Perspectives of autistic adolescent girls and women on the determinants of their mental health and social and emotional well-being: A systematic review and thematic synthesis of lived experience.

LAY ABSTRACT: Difficulties with mental health and low levels of well-being are more common among autistic girls and women than non-autistic people, but we do not fully understand why. Research does not focus enough on what autistic girls and women could tell us about this. This review aims to summarise the studies where autistic girls and women explain things that affect their mental health and well-being to help us understand how to prevent these difficulties from developing. Three research databases were searched to find possibly relevant studies. There were 877 studies found, which two researchers screened according to particular criteria. They found 52 studies that could be included in this review. One researcher evaluated the quality of these studies and extracted the key information from them. This review summarises the views of 973 autistic girls and women aged between 13 and 70+. The findings from the 52 studies were analysed, and we found many factors that affect the mental health and well-being of autistic girls and women. These factors fall into two categories: (1) difficulties living in a world not designed for autistic people and (2) the impact of stigma due to being autistic.

The potential politics of the porous city.

This article discusses the concept of porosity and what it might offer critical urbanism. It engages recent scholarly and practical writing on the "porous city," outlining three sets of contributions that porosity offers in analyzing contemporary urbanization patterns and in orienting planning, policymaking, and knowledge production. First, the porous city offers a critical epistemological lens focused on flow and relations, which supports mobile and infrastructural ways of viewing and knowing the city. Second, the porous city suggests the ontological features of interpenetrating geographies and temporalities, which take the urban to be a topological space of potential politics. Third, the porous city entails an ideal to which planning practice should aspire, particularly in relation to forms of urbanism and city-building that are open to multifunctionality, difference, and dynamism over time. While each of these represents a promising direction in critical urban praxis, we argue that porosity also has its limits. The porous city is conceptually malleable and normatively ambiguous and it risks overreach as well as recuperation within exclusionary and exploitative urban development agendas. We claim that the porous city should not be treated as a comprehensive global ambition, but rather, is most valuable when used to discern and build discrete architectures of power.

Art in transit: Mobility, aesthetics and urban development.

High-profile architecture and design, alongside integrated arts and cultural programming are now ubiquitous features of public transit networks. This article considers how and why transit-based arts and cultural programmes are proliferating globally as well as the impact of these programmes on transit and urban dynamics. Through critically analysing the discourses surrounding different transit art initiatives and the institutional structures which support them, this article shows how transit art is used today for varied - and often contradictory - ends. Based on this, it argues that we should not uncritically celebrate the rise of transit art as an unmitigated civic good. Rather, we must situate the rise of transit art within a political and aesthetic economy in which art has become 'expedient', and contend with the way transit art is implicated in elite, exclusionary and unsustainable processes of urbanisation.

Probing key informants' views of health equity within the World Health Organization's Urban HEART initiative.

To date, no studies have assessed how those involved in the World Health Organization's (WHO) work understand the concept of health equity. To fill the gap, this research poses the question, "how do Urban Health Equity Assessment and Response Tool (Urban HEART) key informants understand the concept of health equity?", with Urban HEART being selected given the focus on health equity. To answer this question, this study undertakes synchronous electronic interviews with key informants to assess how they understand health equity within the context of Urban HEART. Key findings demonstrate that: (i) equity is seen as a core value and inequities were understood to be avoidable, systematic, unnecessary, and unfair; (ii) there was a questionable acceptance of need to act, given that political sensitivity arose around acknowledging inequities as "unnecessary"; (iii) despite this broader understanding of the key aspects of health inequity, the concept of health equity was seen as vague; (iv) the recognized vagueness inherent in the concept of health equity may be due to various factors including country differences; (v) how the terms "health inequity" and "health inequality" were used varied drastically; and (vi) when speaking about equity, a wide range of aspects emerged. Moving forward, it would be important to establish a shared understanding across key terms and seek clarification, prior to any global health initiatives, whether explicitly focused on health equity or not.

Scoping review of the World Health Organization's underlying equity discourses: apparent ambiguities, inadequacy, and contradictions.

BACKGROUND AND OBJECTIVE: Given the heightened rhetorical prominence the World Health Organization has afforded to equity in the past half-century, it is important to better understand how equity has been referred to and its conceptual underpinning, which may have broader global implications. ELIGIBILITY CRITERIA: Articles were included if they met inclusion criteria - chiefly the explicit discussion of the WHO's concept of health equity, for example in terms of conceptualization and/or definitions. Articles which mentioned health equity in the context of WHO's programs, policies, and so on, but did not discuss its conceptualization or definition were excluded. SOURCES OF EVIDENCE: We focused on peer-reviewed literature by scanning Ovid MEDLINE and SCOPUS databases, and supplementing by hand-search. RESULTS: Results demonstrate the WHO has held - and continues to hold - ambiguous, inadequate, and contradictory views of equity that are rooted in different theories of social justice. CONCLUSIONS: Moving forward, the WHO should revaluate its conceptualization of equity and normative position, and align its work with Amartya Sen's Capabilities Approach, as it best encapsulates the broader views of the organization. Further empirical research is needed to assess the WHO interpretations and approaches to equity.