Understanding the impacts of street greening patterns and wind directions on the dispersion of fine particles.

Inappropriate planting patterns can increase pollutant concentrations and threaten human health. This study examined three greening patterns (trees, trees + hedges, and hedges) using the ENVI-met model to evaluate the different effects of various planting patterns on PM2.5 dispersion within an idealized 3D street canyon under three typical wind directions. Results showed that street greenbelts alter the PM2.5 concentration field within canyons, and the horizontal and vertical distribution characteristics of PM2.5 under different wind directions were significantly different. The arbor-hedge vegetation structure showed the highest total vegetation deposition amount due to larger canopy volumes while hedges have better deposition amounts per unit volume due to their proximity to emission sources. Additionally, this research selected the averaged relative difference in PM2.5 concentration (ARDC) indicator to assess the influence of different green scenarios on the dispersion of PM2.5 concentrations. Wind direction and planting patterns jointly affect the dispersion of PM2.5 in canyons, and the ARDC varied from -4.39 % to 105.36 %. Unilateral-trees on the windward side or two rows of hedges may be the optimal vegetation layout by trade-off with other services. ARDC was significantly correlated (p < 0.01) with most of the 3D green indicators. These results could provide effective suggestions for optimizing the layout of greenbelts in street canyons to improve air quality.

Strategic Enhancement of Healthcare Services During the Hajj Season in Makkah: A Comprehensive Geographic Information System (GIS) Analysis.

Annually, over two million international pilgrims embark on the Hajj pilgrimage to Makkah, presenting a significant challenge for healthcare services. This study analyzes the spatial distribution of healthcare facilities in the Al Mashaer area using Geographic Information System (GIS) technology to enhance healthcare during this religious gathering. It evaluates the accessibility and efficacy of healthcare facilities, including primary care centers, clinics, and hospitals, each addressing distinct medical needs to ensure a holistic approach for pilgrims. The study maps the distribution, service radius, and services offered by each facility, along with an analysis of travel distances and times, to evaluate the viability of healthcare services. Identifying coverage gaps and accessibility issues is critical for making strategic recommendations to enhance resource allocation and distribution. The research addresses challenges such as data precision, population density, infrastructural constraints, and resource limitations. The study offers recommendations to optimize resource distribution, improve transportation strategies, expand healthcare capacity, and enhance cultural competency, resulting in improved healthcare accessibility, reduced congestion, quicker medical responses, and a safer pilgrimage experience, promoting a world-class pilgrimage management system.

Dataset on the behavior of local and foreign users in their willingness to pay for bike sharing in medium-sized cities.

The data provide information from a face-to-face survey of 370 potential dock-based e-bike-sharing users in Santander, Spain. The survey was designed to collect information about the current and future use of the city's bike-sharing service, including frequency of use, trip purpose, and Willingness to Pay (WTP) for a future e-bike-sharing service. The questionnaire is structured in two sections. The first section relates to the characterisation through socio-economic data and information on bike-sharing services. The characterisation questions were intended to clearly distinguish between potential recurrent users (locals) and occasional users (visitors). The second section corresponds to a stated preference (SP) exercise that reveals the WTP for using e-bike-sharing considering different payment structures: fee per use, annualised registration, and a combination of the above. The data provide a valuable reference for municipal managers, private bike-sharing service providers, and the scientific community about users' preferences and intentions to use bike-sharing and e-bike-sharing according to sociodemographic characteristics and pricing scenarios. In addition, the questionnaire can be used as a reference in related research.

Access to natural green spaces and their associations with psychological wellbeing for South Asian people in the UK: A systematic literature review.

Use of natural green spaces (NGS) is associated with improved psychological well-being (PWB). Ethnic minorities, particularly South Asian (SA) communities in the UK, face unequal access to NGS and experience a greater prevalence of health challenges than the general population. Improving access to green space can contribute to addressing current health inequalities. Following PRISMA guidelines, this systematic literature review aimed to synthesise existing research on NGS access barriers experienced by SAs and associations between NGS use and PWB. A comprehensive search was conducted through SAGE, Science Direct, and SCOPUS in August 2022; we included qualitative, quantitative and mixed-methods studies with findings on NGS access and/or associations between NGS use and PWB for SAs in the UK. We employed deductive thematic analysis to explore inhibitors and enablers of access which were then conceptualised through a multidimensional framework. Associations between NGS and PWB were coded inductively and mapped separately. This review is registered on PROSPERO: CRD42022353711. Twenty-six studies were included in the review which varied substantially in their aims, methods, context, and participants. Included studies on NGS grouped SAs within broader demographic categories such as minority ethnic communities or Muslims. Our findings indicate that SAs are disadvantaged in their access to NGS due to numerous intersecting factors including unequal distribution, inadequate transport, racialisation of NGS, and safety concerns. Whilst these findings generally aligned with broader literature on NGS access, certain access barriers and enablers are particularly significant to SA communities. We also identified several dimensions of PWB that are enhanced for SAs through interacting with NGS including overall mental health outcomes, physical wellbeing, and social relatedness. This review highlights opportunities to improve access to NGS and thereby enhance PWB outcomes for SA people. It also identifies the lack of primary research exploring NGS access and PWB associations for SA communities, specifically in rural contexts.

Joint associations of neighbourhood walkability and greenery with walking among middle-aged and older adults: Findings from diverse urban settings in Australia.

There is evidence that neighbourhood walkability and greenery are associated with walking, but less is known about their joint associations. We investigated this using data from the AusDiab3 study (2011/12) with 3032 adults (mean age 60 years). Two-level logistic regression models were used with binary walking outcomes. There was an inverse relationship (r = -0.5) between walkability (a composite measure of residential, destinations and intersections densities) and greenery (the size of densely vegetated areas). However, both walkability and greenery were independently positively associated with odds of walking. Regarding joint associations, in low-walkability neighbourhoods, greenery was positively associated with walking. In high-walkability neighbourhoods, greenery was not associated with walking.

Integrated effect of aspect ratio and tree spacing on pedestrian thermal comfort of street canyon.

Increasing heat stress in urban environments due to climate change has a significant adverse impact on human work and daily life. Street canyons as the main component of the underlying surface of the city and the main place of residents' activities, a comprehensive understanding of street morphology and tree planting practices can help to improve thermal comfort. Based on survey data and field experiments, this study designed 30 scenarios and employed ENVI-met model (version 5.0.3) to quantify the effect of street aspect ratio (H/W: H is building height and W is street width) and tree spacing (TS) on pedestrian thermal comfort in two differently oriented streets (north-south and east-west) in Taiyuan, China. Results showed that H/W ratio and TS significantly influenced the street thermal comfort mainly owing to shading. H/W ratio played a pivotal role in reducing mean radiant temperature (Tmrt) and physiological equivalent temperature (PET), and was negatively correlated with Tmrt and PET. Compared to no-tree scenarios, street trees significantly improved thermal comfort (mean reductions of Tmrt and PET were 12.74℃ and 5.66℃, respectively), and PET and Tmrt were significantly negatively correlated with TS. The improvement effect of street trees on Tmrt and PET in east-west oriented street was better than north-south oriented street. H/W = 1.0 and TS = 6 m appeared as the proposed combination to mitigate the summer thermal comfort in the temperate monsoon climate zone. These quantitative results provide new insights into renewal and design strategies for future urban planning.

Designing cities for everyday nature.

The motivations for incorporating nature into the design of cities have never been more compelling. Creating experiences with nature that occur every day (everyday nature) in cities could help reverse the fate of many threatened species and connect people with nature and living cultural traditions. However, this requires more than just urban greening; it involves ensuring daily doses of nature in a way that also supports nonhuman organisms. A major shift in the way nature is conceived of and is made part of the design of cities is required. Principles include reconsidering nature as a development opportunity rather than a constraint and eliminating offsetting of biodiversity site values. Processes include using biodiversity-sensitive design frameworks and establishing meaningful professional engagement among ecologists, planners, and designers. Challenges include design obstacles, conflicts between nature and people (e.g., safety, disease, and noise) that require careful management, and socioeconomic and political considerations (e.g., Global North vs. Global South). Research to interrogate the multiple benefits of nature in cities can complement experimental interventions, ultimately supporting better urban design and creating much more resiliently built environments for people and nature.

Diseño de ciudades para la naturaleza cotidiana Resumen Los motivos para incorporar a la naturaleza dentro del diseño urbano jamás habían sido tan convincentes. La creación en las ciudades de experiencias con la naturaleza que ocurren a diario (naturaleza cotidiana) podría ayudar a cambiar el destino de muchas especies amenazadas y conectar a las personas con la naturaleza y las tradiciones culturales vivientes. Lo anterior requiere más que reverdecimiento urbano ya que involucra dosis diarias de naturaleza de manera que también mantengan a los organismos no humanos. Se necesita de un cambio mayor en la manera en la que se concibe a la naturaleza y cómo se le hace parte del diseño urbano. Los principios incluyen reconsiderar a la naturaleza como una oportunidad de desarrollo en lugar de una limitación y eliminar la compensación del valor de los sitios de biodiversidad. Los procesos incluyen el uso de marcos de diseños sensibles con la biodiversidad y el establecimiento de una participación profesional significativa entre los ecologistas, los planeadores y los diseñadores. Los retos incluyen los obstáculos del diseño, conflictos entre la naturaleza y las personas (seguridad, enfermedades y ruido) que requieren de un manejo cuidadoso y consideraciones políticas (Norte Global versus Sur Global). La investigación para interrogar los múltiples beneficios de la naturaleza en las ciudades puede complementar a las intervenciones, a la larga respaldando un mejor diseño urbano y creando ambientes para las personas y la naturaleza construidos con mayor resiliencia.

["Wider Den Nächtlichen Unfug"-Bielefeld's Street Lighting from 1853 to the 1880s as a Securatization Infrastructure and Tool for Self-Discipline]. / "Wider den nächtlichen Unfug" ­ Die Bielefelder Straßenbeleuchtung von 1853 bis in die 1880er Jahre als versicherheitlichende Infrastruktur und Mittel der Selbstdisziplinierung.

This article deals with the change in safety requirements and technological possibilities in the course of industrialization by looking at the establishment of street lighting in Bielefeld in the 19th century. As will be shown, the development from oil to gas lanterns coincided with a change in the security needs of the urban middle class. It was the technical possibilities of gas lighting to penetrate the urban space at night that made marginalized groups of people who were perceived as a security risk visible. This, together with the bourgeois internalization of the disciplinary effects of light, made this infrastructure possible in Bielefeld. While the urban populations of the pre-modern and early 19th century were still skeptical or dismissive of lanterns, by the mid-19th century their installation was already part of decidedly urban bourgeois demands for more safety in the areas of personal, economic and traffic safety. The lantern thus changed from an instrument of pre-modern visibility to an instrument of constant visibility in the modern age, which at the same time led to new lines of conflict when the expansion and extension of lighting was not as comprehensive as demanded by the urban bourgeoisie. In addition to the changes and conjunctures of security needs in the course of industrialization, Bielefeld also shows that an internalization of the concept of sovereignty by no means meant the absence of conflict. On the basis of administrative acts and petitions, the history of Bielefeld's street lighting is placed in a larger transformation of security, technology and urban spatial design from the perspective of historical security research, drawing on Foucoult's concept of gouvernmentalité. The results show that the history of technology and infrastructure can significantly deepen and contextualize the findings of historical security research. The use and expectations of technology were an essential part of a new understanding of security, as well as the socially segmented organization of urban space through a sometimes precarious alliance of different groups of actors.

Changes in neighbourhood walkability and body mass index: An analysis of residential mobility from a longitudinal multilevel study in Brisbane, Australia.

This study examined associations between changes in neighbourhood walkability and body mass index (BMI) among 1041 residents who relocated within Brisbane, Australia between 2007 and 2016 over five waves of the HABITAT study. Measures included spatially-derived neighbourhood walkability (dwelling density, street connectivity, and land use mix) and self-reported height and weight. No associations were found between any neighbourhood walkability characteristics and BMI. Examining these associations over the life course, and the impact of residential relocation in the younger years, remains a priority for future research.

Redefining Age-Friendly Neighbourhoods: Translating the Promises of Blue Zones for Contemporary Urban Environments.

The longevity and healthy ageing observed in Blue Zones offer valuable insights for contemporary urban neighbourhood planning and design. This paper reviews the age-friendly features of the built environment in Blue Zones, aiming to translate these insights into actionable strategies for urban neighbourhood development. Employing a systematic literature review and Convolutional Neural Networks (CNNs) analysis of Google Street View imagery, this study assesses the built environments in Blue Zones, including housing, public spaces, and transportation systems. Key findings highlight the presence of adaptable housing, building designs that foster a connection with nature, and semi-public spaces that encourage social interaction and physical activity. A notable emphasis on walkability and limited public transport access was observed. The CNN analysis corroborated these findings, providing a quantitative view of age-friendly features. This research contributes to the academic discourse in urban planning and design by providing practical insights for developing age-friendly neighbourhoods, inspired by Blue Zones. It concludes by offering policy advice and future research directions for creating sustainable and inclusive urban environments conducive to ageing populations.

Wilding cities for biodiversity and people: a transdisciplinary framework.

Accelerating urbanisation and associated lifestyle changes result in loss of biodiversity and diminished wellbeing of people through fewer direct interactions and experiences with nature. In this review, we propose the notion of urban wilding (the promotion of autonomous ecological processes that are independent of historical land-use conditions, with minimal direct human maintenance and planting interventions) and investigate its propensity to improve biodiversity and people-nature connections in cities. Through a large interdisciplinary synthesis, we explore the ecological mechanisms through which urban wilding can promote biodiversity in cities, investigate the attitudes and relations of city dwellers towards urban wild spaces, and discuss the integration of urban wilding into the fabric of cities and its governance. We show that favouring assembly spontaneity by reducing planting interventions, and functional spontaneity by limiting maintenance practices, can promote plant diversity and provide ecological resources for numerous organisms at habitat and city scales. These processes could reverse biotic homogenisation, but further studies are needed to understand the effects of wilding on invasive species and their consequences. From a socio-ecological perspective, the attitudes of city dwellers towards spontaneous vegetation are modulated by successional stages, with grassland and woodland stages preferred, but dense shrubby vegetation stages disliked. Wild spaces can diversify physical interactions with nature, and enrich multi-sensory, affective and cognitive experiences of nature in cities. However, some aspects of wild spaces can cause anxiety, feeling unsafe, and the perception of abandonment. These negative attitudes could be mitigated by subtle design and maintenance interventions. While nature has long been thought of as ornamental and instrumental in cities, urban wilding could help to develop relational and intrinsic values of nature in the fabric of cities. Wildness and its singular aesthetics should be combined with cultural norms, resident uses and urban functions to plan and design urban spatial configurations promoting human-non-human cohabitation. For urban wilding to be socially just and adapted to the needs of residents, its implementation should be backed by inclusive governance opening up discussion forums to residents and urban workers. Scientists can support these changes by collaborating with urban actors to design and experiment with new wild spaces promoting biodiversity and wellbeing of people in cities.

Nature and Mental Health in Urban Texas: A NatureScore-Based Study.

In this cross-sectional study, we examined the impact of access to nature on mental health utilization in urban neighborhoods using Texas outpatient encounters data merged with NatureScoreTM (0-100; low to high nature levels) and US census data (household income, education, employment, poverty, and insurance coverage) at the zipcode level. Our sample size included 61 million outpatient encounters across 1169 zipcodes, with 63% women and 30% elderly. A total of 369,344 mental health encounters were identified, with anxiety/stress and depression encounters representing 68.3% and 23.6%, respectively. We found that neighborhoods with a NatureScore of 60+ had lower overall mental health utilization than those below 40 (RR 0.51, 95%CI 0.38-0.69). This relationship persisted for depression, bipolar disorder, and anxiety/stress and in neighborhoods with a NatureScore above 80 (p < 0.001). Compared to neighborhoods with a NatureScore below 40, those above 80 had significantly lower depression (aRR 0.68, 95%CI 0.49-0.95) and bipolar (aRR 0.59, 95%CI 0.36-0.99) health encounters after adjusting for demographic and socioeconomic factors. This novel approach, utilizing NatureScore as a proxy for urban greenness, demonstrates the correlation between a higher NatureScore and reduced mental health utilization. Our findings highlight the importance of integrating nature into our healthcare strategies to promote well-being and mental health.

A National Study on the Comparative Burden of Pedestrian Injuries from Falls Relative to Pedestrian Injuries from Motor Vehicle Collisions.

Pedestrian injuries from falls are an understudied cause of morbidity. Here, we compare the burden of pedestrian injuries from falls occurring on streets and sidewalks with that from motor vehicle collisions. Data on injurious falls on streets and sidewalks, and pedestrian-motor vehicle collisions, to which Emergency Medical Services responded, along with pedestrian and incident characteristics, were identified in the 2019 National Emergency Medical Services Information System database. In total, 118,520 injurious pedestrian falls and 33,915 pedestrians-motor vehicle collisions were identified, with 89% of the incidents occurring in urban areas. Thirty-two percent of pedestrians struck by motor vehicles were coded as Emergent or Critical by Emergency Medical Services, while 19% of pedestrians injured by falls were similarly coded. However, the number of pedestrians whose acuity was coded as Emergent or Critical was 2.1 times as high for injurious falls as compared with pedestrians-motor vehicle collisions. This ratio was 3.9 for individuals 50 years and older and 6.1 for those 65 years and older. In conclusion, there has been substantial and appropriate policy attention given to preventing pedestrian injuries from motor vehicles, but disproportionately little to pedestrian falls. However, the population burden of injurious pedestrian falls is significantly greater and justifies an increased focus on outdoor falls prevention, in addition to urban design, policy, and built environment interventions to reduce injurious falls on streets and sidewalks, than currently exists across the USA.

Design of public open space: Site features, playing, and physical activity.

Not enough studies have examined how specific design features of public open space, such as movable site features, are associated with people's physical activity level or playfulness. To fill this gap, this study uses deep learning-based methods to extract visitors' movement trajectories (n = 18,592) from a time-lapse video of a promenade in Hong Kong. The trajectories are classified into different groups based on a set of movement indicators. Multinomial logistic regression is used to examine the relationship between trajectory types and the level of interaction with different site features. A one-way analysis of variance (ANOVA) is also used to compare the average amount of physical activity among different trajectory types. The results show that interaction with semi-fixed or movable site features is associated with higher odds of people having "playful" trajectories than other types of trajectories. People with "sporty" trajectories and "playful" trajectories on average have the highest amount of physical activity.

Inequalities in neighbourhood features within children's 20-minute neighbourhoods and variation in time spent locally, measured using GPS.

There has been a growing interest in policies that encourage local living by promoting accessible and walkable communities, such as the 20-minute neighbourhood concept. Despite the widespread adoption of this policy in cities worldwide, little research has been conducted on the characteristics of children's 20-minute neighbourhoods and their association with time spent locally. This study aimed to explore the features of Scottish children's 20-minute neighbourhoods by analysing an 800-meter road and path network buffer surrounding 687 children's homes. Based on existing literature, the study identified key features associated with children's time spent locally and the 20-minute neighbourhood policy. The study then examined variations in these features by socioeconomic status, urbanicity, and gender. The findings revealed significant inequalities in the presence of health-benefiting (e.g., green spaces, recreational facilities, healthy food outlets) and health-harming (e.g., major roads, unhealthy commodity retailers) environments within children's 20-minute neighbourhoods. Children from more deprived areas had access to more of both types of environments. The study also found that having a school within a 20-minute neighbourhood was associated with an increased amount of time spent locally (IRR 1.62, 95% CI 1.5 to 1.8, p<0.001). The study suggests that the 20-minute neighbourhood policy should extend beyond mere access to local amenities and prioritise creating healthy 20-minute neighbourhoods, particularly in socioeconomically deprived areas. The research highlights the importance of promoting equal access to quality local environments, which can contribute to improved health and well-being outcomes for children.

Dataset of urban nature games to aid integrating nature-based solutions in urban planning.

This dataset of Urban Nature Games provides information, ratings, and categorizations of different types of games that incorporate concepts of urban planning and ecosystem services or nature-based solutions. It consists of games retrieved from systematic searches on various search engines and public databases, using keywords related to: urban design and planning; ecosystem services and nature-based solutions; and game-based approaches. Recorded meta information includes game names, developers, links to each game's documentation, relevant publications, as well as generic playing information such as play duration, number of players, target group, distribution format, play mode, and costs. Of the 69 games compiled, 37 games have been rated of "high" to "medium" relevance based on their descriptions, and have been further assessed and categorized based on a framework incorporating concepts of urban planning and nature-based solutions, the game's scope, and practice. Among the 22 "high" relevance games, 41% can and have been used to engage multiple stakeholders, and 36% to engage citizens and communities. This data article relates to the research article entitled "Urban Nature Games for integrating nature-based solutions in urban planning: a review", and presents a more detailed, editable version of the dataset. The purpose is to provide a hands-on resource for educators, practitioners, and researchers to directly enable them to select their most suitable games linking ecosystem services and nature-based solutions with urban planning.

Dataset on Bac settlement stakeholders' perspectives on integrative urban design play as an instrument for managing wicked urban regeneration issues in sustainable way.

The presented data provides insights into the perspectives of influential stakeholders within the Bac community in Serbia regarding sustainable urban regeneration, urban design, and the role of integrative urban design. The data was collected subsequent to a collaborative workshop held in 2010, titled ``Integrative Urban Design Play (IUP) for Urban Regeneration on Bac Suburbia.'' During this workshop, attendees acquired novel insights into participatory approaches for fostering sustainable urban regeneration. The objective of the survey was to assess the perspectives of the different stakeholders regarding the feasibility of introducing novel urban development approaches in areas that are under conservation protection. The intent of the research was to evaluate the effectiveness of a learning by doing approach in the implementation of new methods in urban development practise, with a focus on supporting broader concepts such as sustainability and urban regeneration. The research was designed to explore the varying perspectives of relevant stakeholders based on their profession to examine the potential for their clustering towards integrating diverse opinions into a broader understanding using IUP. The efficacy of the IUP in addressing wicked urban regeneration problems, particularly in raising public awareness about the preservation, introduction, and promotion of essential values in protected suburban regions, was assessed through the administration of questionnaires. The questions were organised into three distinct categories: viewpoints on sustainable urban regeneration, perspectives on urban design, and perspectives on knowledge and readiness for future engagement in the Integrative Urban Design Game. A collaborative effort was undertaken by the Faculty of Architecture in Belgrade and the Municipality of Bac, Serbia, to administer an anonymous survey. This survey was disseminated to pertinent stakeholders representing the public sector. The participants in the research exhibited diversity in terms of their occupation, level of experience, and age range, which spanned from 30 to 60 years old. They were chosen from among the attendees of the workshop based on their demonstrated interest, whether overt or covert, in addressing the complex issue at hand. A total of 28.57 percent of the participants were employed in the economic sector, specifically in tourism or management. Similarly, 14.28 percent of the examinees worked in the field of environmental studies, focusing on energy efficiency or natural resource protection. Another 14.28 percent were engaged in the legal profession, while 21.42 percent were involved in media and cultural activities. Additionally, 7.14 percent of the examinees were dedicated to the preservation of cultural heritage. The present paper presents findings that illustrate the level of stakeholder receptiveness towards the sustained utilization of integrative methodologies, such as IUP, within the realm of local planning practice subsequent to the acquisition of novel knowledge and skills via workshops and training sessions. This paper showcases the efficacy of employing participatory techniques and skills to modify urban development and planning practices, with the aim of fostering shared understanding and agreement on environmental values. Consequently, it provides evidence of the effectiveness of the implemented approach within the specific community, as well as its potential applicability in similar communities.

Mapping healthy planning frameworks.

AIMS: The aim of this research was to map available healthy planning frameworks to discover the range, composition, design, and implementation of healthy planning frameworks. METHODS: A systematic scoping review with date, location, and usability limitations was augmented by a grey literature search. Data were extracted on key details, design, outcomes considered, and implementation features of the final 61 frameworks. RESULTS: Data extracted indicated that most frameworks tend to focus on one element of the built environment, with active mobility, active environments, and transport being the most prevalent ones (34%). Most frameworks (40) stated their intended outcomes on health in general terms, rather than targeting specific health outcomes. Very few frameworks (12%) were aimed at the public, and only 11% of frameworks included an evaluation. CONCLUSIONS: While there are a wide variety and number of frameworks available in the field of healthy urban planning, they are generally siloed, focusing on highly specific individual urban determinants, and rarely consider health outcomes in detail. There is significantly less provision available for citizen and community use. Frameworks tend to offer limited updating mechanisms and very rarely include ongoing evaluation processes, making their success difficult to assess.

Associations between urban exposome and recurrence risk among survivors of acute myocardial infarction in Beijing, China.

Few previous studies have investigated the impacts of coexposure to multiple urban environmental factors on the prognosis of acute myocardial infarction (AMI) events. This study aimed to evaluate the associations between the urban exposome and AMI recurrence. We used data from 88,509 AMI patients from a large cohort obtained from the Beijing Cardiovascular Disease Surveillance System between 2013 and 2019. Twenty-six types of urban exposures were assessed within 300-m, 500-m, and 1000-m buffers of patients' home addresses in the baseline and cumulative average levels. We used the Cox proportional hazard model along with the Elastic Net (ENET) algorithm to estimate the hazard ratios (HRs) of recurrent AMI per interquartile range increase in each selected urban exposure. The increased risk of AMI recurrence was significantly associated with lower urban function diversity in the 500-m buffer, longer distance to subway stations and higher PM2.5 for both baseline and cumulative average exposure. The cumulative averages of two urban factors, including the distance to parks, and the density of fruit and vegetable shops in the 1000-m buffer, were also identified as significant factors affecting the risk of AMI recurrence. These findings can help improve the urban design for promoting human cardiovascular health.