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Background: This study investigates the association between television (TV) viewing and child adiposity and if parental education and child ethnicity moderate this association. Method: Cross-sectional, pooled (2013/2014–2016/2017) adult and child New Zealand Health Survey were matched resulting in 13,039 children (2–14 y) and parent dyads. Child TV viewing was estimated using self-reported time for each weekday and weekend. The height (in centimeters), weight (in kilograms), and waist circumference of parents and children were measured. Childhood body mass index and obesity were defined using the International Obesity Task Force cutoff values. Effect modification was assessed by interaction and then by stratifying regression analyses by parent education (low, moderate, and high) and child ethnicity (Asian, European/other, Māori, and Pacific). Results: Overall, watching ≥2 hours TV on average per day in the past week, relative to <2 hours TV viewing, was associated with a higher odds of obesity (adjusted odds ratio = 1.291 [1.108–1.538]), higher body mass index z score (b = 0.123 [0.061–0.187]), and higher waist circumference (b = 0.546 [0.001–1.092]). Interactions considering this association by child ethnicity and parent education revealed little evidence of effect modification. Conclusion: While TV viewing was associated with child adiposity, the authors found little support for a moderating role of parental education and child ethnicity. [ABSTRACT FROM AUTHOR]

In 2010/2011, Ōtautahi Christchurch, Aotearoa New Zealand, suffered a devastating series of earthquakes and aftershocks that resulted in loss of life and significant damage to infrastructure and housing. This created an opportunity to re-build and regenerate a city ready to meet the challenges of the twenty-first century. This paper examines the effectiveness of cross sector collaboration to deliver a more resilient, sustainable, and healthy city. Drawing on case studies focused on a proposed innercity housing project, we highlight the challenges and barriers to alternative healthier development. We found a series of barriers to an urban recovery and rebuild that included a lack of skills to transact between the private and public sector, a lack of cooperation and shared drivers, and a lack of bold leadership and workable relationships. This paper underlines some of the failures to support regeneration that in turn highlights what is needed for regeneration approaches and processes to foster innovation and deliver healthier and more sustainable urban living. [ABSTRACT FROM AUTHOR]

Changes in people's movement and travel behaviour have been apparent in many places during the COVID‐19 pandemic, with differences seen at a range of spatial scales. These changes, occurring as a result of the COVID‐19 'natural experiment', have afforded us an opportunity to reimagine how we might move in our day‐to‐day travels, offering a hopeful glimpse of possibilities for future policy and planning around transport. The nature and scale of changes in movement and transport resulting from the pandemic have shown we can shift travel behaviour with strong policy responses, which is especially important in the concurrent climate change crisis. [ABSTRACT FROM AUTHOR]

Volunteering is a way for people to develop meaningful relationships within a social group and can lead to the building of social capital, from which both individuals and the wider group can benefit in the form of enhanced well‐being. This study aimed to explore and describe the impact of volunteering on the volunteer coordinators and volunteers themselves in the eastern suburbs of Christchurch, New Zealand, an area particularly impacted by the devastating earthquakes in the period 2010/2011. Data were collected via semi‐structured interviews with volunteer coordinators and volunteers (n = 35; 16 men, 19 women) from November 2018 to mid‐January 2019. Thematic analysis of data highlighted a key theme of Creating and strengthening valued community connections, with subthemes of Personal growth, Community connections and Role of coordination. The key theme illustrated how formal volunteering created effort and opportunities towards the strengthening of personal and community connectedness. Our study demonstrates the importance of social connection for both individual and community well‐being, emphasises the important role of "champions" in facilitating the building of bridging and bonding relationships between individuals and communities, and suggests a role for healthcare professionals to prescribe volunteering as a way to improve individual health and well‐being outcomes. [ABSTRACT FROM AUTHOR]

Background Declining childhood immunization represents a serious public health problem globally and in New Zealand. To guide efforts to increase immunization coverage, this study monitors nationwide change in immunization coverage since the introduction of the National Immunisation Register (NIR) in 2005 and spatiotemporal patterns of immunization coverage from 2006 to 2017. Methods The study population consisted of 4 482 499 individual immunization records that were obtained from the NIR (2005–2017). Data on yearly and average immunization coverage in census area units (CAUs) in New Zealand were calculated by milestone age (6/8/12/18/24/60/144 months). Data for 2005 were excluded due to missing records in the introductory period of the NIR. We analyzed spatial and spatiotemporal patterns using Gi* and SaTScan methods. Results Immunization coverage improved since the introduction of the NIR in 2005, reaching a peak in 2014 and 2015 with a slight decrease in 2016 and 2017. Well and insufficiently immunized areas were identified with spatial autocorrelation analyses highlighting several hot- and cold-spots. Comparison of CAUs with neighbouring CAUs allowed for the identification of places where immunization coverage was significantly higher or lower than expected, over both time and space. Conclusion We provide the first spatiotemporal analysis of childhood immunization in New Zealand that utilizes a large sample of over 4.4 million individual immunization records. Our spatial analyses enable policymakers to understand the development of childhood immunization coverage and make more effective prevention strategies in New Zealand. [ABSTRACT FROM AUTHOR]

Background: Accounting for the co-occurrence of multiple environmental influences is a more accurate reflection of population exposure than considering isolated influences, aiding in understanding the complex interactions between environments, behaviour and health. This study examines how environmental 'goods' such as green spaces and environmental 'bads' such as alcohol outlets co-occur to develop a nationwide area-level healthy location index (HLI) for New Zealand. Methods: Nationwide data were collected, processed, and geocoded on a comprehensive range of environmental exposures. Health-constraining 'bads' were represented by: (i) fast-food outlets, (ii) takeaway outlets, (iii) dairy outlets and convenience stores, (iv) alcohol outlets, (v) and gaming venues. Health-promoting 'goods' were represented by: (i) green spaces, (ii) blue spaces, (iii) physical activity facilities, (iv) fruit and vegetable outlets, and (v) supermarkets. The HLI was developed based on ranked access to environmental domains. The HLI was then used to investigate socio-spatial patterning by area-level deprivation and rural/urban classification. Results: Results showed environmental 'goods' and 'bads' co-occurred together and were patterned by area-level deprivation. The novel HLI shows that the most deprived areas of New Zealand often have the most environmental 'bads' and less access to environmental 'goods'. Conclusions: The index, that is now publicly available, is able to capture both inter-regional and local variations in accessibility to health-promoting and health-constraining environments and their combination. Results in this study further reinforce the need to embrace the multidimensional nature of neighbourhood and place not only when designing health-promoting places, but also when studying the effect of existing built environments on population health. [ABSTRACT FROM AUTHOR]

COVID-19 can affect the entire population, but it poses an increased risk for particular population groups. Socioeconomic and demographic factors, as well as long-term health conditions, can make populations vulnerable to adverse health outcomes and mortality related to COVID-19. This study uses geospatial methods to visualise metrics of vulnerability to COVID-19 in New Zealand. Based on Ministry of Health guidelines, nationwide data on risk factors included age, ethnicity, population density, socioeconomic deprivation, smoking, long-term health conditions (cancer, cardiovascular conditions, diabetes, renal conditions, and respiratory illnesses), and health service awareness. Data were sourced from the Census (2018), the New Zealand Deprivation Index (NZDep2018), and the National Minimum Dataset (2011–2016). Factor analysis and bivariate mapping were used to identify areas of high vulnerability. Results demonstrate the unequal social and spatial vulnerabilities to COVID-19 across New Zealand. While some major cities were highlighted many areas also occurred outside of the major cities in smaller communities, which also typically have less access to healthcare and fewer resources. This study has generated data that may help mitigate potential inequality in our response to the COVID-19 pandemic, or indeed for future pandemics. [ABSTRACT FROM AUTHOR]

Background: We examined the association between area-level deprivation and dental ambulatory sensitive hospitalizations (ASH) and considered the moderating effect of community water fluoridation (CWF). The hypothesis was that higher levels of deprivation are associated with higher dental ASH rates and that CWF will moderate this association such that children living in the most deprived areas have greater health gain from CWF.Methods: Dental ASH conditions (dental caries and diseases of pulp/periapical tissues), age, gender and home address identifier (meshblock) were extracted from pooled cross-sectional data (Q3, 2011 to Q2, 2017) on children aged 0-4 and 5-12 years from the National Minimum Dataset, New Zealand (NZ) Ministry of Health. CWF was obtained for 2011 and 2016 from the NZ Institute of Environmental Science and Research. Dental ASH rates for children aged 0-4 and 5-12 years (/1000) were calculated for census area units (CAUs). Multilevel negative binomial models investigated associations between area-level deprivation, dental ASH rate and moderation by CWF status.Results: Relative to CWF (2011 and 2016), no CWF (2011 and 2016) was associated with increased dental ASH rates in children aged 0-4 [incidence rate ratio (IRR) = 1.171 (95% confidence interval 1.064, 1.288)] and aged 5-12 years [IRR = 1.181 (1.084, 1.286)]. An interaction between area-level deprivation and CWF showed that the association between CWF and dental ASH rates was greatest within the most deprived quintile of children aged 0-4 years [IRR = 1.316 (1.052, 1.645)].Conclusions: CWF was associated with a reduced dental ASH rate for children aged 0-4 and 5-12 years. Children living in the most deprived areas showed the greatest effect of CWF on dental ASH rates, indicating that the greater health gain from CWF occurred for those with the highest socio-economic disadvantage. Variation in CWF contributes to structural inequities in oral-health outcomes for children. [ABSTRACT FROM AUTHOR]

The spatial locations of food retailers are considered to be an influential aspect of population consumption patterns. Such contextual relationships are often related to socio‐economic deprivation, with disparities in accessibility having important implications. This study used Geographic Information Systems and an Enhanced Two‐Step Floating Catchment Area model of spatial accessibility to further understand such relationships within urban areas of New Zealand. Findings, while mixed, indicate that there is generally increased accessibility to all food retailers in highly deprived areas. Understanding these socio–spatial relationships in local environments has important implications for policy initiatives, health outcomes and sustainable development. [ABSTRACT FROM AUTHOR]

Greenspace can have a significant positive effect on improved concentration duration, behaviour in the classroom, and educational and social development for school-aged children. This paper uses Geographical Information Systems to explore academic achievement and greenspace in New Zealand. Using multivariate linear regression, the association between greenspace exposure and the percentage of children achieving above academic attainment expectations was examined, controlling for gender, ethnicity, and socioeconomic status. Socioeconomic status was the most significant predictor of academic achievement. Weak associations between greenspace, academic achievement, gender, and ethnicity were observed. Unexpectedly, academic achievement negatively correlated with greenspace. [ABSTRACT FROM AUTHOR]

Background: The potential spatial access to urban health services is an important issue in health geography, spatial epidemiology and public health. Computing geographical accessibility measures for residential areas (e.g. census tracts) depends on a type of distance, a method of aggregation, and a measure of accessibility. The aim of this paper is to compare discrepancies in results for the geographical accessibility of health services computed using six distance types (Euclidean and Manhattan distances; shortest network time on foot, by bicycle, by public transit, and by car), four aggregation methods, and fourteen accessibility measures. Methods: To explore variations in results according to the six types of distance and the aggregation methods, correlation analyses are performed. To measure how the assessment of potential spatial access varies according to three parameters (type of distance, aggregation method, and accessibility measure), sensitivity analysis (SA) and uncertainty analysis (UA) are conducted. Results: First, independently of the type of distance used except for shortest network time by public transit, the results are globally similar (correlation >0.90). However, important local variations in correlation between Cartesian and the four shortest network time distances are observed, notably in suburban areas where Cartesian distances are less precise. Second, the choice of the aggregation method is also important: compared with the most accurate aggregation method, accessibility measures computed from census tract centroids, though not inaccurate, yield important measurement errors for 10% of census tracts. Third, the SA results show that the evaluation of potential geographic access may vary a great deal depending on the accessibility measure and, to a lesser degree, the type of distance and aggregation method. Fourth, the UA results clearly indicate areas of strong uncertainty in suburban areas, whereas central neighbourhoods show lower levels of uncertainty. Conclusion: In order to accurately assess potential geographic access to health services in urban areas, it is particularly important to choose a precise type of distance and aggregation method. Then, depending on the research objectives, the choices of the type of network distance (according to the mode of transportation) and of a number of accessibility measures should be carefully considered and adequately justified. [ABSTRACT FROM AUTHOR]

Air pollutant exposure models are generally applied to large populations living across wide urban areas, and most do not account for daily variation in activity patterns, which can result in exposure misclassification. Far fewer studies exist where exposure is modeled for specific individuals using detailed time-activity data. We employed a novel application of the US-EPA's Air Pollution Exposure Model (APEX) to simulate exposure levels for 51 residents living within a small study area (1.5 km) bisected by a heavily trafficked highway in South Auckland, New Zealand. The model produced daily exposure estimates of nitrogen oxides (NO), carbon monoxide (CO), and particulate matter (PM) for the month of July, 2010. Inputs included pollutant and meteorological data monitored at sites positioned both upwind and downwind of the highway, as well as city monitoring sites north of the study area to represent work locations. A local resident survey provided time-activity diary input. The simulation was run once using the residents' home locations and four times with the population artificially placed 50 and 150 m downwind, as well as 50 and 150 m upwind, relative to the highway. For NO and CO, the population was 31-36 % more exposed when positioned 50 m downwind and 17-18 % less exposed at the upwind side ( p < 0.001), compared to their actual home locations. An additional 100 m separation downwind resulted in a 56-71 % drop in total mean exposure ( p < 0.001) and the difference in exposure levels for certain occupations varied by up to a factor of eight ( p < 0.05). PM exposure was comparatively stable across the area. The effect of residential proximity and position, occupation and work location, were assessed using generalized linear models (GLMs), followed by post hoc testing. This unique application of APEX shows good promise as a planning tool for assessing the potential benefits of a buffer zone between major roads and residential homes, for particular population groups. [ABSTRACT FROM AUTHOR]

Background: Climate change is a global threat to health and wellbeing. Here we provide findings of an international research project investigating the health and wellbeing impacts of policies to reduce greenhouse gas emissions in urban environments.Methods: Five European and two Chinese city authorities and partner academic organisations formed the project consortium. The methodology involved modelling the impact of adopted urban climate-change mitigation transport, buildings and energy policy scenarios, usually for the year 2020 and comparing them with business as usual (BAU) scenarios (where policies had not been adopted). Carbon dioxide emissions, health impacting exposures (air pollution, noise and physical activity), health (cardiovascular, respiratory, cancer and leukaemia) and wellbeing (including noise related wellbeing, overall wellbeing, economic wellbeing and inequalities) were modelled. The scenarios were developed from corresponding known levels in 2010 and pre-existing exposure response functions. Additionally there were literature reviews, three longitudinal observational studies and two cross sectional surveys.Results: There are four key findings. Firstly introduction of electric cars may confer some small health benefits but it would be unwise for a city to invest in electric vehicles unless their power generation fuel mix generates fewer emissions than petrol and diesel. Second, adopting policies to reduce private car use may have benefits for carbon dioxide reduction and positive health impacts through reduced noise and increased physical activity. Third, the benefits of carbon dioxide reduction from increasing housing efficiency are likely to be minor and co-benefits for health and wellbeing are dependent on good air exchange. Fourthly, although heating dwellings by in-home biomass burning may reduce carbon dioxide emissions, consequences for health and wellbeing were negative with the technology in use in the cities studied.Conclusions: The climate-change reduction policies reduced CO2 emissions (the most common greenhouse gas) from cities but impact on global emissions of CO2 would be more limited due to some displacement of emissions. The health and wellbeing impacts varied and were often limited reflecting existing relatively high quality of life and environmental standards in most of the participating cities; the greatest potential for future health benefit occurs in less developed or developing countries. [ABSTRACT FROM AUTHOR]

Purpose – The extent to which research into the design and development of environmental health indicators (EHIs) has translated into operational programmes is unclear. The purpose of this paper is to identify EHI initiatives worldwide, distil the EHIs and draw lessons from the experience. Design/methodology/approach – A systematic internet-based review was undertaken. Programmes were selected for inclusion if they: first, had the ability to monitor both the physical environment and associated health outcomes; and second, the parent agency had the ability to influence policies related to the environment and health. Findings – The small number of eligible programmes indicates EHI initiatives are not yet well established, especially in developing countries. The use of indicators was also limited by uncertainties in the exposure-response relationships that they implied, and the consequent inability to translate the indicators into a common measure of health impact. In addition, there is no information on the extent to which the indicators have been applied in decision making, nor on the policy implications of using indicators. Practical implications – More effort is needed to encourage the development and use of more balanced and informative sets of indicators, and to evaluate their use and outcomes in terms of health benefits. Originality/value – The time is right for a substantial review paper on EHIs as they are now being used by a number of organisations and to the knowledge this is the first review of operational EHI programmes worldwide. [ABSTRACT FROM AUTHOR]

Background The prevalence of adult obesity is escalating in most wealthy and middle income countries. Due to the magnitude of this issue, research and interventions at the individual-level abound. However, the limited success and high costs of such interventions has led to a growing recognition of the potential role of environmental factors in reducing obesity and promoting physical activity and healthy diets. Methods This study utilised individual-level data from the 2006/7 New Zealand Health Survey on obesity, physical activity, diet and socio-economic variables linked to geographic information from other sources on potentially aetiologically-relevant environmental factors, based on the respondent's residential address. We fitted logistic regression models for eight binary measures of weight or weight-related behaviours: 1) overweight; 2) obesity; 3) overweight + obesity; 4) active at least 30 minutes a day for 5+ days per week; 5) active <30 minutes per week; 6) walk 150 minutes + per week; 7) walk <30 minutes per week; and 8) consumption of 5+ fruits and vegetables per day. We included a range of independent environmental characteristics of interest in separate models. Results We found that increased neighbourhood deprivation and decreased access to neighbourhood greenspace were both significantly associated with increased odds of overweight and/or obesity. The results for weight-related behaviours indicate that meeting the recommended level of physical activity per week was associated with urban/rural status, with higher activity in the more rural areas and a surprising tendency for less activity among those living in areas with higher levels of active travel to work. Increased access to greenspace was associated with high levels of walking, while decreased access to greenspace was associated with low levels of walking. There was also a significant trend for low levels of walking to be positively associated with neighbourhood deprivation. Results for adequate fruit and vegetable consumption show a significant urban/rural gradient, with more people meeting recommended levels in the more rural compared to more urban areas. Conclusion Similar to findings from other international studies, these results highlight greenspace as an amenable environmental factor associated with obesity/overweight and also indicate the potential benefit of targeted health promotion in both urban and deprived areas in New Zealand. [ABSTRACT FROM AUTHOR]

There is extensive research on the negative health impacts of poor housing quality. However, little is known about the potential health benefits of high-quality housing in poor neighbourhoods. Neighbourhoods with unexpectedly good health outcomes despite high levels of deprivation have been deemedresilientplaces and housing quality in these areas may be a contributor to this resilience. This study aimed to evaluate whether an indicator of neighbourhood housing quality was associated with a previously quantified resilience index (RINZ) in New Zealand. It was found that areas with high housing quality tended to have higher median income, greater proportions of partnered people and shorter-term residents, and very low proportions of Māori. A positive association was found between housing quality and resilience, after adjustment for deprivation. There was no indication of differences by heterogeneity in housing quality within the aggregate unit of analysis. These findings pose the hypothesis that improving housing quality in similarly deprived areas that have poor health outcomes could potentially boost health. To extend this understanding, further development of a more sophisticated housing quality indicator is recommended. [ABSTRACT FROM AUTHOR]

Background: There is mounting international evidence that exposure to green environments is associated with health benefits, including lower mortality rates. Consequently, it has been suggested that the uneven distribution of such environments may contribute to health inequalities. Possible causative mechanisms behind the green space and health relationship include the provision of physical activity opportunities, facilitation of social contact and the restorative effects of nature. In the New Zealand context we investigated whether there was a socioeconomic gradient in green space exposure and whether green space exposure was associated with cause-specific mortality (cardiovascular disease and lung cancer). We subsequently asked what is the mechanism(s) by which green space availability may influence mortality outcomes, by contrasting health associations for different types of green space.Methods: This was an observational study on a population of 1,546,405 living in 1009 small urban areas in New Zealand. A neighbourhood-level classification was developed to distinguish between usable (i.e., visitable) and non-usable green space (i.e., visible but not visitable) in the urban areas. Negative binomial regression models were fitted to examine the association between quartiles of area-level green space availability and risk of mortality from cardiovascular disease (n = 9,484; 1996 - 2005) and from lung cancer (n = 2,603; 1996 - 2005), after control for age, sex, socio-economic deprivation, smoking, air pollution and population density.Results: Deprived neighbourhoods were relatively disadvantaged in total green space availability (11% less total green space for a one standard deviation increase in NZDep2001 deprivation score, p < 0.001), but had marginally more usable green space (2% more for a one standard deviation increase in deprivation score, p = 0.002). No significant associations between usable or total green space and mortality were observed after adjustment for confounders.Conclusion: Contrary to expectations we found no evidence that green space influenced cardiovascular disease mortality in New Zealand, suggesting that green space and health relationships may vary according to national, societal or environmental context. Hence we were unable to infer the mechanism in the relationship. Our inability to adjust for individual-level factors with a significant influence on cardiovascular disease and lung cancer mortality risk (e.g., diet and alcohol consumption) will have limited the ability of the analyses to detect green space effects, if present. Additionally, green space variation may have lesser relevance for health in New Zealand because green space is generally more abundant and there is less social and spatial variation in its availability than found in other contexts. [ABSTRACT FROM AUTHOR]

In recent years there has been a move towards the strengthening of teaching and research links in the undergraduate curriculum. Inquiry-based learning offers an opportunity for students to engage in research tasks and consequently students can develop valuable research skills, as well as working on projects aligned to staff research interests. This paper describes a third-year undergraduate geography inquiry project exploring the factors that impact on personal exposure to nitrogen dioxide. Students were required to wear passive pollution samplers over a two-week period, and to collect information about their daily regimes. The project involved analysing the air pollution exposure and relating the exposure to factors such as time spent in various environments, and meteorological influences. Standard course evaluations and focus-group data provided a means to evaluate the success of the project. Course evaluations have improved since the introduction of the project and students value the project because of the greater understanding that comes from being a research subject, learning about the research process and the development of analytical skills. However, students had not fully realized the range of research skills they had acquired through the project. In the future, the aims and outcomes of the project will be made more explicit and the reflective element will be expanded to ensure students reflect on their learning in the course. The teaching team must be cognizant of the fact that inquiry exercises can take geography students outside their comfort zone in terms of learning styles, and thus provide appropriate support. [ABSTRACT FROM AUTHOR]

This study presents the methods and results of part of the HAPiNZ (Health and Air Pollution in New Zealand) study. A part of this project was to produce accurate measures of pollution exposure for the entire population of New Zealand living in urban areas. Suitable data are limited in most parts of New Zealand with some areas having no monitoring at all. As a result, this project has developed an empirical model to estimate annual exposure values for the whole country down to the census area unit level. This uses surrogate emission indicators and meteorological variables. Data sources used include census data on domestic heating, industrial emissions estimates, vehicle kilometres travelled and meteorological measurements. These were used to calculate annual exposure estimates and were then compared to monitored data for the areas where monitoring data were available. Results show a good association between the model estimates and the monitored data, enabling advanced health effects assessments for the country's entire urban population.Journal of Exposure Science and Environmental Epidemiology (2008) 18, 200–210; doi:10.1038/sj.jes.7500584; published online 1 August 2007 [ABSTRACT FROM AUTHOR]

Background: Adverse respiratory effects of particulate air pollution have been identified by epidemiological studies. We aimed to examine the health effects of ambient particulate air pollution from wood burning on school-age students in Christchurch, New Zealand, and to explore the utility of urine and exhaled breath condensate biomarkers of exposure in this population. Methods: A panel study of 93 male students (26 with asthma) living in the boarding house of a metropolitan school was undertaken in the winter of 2004. Indoor and outdoor pollution data was continuously monitored. Longitudinal assessment of lung function (FEV1 and peak flow) and symptoms were undertaken, with event studies of high pollution on biomarkers of exposure (urinary 1-hydroxypyrene) and effect (exhaled breath condensate (EBC) pH and hydrogen peroxide concentration). Results: Peak levels of air pollution were associated with small but statistically significant effects on lung function in the asthmatic students, but not healthy students. No significant effect of pollution could be seen either on airway inflammation and oxidative stress either in healthy students or students with asthma. Minor increases in respiratory symptoms were associated with high pollution exposure. Urinary 1-hydroxypyrene levels were raised in association with pollution events by comparison with low pollution control days. Conclusion: There is no significant effect of ambient wood-smoke particulate air pollution on lung function of healthy school-aged students, but a small effect on respiratory symptoms. Asthmatic students show small effects of peak pollution levels on lung function. Urinary 1-hydroxypyrene shows potential as a biomarker of exposure to wood smoke in this population; however measurement of EBC pH and hydrogen peroxide appears not to be useful for assessment of population health effects of air pollution. Some of the data presented in this paper has previously been published in Kingham and co-workers Atmospheric Environment, 2006 Jan; 40: 338-347 (details of pollution exposure), and Cavanagh and co-workers Sci Total Environ. 2007 Mar 1;374(1):51-9 (urine hydroxypyrene data). [ABSTRACT FROM AUTHOR]

So-called ‘boy racers’ form a subculture, which is subject to ongoing public scrutiny and media attention, usually negative. This study aimed to deconstruct the term ‘boy racer’ and to explore the subculture in detail, within the context of Christchurch, New Zealand, using a phenomenological ethnographic approach. This included conducting semistructured interviews and observing the activities of participants. Results show the subculture has a relatively diverse membership and a range of associated behaviours, activities and attitudes. Moreover, performances within the subculture are linked to place, and are seen by other members of the community as threats to normative boundaries. [ABSTRACT FROM AUTHOR]

In a number of environmental-justice studies it has been noted that the exposure to an array of air pollutants varies between different social groups. This inequality in exposure is one possible explanation for the variations in pollution-related health outcomes such as lung cancer and other respiratory diseases. Previous environmental-justice studies that have focused upon air pollution have tended to be concerned with exposure to industrial and vehicle pollution and rely upon simple estimates of exposure, ignoring the complex interaction of emissions, topography, and meteorology that determine pollution levels in many urban areas. In this paper we use accurate and geographically detailed estimates of pollution calculated from an atmospheric dispersion model to examine issues of environmental justice related to air pollution sourced from domestic heating in Christchurch, New Zealand, a city with particularly high levels of particulate pollution during winter months. We consider whether there is a social gradient in exposure to air pollution in Christchurch by comparing estimates of particulate pollution for small areas across the city to a range of demographic and socioeconomic indicators including age, ethnicity, income, and deprivation. Furthermore, we examine whether there is a social gradient in exposure to extreme pollution episodes. We demonstrate that different social groups in the Christchurch population are exposed to different levels of both ambient air pollution and extreme air-pollution episodes. In particular, pollution is significantly higher among more disadvantaged communities. We also find evidence which suggests that the groups responsible for producing a large proportion of the pollution in Christchurch are not the same groups exposed to high levels of particulate air pollution. [ABSTRACT FROM AUTHOR]

Chronic Obstructive Pulmonary Disease is a progressive lung disease affecting the respiratory function of every sixth New Zealander and over 300 million people worldwide. In this paper, we explored how the combination of social, demographical and environmental conditions (represented by increased winter air pollution) affected hospital admissions due to COPD in an urban area of Christchurch (NZ). We juxtaposed the hospitalisation data with dynamic air pollution data and census data to investigate the spatiotemporal patterns of hospital admissions. Spatial analysis identified high-risk health hot spots both overall and season specific, exhibiting higher rates in winter months not solely due to air pollution, but rather as a result of its combination with other factors that initiate deterioration of breathing, increasing impairments and lead to the hospitalisation of COPD patients. From this we found that socioeconomic deprivation and air pollution, followed by the age and ethnicity structure contribute the most to the increased winter hospital admissions. This research shows the continued importance of including both individual (composition) and area level (composition) factors when examining and analysing disease patterns. [ABSTRACT FROM AUTHOR]

The article discusses the highlights of the joint conference of the International Societies of Environmental Epidemiology and Exposure Analysis held in Pasadena, Southern California in October 2008. Three speakers at the event were Ian Longley, Tim Buckley and Simon Kingham. One of the issues tackled is poor air quality and its impact on public health.

Background: The prevalence of adult obesity is escalating in most wealthy and middle income countries. Due to the magnitude of this issue, research and interventions at the individual-level abound. However, the limited success and high costs of such interventions has led to a growing recognition of the potential role of environmental factors in reducing obesity and promoting physical activity and healthy diets.Methods: This study utilised individual-level data from the 2006/7 New Zealand Health Survey on obesity, physical activity, diet and socio-economic variables linked to geographic information from other sources on potentially aetiologically-relevant environmental factors, based on the respondent's residential address. We fitted logistic regression models for eight binary measures of weight or weight-related behaviours: 1) overweight; 2) obesity; 3) overweight + obesity; 4) active at least 30 minutes a day for 5+ days per week; 5) active <30 minutes per week; 6) walk 150 minutes + per week; 7) walk <30 minutes per week; and 8) consumption of 5+ fruits and vegetables per day. We included a range of independent environmental characteristics of interest in separate models.Results: We found that increased neighbourhood deprivation and decreased access to neighbourhood greenspace were both significantly associated with increased odds of overweight and/or obesity. The results for weight-related behaviours indicate that meeting the recommended level of physical activity per week was associated with urban/rural status, with higher activity in the more rural areas and a surprising tendency for less activity among those living in areas with higher levels of active travel to work. Increased access to greenspace was associated with high levels of walking, while decreased access to greenspace was associated with low levels of walking. There was also a significant trend for low levels of walking to be positively associated with neighbourhood deprivation. Results for adequate fruit and vegetable consumption show a significant urban/rural gradient, with more people meeting recommended levels in the more rural compared to more urban areas.Conclusion: Similar to findings from other international studies, these results highlight greenspace as an amenable environmental factor associated with obesity/overweight and also indicate the potential benefit of targeted health promotion in both urban and deprived areas in New Zealand. [ABSTRACT FROM AUTHOR]

Background: Adverse respiratory effects of particulate air pollution have been identified by epidemiological studies. We aimed to examine the health effects of ambient particulate air pollution from wood burning on school-age students in Christchurch, New Zealand, and to explore the utility of urine and exhaled breath condensate biomarkers of exposure in this population.Methods: A panel study of 93 male students (26 with asthma) living in the boarding house of a metropolitan school was undertaken in the winter of 2004. Indoor and outdoor pollution data was continuously monitored. Longitudinal assessment of lung function (FEV1 and peak flow) and symptoms were undertaken, with event studies of high pollution on biomarkers of exposure (urinary 1-hydroxypyrene) and effect (exhaled breath condensate (EBC) pH and hydrogen peroxide concentration).Results: Peak levels of air pollution were associated with small but statistically significant effects on lung function in the asthmatic students, but not healthy students. No significant effect of pollution could be seen either on airway inflammation and oxidative stress either in healthy students or students with asthma. Minor increases in respiratory symptoms were associated with high pollution exposure. Urinary 1-hydroxypyrene levels were raised in association with pollution events by comparison with low pollution control days.Conclusion: There is no significant effect of ambient wood-smoke particulate air pollution on lung function of healthy school-aged students, but a small effect on respiratory symptoms. Asthmatic students show small effects of peak pollution levels on lung function. Urinary 1-hydroxypyrene shows potential as a biomarker of exposure to wood smoke in this population; however measurement of EBC pH and hydrogen peroxide appears not to be useful for assessment of population health effects of air pollution.Some of the data presented in this paper has previously been published in Kingham and co-workers Atmospheric Environment, 2006 Jan; 40: 338-347 (details of pollution exposure), and Cavanagh and co-workers Sci Total Environ. 2007 Mar 1;374(1):51-9 (urine hydroxypyrene data). [ABSTRACT FROM AUTHOR]

There is substantial evidence linking nitrogen dioxide exposure to ill-health, and research has suggested that one of the main areas of exposure is in the home. The study described here was carried out to assess the levels of nitrogen dioxide inside homes and investigate thefactors affecting those levels. Monitoring of nitrogen dioxide was carried out using passive diffusion samplers (Palme's tubes) in 40 houses in Huddersfield over three consecutive two-week periods in late 1994. Half the houses were located close to a busy main road and half on residential roads set back and parallel to the main road. The sample was split so that half had gas cookers and half had electric cookers. These subsets were split again so that half had double glazing and half had single-glazed windows. At each house a sampler was placed in the kitchen, living room, bedroom and outside. It was found that while gas cookers had a significant effect on indoor levels of nitrogen dioxide, window type and proximity to a main road have little. [ABSTRACT FROM AUTHOR]