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The International Initiative on Spatial Lifecourse Epidemiology (ISLE) convened its first International Symposium on Lifecourse Epidemiology and Spatial Science at the Lorentz Center in Leiden, Netherlands, 16-20 July 2018. Its aim was to further an emerging transdisciplinary field: Spatial Lifecourse Epidemiology. This field draws from a broad perspective of scientific disciplines including lifecourse epidemiology, environmental epidemiology, community health, spatial science, health geography, biostatistics, spatial statistics, environmental science, climate change, exposure science, health economics, evidence-based public health, and landscape ecology. The participants, spanning 30 institutions in 10 countries, sought to identify the key issues and research priorities in spatial lifecourse epidemiology. The results published here are a synthesis of the top 10 list that emerged out of the discussion by a panel of leading experts, reflecting a set of grand challenges for spatial lifecourse epidemiology in the coming years. [ABSTRACT FROM AUTHOR]

Investigating biologically plausible mechanisms for the embodiment of context is a key thoroughfare for progressing health geographies of place. Expanding knowledge of bio-processes such as epigenetics is providing a platform for appreciating the dynamic embedding of social relations in bodies over the lifecourse, and so to tracing the development of health inequalities. By providing a geographic lens on the biosocial, health geographers have key contributions to make regarding the theorisation of place. We put forward the exposome as a holistic framework in which to situate a biosocial health geography, placing ideas of dynamic exposure, plasticity and temporality as central. [ABSTRACT FROM AUTHOR]

Research into health disparities has long recognized the importance of residential mobility as a crucial factor in determining health outcomes. However, a lack of connectivity between the health and mobility literatures has led to a stagnation of theory and application on the health side, which lacks the detail and temporal perspectives now seen as critical to understanding residential mobility decisions. Through a critical re-think of mobility processes with respect to health outcomes and an exploitation of longitudinal analytical techniques, we argue that health geographers have the potential to better understand and identify the relationship that residential mobility has with health. [ABSTRACT FROM AUTHOR]

Implementation of greenhouse gas (GHG) abatement strategies often ends up as the responsibility of municipal action rather than national policies. Impacts of local GHG reduction measures were investigated in the EU FP7 funded project Urban Reduction of Greenhouse Gas Emissions in China and Europe (URGENCHE). Kuopio in Finland was one of the case study cities. The assessed reduction measures were (1) increased use of biomass in local heat and power cogeneration plant, (2) energy efficiency improvements of residences, (3) increased biofuel use in traffic, and (4) increased small scale combustion of wood for residential heating. Impact assessment compared the 2010 baseline with a 2020 BAU (business as usual) scenario and a 2020 CO2 interventions scenario. Changes in emissions were assessed for CO2, particulate matter (PM2.5 and PM10), NOx, and SO2, and respective impacts were assessed for PM2.5 ambient concentrations and health effects. The assessed measures would reduce the local CO2 emissions in the Kuopio urban area by over 50% and local emissions of PM2.5 would clearly decrease. However, the annual average ambient PM2.5 concentration would decrease by just 4%. Thus, only marginal population level health benefits would be achieved with these assumed local CO2 abatement actions. [ABSTRACT FROM AUTHOR]

The article discusses a study which investigated whether there is a link between latitude and severity of multiple sclerosis. Topics covered include data acquired in the 2006 New Zealand National Multiple Sclerosis Prevalence Study (NZMSPS), and findings which suggest that there is a strong and direct relationship of latitude with prevalence, but a weak inverse relationship with disease severity.

• The prevalence of anaemia amongst women (41%) was twice that of men (22%). • Exposure to media is significantly associated with reduce risk of anaemia. • Cumulative PM 2.5 exposure is significantly associated with the likelihood of being anaemic. • The relative risk of anaemia is high amongst regions in West Africa and Mozambique. • Region-specific risk of anaemia was similar across sub-Saharan Africa after accounting for regional socioeconomic factors and PM 2.5. There is limited knowledge on the effect of contextual and environmental factors on the risk of anaemia, as well as the spatial distribution of anaemia in the Sub-Saharan Africa region. In this study, we used multi-country data from the Demographic & Health survey (DHS) with 270,011 observations and PM 2.5 data from NASA, applied to the spatial risk pattern of anaemia in the SSA region. The prevalence of anaemia amongst women (41%) was almost twice that of men (22%). A Bayesian hierarchical model showed that individual household, neighbourhood and regional socioeconomic factors were significantly associated with the likelihood of being anaemic. 1 μg/m3 increase in cumulative lifetime PM 2.5 exposure accounted for 1% (β = 0.011, CI = 0.008 – 0.015) increase in the likelihood of being anaemic. The results suggest the need for a multidimensional approach to tackle anaemia in the Sub-Saharan African region and identify high-risk areas for target intervention policies or programs. [ABSTRACT FROM AUTHOR]

In this study, we examine the concepts of spatial dependence and spatial heterogeneity in the effect of macro-level and micro-level factors on stunting among children aged under five in Uganda. We conducted a cross-sectional analysis of 3624 Ugandan children aged under five, using data from the 2016 Ugandan Demographic and Health Survey. Multilevel mixed-effect analysis, spatial regression methods and multi-scale geographically weight regression (MGWR) analysis were employed to examine the association between our predictors and stunting as well as to analyse spatial dependence and variability in the association. Approximately 28% of children were stunted. In the multilevel analysis, the effect of drought, diurnal temperature and livestock per km2 on stunting was modified by child, parent and household factors. Likewise, the contextual factors had a modifiable effect on the association between child's sex, mother's education and stunting. The results of the spatial regression models indicate a significant spatial error dependence in the residuals. The MGWR suggests rainfall and diurnal temperature had spatial varying associations with stunting. The spatial heterogeneity of rainfall and diurnal temperature as predictors of stunting suggest some areas in Uganda might be more sensitive to variability in these climatic conditions in relation to stunting than others. [ABSTRACT FROM AUTHOR]

The association between air pollution and risk of respiratory tract infection (RTI) in adults needs to be clarified in settings with low to moderate levels of air pollution. We investigated this in the Danish population between 2004 and 2016. We included 3 653 490 persons aged 18–64 years in a nested case-control study. Exposure was defined as the average daily concentration at the individual's residential address of CO, NO X , NO 2 , O 3 , SO 2 , NH 3 , PPM 2.5 , black carbon, organic carbon, mineral dust, sea salt, secondary inorganic aerosols, SO 4 2-, NO 3 -, NH 4 +, secondary organic aerosols, PM 2.5 , and PM 10 during a 3-month exposure window. RTIs were defined by hospitalization for RTIs. Incidence rate ratios (IRRs) and 95% CIs were estimated comparing highest with lowest decile of exposure using conditional logistic regression models. In total, 188 439 incident cases of RTI were identified. Exposure to most air pollutants was positively associated with risk of RTI. For example, NO 2 showed an IRR of 1.52 (CI: 1.48–1.55), and PM 2.5 showed an IRR of 1.45 (CI: 1.40–1.50). In contrast, exposure to sea salt, PM 10 , NH 3 , and O 3 was negatively associated with a risk of RTIs. In this nationwide study comprising adults, exposure to air pollution was associated with risk of RTIs and subgroups hereof. Sea salt, PM 10 , NH 3 , and O 3 may be proxies for rural areas, as the levels of these species in Denmark are higher near the western coastlines and/or in rural areas with fewer combustion sources. [ABSTRACT FROM AUTHOR]