Journals International Journal of Healt...

International Journal of Health Geographics
Yasemin Algur, Pasquale E Rummo, Tara P McAlexander, S Shanika A De Silva, Gina S Lovasi, Suzanne E Judd, Victoria Ryan, Gargya Malla, Alain K Koyama, David C Lee, Lorna E Thorpe, Leslie A McClure
BACKGROUND: Communities in the United States (US) exist on a continuum of urbanicity, which may inform how individuals interact with their food environment, and thus modify the relationship between food access and dietary behaviors. OBJECTIVE: This cross-sectional study aims to examine the modifying effect of community type in the association between the relative availability of food outlets and dietary inflammation across the US. METHODS: Using baseline data from the REasons for Geographic and Racial Differences in Stroke study (2003-2007), we calculated participants' dietary inflammation score (DIS)...
September 20, 2023: International Journal of Health Geographics
Eleojo Oluwaseun Abubakar, Niall Cunningham
BACKGROUND: Precise geographical targeting is well recognised as an indispensable intervention strategy for achieving many Sustainable Development Goals (SDGs). This is more cogent for health-related goals such as the reduction of the HIV/AIDS pandemic, which exhibits substantial spatial heterogeneity at various spatial scales (including at microscale levels). Despite the dire data limitations in Low and Middle Income Countries (LMICs), it is essential to produce fine-scale estimates of health-related indicators such as HIV/AIDS...
September 20, 2023: International Journal of Health Geographics
Jue Wang, Gyoorie Kim, Kevin Chen-Chuan Chang
BACKGROUND: The exponential growth of location-based social media (LBSM) data has ushered in novel prospects for investigating the urban food environment in health geography research. However, previous studies have primarily relied on word dictionaries with a limited number of food words and employed common-sense categorizations to determine the healthiness of those words. To enhance the analysis of the urban food environment using LBSM data, it is crucial to develop a more comprehensive list of food-related words...
September 16, 2023: International Journal of Health Geographics
Lars Breum Christiansen, Trine Top Klein-Wengel, Sofie Koch, Jens Høyer-Kruse, Jasper Schipperijn
BACKGROUND: The aim of the study is to explore the diversity in recreational walking motives across groups with different sociodemographic characteristics, and to use a dynamic and person-centered approach to geographically assess recreational walking behavior, and preferences for place quality related to recreational walking. METHODS: A total of 1838 adult respondents (age 15-90 years), who engage in recreational walking, participated in the map-based survey...
September 3, 2023: International Journal of Health Geographics
Barbara Chebet Keino, Margaret Carrel
BACKGROUND: Cardiovascular disease (CVD) is increasing in Sub-Saharan Africa (SSA). Overweight/obesity and tobacco use are modifiable CVD risk factors, however literature about the spatiotemporal dynamics of these risk factors in the region at subnational or local scales is lacking. We describe the spatiotemporal trends of overweight/obesity and tobacco use at subnational levels over a 13-year period (2003 to 2016) in five East African nations. METHODS: Cross-sectional, nationally representative Demographic and Health Surveys (DHS) were used to explore the subnational spatiotemporal patterns of overweight/obesity and tobacco use in Burundi, Kenya, Rwanda, Tanzania, and Uganda, five East African Community (EAC) nations with unique cultural landscapes influencing CVD risk factors...
August 24, 2023: International Journal of Health Geographics
Athanasios Burlotos, Tayana Jean Pierre, Walter Johnson, Seth Wiafe, Michelle Joseph
BACKGROUND: The city of Port-au-Prince, Haiti, is experiencing an epidemic of firearm injuries which has resulted in high burdens of morbidity and mortality. Despite this, little scientific literature exists on the topic. Geospatial research could inform stakeholders and aid in the response to the current firearm injury epidemic. However, traditional small-area geospatial methods are difficult to implement in Port-au-Prince, as the area has limited mapping penetration. Objectives of this study were to evaluate the feasibility of geospatial analysis in Port-au-Prince, to seek to understand specific limitations to geospatial research in this context, and to explore the geospatial epidemiology of firearm injuries in patients presenting to the largest public hospital in Port-au-Prince...
August 18, 2023: International Journal of Health Geographics
Aynaz Lotfata, Mohammad Moosazadeh, Marco Helbich, Benyamin Hoseini
BACKGROUND: Some studies have established associations between the prevalence of new-onset asthma and asthma exacerbation and socioeconomic and environmental determinants. However, research remains limited concerning the shape of these associations, the importance of the risk factors, and how these factors vary geographically. OBJECTIVE: We aimed (1) to examine ecological associations between asthma prevalence and multiple socio-physical determinants in the United States; and (2) to assess geographic variations in their relative importance...
August 10, 2023: International Journal of Health Geographics
Elizabeth Jade Mroz, Thomas Willis, Chris Thomas, Craig Janes, Douglas Singini, Mwimanenwa Njungu, Mark Smith
BACKGROUND: Seasonal floods pose a commonly-recognised barrier to women's access to maternal services, resulting in increased morbidity and mortality. Despite their importance, previous GIS models of healthcare access have not adequately accounted for floods. This study developed new methodologies for incorporating flood depths, velocities, and extents produced with a flood model into network- and raster-based health access models. The methodologies were applied to the Barotse Floodplain to assess flood impact on women's walking access to maternal services and vehicular emergency referrals for a monthly basis between October 2017 and October 2018...
July 31, 2023: International Journal of Health Geographics
Yulin Huang, Huimin Zhao, Qiuju Deng, Yue Qi, Jiayi Sun, Miao Wang, Jie Chang, Piaopiao Hu, Yuwei Su, Ying Long, Jing Liu
BACKGROUND: The availability of physical activity (PA) facilities in neighborhoods is hypothesized to influence cardiovascular disease (CVD), but evidence from individual-level long-term cohort studies is limited. We aimed to assess the association between neighborhood exposure to PA facilities and CVD incidence. METHODS: A total of 4658 participants from the Chinese Multi-provincial Cohort Study without CVD at baseline (2007-2008) were followed for the incidence of CVD, coronary heart disease (CHD), and stroke...
July 29, 2023: International Journal of Health Geographics
Maria Safura Mohamad, Khairul Nizam Abdul Maulud, Christel Faes
BACKGROUND: National prevalence could mask subnational heterogeneity in disease occurrence, and disease mapping is an important tool to illustrate the spatial pattern of disease. However, there is limited information on techniques for the specification of conditional autoregressive models in disease mapping involving disconnected regions. This study explores available techniques for producing district-level prevalence estimates for disconnected regions, using as an example childhood overweight in Malaysia, which consists of the Peninsular and Borneo regions separated by the South China Sea...
June 21, 2023: International Journal of Health Geographics
Zhaoxi Zhang, Kristýna Měchurová, Bernd Resch, Prince Amegbor, Clive E Sabel
Overcrowding in densely populated urban areas is increasingly becoming an issue for mental health disorders. Yet, only few studies have examined the association between overcrowding in cities and physiological stress responses. Thus, this study employed wearable sensors (a wearable camera, an Empatica E4 wristband and a smartphone-based GPS) to assess the association between overcrowding and human physiological stress response in four types of urban contexts (green space, transit space, commercial space, and blue space)...
June 21, 2023: International Journal of Health Geographics
Keli Wang, Xiaoyi Han, Lei Dong, Xiao-Jian Chen, Gezhi Xiu, Mei-Po Kwan, Yu Liu
BACKGROUND: Non-pharmaceutical interventions (NPIs) implemented in one place can affect neighboring regions by influencing people's behavior. However, existing epidemic models for NPIs evaluation rarely consider such spatial spillover effects, which may lead to a biased assessment of policy effects. METHODS: Using the US state-level mobility and policy data from January 6 to August 2, 2020, we develop a quantitative framework that includes both a panel spatial econometric model and an S-SEIR (Spillover-Susceptible-Exposed-Infected-Recovered) model to quantify the spatial spillover effects of NPIs on human mobility and COVID-19 transmission...
June 7, 2023: International Journal of Health Geographics
Elise N Grover, William B Allshouse, Andrea J Lund, Yang Liu, Sara H Paull, Katherine A James, James L Crooks, Elizabeth J Carlton
BACKGROUND: Although the presence of intermediate snails is a necessary condition for local schistosomiasis transmission to occur, using them as surveillance targets in areas approaching elimination is challenging because the patchy and dynamic quality of snail host habitats makes collecting and testing snails labor-intensive. Meanwhile, geospatial analyses that rely on remotely sensed data are becoming popular tools for identifying environmental conditions that contribute to pathogen emergence and persistence...
June 2, 2023: International Journal of Health Geographics
Lorenza Gilardi, Mattia Marconcini, Annekatrin Metz-Marconcini, Thomas Esch, Thilo Erbertseder
BACKGROUND: The negative effect of air pollution on human health is widely reported in recent literature. It typically involves urbanized areas where the population is concentrated and where most primary air pollutants are produced. A comprehensive health risk assessment is therefore of strategic importance for health authorities. METHODS: In this study we propose a methodology to perform an indirect and retrospective health risk assessment of all-cause mortality associated with long-term exposure to particulate matter less than 2...
May 19, 2023: International Journal of Health Geographics
Francesca Fortunato, Roberto Lillini, Domenico Martinelli, Giuseppina Iannelli, Leonardo Ascatigno, Georgia Casanova, Pier Luigi Lopalco, Rosa Prato
BACKGROUND: COVID-19 has been characterised by its global and rapid spread, with high infection, hospitalisation, and mortality rates worldwide. However, the course of the pandemic showed differences in chronology and intensity in different geographical areas and countries, probably due to a multitude of factors. Among these, socio-economic deprivation has been supposed to play a substantial role, although available evidence is not fully in agreement. Our study aimed to assess incidence and fatality rates of COVID-19 across the levels of socio-economic deprivation during the first epidemic wave (March-May 2020) in the Italian Province of Foggia, Apulia Region...
May 4, 2023: International Journal of Health Geographics
Prince M Amegbor, Angelina Addae
BACKGROUND: Child mortality continue to be a major public health issue in most developing countries; albeit there has been a decline in global under-five deaths. The differences in child mortality can best be explained by socioeconomic and environmental inequalities among countries. In this study, we explore the effect of country-level development indicators on under-five mortality rates. Specifically, we examine potential spatio-temporal heterogeneity in the association between major world development indicators on under-five mortality, as well as, visualize the global differential time trend of under-five mortality rates...
May 4, 2023: International Journal of Health Geographics
André Alves, Nuno Marques da Costa, Paulo Morgado, Eduarda Marques da Costa
BACKGROUND: COVID-19 caused the largest pandemic of the twenty-first century forcing the adoption of containment policies all over the world. Many studies on COVID-19 health determinants have been conducted, mainly using multivariate methods and geographic information systems (GIS), but few attempted to demonstrate how knowing social, economic, mobility, behavioural, and other spatial determinants and their effects can help to contain the disease. For example, in mainland Portugal, non-pharmacological interventions (NPI) were primarily dependent on epidemiological indicators and ignored the spatial variation of susceptibility to infection...
April 6, 2023: International Journal of Health Geographics
Keisuke Oyatani, Masayuki Koyama, Nobuaki Himuro, Tetsuji Miura, Hirofumi Ohnishi
BACKGROUND: Prehospital delay in reaching a percutaneous coronary intervention (PCI) facility is a major problem preventing early coronary reperfusion in patients with ST-elevation myocardial infarction (STEMI). The aim of this study was to identify modifiable factors that contribute to the interval from symptom onset to arrival at a PCI-capable center with a focus on geographical infrastructure-dependent and -independent factors. METHODS: We analyzed data from 603 STEMI patients who received primary PCI within 12 h of symptom onset in the Hokkaido Acute Coronary Care Survey...
March 30, 2023: International Journal of Health Geographics
Eda Mumo, Nathan O Agutu, Angela K Moturi, Anitah Cherono, Samuel K Muchiri, Robert W Snow, Victor A Alegana
BACKGROUND: Estimating accessibility gaps to essential health interventions helps to allocate and prioritize health resources. Access to blood transfusion represents an important emergency health requirement. Here, we develop geo-spatial models of accessibility and competition to blood transfusion services in Bungoma County, Western Kenya. METHODS: Hospitals providing blood transfusion services in Bungoma were identified from an up-dated geo-coded facility database...
March 27, 2023: International Journal of Health Geographics
Elias Willberg, Age Poom, Joose Helle, Tuuli Toivonen
Urban travel exposes people to a range of environmental qualities with significant health and wellbeing impacts. Nevertheless, the understanding of travel-related environmental exposure has remained limited. Here, we present a novel approach for population-level assessment of multiple environmental exposure for active travel. It enables analyses of (1) urban scale exposure variation, (2) alternative routes' potential to improve exposure levels per exposure type, and (3) by combining multiple exposures. We demonstrate the approach's feasibility by analysing cyclists' air pollution, noise, and greenery exposure in Helsinki, Finland...
February 10, 2023: International Journal of Health Geographics
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