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1.
Environ Sci Technol ; 57(23): 8578-8587, 2023 06 13.
Artículo en Inglés | MEDLINE | ID: mdl-37253265

RESUMEN

Large greenhouse gas emissions occur via the release of carbon dioxide (CO2) and methane (CH4) from the surface layer of lakes. Such emissions are modeled from the air-water gas concentration gradient and the gas transfer velocity (k). The links between k and the physical properties of the gas and water have led to the development of methods to convert k between gases through Schmidt number normalization. However, recent observations have found that such normalization of apparent k estimates from field measurements can yield different results for CH4 and CO2. We estimated k for CO2 and CH4 from measurements of concentration gradients and fluxes in four contrasting lakes and found consistently higher (on an average 1.7 times) normalized apparent k values for CO2 than CH4. From these results, we infer that several gas-specific factors, including chemical and biological processes within the water surface microlayer, can influence apparent k estimates. We highlight the importance of accurately measuring relevant air-water gas concentration gradients and considering gas-specific processes when estimating k.


Asunto(s)
Dióxido de Carbono , Gases de Efecto Invernadero , Dióxido de Carbono/análisis , Lagos/química , Gases , Gases de Efecto Invernadero/análisis , Metano/análisis , Agua
2.
Limnol Oceanogr ; 66(3): 827-854, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33888916

RESUMEN

The hydrodynamics within small boreal lakes have rarely been studied, yet knowing whether turbulence at the air-water interface and in the water column scales with metrics developed elsewhere is essential for computing metabolism and fluxes of climate-forcing trace gases. We instrumented a humic, 4.7 ha, boreal lake with two meteorological stations, three thermistor arrays, an infrared (IR) camera to quantify surface divergence, obtained turbulence as dissipation rate of turbulent kinetic energy (ε) using an acoustic Doppler velocimeter and a temperature-gradient microstructure profiler, and conducted chamber measurements for short periods to obtain fluxes and gas transfer velocities (k). Near-surface ε varied from 10-8 to 10-6 m2 s-3 for the 0-4 m s-1 winds and followed predictions from Monin-Obukhov similarity theory. The coefficient of eddy diffusivity in the mixed layer was up to 10-3 m2 s-1 on the windiest afternoons, an order of magnitude less other afternoons, and near molecular at deeper depths. The upper thermocline upwelled when Lake numbers (L N ) dropped below four facilitating vertical and horizontal exchange. k computed from a surface renewal model using ε agreed with values from chambers and surface divergence and increased linearly with wind speed. Diurnal thermoclines formed on sunny days when winds were < 3 m s-1, a condition that can lead to elevated near-surface ε and k. Results extend scaling approaches developed in the laboratory and for larger water bodies, illustrate turbulence and k are greater than expected in small wind-sheltered lakes, and provide new equations to quantify fluxes.

3.
Ecol Lett ; 20(1): 98-111, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-27889953

RESUMEN

Winter conditions are rapidly changing in temperate ecosystems, particularly for those that experience periods of snow and ice cover. Relatively little is known of winter ecology in these systems, due to a historical research focus on summer 'growing seasons'. We executed the first global quantitative synthesis on under-ice lake ecology, including 36 abiotic and biotic variables from 42 research groups and 101 lakes, examining seasonal differences and connections as well as how seasonal differences vary with geophysical factors. Plankton were more abundant under ice than expected; mean winter values were 43.2% of summer values for chlorophyll a, 15.8% of summer phytoplankton biovolume and 25.3% of summer zooplankton density. Dissolved nitrogen concentrations were typically higher during winter, and these differences were exaggerated in smaller lakes. Lake size also influenced winter-summer patterns for dissolved organic carbon (DOC), with higher winter DOC in smaller lakes. At coarse levels of taxonomic aggregation, phytoplankton and zooplankton community composition showed few systematic differences between seasons, although literature suggests that seasonal differences are frequently lake-specific, species-specific, or occur at the level of functional group. Within the subset of lakes that had longer time series, winter influenced the subsequent summer for some nutrient variables and zooplankton biomass.


Asunto(s)
Ecosistema , Cubierta de Hielo , Lagos , Plancton/fisiología , Estaciones del Año
5.
Am J Epidemiol ; 180(2): 197-207, 2014 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-24925065

RESUMEN

Lifetime exposures to adverse social environments influence adult health, as do exposures in early life. It is usual to examine the influences of school on teenage health and of adult area of residence on adult health. We examined the combined long-term association of the school attended, as well as the area of residence in childhood, with adult health. A total of 6,285 children from Aberdeen, Scotland, who were aged 5-12 years in 1962, were followed up at a mean age of 47 years in 2001. Cross-classified multilevel logistic regression was used to estimate the associations of family, school, and area of residence with self-reported adult health and mental health, adjusting for childhood family-, school-, and neighborhood-level factors, as well as current adult occupational position. Low early-life social position (as determined by the father's occupational level) was associated with poor adult self-rated health but not poor mental health. There were small contextual associations between childhood school environment (median odds ratio = 1.08) and neighborhood environment (median odds ratio = 1.05) and adult self-rated health. The share of the total variance in health at the family level was 10.1% compared with 89.6% at the individual level. Both socioeconomic context and composition in early life appear to have an influence on adult health, even after adjustment for current occupational position.


Asunto(s)
Estado de Salud , Características de la Residencia , Instituciones Académicas , Clase Social , Medio Social , Adolescente , Adulto , Niño , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Modelos Logísticos , Masculino , Ocupaciones , Oportunidad Relativa , Escocia , Hermanos
6.
Public Health ; 126(3): 217-219, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22341770

RESUMEN

For over a century and a half, reformers, researchers and politicians have complained that social and public health policy is not based on evidence. Linear models of knowledge transfer gaps are consistently shown to be poor predictors of research uptake. Public health research, in particular, involves more elements than the linear biomedical model of translation into healthcare products or interventions. Policy makers certainly need to be more sophisticated in understanding and commissioning different types of research and acting on it. However, researchers also need to be much more sophisticated and less naive in understanding how research does and does not influence policy, and how to go about helping policy makers to interpret the jigsaw of evidence, and its relevance and usability.


Asunto(s)
Política de Salud , Formulación de Políticas , Práctica Clínica Basada en la Evidencia , Investigación sobre Servicios de Salud , Condiciones Sociales
7.
BMC Public Health ; 11: 464, 2011 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-21663674

RESUMEN

BACKGROUND: Access to healthy food is often seen as a potentially important contributor to diet. Policy documents in many countries suggest that variations in access contribute to inequalities in diet and in health. Some studies, mostly in the USA, have found that proximity to food stores is associated with dietary patterns, body weight and socio-economic differences in diet and obesity, whilst others have found no such relationships. We aim to investigate whether proximity to food retail stores is associated with dietary patterns or Body Mass Index in Glasgow, a large city in the UK. METHODS: We mapped data from a 'Health and Well-Being Survey' (n = 991), and a list of food stores (n = 741) in Glasgow City, using ArcGIS, and undertook network analysis to find the distance from respondents' home addresses to the nearest fruit and vegetable store, small general store, and supermarket. RESULTS: We found few statistically significant associations between proximity to food retail outlets and diet or obesity, for unadjusted or adjusted models, or when stratifying by gender, car ownership or employment. CONCLUSIONS: The findings suggest that in urban settings in the UK the distribution of retail food stores may not be a major influence on diet and weight, possibly because most urban residents have reasonable access to food stores.


Asunto(s)
Índice de Masa Corporal , Comercio , Dieta , Industria de Alimentos , Abastecimiento de Alimentos , Encuestas Epidemiológicas , Humanos , Escocia , Población Urbana
8.
Water Res ; 202: 117389, 2021 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-34274901

RESUMEN

Accurate estimations of gaseous emissions and carbon sequestration in wastewater processing are essential for the design, operation and planning of treatment infrastructure, particularly considering greenhouse gas reduction targets. In this study, we look at the interplay between biological productivity, hydrodynamics and evasion of carbon-based greenhouse gases (GHG) through diffusion and ebullition in order to provide direction for more accurate assessments of their emissions from waste stabilization ponds (WSPs). The ponds stratified in the day and mixed at night. Buoyancy flux contributed between 40 and 75% to turbulence in the water column during nocturnal cooling events, and the associated mixing lead to increasing carbon dioxide (CO2) and methane (CH4) concentrations by up to an order of magnitude in the surface. The onset of stratification and phytoplankton surface blooms, associated with high pH as well as low and variable CO2 partial pressure resulted in an overall reduction of CO2 efflux. Ebullition represented between 40 and 99% of the total CH4 efflux, and up to 95% of the integrated GHG release during wastewater treatment (in CO2 equivalents). Hydrodynamic conditions, diurnal variability and ebullition need to be accounted for reliable assessments of GHG emissions from WSPs. Our study is an important step towards gaining a deeper understanding in the functioning of these hot spots of carbon processing. The contribution of WSPs to atmospheric GHG budget is likely to increase with population growth unless their performance is improved in this regard.


Asunto(s)
Gases de Efecto Invernadero , Metano , Dióxido de Carbono/análisis , Efecto Invernadero , Metano/análisis , Óxido Nitroso/análisis , Estanques
9.
Sci Data ; 8(1): 200, 2021 08 04.
Artículo en Inglés | MEDLINE | ID: mdl-34349102

RESUMEN

Climate change and other anthropogenic stressors have led to long-term changes in the thermal structure, including surface temperatures, deepwater temperatures, and vertical thermal gradients, in many lakes around the world. Though many studies highlight warming of surface water temperatures in lakes worldwide, less is known about long-term trends in full vertical thermal structure and deepwater temperatures, which have been changing less consistently in both direction and magnitude. Here, we present a globally-expansive data set of summertime in-situ vertical temperature profiles from 153 lakes, with one time series beginning as early as 1894. We also compiled lake geographic, morphometric, and water quality variables that can influence vertical thermal structure through a variety of potential mechanisms in these lakes. These long-term time series of vertical temperature profiles and corresponding lake characteristics serve as valuable data to help understand changes and drivers of lake thermal structure in a time of rapid global and ecological change.

10.
Eur Heart J ; 30(15): 1903-9, 2009 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-19602715

RESUMEN

AIMS: The aim of this study was to examine the explanatory power of intelligence (IQ) compared with traditional cardiovascular disease (CVD) risk factors in the relationship of socio-economic disadvantage with total and CVD mortality, that is the extent to which IQ may account for the variance in this well-documented association. METHODS AND RESULTS: Cohort study of 4289 US male former military personnel with data on four widely used markers of socio-economic position (early adulthood and current income, occupational prestige, and education), IQ test scores (early adulthood and middle-age), a range of nine established CVD risk factors (systolic and diastolic blood pressure, total blood cholesterol, HDL cholesterol, body mass index, smoking, blood glucose, resting heart rate, and forced expiratory volume in 1 s), and later mortality. We used the relative index of inequality (RII) to quantify the relation between each index of socio-economic position and mortality. Fifteen years of mortality surveillance gave rise to 237 deaths (62 from CVD and 175 from 'other' causes). In age-adjusted analyses, as expected, each of the four indices of socio-economic position was inversely associated with total, CVD, and 'other' causes of mortality, such that elevated rates were evident in the most socio-economically disadvantaged men. When IQ in middle-age was introduced to the age-adjusted model, there was marked attenuation in the RII across the socio-economic predictors for total mortality (average 50% attenuation in RII), CVD (55%), and 'other' causes of death (49%). When the nine traditional risk factors were added to the age-adjusted model, the comparable reduction in RII was less marked than that seen after IQ adjustment: all-causes (40%), CVD (40%), and 'other' mortality (43%). Adding IQ to the latter model resulted in marked, additional explanatory power for all outcomes in comparison to the age-adjusted analyses: all-causes (63%), CVD (63%), and 'other' mortality (65%). When we utilized IQ in early adulthood rather than middle-age as an explanatory variable, the attenuating effect on the socio-economic gradient was less pronounced although the same pattern was still present. CONCLUSION: In the present analyses of socio-economic gradients in total and CVD mortality, IQ appeared to offer greater explanatory power than that apparent for traditional CVD risk factors.


Asunto(s)
Enfermedades Cardiovasculares/mortalidad , Inteligencia , Adulto , Análisis de Varianza , Estudios de Cohortes , Humanos , Masculino , Personal Militar/estadística & datos numéricos , Factores de Riesgo , Factores Socioeconómicos , Estados Unidos/epidemiología , Guerra de Vietnam
11.
Int J Behav Nutr Phys Act ; 6: 52, 2009 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-19660114

RESUMEN

It has previously been suggested that deprived neighbourhoods within modern cities have poor access to general amenities, for example, fewer food retail outlets. Here we examine the distribution of food retailers by deprivation in the City of Glasgow, UK.We obtained a list of 934 food retailers in Glasgow, UK, in 2007, and mapped these at address level. We categorised small areas (data zones) into quintiles of area deprivation using the 2006 Scottish Index of Multiple Deprivation Income sub-domain score. We computed mean number of retailers per 1000 residents per data zone, and mean network distance to nearest outlet from data zone centroid, for all retailers combined and for each of seven categories of retailer separately (i.e. bakers, butchers, fruit and vegetable sellers, fishmongers, convenience stores, supermarkets and delicatessens).The most deprived quintile (of areas) had the greatest mean number of total food retailers per 1000 residents while quintile 1 (least deprived) had the least, and this difference was statistically significant (Chi-square p < 0.01). The closest mean distance to the nearest food retailer was within quintile 3 while the furthest distance was within quintile 1, and this was also statistically significant (Chi-square p < 0.01). There was variation in the distribution of the seven different types of food retailers, and access to amenities depended upon the type of food retailer studied and whether proximity or density was measured. Overall the findings suggested that deprived neighbourhoods within the City of Glasgow did not necessarily have fewer food retail outlets.

12.
Prev Med ; 49(6): 527-8, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19850072

RESUMEN

OBJECTIVES: To assess the validity of a publicly available list of food stores through field observations of their existence, in order to contribute to research on neighbourhood food environments and health. METHODS: All multiple-owned supermarkets, and a 1 in 8 sample of other food outlets, listed in 1997 and 2007 in the public register of food premises held by Glasgow City Council, Scotland, were visited to establish whether they were trading as foodstores. Postcode sectors in which foodstores were located were classified into least, middling and most deprived neighbourhoods. RESULTS: In total, 325 listed foodstores were visited in 1997 and 508 in 2007. Of these 87% and 88%, respectively, were trading as foodstores. There was a very slight gradient in validity by deprivation, with validity higher in least deprived neighbourhoods, though this was not statistically significant. CONCLUSIONS: There was reasonable, but not perfect, agreement between the list of food premises and field observations, with nearly 1 in 9 of sampled foodstores not present on the ground. Since the use of inaccurate secondary data sources may affect estimates of relationships between the neighbourhood food environment and health, further work is required to establish the validity of such data in different contexts.


Asunto(s)
Comercio , Industria de Alimentos , Comercio/estadística & datos numéricos , Recolección de Datos , Industria de Alimentos/estadística & datos numéricos , Geografía , Obesidad , Pobreza , Reproducibilidad de los Resultados , Características de la Residencia , Escocia
13.
BMC Public Health ; 9: 116, 2009 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-19400941

RESUMEN

BACKGROUND: The paradigm of translational medicine that underpins frameworks such as the Cooksey report on the funding of health research does not adequately reflect the complex reality of the public health environment. We therefore outline a translational framework for public health research. DISCUSSION: Our framework redefines the objective of translation from that of institutionalising effective interventions to that of improving population health by influencing both individual and collective determinants of health. It incorporates epidemiological perspectives with those of the social sciences, recognising that many types of research may contribute to the shaping of policy, practice and future research. It also identifies a pivotal role for evidence synthesis and the importance of non-linear and intersectoral interfaces with the public realm. SUMMARY: We propose a research agenda to advance the field and argue that resources for 'applied' or 'translational' public health research should be deployed across the framework, not reserved for 'dissemination' or 'implementation'.


Asunto(s)
Investigación sobre Servicios de Salud/organización & administración , Salud Pública/métodos , Investigación Biomédica/métodos , Investigación Biomédica/organización & administración , Toma de Decisiones en la Organización , Difusión de Innovaciones , Diseño de Investigaciones Epidemiológicas , Medicina Basada en la Evidencia , Investigación sobre Servicios de Salud/métodos , Humanos , Salud Pública/normas , Garantía de la Calidad de Atención de Salud/métodos , Reino Unido
14.
Sci Total Environ ; 693: 133414, 2019 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-31377351

RESUMEN

Mixing regime and CO2 availability may control cyanobacterial blooms in polymictic lakes, but the underlying mechanisms still remain unclear. We integrated detailed results from a natural experiment comprising an average-wet year (2011) and one with heat waves (2012), a long-term meteorological dataset (1960-2010), historical phosphorus concentrations and sedimentary pigment records, to determine the mechanistic controls of cyanobacterial blooms in a eutrophic polymictic lake. Intense warming in 2012 was associated with: 1) increased stability of the water column with buoyancy frequencies exceeding 40 cph at the surface, 2) high phytoplankton biomass in spring (up to 125 mg WW L-1), 3) reduced downward transport of heat and 4) depleted epilimnetic CO2 concentrations. CO2 depletion was maintained by intense uptake by phytoplankton (influx up to 30 mmol m-2 d-1) in combination with reduced, internal and external, carbon inputs during dry, stratified periods. These synergistic effects triggered bloom of buoyant cyanobacteria (up to 300 mg WW L-1) in the hot year. Complementary evidence from polynomial regression modelling using historical data and pigment record revealed that warming explains 78% of the observed trends in cyanobacterial biomass, whereas historical phosphorus concentration only 10% thereof. Together the results from the natural experiment and the long-term record indicate that effects of hotter and drier climate are likely to increase water column stratification and decrease CO2 availability in eutrophic polymictic lakes. This combination will catalyze blooms of buoyant cyanobacteria.


Asunto(s)
Cambio Climático , Cianobacterias/fisiología , Calor/efectos adversos , Lagos/análisis , Fitoplancton/fisiología , Dióxido de Carbono/análisis , Sedimentos Geológicos/química , Lagos/química , Lagos/microbiología , Fósforo/análisis , Quebec , Estaciones del Año
15.
Int J Behav Nutr Phys Act ; 5: 26, 2008 May 04.
Artículo en Inglés | MEDLINE | ID: mdl-18454876

RESUMEN

BACKGROUND: Reviews have reported mixed findings for associations between physical activity and proximity to a range of environmental resources. Initially most studies used self reported proximity, but more are now using GIS techniques to measure proximity objectively. We know little about the extent of agreement between self reported and directly measured proximity of the same resource. METHODS: We used previously collected data in a community survey in Glasgow in which 658 respondents aged around 40 and 60 were asked whether they lived within half a mile of a public park. We compared their answers with GIS measures of whether there was a park within a half mile service area of their home (and whether their home was within a half mile crow fly buffer of a park). RESULTS: Agreement was poor; percentage agreement between measured network distance and reported residence within 0.5 miles of a park was 62.0%, and the kappa value was 0.095. Agreement was no higher than poor in any socio-demographic subgroup, or when using crow fly buffers instead of service areas. CONCLUSION: One should be cautious about assuming that respondents' self reports of proximity to a resource are a valid proxy for actual distance, or vice versa. Further research is needed to establish whether actual or self-reported proximity predict physical activity or other behaviours, and if so which is the strongest predictor. Further, qualitative study, also needs to examine the basis of people's judgements about the location of resources, and the possibility that these are shaped by their social and personal significance.

16.
Soc Sci Med ; 67(6): 900-14, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-18599170

RESUMEN

It has commonly been suggested that in modern cities individual or household deprivation (for example, low income or education) is amplified by area level deprivation (for example, lack of jobs or good schools), in ways which damage the health of the poorest and increase health inequalities. The aim of this study was to determine the location of a range of resources and exposures by deprivation in a UK city. We examined the location of 42 resources in Glasgow City, Scotland, in 2005-2006, by quintile of small area deprivation. Measures included number per 1000 population, network distance to nearest resource, and percentage of data zones containing at least one of each type of resource. Twelve resources had higher density in, and/or were closer to or more common in, more deprived neighbourhoods: public nurseries, public primary schools, police stations, pharmacies, credit unions, post offices, bus stops, bingo halls, public swimming pools, public sports centres, outdoor play areas, and vacant and derelict land/buildings. Sixteen had higher density in, and/or were closer to, or more common in, more affluent neighbourhoods: public secondary schools, private schools, banks, building societies, museums/art galleries, railway stations, subway stations, tennis courts, bowling greens, private health clubs, private swimming pools, colleges, A & E hospitals, parks, waste disposal sites, and tourist attractions. Private nurseries, Universities, fire stations, general, dental and ophthalmic practices, pawn brokers, ATMs, supermarkets, fast food chains, cafes, public libraries, golf courses, and cinemas showed no clear pattern by deprivation. Thus it appears that in the early 21st century access to resources does not always disadvantage poorer neighbourhoods in the UK. We conclude that we need to ensure that theories and policies are based on up-to-date and context-specific empirical evidence on the distribution of neighbourhood resources, and to engage in further research on interactions between individual and environmental factors in shaping health and health inequalities.


Asunto(s)
Accesibilidad a los Servicios de Salud , Características de la Residencia , Clase Social , Medio Social , Humanos , Escocia , Condiciones Sociales
17.
J Epidemiol Community Health ; 61(3): 241-7, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17325403

RESUMEN

OBJECTIVE: A series of studies have shown an association between high childhood IQ scores and reduced rates of total mortality in adulthood. Several mechanisms have been advanced to explain these relationships, including mediation via established risk factors. This study examines the association between childhood IQ and a range of established physiological and behavioural risk factors for premature mortality in adulthood. DESIGN, SETTING AND PARTICIPANTS: In 1962, 12,150 children took part in a school-based survey when their IQ scores were extracted from educational records. When re-surveyed forty years later (n = 7183; 63.7% response), they self-reported information on risk factors for premature mortality (smoking, heavy alcohol consumption, obesity, height, hypertension and diabetes). MAIN RESULTS: In sex-adjusted analyses based on an analytical sample of 5340 (2687 women), higher childhood IQ scores were associated with a decreased prevalence of ever having smoked regularly in adulthood (OR(per SD increase in IQ) (95% CI): 0.77 (0.73 to 0.81)), heavy alcohol consumption (0.89 (0.84 to 0.94)), obesity (0.78 (0.72 to 0.83)) and overweight (0.86 (0.81 to 0.91)). Higher IQ scores were similarly related to a reduced prevalence of short stature and higher rates of smoking cessation in smokers; effects that were stronger in women (p value for interaction: < or =0.04). Adjusting for indicators of early and, particularly, later-life socioeconomic circumstances led to heavy attenuation of these gradients with statistical significance at conventional levels lost in most analyses. CONCLUSIONS: The IQ-risk factor gradients reported may offer some insights into the apparent link between high pre-adult IQ and reduced mortality rates.


Asunto(s)
Inteligencia , Mortalidad , Consumo de Bebidas Alcohólicas/mortalidad , Peso al Nacer , Estatura , Niño , Diabetes Mellitus/mortalidad , Escolaridad , Métodos Epidemiológicos , Femenino , Humanos , Hipertensión/mortalidad , Recién Nacido , Pruebas de Inteligencia , Masculino , Persona de Mediana Edad , Obesidad/mortalidad , Escocia/epidemiología , Fumar/mortalidad , Cese del Hábito de Fumar , Factores Socioeconómicos
18.
Int J Behav Nutr Phys Act ; 4: 32, 2007 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-17683624

RESUMEN

BACKGROUND: It has commonly been suggested (including by this author) that individual or household deprivation (for example, low income) is amplified by area level deprivation (for example, lack of affordable nutritious food or facilities for physical activity in the neighbourhood). DISCUSSION: The idea of deprivation amplification has some intuitive attractiveness and helps divert attention away from purely individual determinants of diet and physical activity, and towards health promoting or health damaging features of the physical and social environment. Such environmental features may be modifiable, and environmental changes may help promote healthier behaviors. However, recent empirical examination of the distribution of facilities and resources shows that location does not always disadvantage poorer neighbourhoods. This suggests that we need: a) to ensure that theories and policies are based on up-to-date empirical evidence on the socio-economic distribution of neighbourhood resources, and b) to engage in further research on the relative importance of, and interactions between, individual and environmental factors in shaping behavior. SUMMARY: In this debate paper I suggest that it may not always be true that poorer neighbourhoods are more likely to lack health promoting resources, and to be exposed to more health damaging resources. The spatial distribution of environmental resources by area socioeconomic status may vary between types of resource, countries, and time periods. It may also be that the presence or absence of resources is less important than their quality, their social meaning, or local perceptions of their accessibility and relevance.

19.
Soc Sci Med ; 64(7): 1384-91, 2007 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17196313

RESUMEN

There is increasing interest in the idea that social participation (operationalised as taking part in formal groups and associations) is an important determinant of health and survival. However, although a large body of literature exists which supports the notion that social contact is associated with good health, few studies have examined whether participation in specific groups and associations is related to specific risk factors, which are in turn linked to a major cause of death. In this paper, we focus on risk markers (BMI, waist-hip ratio, blood pressure, resting heart rate, anxiety and depression) for cardiovascular disease (CVD), which contributes around a third to all cause mortality in the UK. Using survey data (n=2334 individuals) from the West of Scotland Twenty-07 Study, we examine, separately by sex, cross-sectional associations between participation in groups and associations and CVD risk markers. There is no consistent patterning in the results. For some types of groups, there is a relationship between participation and risk factors in one sex but not the other, or better functioning on one health measure but worse in another. The most consistent results are found for psychological distress where, with the exception of church-related activities, participation in groups and associations is related to less distress (although more strongly in men than in women). Our findings do not therefore lend unequivocal support to the notion of social participation having a strong relationship with CVD risk factors at a cross-sectional level.


Asunto(s)
Enfermedades Cardiovasculares/etiología , Medio Social , Adulto , Anciano , Femenino , Indicadores de Salud , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Escocia/epidemiología
20.
Soc Sci Med ; 65(9): 1825-38, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17706331

RESUMEN

Epidemiology, sociology, and geography have been successful in re-establishing interest in the role of place in shaping health and health inequalities. However, some of the relevant empirical research has relied on rather conventional conceptions of space and place and focused on isolating the "independent" contribution of place-level and individual-level factors. This approach may have resulted in an underestimate of the contribution of 'place' to disease risk. In this paper we argue the case for extensive (quantitative) as well as intensive (qualitative) empirical, as well as theoretical, research on health variation that incorporates 'relational', views of space and place. Specifically, we argue that research in place and health should avoid the false dualism of context and composition by recognising that there is a mutually reinforcing and reciprocal relationship between people and place. We explore in the discussion how these theoretical perspectives are beginning to influence empirical research. We argue that these approaches to understanding how place relates to health are important in order to deliver effective, 'contextually sensitive' policy interventions.


Asunto(s)
Accesibilidad a los Servicios de Salud/organización & administración , Investigación sobre Servicios de Salud/organización & administración , Disparidades en el Estado de Salud , Características de la Residencia , Ambiente , Humanos , Apoyo Social , Factores Socioeconómicos
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