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1.
Artículo en Inglés | MEDLINE | ID: mdl-38929017

RESUMEN

BACKGROUND: Social and Environmental Determinants of Health (SEDH) provide us with a conceptual framework to gain insights into possible associations among different human behaviors and the corresponding health outcomes that take place often in and around complex built environments. Developing better built environments requires an understanding of those aspects of a community that are most likely to have a measurable impact on the target SEDH. Yet data on local characteristics at suitable spatial scales are often unavailable. We aim to address this issue by application of different data disaggregation methods. METHODS: We applied different approaches to data disaggregation to obtain small area estimates of key behavioral risk factors, as well as geospatial measures of green space access and walkability for each zip code of Allegheny County in southwestern Pennsylvania. RESULTS: Tables and maps of local characteristics revealed their overall spatial distribution along with disparities therein across the county. While the top ranked zip codes by behavioral estimates generally have higher than the county's median individual income, this does not lead them to have higher than its median green space access or walkability. CONCLUSION: We demonstrated the utility of data disaggregation for addressing complex questions involving community-specific behavioral attributes and built environments with precision and rigor, which is especially useful for a diverse population. Thus, different types of data, when comparable at a common local scale, can provide key integrative insights for researchers and policymakers.


Asunto(s)
Características de la Residencia , Caminata , Humanos , Caminata/estadística & datos numéricos , Pennsylvania , Factores de Riesgo , Entorno Construido/estadística & datos numéricos , Planificación Ambiental , Parques Recreativos/estadística & datos numéricos , Conductas Relacionadas con la Salud
2.
Front Public Health ; 12: 1430706, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38932784

RESUMEN

Background: With continuous efforts made to promote the strategic goals of carbon neutrality and carbon peak, it is crucial to meet the growing and diversified needs of the public for fitness by practicing the concept of green development and promote the combination of national fitness and ecological civilization. Methods: To achieve this purpose, an OLS regression model was applied to estimate the role of green space exposure in Chinese residents' participation in physical activity and its underlying mechanisms, using the microdata from the China General Social Survey (CGSS) data and the Provincial Vegetation Cover Index (NDVI) matched macrostatistical data. Results: The empirical results show that green space exposure significantly increases the probability of residents' physical activity participation, and creating a green environment is conducive to creating a favorable physical activity environment for residents. Also, the core conclusions still hold after the year-by-year regression test is passed and the endogeneity problem is addressed. As revealed by mechanistic studies, green space exposure has indirect effects on the physical activity participation of residents through the independent mediating roles of reducing carbon emissions and promoting social interaction. According to heterogeneity results, males, those in marriage, and urban dweller groups are more inclined to perform physical activity in green spaces. Conclusion: The results show that the exposure of green space can help increase the probability of residents' participation in physical exercise, and can that it achieved through two channels: reducing carbon emissions and enhancing social interaction. It is necessary to further strengthen the protection of the ecological lifestyle, give full play to the advantages of greenness and low-carbon, and create favorable conditions for the green development of a new model of national fitness.


Asunto(s)
Ejercicio Físico , Humanos , China , Masculino , Femenino , Adulto , Persona de Mediana Edad , Encuestas y Cuestionarios , Planificación Ambiental , Parques Recreativos/estadística & datos numéricos , Pueblos del Este de Asia
3.
J Glob Health ; 14: 04140, 2024 Jun 21.
Artículo en Inglés | MEDLINE | ID: mdl-38898796

RESUMEN

Background: There is increasing evidence on the link between environmental factors and myopia in children and adolescents, yet with inconsistent conclusions. We investigated the associations between socioeconomic inequalities and green space with myopia in school-aged students participating in the Tianjin Child and Adolescent Research of Eye (TCARE) study. Methods: We obtained data from a population-based dynamic cohort study conducted in Tianjin, China, in 2021 and followed up in 2022. We included 1 245 271 participants from 16 districts with an average age of 11.6 years (standard deviation = 3.3) in our analysis. We synthesized their area-level SES through a prediction model that combined economic, educational, and health care variables and assessed the greenness levels surrounding the school using the Normalized Difference Vegetation Index (NDVI) based on data obtained through satellite remote sensing. We performed generalised linear mixed effects analyses for each myopia outcome separately, with adjustments for students' sex, years of education completed, and the school's geographical location. Results: We observed that students living in low SES areas had the highest prevalence of myopia (60.7%) in the last screening in 2022, as well as a higher incidence of one-year myopia (26.4%) compared to those residing in middle SES areas (22.7%). With a 0.1 increase in the 250, 500, and 1000 m buffer NDVI, the prevalence of myopia dropped by 6.3% (odds ratio (OR) = 0.937; 95% confidence interval (CI) = 0.915, 0.960), 7.7% (OR = 0.923; 95% CI = 0.900, 0.946), and 8.7% (OR = 0.913; 95% CI = 0.889, 0.937), respectively. The interaction analysis showed that low SES and low greenness exacerbate the prevalence of myopia. Findings from longitudinal analyses consistently demonstrated a correlation between higher values of NDVI and a slower progression of myopia. These findings remained robust across sensitivity analyses, including for variables on parental myopia and students' behaviors. Conclusions: Exposure to green spaces could play a crucial role in slowing the progression of myopia among school-aged students. Myopia control policies should prioritise young populations residing in low SES areas with limited access to green spaces, as they face the highest potential risks.


Asunto(s)
Miopía , Factores Socioeconómicos , Estudiantes , Humanos , Miopía/epidemiología , Femenino , Masculino , China/epidemiología , Niño , Adolescente , Estudios de Cohortes , Estudiantes/estadística & datos numéricos , Prevalencia , Parques Recreativos/estadística & datos numéricos , Disparidades Socioeconómicas en Salud , Pueblos del Este de Asia
4.
BMC Public Health ; 24(1): 1663, 2024 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-38909183

RESUMEN

BACKGROUND: Recreational parks can play a significant role in older people's health, with emerging evidence suggesting that changes in the physical environment, such as refurbishments of local parks, can increase park visitations and physical activity engagement. The ENJOY MAP for HEALTH aimed to evaluate the impact of Seniors Exercise Park installations and associated capacity building activities on older people's park visitation, and park-based physical activity. METHOD: The ENJOY MAP for HEALTH was a quasi-experiment study design that involved the installation of specialised Seniors Exercise Park equipment as part of park refurbishment, supported by promotion and community capacity building activities in six municipalities in Victoria, Australia. Direct observations of park users took place prior to park upgrades, one-month post upgrade and 12-months from baseline. The overall number and characteristics of park visitors, and the type and level of physical activity undertaken, were summarised descriptively. Generalised linear models were used to examine the impact of park refurbishment (equipment installation and site activation) on the total number of older people observed in the park, and their engagement in physical activity, accounting for site and seasonal effects. RESULTS: Overall number of visits increased following park upgrades, with the largest number of visitors observed one-month post upgrade (n = 12,501). The proportion of older people observed at the parks remained relatively low prior to and one-month post upgrade compared to other age groups. However, after adjusting for site and seasonal effects, the number of older people observed in the parks increased significantly post upgrade and site activation compared to prior to the refurbishment (incidence rate ratios (IRR) 3.55; 95% CI 2.68, 4.70). The number of older people observed to be exercising at the Seniors Exercise Park also increased by 100% at 12-months post-installation relative to one-month post upgrade (IRR 2.00; 95% CI 1.26, 3.17). CONCLUSION: Installation of the Seniors Exercise Parks and the supportive programs and activities following six park upgrades resulted in an increase in older people's park visitation and engagement in physical activity. Community engagement and training of volunteers with the support of local governments are likely to contribute to the increased park usage by older people. TRIAL REGISTRATION: This trial was registered with the Australian New Zealand Clinical Trials Registry. Trial registration number ACTRN12621000965808. https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380745&isReview=true .


Asunto(s)
Ejercicio Físico , Parques Recreativos , Humanos , Parques Recreativos/estadística & datos numéricos , Anciano , Victoria , Masculino , Femenino , Promoción de la Salud/métodos , Planificación Ambiental , Anciano de 80 o más Años
5.
Front Public Health ; 12: 1425338, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38873324

RESUMEN

Background: This study aims to explore the correlation between urban green space coverage and resident health, and to analyze its underlying mechanisms. Methods: Using panel data from 30 provinces in China from 2006 to 2022, which mainly includes urban green space coverage, general health of the population, air quality, and social connectivity. This research constructed a fixed effects model to perform baseline regression analysis. A series of robustness tests, including variable substitution, controlling for geographical differences, regional robustness tests, and shortening the time span of the study, further verified the robustness of the results. Additionally, mechanism tests were conducted to examine the positive impacts of urban green spaces on resident health by improving air quality and enhancing social connectivity. Results: The findings indicate a significant positive correlation between urban green space coverage and resident health levels. That is, the greater the area covered with urban green space, the healthier the residents of the area will be. Robustness tests support the reliability of this finding, while mechanism analysis reveals that urban green spaces have a positive impact on the health of the population by improving air quality and increasing social connectivity. Discussion: This study underscores the importance of urban green space planning in improving resident health and quality of life, providing urban planners with scientific evidence to optimize urban green systems for broader health objectives.


Asunto(s)
Planificación Ambiental , China , Humanos , Contaminación del Aire/estadística & datos numéricos , Parques Recreativos/estadística & datos numéricos , Estado de Salud , Calidad de Vida , Planificación de Ciudades
6.
Health Place ; 87: 103263, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38723546

RESUMEN

This study examined whether the association between neighbourhood disadvantage and obesity was moderated by quantity and quality of greenspace. The sample included 2848 mid-to-older aged adults residing in 200 neighbourhoods in Brisbane, Australia from the HABITAT study. Self-reported height and weight were used to calculate body mass index (BMI), neighbourhood disadvantage was measured using a census-derived composite index and greenspace was measured geospatially. We found evidence of moderation by park quality: lower average BMI at higher levels of park quality was shown in the Q3 rather than the Q1 (least disadvantaged) neighbourhood disadvantage group. The findings suggest that, for reducing socioeconomic inequalities in obesity, the quality of greenspace is imperative.


Asunto(s)
Índice de Masa Corporal , Obesidad , Características de la Residencia , Humanos , Femenino , Masculino , Obesidad/epidemiología , Anciano , Persona de Mediana Edad , Australia/epidemiología , Características del Vecindario , Parques Recreativos/estadística & datos numéricos , Factores Socioeconómicos , Planificación Ambiental
7.
Health Place ; 88: 103258, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38759578

RESUMEN

Parks can provide a low-cost setting for safe physical activity, but older adults are underrepresented among park users in the United States. Using data from a population-representative survey in 2015 and 2018 among adults aged 60 years and older living in Philadelphia, we tested whether perceived access was a mechanism by which objectively-measured park access predicted self-reported physical activity. After controlling for individual-level factors and neighborhood characteristics, we found a statistically significant pathway from overall park area and within-park tree canopy to increased physical activity, mediated by perceived park access. These results highlight the importance of tree canopy for older adult park access and physical activity.


Asunto(s)
Planificación Ambiental , Ejercicio Físico , Parques Recreativos , Humanos , Parques Recreativos/estadística & datos numéricos , Anciano , Femenino , Masculino , Persona de Mediana Edad , Philadelphia , Análisis de Clases Latentes , Encuestas y Cuestionarios , Características del Vecindario , Características de la Residencia/estadística & datos numéricos , Autoinforme
8.
Behav Processes ; 219: 105048, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38777169

RESUMEN

Urban parks are essential for community revitalization; for example, they are places to walk dogs and interact with other dog keepers. This study focused on an urban park with a dog-friendly area to be used by both dog keepers and other users as an alternative to off-leash dog parks that completely separate them and clarified aspects of park use through behavioral observation. The behaviors of 7122 visitors in 14 areas in the park and 294 pairs of dogs and their keepers in the dog-friendly area were observed. The results showed that the visitors' age groups and use behaviors differed by area. The dog-friendly area was in constant demand among dog keepers as a place where they could stay and interact with others and as a destination or relay point when walking their dogs. Visitors used the park in accordance with rules and morals, and the park was well managed. As it can be comfortably used by everyone (with or without dogs), this park can serve as a model for the development and maintenance of community-based multifunctional parks in urban areas.


Asunto(s)
Parques Recreativos , Animales , Perros , Parques Recreativos/estadística & datos numéricos , Masculino , Humanos , Femenino , Adulto , Persona de Mediana Edad , Adolescente , Adulto Joven , Niño , Ciudades
9.
BMC Public Health ; 24(1): 1180, 2024 Apr 26.
Artículo en Inglés | MEDLINE | ID: mdl-38671429

RESUMEN

BACKGROUND: Infectious diseases are emerging across temperate regions of the world, and, for some, links have been made between landscapes and emergence dynamics. For tick-borne diseases, public parks may be important exposure sites for people living in urbanized areas of North America and Europe. In most cases, we know more about the ecological processes that determine the hazard posed by ticks as disease vectors than we do about how human population exposure varies in urban natural parks. METHODS: In this study, infrared counters were used to monitor visitor use of a public natural park in southern Quebec, Canada. A risk index representing the probability of encounters between humans and infected vectors was constructed. This was done by combining the intensity of visitor trail use and the density of infected nymphs obtained from field surveillance. Patterns of risk were examined using spatial cluster analysis. Digital forest data and park infrastructure data were then integrated using spatially explicit models to test whether encounter risk levels and its components vary with forest fragmentation indicators and proximity to park infrastructure. RESULTS: Results suggest that, even at a very fine scales, certain landscape features and infrastructure can be predictors of risk levels. Both visitors and Borrelia burgdorferi-infected ticks concentrated in areas where forest cover was dominant, so there was a positive association between forest cover and the risk index. However, there were no associations between indicators of forest fragmentation and risk levels. Some high-risk clusters contributed disproportionately to the risk distribution in the park relative to their size. There were also two high-risk periods, one in early summer coinciding with peak nymphal activity, and one in early fall when park visitation was highest. CONCLUSIONS: Here, we demonstrate the importance of integrating indicators of human behaviour visitation with tick distribution data to characterize risk patterns for tick-borne diseases in public natural areas. Indeed, understanding the environmental determinants of human-tick interactions will allow organisations to deploy more effective risk reduction interventions targeted at key locations and times, and improve the management of public health risks associated with tick-borne diseases in public spaces.


Asunto(s)
Borrelia burgdorferi , Enfermedad de Lyme , Parques Recreativos , Animales , Humanos , Borrelia burgdorferi/aislamiento & purificación , Parques Recreativos/estadística & datos numéricos , Quebec/epidemiología , Enfermedad de Lyme/epidemiología , Ixodes/microbiología , Bosques , Medición de Riesgo
10.
J Urban Health ; 101(2): 300-307, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38575726

RESUMEN

Neighborhood parks are important venues to support moderate-to-vigorous (MVPA) activity. There has been a noticeable increase promoting physical activity among youth in neighborhood parks. This paper aims to assess the association between park use and MVPA among low-income youth in a large urban area. We recruited a cohort of 434 youth participants during the COVID pandemic years (2020-2022) from low-income households in Washington, D.C. We collected multiple data components: accelerometry, survey, and electronic health record data. We explored the bivariate relationship between the accelerometer-measured daily MVPA time outcome and survey-based park use measures. A mixed-effect model was fitted to adjust the effect estimate for participant-level and time-varying confounders. The overall average daily MVPA time is 16.0 min (SD = 12.7). The unadjusted bivariate relation between daily MVPA time and frequency of park visit is 1.3 min of daily MVPA time per one day with park visits (p < 0.0001). The model-adjusted estimate is 0.7 daily MVPA minutes for 1 day with park visit (p = 0.04). The duration of a typical park visit is not a significant predictor to daily MVPA time with or without adjustments. The initial COVID outbreak in 2020 resulted in a significant decline in daily MVPA time (- 4.7 min for 2020 versus 2022, p < 0.0001). Park visit frequency is a significant predictor to low-income youth's daily MVPA time with considerable absolute effect sizes compared with other barriers and facilitators. Promoting more frequent park use may be a useful means to improve low-income youth's MVPA outcome.


Asunto(s)
COVID-19 , Ejercicio Físico , Parques Recreativos , Pobreza , SARS-CoV-2 , Humanos , COVID-19/epidemiología , Masculino , Femenino , Parques Recreativos/estadística & datos numéricos , Adolescente , Niño , Acelerometría , District of Columbia/epidemiología , Estudios de Cohortes , Características de la Residencia/estadística & datos numéricos
11.
Health Place ; 87: 103248, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38631215

RESUMEN

This study aimed to evaluate the children's usage and their physical activity levels at playgrounds with (N = 4) and without (N = 4) organized sports activities, following a quasi-experimental study design. Direct observations were used to assess the playground usage and estimate the playground users' age category, sex, and physical activity intensity level. The results indicated that playgrounds with sports activities were associated with 53% more users at the time of the activities. However, this increase was only seen in boys. Furthermore, playgrounds with sport activities were not associated with different physical activity levels in children as compared to children on regular playgrounds.


Asunto(s)
Ejercicio Físico , Parques Recreativos , Deportes , Humanos , Masculino , Femenino , Niño , Parques Recreativos/estadística & datos numéricos , Juego e Implementos de Juego , Promoción de la Salud/métodos , Preescolar
12.
Front Public Health ; 12: 1269249, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38655512

RESUMEN

With the aging and older adults' mental health problems in China, more attention has been paid to the restorative environment. As an important restorative environment in the city, the mental health restorative effect of park environment has been confirmed. However, further exploration is needed to determine whether winter parks have positive effects, their differences from non-winter parks, and the specific pathways of these effects. Therefore, this study constructed a "full path" for the restorative effects of older adults' mental health in parks under seasonal differences, including four components: perceived environment, affective feedback, behavioral feedback, and restorative effect, forming four pathways. Based on this, this study obtained 211 and 240 sample data in winter and non-winter parks, and verified the validity of various hypotheses and mediation paths using structural equation models. It found that: (1) overall restorative effects existed in different seasons; (2) in winter, perceived environmental assessment was not a direct antecedent of restorative effects, and affective feedback and Moderate and Vigorous Physical Activity (MVPA) feedback were important mediating factors, and the chain mediated pathway existed; (3) in non-winter, both direct, indirect and chain mediated effects existed, and affective feedback and Low Physical Activity (LPA) feedback were important mediating factors. Based on this, this study divided parks into "affective inducing" and "behavioral promoting" types, and proposed corresponding planning priorities to positively intervene in planning and design practices.


Asunto(s)
Salud Mental , Parques Recreativos , Estaciones del Año , Humanos , Parques Recreativos/estadística & datos numéricos , Salud Mental/estadística & datos numéricos , Femenino , Masculino , Anciano , China , Persona de Mediana Edad , Ejercicio Físico
13.
Environ Res ; 252(Pt 2): 118828, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38583657

RESUMEN

BACKGROUND: Increasing evidence links early life residential exposure to natural urban environmental attributes and positive health outcomes in children. However, few studies have focused on their protective effects on the risk of autism spectrum disorder (ASD). The aim of this study was to investigate the associations of neighborhood greenspace, and active living environments during pregnancy with ASD in young children (≤6 years). METHODS: We conducted a population-based matched case-control study of singleton term births in Ontario, Canada for 2012-2016. The ASD and environmental data was generated using the Ontario Autism Spectrum Profile, the Better Outcomes Registry & Network Ontario, and Canadian Urban Environmental Health Research Consortium. We employed conditional logistic regressions to estimate the odds ratio (OR) between ASD and environmental factors characterizing selected greenspace metrics and neighborhoods conducive to active living (i.e., green view index (GVI), normalized difference vegetation index (NDVI), tree canopy, park proximity and active living environments index (ALE)). RESULTS: We linked 8643 mother-child pairs, including 1554 cases (18%). NDVI (OR 1.034, 0.944-1.024, per Inter Quartile Range [IQR] = 0.08), GVI (OR 1.025, 95% CI 0.953-1.087, per IQR = 9.45%), tree canopy (OR 0.992, 95% CI 0.903-1.089, per IQR = 6.24%) and the different categories of ALE were not associated with ASD in adjusted models for air pollution. In contrast, living closer to a park was protective (OR 0.888, 0.833-0.948, per 0.06 increase in park proximity index), when adjusted for air pollution. CONCLUSIONS: This study reported mixed findings showing both null and beneficial effects of green spaces and active living environments on ASD. Further investigations are warranted to elucidate the role of exposure to greenspaces and active living environments on the development of ASD.


Asunto(s)
Trastorno del Espectro Autista , Humanos , Trastorno del Espectro Autista/epidemiología , Estudios de Casos y Controles , Ontario/epidemiología , Femenino , Masculino , Preescolar , Adulto , Características de la Residencia/estadística & datos numéricos , Embarazo , Lactante , Características del Vecindario , Niño , Parques Recreativos/estadística & datos numéricos , Recién Nacido
14.
J Urban Health ; 101(2): 349-363, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38485845

RESUMEN

Inequities in urban greenspace have been identified, though patterns by race and socioeconomic status vary across US settings. We estimated the magnitude of the relationship between a broad mixture of neighborhood-level factors and residential greenspace using weighted quantile sum (WQS) regression, and compared predictive models of greenspace using only neighborhood-level, only individual-level, or multi-level predictors. Greenspace measures included the Normalized Difference Vegetation Index (NDVI), tree canopy, and proximity of the nearest park, for residential locations in Shelby County, Tennessee of children in the CANDLE cohort. Neighborhood measures include socioeconomic and education resources, as well as racial composition and racial residential segregation. In this sample of 1012 mother-child dyads, neighborhood factors were associated with higher NDVI and tree canopy (0.021 unit higher NDVI [95% CI: 0.014, 0.028] per quintile increase in WQS index); homeownership rate, proximity of and enrollment at early childhood education centers, and racial composition, were highly weighted in the WQS index. In models constrained in the opposite direction (0.028 unit lower NDVI [95% CI: - 0.036, - 0.020]), high school graduation rate and teacher experience were highly weighted. In prediction models, adding individual-level predictors to the suite of neighborhood characteristics did not meaningfully improve prediction accuracy for greenspace measures. Our findings highlight disparities in greenspace for families by neighborhood socioeconomic and early education factors, and by race, suggesting several neighborhood indicators for consideration both as potential confounders in studies of greenspace and pediatric health as well as in the development of policies and programs to improve equity in greenspace access.


Asunto(s)
Parques Recreativos , Características de la Residencia , Humanos , Tennessee , Femenino , Masculino , Niño , Características de la Residencia/estadística & datos numéricos , Parques Recreativos/estadística & datos numéricos , Características del Vecindario , Factores Socioeconómicos , Preescolar , Adulto , Planificación Ambiental
15.
J Epidemiol Community Health ; 78(6): 360-366, 2024 May 09.
Artículo en Inglés | MEDLINE | ID: mdl-38453450

RESUMEN

BACKGROUND: Evidence has shown contradicting results on how the density of urban green spaces may reduce socioeconomic inequalities in type 2 diabetes (equigenic hypothesis). The aim of this study is to test whether socioeconomic inequalities in diabetes prevalence are modified by park density. METHODS: We designed a population-wide cross-sectional study of all adults registered in the primary healthcare centres in the city of Madrid, Spain (n=1 305 050). We obtained georeferenced individual-level data from the Primary Care Electronic Health Records, and census-tract level data on socioeconomic status (SES) and park density. We modelled diabetes prevalence using robust Poisson regression models adjusted by age, country of origin, population density and including an interaction term with park density, stratified by gender. We used this model to estimate the Relative Index of Inequality (RII) at different park density levels. FINDINGS: We found an overall RII of 2.90 (95% CI 2.78 to 3.02) and 4.50 (95% CI 4.28 to 4.74) in men and women, respectively, meaning that the prevalence of diabetes was three to four and a half times higher in low SES compared with high SES areas. These inequalities were wider in areas with higher park density for both men and women, with a significant interaction only for women (p=0.008). INTERPRETATION: We found an inverse association between SES and diabetes prevalence in both men and women, with wider inequalities in areas with more parks. Future works should study the mechanisms of these findings, to facilitate the understanding of contextual factors that may mitigate diabetes inequalities.


Asunto(s)
Diabetes Mellitus Tipo 2 , Parques Recreativos , Humanos , España/epidemiología , Masculino , Femenino , Estudios Transversales , Persona de Mediana Edad , Prevalencia , Adulto , Parques Recreativos/estadística & datos numéricos , Diabetes Mellitus Tipo 2/epidemiología , Anciano , Factores Socioeconómicos , Disparidades en el Estado de Salud , Clase Social , Población Urbana
16.
HERD ; 16(3): 61-82, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37138470

RESUMEN

OBJECTIVES: We explored the importance of environmental and mobility strategies during early COVID-19 by age and ethnicity and investigated predictors of park visitations considering the COVID-19 impacts. BACKGROUND: Parks are safe and accessible venues to stay active and reduce social isolation, which is especially important considering COVID-19 and the associated lockdowns. METHODS: We analyzed online survey data from 683 residents (collected July 2020) of El Paso, TX, and objective measures of neighborhood park characteristics. Chi-square tests and mixed-effects logistic regression analyses were performed to examine the environmental/mobility strategies, personal and environmental factors, and park visitations, considering the COVID-19 impacts. RESULTS: The percentage of those who visited (1+ times/week) parks or trails/paths in the neighborhood dropped from 41.7% to 19.5% since the start of COVID-19 (OR = 0.015, p < .001). Before COVID-19, middle-aged and older adults were less likely to visit parks than younger adults, while this difference became insignificant during early COVID-19. Hispanic adults were more likely to visit parks than non-Hispanics both before and during early COVID-19. Positive environmental predictors of park visitations included park availability in the neighborhood, proximity to the closest park, seeing people being physically active in the neighborhood, and neighborhood aesthetics. CONCLUSIONS: Proximately located parks, trails, and paths well integrated into residential communities, and high aesthetic quality of the neighborhood are the potential features of pandemic-resilient communities and should be considered an important national priority to maintain and promote the health and well-being of the population, especially during pandemics like COVID-19.


Asunto(s)
COVID-19 , Control de Enfermedades Transmisibles , Planificación Ambiental , Parques Recreativos , Recreación , Anciano , Humanos , Persona de Mediana Edad , Control de Enfermedades Transmisibles/métodos , Control de Enfermedades Transmisibles/estadística & datos numéricos , COVID-19/epidemiología , COVID-19/prevención & control , Planificación Ambiental/estadística & datos numéricos , Hispánicos o Latinos/estadística & datos numéricos , Características de la Residencia/estadística & datos numéricos , Aislamiento Social , Cuarentena/estadística & datos numéricos , Parques Recreativos/estadística & datos numéricos
17.
PLoS Negl Trop Dis ; 16(1): e0010119, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-35020732

RESUMEN

The primary dengue virus vectors, Aedes aegypti and Aedes albopictus, are primarily daytime biting mosquitoes. The risk of infection is suspected to be considerable in urban parks due to visitor traffic. Despite the importance of vector control for reducing dengue transmission, little information is available on vector populations in urban parks. The present study characterized mosquito habitats and estimated vector densities in the major urban parks in Ho Chi Minh City, Vietnam and compared them with those in adjacent residential areas. The prevalences of habitats where Aedes larvae were found were 43% and 9% for the parks and residential areas, respectively. The difference was statistically significant (prevalence ratio [PR]: 5.00, 95% CI: 3.85-6.49). The prevalences of positive larval habitats were significantly greater in the parks for both species than the residential areas (PR: 1.52, 95% CI: 1.04-2.22 for A. aegypti, PR: 10.10, 95% CI: 7.23-14.12 for A. albopictus). Larvae of both species were positively associated with discarded containers and planters. Aedes albopictus larvae were negatively associated with indoor habitats, but positively associated with vegetation shade. The adult density of A. aegypti was significantly less in the parks compared with the residential areas (rate ratio [RR]; 0.09, 95% CI: 0.05-0.16), while the density of A. albopictus was significantly higher in the parks (RR: 9.99, 95% CI: 6.85-14.59). When the species were combined, the density was significantly higher in the parks (RR: 2.50, 95% CI: 1.92-3.25). The urban parks provide suitable environment for Aedes mosquitoes, and A. albopictus in particular. Virus vectors are abundant in the urban parks, and the current vector control programs need to have greater consideration of urban parks.


Asunto(s)
Aedes/virología , Dengue/transmisión , Mosquitos Vectores/virología , Parques Recreativos/estadística & datos numéricos , Aedes/crecimiento & desarrollo , Animales , Ciudades , Dengue/epidemiología , Virus del Dengue , Ecosistema , Humanos , Larva , Densidad de Población , Vietnam/epidemiología
19.
Am J Epidemiol ; 191(1): 115-125, 2022 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-34308473

RESUMEN

The association between early-life greenness and child cognition is not well understood. Using prospective data from Project Viva (n = 857) from 1999-2010, we examined associations of early-life greenness exposure with mid-childhood cognition. We estimated residential greenness at birth, early childhood (median age 3.1 years), and mid-childhood (7.8 years) using 30-m resolution Landsat satellite imagery (normalized difference vegetation index). In early childhood and mid-childhood, we administered standardized assessments of verbal and nonverbal intelligence, visual-motor abilities, and visual memory. We used natural splines to examine associations of early life-course greenness with mid-childhood cognition, adjusting for age, sex, race, income, neighborhood socioeconomic status, maternal intelligence, and parental education. At lower levels of greenness (greenness <0.6), greenness exposure at early childhood was associated with a 0.48% increase in nonverbal intelligence and 2.64% increase in visual memory in mid-childhood. The association between early-childhood greenness and mid-childhood visual memory was observed after further adjusting for early childhood cognition and across different methodologies, while the association with nonverbal intelligence was not. No other associations between early life-course greenness and mid-childhood cognition were found. Early childhood greenness was nonlinearly associated with higher mid-childhood visual memory. Our findings highlight the importance of nonlinear associations between greenness and cognition.


Asunto(s)
Cognición , Inteligencia , Parques Recreativos/estadística & datos numéricos , Características de la Residencia/estadística & datos numéricos , Factores de Edad , Niño , Preescolar , Femenino , Conductas Relacionadas con la Salud , Estado de Salud , Humanos , Lactante , Recién Nacido , Masculino , Massachusetts , Estudios Prospectivos , Factores Sexuales , Factores Sociodemográficos
20.
Sci Rep ; 11(1): 19397, 2021 09 29.
Artículo en Inglés | MEDLINE | ID: mdl-34588514

RESUMEN

The effective conservation of mammals on the brink of extinction requires an integrated socio-ecological approach, yet the updated ecological knowledge of species remains fundamental. This study brings spatiotemporal behaviour, population structure, age-specific survival rates, and population size estimate of the Western Derby eland (WDE) in the Niokolo Koba National Park (NKNP), Senegal, investigated during dry seasons 2017 and 2018. WDE was strongly localised in the core area of NKNP (< 5%), active throughout the day with the highest peak in the hottest daytime, with a mean group size 7.6 ± SE 8.9. The adult sex ratio was female-biased and showed low annual adult male survival rates. The population consisted of high proportion of juveniles, whilst adults did not exceed 40%. The estimated population density was 0.138 WDE/km2 (± 0.0102) and estimated size 195 WDE in NKNP (CI95 from 54 to 708 individuals). Findings highlighted that the WDE population has potential to expand in the NKNP, due to an underutilized capacity. The age-specific vital rates indicate adult males as the most vulnerable; suggesting either an increase in the large predators' population, livestock encroachment pressure, and/or poaching. Findings imply that targeted monitoring with science-based interpretation may bring forward strong conservation solutions to the protected area management decision-makers.


Asunto(s)
Antílopes , Conservación de los Recursos Naturales/métodos , Especies en Peligro de Extinción/estadística & datos numéricos , Parques Recreativos/estadística & datos numéricos , Animales , Densidad de Población , Senegal
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