderating effect of area dissatisfaction on the relationship between neighbourhood deprivation and health. The findings provide little support for causal neighbourhood effects operating in later life and indicate different causal pathways through which objective and subjective neighbourhood deprivation impact on health.
       
  • Neighborhood socioeconomic status and adherence to dietary recommendations
           among Finnish adults: A retrospective follow-up study
    • Abstract: Publication date: Available online 22 November 2018Source: Health & PlaceAuthor(s): Hanna Lagström, Jaana I. Halonen, Ichiro Kawachi, Sari Stenholm, Jaana Pentti, Sakari Suominen, Mika Kivimäki, Jussi Vahtera Neighborhood socioeconomic status (SES) is associated with dietary habits among the residents, but few studies have examined this association separately among long-term residents and movers. We calculated cumulative neighborhood SES score weighted by residential time in each address over 6 years for non-movers (n = 7704) and movers (n = 8818) using national grid database. Increase in average neighborhood SES was associated with higher adherence to dietary recommendations in both groups. Among the movers, an upward trajectory from low to high neighborhood SES was also associated with better adherence. Our findings suggest high SES areas might offer healthier food environments than low SES areas.
       
  • Living ‘in between’ outside and inside: The forensic psychiatric unit
           as an impermanent assemblage
    • Abstract: Publication date: Available online 19 November 2018Source: Health & PlaceAuthor(s): Ian M. Tucker, Steven D. Brown, Ava Kanyeredzi, Laura McGrath, Paula Reavey This paper presents analysis from ‘a study of staff and patient experiences of the restrictive environments of a forensic psychiatric unit. The paper conceptualises the forensic unit as an impermanent assemblage, enacted in and through practices that hold a future life outside the unit simultaneously near, yet far. We show how the near-far relations between life inside and outside the unit operate in three ways; 1) in relation to the ‘care pathway’, 2) practices of dwelling, and 3) creating and maintaining connections to life ‘beyond’ the unit. The paper concludes with a discussion about possible ways to overcome the limitations to recovery that can arise through practices of impermanence.
       
  • The legacy of redlining in the effect of foreclosures on Detroit
           residents’ self-rated health
    • Abstract: Publication date: Available online 15 November 2018Source: Health & PlaceAuthor(s): Elizabeth McClure, Lydia Feinstein, Evette Cordoba, Christian Douglas, Michael Emch, Whitney Robinson, Sandro Galea, Allison E. Aiello Historical practices, such as housing discrimination in Detroit, have been shown to have lasting impacts on communities. Perhaps the most explicit example is the practice of redlining in the 1930s, whereby lenders outlined financially undesirable neighborhoods, populated by minority families, on maps and prevented residents from moving to better resourced neighborhoods. Awareness of historical housing discrimination may improve research assessing the impacts of current neighborhood characteristics on health. Using the Detroit Neighborhood Health Study (DNHS), we assessed the association between two-year changes in home foreclosure rates following the 2007–2008 Great Recession, and residents’ five-year self-rated health trajectories (2008–2013); and estimated the confounding bias introduced by ignoring historical redlining practices in the city. We used both ecological and multilevel models to make inference about person- and community-level processes. In a neighborhood-level linear regression adjusted for confounders (including percent redlined); a 10%-point slower foreclosure rate recovery was associated with an increase in prevalence of poor self-rated health of 0.31 (95% CI:−0.02 to 0.64). At the individual level, it was associated with a within-person increase in probability of poor health of 0.45 (95% CI:0.15–0.72). Removing redlining from the model biased the estimated effect upward to 0.38 (95% CI:0.07–0.69) and 0.56 (95% CI:0.21–0.84) in the neighborhood and individual-level models, respectively. Stratum-specific foreclosure recovery effects indicate stronger influence in neighborhoods with a greater proportion of residents identifying as white and a greater degree of historic redlining. These findings support earlier theory suggesting a historical influence of structural discrimination on the association between current neighborhood characteristics and health, and suggests that historical redlining specifically may increase vulnerability to contemporary neighborhood foreclosures. Community interventions should consider historical discrimination in conjunction with current place-based indicators to more equitably improve population health.
       
  • Physical and spatial assessment of school neighbourhood built environments
           for active transport to school in adolescents from Dunedin (New Zealand)
    • Abstract: Publication date: Available online 13 November 2018Source: Health & PlaceAuthor(s): Tessa Pocock, Antoni Moore, Michael Keall, Sandra Mandic Adolescent active transport to school (ATS) is influenced by demographic, social, environmental and policy factors. Yet, the relationship between school neighbourhood built environment (SN-BE) and adolescents’ ATS remains largely unexplored. This observational study examined associations between observed, objectively-measured and perceived SN-BE features and adolescents’ ATS in Dunedin (New Zealand). Adolescents’ perception of safety of walking to school was the strongest correlate of ATS among adolescents living ≤ 2.25 km of school, whereas assessed micro- and macro-scale SN-BE features were not significantly correlated with ATS. Adolescents’ perceptions of walking safety should be considered as a part of comprehensive efforts to encourage ATS.
       
  • Corrigendum to “The effects of built environment attributes on physical
           activity-related health and health care costs outcomes in Australia”
           [Health Place 42 (2016) 19–29]
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Belen Zapata-Diomedi, Ana Maria Mantilla Herrera, J. Lennert Veerman
       
  • Safety and wellbeing as spatial capacities: An analysis from two
           ethnographic studies in primary care and palliative care contexts
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Suzanne Grant, Aileen Collier Patient safety and quality of care are increasing concerns for healthcare internationally. This paper examines the spatial achievement of safety and wellbeing by healthcare staff, patients and their carers within UK primary care and Australian palliative care contexts. Two key socio-spatial modes of safety and wellbeing were found across these healthcare contexts. The technical mode was spatially managed by staff and driven by formal approaches to safety with a limited focus on wellbeing. In contrast, the relational mode was driven by attentiveness to the wellbeing and spatial engagement of staff, patients and carers that drew on informal elements of safety. Both modes extended across public, private, biomedical and administrative spaces, with technical and relational safety-wellbeing configurations often inhabiting the same spaces. Differences also existed across primary and palliative care contexts that reflected the unique pressures present within each context, and the ability of people and places to adapt to these demands. In the context of increasing workloads in healthcare internationally, this study highlights the benefits of attending as much to the relational dimensions of safety and quality of care as to the technical ones through increased focus on the safety and wellbeing of healthcare staff, patients and carers within and beyond traditional sites of care.
       
  • Environmental characteristics of early childhood education and care, daily
           movement behaviours and adiposity in toddlers: A multilevel mediation
           analysis from the GET UP! Study
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Zhiguang Zhang, João R. Pereira, Eduarda Sousa-Sá, Anthony D. Okely, Xiaoqi Feng, Rute Santos Study objectiveThis study aimed to examine the direct effects of environmental characteristics of early childhood education and care (ECEC) centres on adiposity, and the indirect effects through daily movement behaviours (physical activity, sedentary time and naps).Methods274 children (average age 19.73 ± 4.15 months) from 27 ECEC centres participated in this study. Environmental characteristics of ECEC centres were rated using the Infant/Toddler Environment Rating Scale-revised edition (ITERS-R). Daily movement behaviours were assessed using 24-h accelerometry. Body mass index z-scores were used to indicate adiposity.ResultsThere were no significant direct effects or indirect effects of environmental characteristics on toddlers’ adiposity through daily movement behaviours. However, the environmental characteristics of “personal care routine” (B=0.72, p = 0.041) and “activity” (B = 0.87, p 
       
  • ‘It's like being in Tattooville’: An ethnographic study of territorial
           stigma and health in a post-industrial town in the North East of England
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): K. Garthwaite, C. Bambra
       
  • Context Matters: Examining children's perceived barriers to physical
           activity across varying Canadian environments
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Leah G. Taylor, Andrew F. Clark, Jason A. Gilliland Children's perceptions of their environment have been associated with their physical activity (PA) levels, however a better understanding of the formation of perceptions within different contexts is needed. This will help to inform decision making related to physical inactivity trends in Canadian children. We examined socio-ecological factors influencing children's perceptions of barriers to PA in Ontario, Canada. Binary logistic regression models measured the relationship between perceptions of barriers and PA for 892 children in Ontario. At the intrapersonal level, girls reported the most barriers to PA. Interpersonally, children whose mother was employed reported the most barriers. At the physical environment level, children in urban and suburban neighbourhoods of large cities, and rural areas reported the most barriers, differing relative to population size. The major contribution of this paper is a new perspective of environmental influences on children's perceptions of PA, using an urbanicity spectrum, and highlighting place specific needs of Canadian children.
       
  • “Here we are part of a living culture”: Understanding the cultural
           determinants of health in Aboriginal gathering places in Victoria,
           Australia
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Jonathan Kingsley, Emily Munro-Harrison, Anne Jenkins, Alister Thorpe This article provides an exploration of the cultural determinants of health, based on a research evaluation investigating a number of Aboriginal gathering places in Victoria (Australia). Gathering places are recognised as settings in which people practice and learn about local Aboriginal culture, history and place. Academic literature on gathering places is sparse. Thirteen gathering places were evaluated in this research. Each site is unique and has a specific story that connects it to the history and geography of the place in which it is located. Sixty-nine gathering place members participated in qualitative semi-structured interviews or focus groups. Using thematic analysis, the findings were divided into four key themes associated with cultural determinants of health (social networks; inclusiveness; empowerment; connections). These elements create a safe place to learn about culture and Country, and support an environment for strengthening identity, improving health and building resilience. The findings from this study highlight the benefits of using gathering places to explore the cultural determinants of health.
       
  • “Where we wanna be”: The role of structural violence and place-based
           
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Anta F. Yu, Hope House Men and Alumni In this study, we used photovoice and grounded theory to understand the barriers and resources encountered by Black men navigating substance use recovery and/or reentry following incarceration in an urban, economically disadvantaged neighborhood. The conceptual framework that emerged highlighted the significant impact of traumatic disruptions to place and relationships, as well as an ongoing dialectical tension between considering passive participation in street life or choosing recovery. Regarding action steps, participants recommended investing in community infrastructure, rehabilitating adults to be mentors, and mentoring youth to prevent street involvement. Results highlight the importance of using trauma-informed interventions and participatory methods to improve health at individual and community levels.
       
  • Voices from the landscape: Storytelling as emergent counter-narratives and
           collective action from northern BC watersheds
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Maya K. Gislason, Vanessa Sloan Morgan, Kendra Mitchell-Foster, Margot W. Parkes The 'Ecohealth and Watersheds in Northern BC'' project, situated in a resource rich, settler colonial context, generated three digital stories at the request of the project's Steering Committee members that sought to connect health, environment, and community. Three Steering Committee members championed these stories from their distinct watersheds, resulting in emergent counter-narratives that respond directly to their social-ecological contexts. Nested in literature on blue and green spaces, we present and examine the process of storytelling as emergent counter-narrative and how these narratives challenge us to think of blue and green spaces in interconnected and nuanced ways.
       
  • Neighborhoods matter. A systematic review of neighborhood characteristics
           and adolescent reproductive health outcomes
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Martha J. Decker, Sarah Isquick, Lana Tilley, Qi Zhi, Anya Gutman, William Luong, Claire D. Brindis This systematic review examines the relationship between neighborhood characteristics and adolescent pregnancy, contraceptive use, sexual initiation, and birthrate. Several studies found a significant association between higher poverty and increased adolescent birthrate, pregnancy, and earlier age at sexual initiation. Unsafe neighborhoods were associated with earlier sexual initiation and increased adolescent pregnancy. Mixed results were found for neighborhood racial or ethnic composition. Lower collective efficacy and social support were associated with increased rates of adolescent pregnancy and earlier age at sexual initiation. Improved definitions of neighborhoods, as well as research on interactions between structural factors and social processes during adolescence is needed.
       
  • Developing agent-based models of complex health behaviour
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Jennifer Badham, Edmund Chattoe-Brown, Nigel Gilbert, Zaid Chalabi, Frank Kee, Ruth F. Hunter Managing non-communicable diseases requires policy makers to adopt a whole systems perspective that adequately represents the complex causal architecture of human behaviour. Agent-based modelling is a computational method to understand the behaviour of complex systems by simulating the actions of entities within the system, including the way these individuals influence and are influenced by their physical and social environment. The potential benefits of this method have led to several calls for greater use in public health research. We discuss three challenges facing potential modellers: model specification, obtaining required data, and developing good practices. We also present steps to assist researchers to meet these challenges and implement their agent-based model.
       
  • Association between residential self-selection and non-residential built
           environment exposures
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Nicholas A. Howell, Steven Farber, Michael J. Widener, Jeff Allen, Gillian L. Booth Studies employing ‘activity space’ measures of the built environment do not always account for how individuals self-select into different residential and non-residential environments when testing associations with physical activity. To date, no study has examined whether preferences for walkable residential neighborhoods predict exposure to other walkable neighborhoods in non-residential activity spaces. Using a sample of 9783 university students from Toronto, Canada, we assessed how self-reported preferences for a walkable neighborhood predicted their exposure to other walkable, non-residential environments, and further whether these preferences confounded observed walkability-physical activity associations. We found that residential walkability preferences and non-residential walkability were significant associated (β = 0.42, 95% CI: (0.37, 0.47)), and further that these preferences confounded associations between non-residential walkability exposure and time spent walking (reduction in association = 10.5%). These results suggest that self-selection factors affect studies of non-residential built environment exposures.
       
  • Geographic variation in the impact of a type 2 diabetes diagnosis on
           behavioural change: A longitudinal study using random effects
           within-between (REWB) models
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Thomas Astell-Burt, Xiaoqi FengSummaryA type 2 diabetes (T2DM) diagnosis has been referred to as a “wake-up call”, but subsequent behavioural change may be influenced by place of residence. Random effects within-between regressions were applied to 130,926 participants in the 45 and Up Study. T2DM diagnoses effected change in the odds of short sleeps and meeting vegetable and alcohol consumption guidelines, but not changes in physical activity. Each of these behaviours varied geographically and were patterned by area disadvantage and geographic remoteness. Impacts of T2DM diagnosis on behavioural change were not found to be geographically contingent, though analysis of specific environmental attributes is warranted.
       
  • Exposure to violence, neighborhood context, and health-related outcomes in
           low-income urban mothers
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Xi Huang, Christian King, Jennifer McAtee Exposure to violence in youths has been associated with negative health outcomes, yet evidence of such in adults is limited. Additionally, it is unknown whether these negative associations persist over time and whether neighborhood characteristics affect such associations. Using longitudinal data from a sample of 2481 mostly low-income urban mothers, logistic regressions indicate that exposure to violence is associated with several poorer health outcomes after accounting for neighborhood and social factors. Also, these poorer health outcomes persisted for two years after violence exposure. This analysis underscores the need to invest in efforts to prevent and reduce exposure to violence.
       
  • Is the risk of developing Alzheimer's disease really higher in rural
           areas' A multilevel longitudinal study of 261,669 Australians aged 45
           years and older tracked over 11 years
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Thomas Astell-Burt, Xiaoqi Feng Cross-sectional studies of Alzheimer's disease tend to report higher risk in ‘rural’ areas. Multilevel longitudinal analysis of 261,669 participants in the Sax Institute's 45 and Up Study was conducted, tracking incidence of Alzheimer's disease defined by the first cholinesterase inhibitor prescription via linked records from the Department of Human Services in Australia. Alzheimer's disease was diagnosed in 3046 participants over 11 years. Adjusting for age, gender, education, income and area disadvantage, Alzheimer's disease risk was lower in ‘outer regional and remote areas’ (incident rate ratio 0.81, 95%CI 0.67–0.97) compared with ‘major cities’. Further research on environmental factors is warranted.
       
  • Seasonal mobility and well-being of older people: The case of
           ‘Snowbirds’ to Sanya, China
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Lirong Kou, Honggang Xu, Mei-Po Kwan Seasonal retired migrants have increased rapidly in developing countries in recent years. This article adopts a relational perspective to understand the relationships between older people's seasonal mobility and well-being. It shows that the complex spatiotemporal dynamics of seasonal mobility and the non-western sociocultural context influence older people's relations with their places of origin and destination, which in turn shape their well-being experiences during seasonal mobility. Narrative analysis of interview data from five pairs of ‘snowbirds’ to Sanya, China, reveals that seasonal mobility and well-being of older people are evolving processes, interwoven with risks and opportunities. Older people construct routinized daily activities, stable social relations, and peer-supporting and active-aging environments in their place of destination to maintain short-term well-being. However, they encounter difficulties in integrating the corporeal and social dimensions of their bodily experiences and constructing long-term well-being due to their separations from their lifelong relations in their places of origin. But overall, seasonal mobility creates alternative options for aging across multiple places and promotes leisure-oriented aging life.
       
  • It's not easy assessing greenness: A comparison of NDVI datasets and
           neighborhood types and their associations with self-rated health in New
           York City
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Colleen E. Reid, Laura D. Kubzansky, Jiayue Li, Jessie L. Shmool, Jane E. Clougherty Growing evidence suggests that exposure to greenness benefits health, but studies assess greenness differently. We hypothesize greenness-health associations vary by exposure assessment method. To test this, we considered four vegetation datasets (three Normalized Difference Vegetation Index datasets with different spatial resolutions and a finely-resolved land cover dataset), and six aggregation units (five radial buffer sizes and self-described neighborhoods) of each dataset. We compared associations of self-rated health and these metrics of greenness among a sample of New York City residents. Associations with self-rated health varied more by aggregation unit than by vegetation dataset; larger buffers and self-described neighborhoods showed more positive associations. Researchers should consider spatial exposure misclassification in future greenness and health research.
       
  • Factors associated with voluntary testing for HBV in the Upper West Region
           of Ghana
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Florence Wullo Anfaara, Kilian Nasung Atuoye, Paul Mkandawire, Isaac Luginaah This study examined the role of health facilities on testing for Hepatitis B virus in a policy context where screening is only available at a cost. We fitted multivariate multinomial logistic regression models to cross-sectional data (n = 1374) collected from Upper West Region of Ghana. The analysis showed that approximately 28% of respondents reported ever testing for HBV. Although source of healthcare influenced HBV testing, traders (RRR = 0.29, p ≤ 0.001) and farmers (RRR = 0.34, p ≤ 0.01) were significantly less likely to test voluntarily. Wealth generally predicted voluntary testing, although less so for mandatory testing. The findings highlight the need for free HBV services targeting the very poor, especially those who use community-level health facilities as their primary source of care.
       
  • Populations, megapopulations, and the areal unit problem
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Tom Koch Models of epidemic disease and programs for their management require accurate population data as a critical component of most studies. But the traditional definitions of urban places assumed discrete borders and localized populations. The vast increase in urban travel at all scales has raised the problem of how we define those urban populations. This paper reviews the issues as an areal unit problem within the context of the evolving idea of "megaregions" and their defintion.
       
  • “If walls could talk”: A photo-elicitation-based observation of
           service users' perceptions of the care setting and of its influence on the
           therapeutic alliance in addiction treatment
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Julie Bailly, Olivier Taïeb, Marie Rose Moro, Thierry Baubet, Aymeric Reyre A good quality therapeutic alliance is central to the support and treatment of people who use psychoactive substances. Although previous research has suggested that place has an important role in sustaining the therapeutic alliance, this issue has been insufficiently explored in the field of addiction treatment. We conducted a qualitative study using photo-elicitation and interviewing service users in an outpatient addiction treatment centre. They reported both strongly positive and negative perceptions of the place, alongside an unstable therapeutic alliance. Apprehending the place in which care is delivered as a dynamic relational network helps to understand the role of place in shaping the therapeutic alliance in addiction treatment. There is a need for careful design and layout, and thoughtful organisation of these places.
       
  • Coastal blue space and depression in older adults
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Seraphim Dempsey, Mel T. Devine, Tom Gillespie, Seán Lyons, Anne Nolan This paper tests whether higher exposure to coastal blue space is associated with lower risk of depression using data from The Irish Longitudinal Study on Ageing (TILDA), a nationally representative longitudinal study of people aged fifty and over in Ireland. We contribute to the literature on blue space and health by (i) using scores from the Center for Epidemiologic Studies Depression Scale (CES-D) to measure depression outcomes (ii) using new measures of coastal blue space visibility (iii) studying the association in an older population (iv) using data from Ireland. Our results indicate that exposure to coastal blue space is associated with beneficial mental health outcomes: TILDA respondents with the highest share of sea view visibility have lower depression (CES-D) scores, while distance from coastline is not statistically significant when views and proximity are both included in the model. This finding supports the idea that the primary channel through which coastal blue space operates to reduce depression scores is visual rather than related to physical proximity.
       
  • Children's home and school neighbourhood exposure to alcohol marketing:
           Using wearable camera and GPS data to directly examine the link between
           retailer availability and visual exposure to marketing
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): T. Chambers, A.L. Pearson, I. Kawachi, J. Stanley, M. Smith, M. Barr, C. Ni Mhurchu, L. Signal Background and aimNeighbourhood alcohol availability has been associated with alcohol consumption by children, despite children rarely acquiring alcohol from retailers. This study explores one potential reason for this finding, by evaluating the relationships between neighbourhood alcohol availability and children's actual exposure to alcohol marketing.MethodWearable cameras and GPS devices were worn by 167 children (aged 11–13 y) over a four-day period. Image and GPS data were linked and compared to known alcohol availability data.ResultsOff-licence retailer availability and ethnicity were positively associated with children's exposure to marketing in both residential and school neighbourhoods.ConclusionNeighbourhood off-licence alcohol retailers are associated with increased childhood exposure to alcohol marketing.
       
  • The influence of social networks and the built environment on physical
           inactivity: A longitudinal study of urban-dwelling adults
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Michele J. Josey, Spencer Moore Policies targeting the built environment to increase physical activity may be ineffective without considering personal social networks. Physical activity and social network data came from the Montreal Neighborhood Networks and Healthy Aging Panel; built environment measures were from geolocation data on Montreal parks and businesses. Using multilevel logistic regression with repeated physical inactivity measures, we showed that adults with more favorable social network characteristics had lower odds of physical inactivity. Having more physical activity facilities nearby also lowered physical inactivity, but not in socially-isolated adults. Community programs that address social isolation may also benefit efforts to increase physical activity.
       
  • Green infrastructure and violence: Do new street trees mitigate violent
           crime'
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Blair Alexandra Burley Exposure to violence has been deemed as a public health epidemic due to its negative impact on mental health outcomes, especially for residents of neighborhoods where violent crime is prevalent. Access to nature has the potential to mitigate diminished mental health outcomes, such as aggression. However, current literature specifying effective and equitable green infrastructure practices is lacking. The purpose of this study was to measure the extent to which Portland's green infrastructure initiative reduced neighborhood violence by increasing the availability of new trees to residents of underserved communities as a modality for green infrastructure intervention. Lagged multilevel modeling was used to determine whether an increase in new street trees resulted in reduced violent crime counts in the years following the planting of the trees. Results indicated that there was a strong negative correlation between the number of trees planted and violent crimes in the years following the planting of trees, net of neighborhood covariates. This effect was especially pronounced in neighborhoods with lower median household income. These findings suggest that the inclusion of new street trees in underserved neighborhoods may be one solution to the endemic of violence in such neighborhoods.
       
  • Physical activity as a mediator of the associations between perceived
           environments and body mass index in Chinese adolescents
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Jing-jing Wang, Mei Wang, Patrick W.C. Lau, Barbara E. Ainsworth, Gang He, Yang Gao This study examined whether physical activity (PA) mediated the relationships of four PA-related environmental settings (home, school, neighborhood environments and convenient facilities) with body mass index (BMI) among Chinese adolescents aged 13–18 years. Two setting indicators were assessed: (1) perceived availability of environmental resources and (2) perceived importance of environmental resources. Mediation analysis indicated that PA mediated the associations of perceived availability of the home environment, convenient facilities, and perceived importance of the school environment and BMI z-score with ratios of mediating to total effects of 46.2%, 37.1%, and 37.5% respectively. Findings suggest that PA is a mechanism by which several environmental correlates may affect adolescents’ body weight.
       
  • After polio: Imagining, planning, and delivering a world beyond
           eradication
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Stephen Taylor As the world comes closer to the eradication of polio, the question of preparing for life after this debilitating disease becomes increasingly pertinent. This paper focuses on on-going institutional attempts to conceptualise, plan, and deliver a world after polio. Drawing upon interviews with global health officials and ethnographic fieldwork with eradication initiatives in Nigeria and Pakistan, I explore how international donors are transitioning towards life after the disease and the curtailment of the substantial resources it has successfully mobilised. Focusing specifically on the wind-down of the Global Polio Eradication Initiative, I critically examine key risks emerging from polio transition and highlight a series of spatial and political assumptions about the emergent post-polio contours of global health that have largely been obscured by attempts to render transition planning as little more than a technical exercise.
       
  • More than gangsters and girl scouts: Environmental health perspectives of
           urban youth
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Sandra Bogar, Staci Young, Shane Woodruff, Kirsten Beyer, Rod Mitchell, Sheri Johnson The purpose of this study was to explore environmental health perspectives among urban youth. A total of 12 focus groups with 64 youth were conducted. Youth defined environmental health in a multidimensional manner which integrated aspects of the physical, social, and built environment and concentrated on the neighborhood context. A theme of environmental health resilience factors and sub-themes of safety, trust, engagement, leadership, and representation were identified and described. A second theme of underlying structural drivers of environmental health with sub-themes of equitable opportunities and power inform environmental health. A conceptual model was developed to guide future environmental health research and action.
       
  • Connecting qualitative research on exercise and environment to public
           health agendas requires an equity lens
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Stephanie E. Coen In this commentary, I respond to the special section in Health & Place (vol. 46) on “Exercise and environment: new qualitative work to link popular practice and public health” edited by Hitchings and Latham. I argue that if qualitative research is to effectively inform public health policy and practice it cannot ignore the fact that physical activity participation is inequitable. Without building in a critical equity lens, geographers risk perpetuating the “inequality paradox”—that is, the potential for population health interventions to inadvertently exacerbate health inequalities. Related to this, I challenge the editors’ assumption that geographers’ critiques of public health approaches to physical activity and our applied efforts to foster physical activity participation are mutually exclusive endeavours. Rather, I argue they are mutually necessary within a social justice agenda. Finally, I close this commentary by offering ways forward for qualitative research on exercise and environment to connect with public health agendas and inform interventions.
       
  • Developing an openly accessible multi-dimensional small area index of
           ‘Access to Healthy Assets and Hazards’ for Great Britain, 2016
    • Abstract: Publication date: November 2018Source: Health & Place, Volume 54Author(s): Mark A. Green, Konstantinos Daras, Alec Davies, Ben Barr, Alex Singleton Health geographers have been long concerned with understanding how the accessibility of individuals to certain environmental features may influence health and wellbeing. Such insights are increasingly being adopted by policy makers for designing healthy neighbourhoods. To support and inform decision making, there is a need for small area national level data. This paper details the creation of a suite of open access health indicators, including a novel multidimensional index summarising 14 health-related features of neighbourhoods for Great Britain. We find no association of our overall index with physical health measures, but a significant association to mental wellbeing.
       
  • Residential mobility during pregnancy in Urban Gansu, China
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Zhongfeng Tang, Hanru Zhang, Haiya Bai, Ya Chen, Nan Zhao, Min Zhou, Hongmei Cui, Catherine Lerro, Xiaojuan Lin, Ling Lv, Chong Zhang, Honghong Zhang, Ruifeng Xu, Daling Zhu, Yun Dang, Xudong Han, Xiaoying Xu, Ru Lin, Tingting Yao, Jie Su BackgroundStudies on environmental exposures during pregnancy commonly use maternal residence at time of delivery, which may result in exposure misclassification and biased estimates of exposure and disease association. Studies on residential mobility during pregnancy are needed in various populations to aid studies of the environmental exposure and birth outcomes. However, there is still a lack of studies investigating residential mobility patterns in Asian populations.MethodsWe analyzed data from 10,542 pregnant women enrolled in a birth cohort study in Lanzhou, China (2010–2012), a major industrial city. Multivariate logistic regression was used to evaluate residential mobility patterns in relation to maternal complications and birth outcomes.ResultsOf the participants, 546 (5.2%) moved during pregnancy; among those who moved, 40.5%, 34.8%, and 24.7% moved during the first, second, and third trimester, respectively. Most movers (97.3%) moved once with a mean distance of 3.75 km (range: 1–109 km). More than half (66.1%) of the movers moved within 3 km, 13.9% moved 3–10 km, and 20.0% moved> 10 km. Pregnant women who were > 30 years or multiparous, or who had maternal complications were less likely to have moved during pregnancy. In addition, movers were less likely to deliver infants with birth defects, preterm births, and low birth weight.ConclusionsResidential mobility was significantly associated with several maternal characteristics and complications during pregnancy. The study also showed a lower likelihood of adverse birth outcomes among movers than non-movers, suggesting that moving might be related to reduce exposure to environmental hazards. These results confirm the hypothesis that residential mobility may be important with respect to exposure misclassification and that this misclassification may vary by subpopulations.
       
  • The psychological wellbeing benefits of place engagement during walking in
           urban environments: A qualitative photo-elicitation study
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Anna Bornioli, Graham Parkhurst, Phillip L. Morgan The psychological wellbeing potential of walking in urban environments has received limited attention from scholars, despite the important public health implications of identifying characteristics of urban settings that support wellbeing and encourage behaviour change. The study is the first to explore psychological wellbeing experiences of urban walking framed by theories of restorative environments and therapeutic landscape. Self-reported psychological wellbeing experiences of walking in urban settings were investigated with an innovative application of the photo-elicited interview. Fourteen adults took individual walks in Bristol city centre and photographed their journey; photographs were then discussed during the interview. Participants reported specific engagements with place related to personal connections, the identity of place, and sense of community that resulted in psychological wellbeing benefits. The findings also support the notion that non-natural elements can promote positive affective and cognitive appraisals. Building on the finding that also urban walking can support psychological wellbeing, the findings encourage future research into the health potential of different characteristics of built environments.
       
  • Heatwave and health impact research: A global review
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Sharon Campbell, Tomas A. Remenyi, Christopher J. White, Fay H. Johnston BackgroundObserved increases in the frequency and intensity of heatwave events, together with the projected acceleration of these events worldwide, has led to a rapid expansion in research on the health impacts of extreme heat.ObjectiveTo examine how research on heatwaves and their health-related impact is distributed globally.MethodsA systematic review was undertaken. Four online databases were searched for articles examining links between specific historical heatwave events and their impact on mortality or morbidity. The locations of these events were mapped at a global scale, and compared to other known characteristics that influence heat-related illness and death.ResultsWhen examining the location of heatwave and health impact research worldwide, studies were concentrated on mid-latitude, high-income countries of low- to medium-population density. Regions projected to experience the most extreme heatwaves in the future were not represented. Furthermore, the majority of studies examined mortality as a key indicator of population-wide impact, rather than the more sensitive indicator of morbidity.ConclusionWhile global heatwave and health impact research is prolific in some regions, the global population most at risk of death and illness from extreme heat is under-represented. Heatwave and health impact research is needed in regions where this impact is expected to be most severe.
       
  • Rural dwellers are less likely to survive cancer – An international
           review and meta-analysis
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Romi Carriere, Rosalind Adam, Shona Fielding, Raphae Barlas, Yuhan Ong, Peter Murchie BackgroundExisting research from several countries has suggested that rural-dwellers may have poorer cancer survival than urban-dwellers. However, to date, the global literature has not been systematically reviewed to determine whether a rural cancer survival disadvantage is a global phenomenon.MethodsMedline, CINAHL, and EMBASE were searched for studies comparing rural and urban cancer survival. At least two authors independently screened and selected studies. We included epidemiological studies comparing cancer survival between urban and rural residents (however defined) that also took socioeconomic status into account. A meta-analysis was conducted using 11 studies with binary rural:urban classifications to determine the magnitude and direction of the association between rurality and differences in cancer survival. The mechanisms for urban-rural cancer survival differences reported were narratively synthesised in all 39 studies.Findings39 studies were included in this review. All were retrospective observational studies conducted in developed countries. Rural-dwellers were significantly more likely to die when they developed cancer compared to urban-dwellers (HR 1.05 (95% CI 1.02 – 1.07). Potential mechanisms were aggregated into an ecological model under the following themes: Patient Level Characteristics; Institutions; Community, Culture and Environment; Policy and Service Organization.InterpretationRural residents were 5% less likely to survive cancer. This effect was consistently observed across studies conducted in various geographical regions and using multiple definitions of rurality. High quality mixed-methods research is required to comprehensively evaluate the underlying factors. We have proposed an ecological model to provide a coherent framework for future explanatory research.FundingNone.
       
  • Linking profiles of neighborhood elements to health and related outcomes
           among children across the United States
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Sabrina R. Liu, Maryam Kia-Keating, Diana E. Santacrose, Sheila Modir The current study explored association of neighborhood elements to children’s health and related outcomes. Nationally representative data (N = 49,513,974, ages 6-17, 51.1% Male) was used to empirically define classes of neighborhoods based on presence or absence of various neighborhood elements. Analyses resulted in a three-class model: 1) “High Assets, Low Disorganization” (64.57%), 2) “High Assets, High Disorganization” (13.51%), and 3) “Few Assets, Low Disorganization” (21.91%). Class Membership was differentially associated with health, flourishing, and neighborhood cohesion. Results suggest health interventions should focus on increasing neighborhood assets, decreasing levels ofneighborhood violence and poverty, and improving social dynamics of neighborhoods.
       
  • Multilevel socioeconomic differentials in allostatic load among Chinese
           adults
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Hongwei Xu Capitalizing on the biomarker data from the 2009 wave of the China Health and Nutrition Survey (CHNS), this study examines the extent to which multilevel socioeconomic status (SES) gets “under the skin” to affect individuals’ health, measured by allostatic load (AL). Multilevel analyses suggest that in the context of China's socioeconomic and health transitions, high income, prestigious but sedentary occupations, and high level of urbanization were independently associated with higher AL scores, or increased health risks of physiological dysfunction in cardiovascular, metabolic, inflammation, and urinary systems. Higher educational attainment was related to a decrease in AL, but the significant difference was only observed among the college-educated compared to lower levels of education.
       
  • Neighborhood ethnic density and self-rated health: Investigating the
           mechanisms through social capital and health behaviors
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Tse-Chuan Yang, Lei Lei, Aysenur Kurtulus While living with co-ethnics benefits minorities’ health, the so-called ethnic density effect, little is known about the mechanisms through which neighborhood ethnic density influences self-rated health. We examine two pathways, namely neighborhood social capital and health behaviors, with a 2010 survey collected in Philadelphia (2297 blacks and 492 Hispanics). The mediation analysis indicates that (1) living with co-ethnics is beneficial to both blacks’ and Hispanics’ self-rated health, (2) neighborhood social capital and health behaviors mediate almost 15% of the ethnic density effect for blacks, and (3) the two mechanisms do not explain why living with co-ethnics improves Hispanics’ health.
       
  • Life lines: Loss, loneliness and expanding meshworks with an urban Walk
           and Talk group
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Jessica Muir, Laura McGrath There is ample evidence that loneliness and social isolation are important in the development of distress, and harmful to recovery. UK mental health services, however, have been moving away from interventions which prioritise relationality, and towards professionally-led, individualised treatments. In addition, those experiencing distress experience multiple spatial exclusions which can compound isolation and loneliness. This paper examines the role of an urban Walk and Talk group in the lives of long term mental health service users. Using an ecological frame, Ingold's concept of 'meshwork' is used to explore the complex of social, personal and spatial relationships which contribute to participants' experiences of everyday living. Four themes are explored: Fading lines: Fossilised meshworks of loneliness and loss; Therapeutic nodes: Atomised sanctuary and respite in everyday space; Reciprocity and authenticity: Strengthening relational meshworks; and Remaking everyday spaces: Revitalising meshworks through collectivity. The findings are discussed in light of the literature on loneliness, relationships and mental health interventions.
       
  • People and places shaping food procurement among recipients of
           Supplemental Nutrition Assistance Program (SNAP)
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Madalena F. Monteban, Kimberly D. Bess, Colleen C. Walsh, Heather Baily, Susan A. Flocke, Elaine A. Borawski, Darcy A. Freedman A key gap in existing food environment research is a more complex understanding of the interplay between physical and social contexts, including the influence of social networks on food habits. This mixed methods research examined the nature of social connections at food procurement places among a sample of 30 people receiving Supplemental Nutrition Assistance Program (SNAP) benefits in an urban setting. Results highlight the significance of social connections as motivators to use food places, the value of access to information and other resources at food places, and the role of weak ties with actors within food places to facilitate utilization and interaction. Social connections at the varied places individuals procure food may be leveraged to disseminate information and resources to further healthy food access.
       
  • Desert as therapeutic space: Cultural interpretation of embodied
           experience in sand therapy in Xinjiang, China
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Ke Wang, Qingming Cui, Honggang Xu The existing research on therapeutic landscapes reveals more positive and pleasant experiences generated in blue and green spaces and their effects on health. This study draws on a case study of sand therapy at Turpan City in China in order to explore in the ‘yellow’ space of the desert how painful embodied experiences and cultural beliefs are assembled to produce therapeutic experiences. The results show that the sand therapy participants sought painful haptic sensations such as burning, heat and sweating by touching hot sand as treatment. Individuals interpreted these painful bodily sensations through health-related cultural beliefs of yin-yang balance and Qi to generate particular therapeutic experiences. This study suggests the researchers to be more attentive to painful therapeutic landscapes.
       
  • The effect of infrastructural changes in the built environment on physical
           activity, active transportation and sedentary behavior – A systematic
           review
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): N.E.H. Stappers, D.H.H. Van Kann, D. Ettema, N.K. De Vries, S.P.J. Kremers This systematic review examined the effect of built environment infrastructural changes (BEICs) on physical activity (PA), active transportation (AT) and sedentary behavior (SB). A literature search resulted in nineteen eligible articles. On- and off-road bicycling and/or walking trails resulted in inconsistent effects on overall PA and walking, and in predominantly positive effects on bicycling. More extensive BEICs led to mixed results, with mainly non-significant effects. However, positive effects on bicycling were found for people living closer to BEICs. None of the studies assessed SB. Improved understanding of the potential of BEICs to increase PA levels and decrease SB at population level asks for more high-quality, in-depth research, that takes into account the broader system.
       
  • Multifactorial combinations predicting active vs inactive stages of change
           for physical activity in adolescents considering built environment and
           psychosocial factors: A classification tree approach
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Susana Aznar, Ana Queralt, Xavier García-Massó, Israel Villarrasa-Sapiña, Javier Molina-García
       
  • Neighborhood food environment, dietary fatty acid biomarkers, and cardiac
           arrest risk
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Stephen J. Mooney, Rozenn N. Lemaitre, David S. Siscovick, Philip Hurvitz, Charlene E. Goh, Tanya K. Kaufman, Garazi Zulaika, Daniel M. Sheehan, Nona Sotoodehnia, Gina S. Lovasi We explored links between food environments, dietary intake biomarkers, and sudden cardiac arrest in a population-based longitudinal study using cases and controls accruing between 1990 and 2010 in King County, WA. Surprisingly, presence of more unhealthy food sources near home was associated with a lower 18:1 trans-fatty acid concentration (−0.05% per standard deviation higher count of unhealthy food sources, 95% Confidence Interval [CI]: 0.01, 0.09). However, presence of more unhealthy food sources was associated with higher odds of cardiac arrest (Odds Ratio [OR]: 2.29, 95% CI: 1.19, 4.41 per standard deviation in unhealthy food outlets). While unhealthy food outlets were associated with higher cardiac arrest risk, circulating 18:1 trans fats did not explain the association.
       
  • Social exclusion and cognitive impairment - A triple jeopardy for Chinese
           rural elderly women
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Yi Yang, Wei-Jun Jean Yeung, Qiushi Feng This study investigates how social exclusion, defined as a multidimensional concept encompassing financial deprivation, social isolation, and a lack of basic social rights, is associated with cognitive impairment of elderly Chinese. Using three waves of the Chinese Longitudinal Healthy Longevity Survey (N = 10,923), we find that rural elderly women are the most vulnerable to social exclusion (17.28%) and cognitive impairment (18.52%) among the Chinese elderly. After addressing the methodological challenges of endogeneity and sample attrition due to mortality, and holding an array of demographic, lifestyle, and health variables constant, we find that social exclusion is significantly associated with higher risks of cognitive impairment. Rural elderly women suffering from severe or extreme social exclusion are 23 times more likely to be cognitively impaired as compared to their urban male counterparts who are not socially excluded. Lack of participation in social activity is the most common risk factor associated with cognitive impairment across groups, after controlling for relevant covariates.
       
  • School racial composition and lifetime non-medical use of prescription
           painkillers: Evidence from the national longitudinal study of adolescent
           to adult health
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Amy Ehntholt, Mauricio Avendano, Roman Pabayo, Lisa F. Berkman, Ichiro Kawachi ObjectiveTo investigate the possible effects of middle and high school racial composition on later reporting of lifetime non-medical use of prescription painkillers (NMUPP) in young adulthood, and to explore whether there is evidence of variability by individual race/ethnicity in such effects.MethodsUsing data from Wave 1 (1994/5) of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we categorized the sample's 52 middle schools and 80 high schools as majority (>50%) non-Hispanic white, majority non-Hispanic black, or neither. We used two-level hierarchical modeling to explore associations between individual- and school-level race at Wave 1 and lifetime prescription painkiller misuse reported at Wave 4. We included a cross-level interaction between individual race and school racial composition to assess variability in school-level associations by race.ResultsOverall crude prevalence of lifetime NMUPP in majority white schools (17.9%) was over three times that of prevalence in majority black schools (4.8%), and also higher than prevalence in schools neither predominantly black nor predominantly white (12.4%). Lifetime misuse among blacks in majority white schools was more prevalent (5.2%) than among blacks in black schools (2.8%), as was misuse among whites in white schools (19.3%) compared to their white peers in black schools (15.7%). Two-level random intercept Poisson regression results suggest that attendance in a majority black secondary school lowered a participant's risk of lifetime NMUPP (compared to attending a majority white school: RR=0.66, p = 0.03). Compared to blacks in black schools, blacks in white schools had twice the risk of prescription painkiller misuse (p = 0.004) over a decade later, and whites in white schools had 5.5 times the risk (p = 0.01). The risk ratio comparing whites in black schools to whites in white schools was not significant (RR: 1.30; p = 0.37).ConclusionsWe found evidence of an effect of school racial composition on the risk of misusing prescription painkillers over a decade later, over and above individual race, with higher risk of misuse reported among participants who had attended white schools. Black participants who had attended predominantly white schools were, on average, twice as likely to report lifetime misuse of prescription painkillers compared to blacks who had attended black schools.
       
  • Associations of neighborhood socioeconomic, natural and built
           environmental characteristics with a 13-year trajectory of non-work
           physical activity among civil servants in Rio de Janeiro, Brazil: The
           Pro-Saude Study
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Eduardo Faerstein, Ismael Henrique da Silveira, Karine de Lima Sírio Boclin, Cintia Chaves Curioni, Inês Rugani Ribeiro de Castro, Washington Leite Junger Positive influences of natural and built environment characteristics on human physical activity have been observed mainly in high-income countries, but mixed results exist. We explored these relationships in Rio de Janeiro, Brazil, where exuberant nature coexists with high levels of social inequality and urban violence. Data originated from questionnaires self-administered by 1731 civil servants at university campuses who participated in 4 waves (1999, 2001, 2007, 2012) of a longitudinal study, and had their residential addresses geocoded. In multinomial regression models, adjusted for individual sociodemographic characteristics, mutually adjusted associations were estimated between 13-year trajectories of non-work physical activity and 8 contextual variables: distances from waterfronts, cycle paths, outdoor gym equipment, and squares; 2 indicators of exposure to greenness (a vegetation index - NDVI - derived from satellite images, and trees close to home); an indicator of walkability (street density), and neighborhood average income. Compared to participants living in the upper quartile of distance to waterfronts, those living in its lowest quartile had 2.6-fold higher odds (aOR: 2.62, 95% CI: 1.37–5.01) of reporting non-work PA in all 4 study waves. Similar results were observed in relation to distance to cycle paths; no independent associations were observed with other natural and built environment variables.
       
  • School experiences and young women's pregnancy and parenthood decisions: A
           systematic review and synthesis of qualitative research
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Amy J. Peterson, Chris Bonell Schools are considered high-potential environments for promoting adolescent sexual and reproductive health outcomes among young women. Qualitative studies provide context and meaning to how school experiences and systems contribute to pregnancy and parenthood decisions from the perspectives of youth. This systematic review screened 24,711 references from 8 databases, yielding 28 qualitative studies. Included studies were assessed for quality and synthesised using meta-ethnographic approaches. Reciprocal translation revealed that young women's education and life trajectories were at least partially shaped by a commitment to school values and expectations for academic achievement, influenced by structural and relational factors within the school. These findings resonate with Markham and Aveyard's theory of human functioning and school organisation. Future policy and practices might seek to improve teacher-student interactions, leverage young women's developing autonomy, and ensure physically and psychologically safe spaces for students.
       
  • Urban population density and mortality in a compact Dutch city: 23-year
           follow-up of the Dutch GLOBE study
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Mariëlle A. Beenackers, Joost Oude Groeniger, Carlijn B.M. Kamphuis, Frank J. Van Lenthe We investigated the association and underlying pathways between urban population density and mortality in a compact mid-sized university city in the Netherlands. Baseline data from the GLOBE cohort study (N = 10,120 residents of Eindhoven) were linked to mortality after 23 years of follow up and analyzed in multilevel models. Higher population density was modestly related to increased mortality, independently of baseline socioeconomic position and health. Higher population density was related to more active transport, more perceived urban stress and smoking. Increased active transport suppressed the mortality-increasing impact of higher population density. Overall, in dense cities with good infrastructure for walking and cycling, high population density may negatively impact mortality.
       
  • Extraordinary normalcy: Home, relationships and identities in narratives
           of unpaid care
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Carly Guest, Oonagh Corrigan Based on audio diaries and narrative interviews with family carers, this paper suggests care can be understood as an experience of ‘extraordinary normalcy’, meaning that profound shifts in home, relationships and identities take place whilst caring, yet these become part of the normalcy of family life. To maintain and understand a sense of normalcy, our participants utilise professional and technological interventions in the home and draw on notions of responsibility, reciprocity and role-reversal as frameworks for explaining why they continue to care, despite the challenges it brings. The paper considers how domestic activities performed in the home can both highlight the extraordinary aspects of care and help maintain the normalcy of the everyday. Extraordinary normalcy is a concept that problematises definitions of care that remove it from the relational and everyday, yet acknowledges the challenges people face when performing care. This paper contributes to a call for a narrative based development of social policy and makes recommendations for policy and practice based on the in-depth accounts of family carers.
       
  • Disparities in retail marketing for menthol cigarettes in the United
           States, 2015
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Sarah D. Mills, Lisa Henriksen, Shelley D. Golden, Rachel Kurtzman, Amanda Y. Kong, Tara L. Queen, Kurt M. Ribisl This study describes retail marketing for menthol cigarettes and its relationship with neighborhood demographics in a national sample of tobacco retailers in the United States. Mixed-effects models were used to examine three outcomes: menthol cigarette exterior advertising, menthol cigarette price promotions, and the pack price of menthol and non-menthol cigarettes. Thirty-eight percent of retailers displayed at least one menthol advertisement on the store exterior and 69% advertised price promotions. Retail advertising was more common in neighborhoods in the second (OR = 1.5 [1.1, 2.0]) and fourth (OR = 1.9 [1.3, 2.7]) quartiles of Black residents as compared to the lowest quartile. Menthol advertising was more prevalent in the third (OR = 1.4 [1.0, 1.9]) and lowest (OR = 1.6 [1.2, 2.2]) income quartiles as compared to the highest quartile. Price promotions for Newport were more common in neighborhoods with the highest quartile of Black residents (OR = 1.8 [1.2, 2.7]). Prices of Newport were cheaper in neighborhoods with the highest quartiles of youth, Black residents, and lower-income households. Policies that restrict the sales and marketing of menthol cigarettes are needed to address disparities.
       
  • Hospitals, clinics, and palliative care units: Place-based experiences of
           formal healthcare settings by people experiencing structural vulnerability
           at the end-of-life
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Melissa Giesbrecht, Kelli I. Stajduhar, Ashley Mollison, Bernie Pauly, Sheryl Reimer-Kirkham, Ryan McNeil, Bruce Wallace, Naheed Dosani, Caelin Rose The process of dying pronounces inequities, particularly for structurally vulnerable populations. Extending recent health geography research, we critically explore how the ‘places’ of formal healthcare settings shape experiences of, and access to, palliative care for the structurally vulnerable (e.g., homeless, substance users). Drawing on 30 months of ethnographic data, thematic findings reveal how symbolic, aesthetic, and physical elements of formal healthcare ‘places’ intersect with social relations of power to produce, reinforce, and amplify structural vulnerability and thus, inequities in access to care. Such knowledge may inform decision-makers on ways to enhance equitable access to palliative care for some of societies’ most vulnerable population groups.
       
  • Negotiating space & drug use in emergency shelters with peer witness
           injection programs within the context of an overdose crisis: A qualitative
           study
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Geoff Bardwell, Jade Boyd, Thomas Kerr, Ryan McNeil Vancouver, Canada is experiencing an overdose crisis due to the proliferation of fentanyl and related analogues and novel overdose response interventions are being implemented across multiple high overdose risk environments, including emergency shelters. We draw on ethnographic fieldwork and qualitative interviews to examine how social, structural, and physical contexts at two emergency shelters implementing a peer-based supervised injection intervention influenced injection drug use and overdose risks. Findings reveal that the implementation of this intervention reduced stigma and shame through the normalization of drug use in shelter spaces, and yet underlying social norms and material constraints led people to inject alone in non-designated injecting spaces. Whereas these spatial dynamics of injection drug use potentially increased overdose vulnerability, an emerging sense of collective responsibility in relation to the overdose crisis led to the routinization of peer witnessing practices across the shelter environment to extend the impact of the intervention.
       
  • Gray space and green space proximity associated with higher
           anxiety in youth with autism
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Lincoln R. Larson, Brian Barger, Scott Ogletree, Julia Torquati, Steven Rosenberg, Cassandra Johnson Gaither, Jody Marie Bartz, Andrew Gardner, Eric Moody, Anne Schutte This study used ZIP code level data on children's health (National Survey of Children's Health, 2012) and land cover (National Land Cover Database, 2011) from across the United States to investigate connections between proximity to green space (tree canopy), gray space (impervious surfaces), and expression of a critical co-morbid condition, anxiety, in three groups of youth: children diagnosed with autism spectrum disorder (ASD, n = 1501), non-ASD children with special healthcare needs (CSHCN, n = 15,776), and typically developing children (n = 53,650). Both impervious surface coverage and tree canopy coverage increased the risk of severe anxiety in youth with autism, but not CSHCN or typical children. Children with ASD might experience the stress-reducing benefits of nature differently than their typically developing peers. More research using objective diagnostic metrics at finer spatial scales would help to illuminate complex relationships between green space, anxiety, and other co-morbid conditions in youth with ASD.
       
  • Urban air pollution perception through the experience of social practices:
           Talking about breathing with recreational runners in London
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Antonia Hodgson, Russell Hitchings This paper examines how interviews with outdoor recreational runners can help us understand how urban air pollution insinuates itself into the consciousness of those who may be breathing more polluted air than most. It begins by making the case for why studies of air pollution perception might turn to the subjectivities associated with taking part in relevant social practices. Then, with reference to debate about the extent to which groups of exercisers are thinking about certain aspects of what is physically happening during their exercise, we examine how outdoor recreational runners in London talk about the air that they breathe when running. We might imagine that this group would be particularly alive to urban air pollution in view of a presumed interest in physical performance and a personal history of running through various bodies of city air. However, through close scrutiny of their running talk, this paper documents how and why the suggestion of breathing polluted air is often placed beyond the realm of conscious thought for them during their runs. These findings point to particular strategies for encouraging healthy urban lifestyles and illustrate the potential of further studies on how social practices shape pollution perceptions.
       
  • Antibiotic prescribing patterns in general medical practices in England:
           Does area matter'
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Anna Mölter, Miguel Belmonte, Victoria Palin, Chirag Mistry, Matthew Sperrin, Andrew White, William Welfare, Tjeerd Van Staa Antimicrobial resistance is an important public health concern. As most antibiotics are prescribed in primary care, understanding prescribing patterns in General Medical (GP) practices is vital. The aim of this study was a spatial pattern analysis of antibiotic prescribing rates in GP practices in England and to examine the association of potential clusters with area level socio-economic deprivation.The pattern analysis identified a number of hot and cold spots of antibiotic prescribing, with hot spots predominantly in the North of England. Spatial regression showed that patient catchments of hot spot practices were significantly more deprived than patient catchments of cold spot practices, especially in the domains of income, employment, education and health.This study suggests the presence of area level drivers resulting in clusters of high and low prescribing. Consequently, area level strategies may be needed for antimicrobial stewardship rather than national level strategies.
       
  • Communal space and depression: A structural-equation analysis of
           relational and psycho-spatial pathways
    • Abstract: Publication date: September 2018Source: Health & Place, Volume 53Author(s): Qiang Fu The new urban landscape in countries experiencing unprecedented urban transformation has a profound impact on the global burden of depression. Based on survey data from 39 neighborhoods in Guangzhou, China, this study assesses the relationship between communal space and depression. To unravel the relational and psycho-spatial embeddedness of communal space, a structural equation analysis suggests that neither the use of nor the sense of communal space has a direct association with depressive symptoms. Instead, the indirect effect of the use of communal space on depression is mediated by neighborhood-based social networks and neighborhood attachment, while the indirect effect of the sense of communal space on depression is only mediated by neighborhood attachment. Given the presence of indirect relational and psycho-spatial pathways linking communal space and depression, this study argues that the place-making and relational approaches should be integrated to provide a holistic view of the socio-spatial nature of urban landscape.
       
  • The tobacco endgame: The neglected role of place and environment
    • Abstract: Publication date: Available online 7 July 2018Source: Health & PlaceAuthor(s): Graham Moon, Ross Barnett, Jamie Pearce, Lee Thompson, Liz Twigg An increasing number of countries across the world are planning for the eradication of the tobacco epidemic. The actions necessary to realise this ambition have been termed the tobacco endgame. The focus of this paper is on the intersection between the tobacco endgame with place, a neglected theme in recent academic and policy debates. We begin with an overview of the key themes in the literature on endgame strategies before detailing the international landscape of engame initiatives, paying particular attention to the opportunities and challenges of endgame strategies in low and middle income countries. Finally, we critically assess the current endgame debates and suggest a novel agenda for integrating geographical perspectives into research on the endgame that provides enhanced understanding of the challenges associated with this important global health vision.
       
  • On lenses and blind spots in qualitative exercise and environment
           research: A Response to Stephanie Coen
    • Abstract: Publication date: Available online 3 January 2018Source: Health & PlaceAuthor(s): Russell Hitchings, Alan Latham, UCL Qualitative research focused on how people experience the social and material environments in which they exercise has the potential to inform public health agendas in all sorts of ways. This commentary takes up the claim made by Stephanie Coen that such research should begin with an ‘equity lens’ and place a greater emphasis on ‘critique’ than we did in the ‘Exercise and Environment’ special issue to which she responds. At its best qualitative research reveals new ways of thinking about the social and material contexts at hand. As such, it has the potential to highlight important dimensions of the lived experience of popular fitness practices that may have hitherto been relatively overlooked. Always starting with the overt aim of applying an ‘equity lens’ truncates the possibility of discovering such dimensions. Furthermore, being too wedded to an overtly critical stance may end up hindering, rather than encouraging, the most positive dialogue between those studying the cotemporary exercise experience and those involved in public health.
       
 
 
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