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Low-grade inflammation (LGI) mainly acted as the mediator of the association of obesity and inflammatory diet with numerous chronic diseases, including neuropsychiatric diseases. However, the evidence about the effect of LGI on brain structure is limited but important, especially in the context of accelerating aging. This study was then designed to close the gap, and we leveraged a total of 37,699 participants from the UK Biobank and utilized inflammation score (INFLA-score) to measure LGI. We built the longitudinal relationships of INFLA-score with brain imaging phenotypes using multiple linear regression models. We further analyzed the interactive effects of specific covariates. The results showed high level inflammation reduced the volumes of the subcortex and cortex, especially the globus pallidus (β [95% confidence interval] = −0.062 [−0.083, −0.041]), thalamus (−0.053 [−0.073, −0.033]), insula (−0.052 [−0.072, −0.032]), superior temporal gyrus (−0.049 [−0.069, −0.028]), lateral orbitofrontal cortex (−0.047 [−0.068, −0.027]), and others. Most significant effects were observed among urban residents. Furthermore, males and individuals with physical frailty were susceptive to the associations. The study provided potential insights into pathological changes during disease progression and might aid in the development of preventive and control targets in an age-friendly city to promote great health and well-being for sustainable development goals. [ABSTRACT FROM AUTHOR]

Background: Residents of rural areas have poorer health status, less healthy behaviours and higher mortality than urban dwellers, issues which are commonly addressed in primary care. Strengthening primary care may be an important tool to improve the health status of rural populations. Objective: Synthesize and categorize studies that examine interventions to improve rural primary care. Eligibility criteria: Experimental or observational studies published between January 1, 1996 and December 2022 that include an historical or concurrent control comparison. Sources of evidence: Pubmed, CINAHL, Cochrane Library, Embase. Charting methods: We extracted and charted data by broad category (quality, access and efficiency), study design, country of origin, publication year, aim, health condition and type of intervention studied. We assigned multiple categories to a study where relevant. Results: 372 papers met our inclusion criteria, divided among quality (82%), access (20%) and efficiency (13%) categories. A majority of papers were completed in the USA (40%), Australia (15%), China (7%) or Canada (6%). 35 (9%) papers came from countries in Africa. The most common study design was an uncontrolled before-and-after comparison (32%) and only 24% of studies used randomized designs. The number of publications each year has increased markedly over the study period from 1-2/year in 1997–99 to a peak of 49 papers in 2017. Conclusions: Despite substantial inequity in health outcomes associated with rural living, very little attention is paid to rural primary care in the scientific literature. Very few studies of rural primary care use randomized designs. [ABSTRACT FROM AUTHOR]

Poor or insufficient nutrition can have serious impacts, especially on vulnerable groups such as toddlers, pregnant women and the elderly. Malnutrition not only has a direct impact on physical health conditions, but can also hinder optimal growth and development, both physically and mentally. Objective: The aim of this study to evaluate the implementation of the malnutrition prevention program in the Cendrawasih Health Center work area, Makassar City in 2023. Method: This type of research is qualitative research. The samples for this research are community health center staff, stakeholders and program users. Results: Evaluation of the malnutrition prevention program in the Cendrawasih Health Center working area, Makassar City is based on Context, Input, Process and Product analysis. The research results show that in terms of social and cultural conditions, some communities pay less attention to children's nutrition. Input is in the form of funds used, namely BOK funds and funds from the local government. Apart from that, the availability of human resources is inadequate. The facilities and infrastructure used are quite complete with the availability of anthropometric tools. Process Growth monitoring is carried out by community health center officers and posyandu cadres every 10 days. Product The nutritional status of toddlers is starting to improve, this is proven by the number of cases which has decreased. Mothers' knowledge about the characteristics or signs that children are experiencing malnutrition is still lacking. Apart from that, mothers still don't fully understand parenting patterns for toddlers. Conclusion: The evaluation of the malnutrition prevention program at the Cendrawasih Community Health Center in 2023 is still not going well because the input is not adequate, the process has not been carried out optimally so that the product produced does not meet the achievement targets. Efforts that can be made include active cadres in socializing children's nutrition. Apart from that, counseling efforts regarding malnutrition among pregnant women also continue to be increased. [ABSTRACT FROM AUTHOR]

Urbanization is rapidly occupying green spaces, making it crucial to understand implicit conflicts between urbanization and greenness. This study proposes an ecological greenness index (EGI) and a comprehensive urbanization index (CUI) and selects Nanjing, a megacity in China, as the study area to research the spatial and temporal evolutionary trends of the EGI and CUI in the context of land use/land cover (LULC) changes from 2000 to 2020. Meanwhile, the conflicts and complex interaction characteristics of the EGI and CUI are discussed from both static and dynamic perspectives, and their driving mechanisms are investigated by combining specific indicators. The results demonstrate that over the past 20 years, LULC in Nanjing was dominated by cultivated land, forest land, and artificial surfaces. The encroachment of artificial surfaces on green space was strengthened, resulting in a decrease in the proportion of cultivated land from 70.09% in 2000 to 58.00% in 2020. The CUI increased at a change rate of 0.6%/year, while the EGI showed significant browning (change rate: −0.23%/year), mainly concentrated within the main urban boundaries. The relationship between the CUI and EGI made the leap from "primary coordination" to "moderate coordination", but there remains a risk of further deterioration of the decoupling relationship between the CUI and ecological pressures. The multi-year average contribution of the CUI to the EGI was 49.45%. Urbanization activities that dominate changes in greenness have changed over time, reflecting the timing of urban conflict management. The results provide important insights for urban ecological health monitoring and management. [ABSTRACT FROM AUTHOR]

Introduction: Community health centers (CHCs) provide historically marginalized populations with primary care, including cancer screening. Previous studies have reported that women living in rural areas are less likely to be up to date with cervical cancer screening than women living in urban areas. However, little is known about rural–urban differences in cervical cancer screening in CHCs and the contributing factors, and whether such differences changed during the COVID‐19 pandemic. Methods: Using 8‐year pooled Uniform Data System (2014‐2021) data and Oaxaca‐Blinder decomposition, the extent to which CHC‐ and catchment area–level characteristics explained rural‐urban differences in up‐to‐date cervical cancer screening was estimated. Results: Up‐to‐date cervical cancer screening was lower in rural CHCs than urban CHCs (38.2% vs 43.0% during 2014–2019), and this difference increased during the pandemic (43.5% vs 49.0%). The rural–urban difference in cervical cancer screening in 2014–2019 was mostly explained by differences in CHC‐level proportions of patients with limited English proficiency (55.9%) or income below the poverty level (12.3%) and females aged 21 to 64 years (9.8%), and catchment area–level's unemployment (3.4%) and primary care physician density (3.2%). However, Medicaid (–48.5%) or no insurance (–19.6%) counterbalanced the differences between rural–urban CHCs. The contribution of these factors to rural–urban differences in cervical cancer screening generally increased in 2020–2021. Conclusions: Rural–urban differences in cervical cancer screening were mostly explained by multiple CHC‐level and catchment area–level characteristics. The findings call for tailored interventions, such as providing resources and language services, to improve cancer screening utilization among uninsured, Medicaid, and patients with limited English proficiency in rural CHCs. The proportion of females who were up to date with cervical cancer screening was lower in rural community health centers (CHCs) than in urban CHCs, both before and during the COVID‐19 pandemic. Several factors contributed to the rural–urban difference, including proportion of patients with limited English proficiency, Medicaid or no health insurance, income below the federal poverty level at the CHC level, and unemployment rate and primary care physician density in the CHC's catchment area. [ABSTRACT FROM AUTHOR]

Activating social ties is a critical mechanism for satisfying individuals' social, emotional, and material needs. Researchers have offered a number of hypotheses around tie activation about when and why particular supporters step in to help, ranging from strategic activation via functional specificity to opportunistic mobilization. To date, few studies have examined multiple tie activation strategies in tandem. This project focuses on people facing complex, compounding health and social problems, who may have to rely on multiple forms of activation to get their support needs met. We draw on a sample of 92 participants who are affiliated with one of two Care Management programs in the Western United States. Using name generators in a survey, we elicit participants' social networks and find they utilize a number of methods to secure critical support needs, including calling on kin ties to borrow money and help with daily tasks, relying on strong and proximal ties for almost all types of support, and using functional specificity for health support. We then draw on qualitative interviews to gain a deeper understanding of the ways alters provide support and why egos elicit support from some alters and not others. Future research should continue assessing this population's social networks with the aim of leveraging social support to help manage chronic conditions, provide access to resources, and increase their sense of belonging. [ABSTRACT FROM AUTHOR]

This article explores the historical relationship between health and location in the United States, with a focus on urban areas. It discusses four books that delve into the impact of health care practices and policies on various communities throughout American history. The books emphasize the importance of considering cultural traditions and addressing disparities in health care delivery. The article also examines specific case studies, such as maternal and child health care programs in New York City and the development of culturally sensitive clinics in Miami. Overall, the article underscores the need for a nuanced approach to health care that takes into account the diverse perspectives and needs of different communities. [Extracted from the article]

Introduction: Od tribals who migrated to India during the Indo-Pakistan partition of 1947 were resettled by the Government of India in 1987 in the Bhatti Mines area near Delhi, India. However, in 1991, the area was declared a wildlife sanctuary, and the tribals were threatened with eviction a second time. We studied gender-based violence (GBV) in this community subjected to repeated displacement. Materials and Methods: A systematic randomized sample of 200 households was studied. The revised Conflict Tactics Scale (CTS2) questionnaire was used to identify victims of GBV. Correlation with age at marriage, education, household income, deprivation score, and alcoholism were investigated. Results: About 33% of women were married before the legal age for marriage - some as young as 10 years. Approximately 26% of households were multidimensionally deprived. About 50% of women reported GBV and 44% reported GBV in the preceding year. Low income and alcohol abuse were independently related to GBV. We did not find an association with underage marriage or the education of the partners. Discussion: GBV in the area far exceeded the national average of 30%. The relationship we found between GBV with poverty and alcoholism has been reported in studies from different parts of the world. It may be speculated that the increased GBV in this area could be the result of the hopelessness induced by repeated involuntary displacement suffered by this community. Methods to tackle the menace of GBV, even in the adverse circumstances of this community, are discussed. [ABSTRACT FROM AUTHOR]

The research on the thermal bioclimate is increasingly valuable in the context of climate change. Human well-being is threatened not only from direct exposure to extreme thermal conditions and complications from underlying health issues but also from disruptions of health and social services. This study aims at examining the thermal bioclimate in Greece. Data of ERA5-Land reanalysis dataset were used to estimate the Universal Thermal Climate Index (UTCI, in °C). The analysis covered a 30-year period (1991–2020) examining UTCI climatology and trends. Additionally, the intensity of two recent heatwaves which occurred in summers 2021 and 2023 was assessed. During the period 1991–2020, the UTCI equivalent temperature ranges between -49.8 °C and 51.9 °C [mean ± standard deviation (sd) = 13.3 ± 12.2 °C] classifying thermal stress from 'extreme cold stress' to 'extreme heat stress'. Across the country, the mean UTCI ranges from 7.5 °C to 17.8 °C (mean ± sd = 13.3 ± 2.1 °C), with a decrease of 0.5 °C per latitude degree. Mountainous regions exhibit the lowest UTCI equivalent temperatures, while inland plains display higher UTCI equivalent temperatures, especially in the eastern regions of the country. An increasing trend in mean annual UTCI (mean = 0.05 °C/year) is identified, more pronounced in higher latitude regions. Both the 2021 and 2023 heatwaves were exceptionally severe, with about 99% of the population to experience mean UTCI equivalent temperatures falling within stress categories of 'moderate heat stress' and above. The 2023 heatwave set a new record with the highest absolute maximum UTCI (52.1 °C) and number of heat stress hours compared to the period 1991–2020. The bioclimatic maps developed in this study analyze the spatial variability in the thermal conditions across Greece identifying high-risk areas. These findings can contribute to impact studies for tourism, energy efficiency, urban design and public health purposes. [ABSTRACT FROM AUTHOR]

Copyright of Revista Entramado is the property of Universidad Libre Seccional Cali and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Global environmental and health issues such as climate change and the COVID-19 pandemic have highlighted the weaknesses of current urban systems, including the poor availability and accessibility of green and public spaces in cities. Nature-based Solutions are configured as promising solutions to increase the resilience and health of the built environment by addressing climate and pandemic issues, promoting the psycho-physical well-being of users and proposing solutions for the protection of the environment and ecosystems. Following a systematic review of the scientific literature using the PRISMA methodology, this study aims to provide a taxonomic framework for Nature-based Solutions for the built environment that is applicable to the urban and building scales, highlighting key benefits in addressing pandemic and climate challenges and achieving urban resilience. This framework proposes a holistic and multifunctional approach that will prove to be a useful tool for researchers and policy makers to incorporate greening strategies into urban regeneration and redevelopment processes. The application of Nature-based Solutions still seems to be limited. It is therefore necessary to raise awareness of this issue among citizens and policy makers and to promote close co-operation between the different actors in territorial decision-making processes. [ABSTRACT FROM AUTHOR]

Improving street jogging environments can promote urban health and sustainability, especially within urban built-up areas. Public attention to the environment during jogging has not been sufficiently studied, and the recommended route data from the fitness app offers an opportunity for multiscale spatial exploration. Initially, by analyzing the recommendation reason text, the study identified 22 environmental factors and proposed the Environmental Factor Public Attention Intensity (EFPAI) for quantification, with subsequent comparisons to expert opinions. Further, by analyzing five types of data from the recommended routes, the relationships between EFPAI and jogging frequency, route shape, spatial distribution, and seasonal variations were uncovered. The study revealed: (1) discrepancies between expert opinions and public attention, with experts more likely to overlook factors such as slope, visual quality, width, and acoustic quality; (2) the public tends to notice factors like pedestrians, green spaces, waterfront spaces, landscapes, culture, sports facilities, and accessibility on routes with high jogging frequency; (3) EFPAI for traffic infrastructure, waterfront spaces, landscapes, residential areas, and campuses is associated with route shape; (4) EFPAI of certain environmental factors is influenced by urban geographical spatial factors, and substantial differences exist between different cities. Specific recommendations were provided from three different scales—site scale, street block scale, and urban scale—to guide the resolution of issues in planning and decision-making processes for urban renewal. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Arquitectura (1657-0308) is the property of Universidad Catolica de Columbia, Facultad de Arquitectura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of South Architecture / Nanfang Jianzhu is the property of South Architecture Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Urban ecological health is crucial for the long-term sustainable development of watershed. Accurately evaluating the health level of the ecological environment helps to develop reasonable strategies for ecological environment restoration and resource management. This paper constructed a comprehensive evaluation index system based on the Pressure-State-Response (PSR) framework and evaluated the ecological health of eleven administrative regions in the Wei River Basin (WRB), northwest China in 1980, 2000, and 2020 using an evaluation model established by fuzzy mathematics. Further, obstacle degrees were used to quantify the contribution of pressure, state, and response modules, as well as individual indicators to ecological health. Results: The comprehensive evaluation system constructed based on the PSR framework could effectively reflect the ecological health conditions of different regions in the WRB. During the study period, the ecological health went through a process of first deterioration and then improvement. By 2020, the ecological health of seven administrative regions reached healthy levels. The state module was the main obstacle module of the PSR framework to the ecological health of the most regions. The population density (P1), patch density of construction land (S5), comprehensive elasticity index (S8), soil erosion index (R1), and per capital GDP (R3) were the most crucial individual indicators affecting the ecological health. For different cities, the main obstacle factors varied. In economically developed cities, the limiting effect of P1 was more significant, while in economically underdeveloped cities, the limiting effect of R3 was stronger. Conclusions: In response to the special natural environment and socio-economic conditions of arid and semi-arid areas in the WRB, an ecological health evaluation index system suitable for the characteristics of the basin was constructed. The results indicated that, to improve the levels of urban ecological health, it is necessary to restore the natural ecological environment and control population size while accelerating economic construction. Our results can provide scientific support for the ecological health evaluation and protection of the WRB and even the arid and semi-arid areas in northwest China. [ABSTRACT FROM AUTHOR]

Background: Colorectal cancer is the second most prevalent cause of death from malignancies globally. The present study was conducted targeting the influence of an educational intervention based on the health belief model (HBM) on colorectal cancer screening behaviors in people 50 years old and older. Methods: All 134 samples were included in this quasi-experimental study from Fasa City Health Service Center, equal halves were random into experimental group and control group. The data collection tool was a questionnaire that contained questions on demographic variables, knowledge, and HBM constructs (perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, self-efficacy, and screening behaviors). Both groups answered the questionnaire before and two months following the intervention. There were six 90-minute instruction sessions for the intervention group. SPSS 22 and descriptive and analytical tests (independent t-test, paired t-test, and Chi-square test) were used for data analysis (P < 0.05). Results: 59 women and 75 men took part in this study. A majority of participants were married and had at least high school diploma. The findings indicated that the mean scores for knowledge, each of the HBM's constructs, and cancer screening behaviors did not differ significantly from one another before the intervention between the test group and the control group. However, post the intervention, the intervention group exhibited a significant rise in all mentioned dimensions. Conclusion: In light of the outcomes, the application of the HBM on colorectal cancer screening behaviors in people 50 years and older was successful. This approach might serve as a helpful foundation for planning, carrying out, and overseeing colorectal cancer screening programs. [ABSTRACT FROM AUTHOR]

In the context of global aging, promoting the health of the elderly has become a critical issue. However, whether the development of smart cities can impact the health of older adults remains to be further validated. In this paper, based on panel data from the China Health and Retirement Longitudinal Study (CHARLS), a difference in difference model is used to empirically investigate whether smart city construction improves the health of older people in the region. The results show that smart city construction enhances the health of the elderly. Specifically, the construction achieved a significant improvement in the physical health of the elderly who did not live with their children. The health promotion effect of the smart city was more significant for the urban elderly than for the rural elderly. The elucidated mechanisms of influence suggest that smart cities bring about their effects through the promotion of urban leisure infrastructure, enhancement of medical service provision, advancement in urban environmental protection and stimulation of urban information and communication technology infrastructure development. [ABSTRACT FROM AUTHOR]

Despite its high prevalence, the determinants of smelling impairment in COVID-19 remain not fully understood. In this work, we aimed to examine the association between olfactory bulb volume and the clinical trajectory of COVID-19-related smelling impairment in a large-scale magnetic resonance imaging (MRI) analysis. Data of non-vaccinated COVID-19 convalescents recruited within the framework of the prospective Hamburg City Health Study COVID Program between March and December 2020 were analyzed. At baseline, 233 participants underwent MRI and neuropsychological testing as well as a structured questionnaire for olfactory function. Between March and April 2022, olfactory function was assessed at follow-up including quantitative olfactometric testing with Sniffin' Sticks. This study included 233 individuals recovered from mainly mild to moderate SARS-CoV-2 infections. Longitudinal assessment demonstrated a declining prevalence of self-reported olfactory dysfunction from 67.1% at acute infection, 21.0% at baseline examination and 17.5% at follow-up. Participants with post-acute self-reported olfactory dysfunction had a significantly lower olfactory bulb volume at baseline than normally smelling individuals. Olfactory bulb volume at baseline predicted olfactometric scores at follow-up. Performance in neuropsychological testing was not significantly associated with the olfactory bulb volume. Our work demonstrates an association of long-term self-reported smelling dysfunction and olfactory bulb integrity in a sample of individuals recovered from mainly mild to moderate COVID-19. Collectively, our results highlight olfactory bulb volume as a surrogate marker that may inform diagnosis and guide rehabilitation strategies in COVID-19. [ABSTRACT FROM AUTHOR]

AbstractPakistan is a developing country and its population is growing rapidly. The trend towards economic growth and satisfying the needs of the growing population is increasing daily. For this purpose, industrial activities, vehicle emissions, and household-related activities pollute the atmospheric environment and release different types of toxic gases. Particulate matter assessments (PM2.5 and PM10) were reviewed in different cities of Pakistan. Respectively, the PM2.5 evaluation was carried out in 15 cities, while the PM10 concentration was in 18 cities in Pakistan. According to the review, the highest concentrations of PM2.5 were 302, 211.97, 88, 163.63, 113.09, 110.81, 110.81, 139.43, 126.97, 107.68, 109.81, 172, 150, 66, 354, 43.9, 2305 µg/m3 in Lahore, Faisalabad, Karachi, Gujranwala, Multan, Vehari, Bahawalnagar, Okara, Pakpattan, Jehlum, Sargodha, Peshawar Quetta, Islamabad, Haripur, Mingora, and Mardan (Jalala). Specifically, the highest concentration of PM10 were 301, 568, 638, 160.5, 200, 384.15, 301.38, 311.61, 700 µg/m3 in Lahore, Faisalabad, Peshawar, Charsada, Karachi, Gujranwala, Multan, Rawalpindi, and Quetta. Only, these cities are the most polluted in the whole country and the concentration of PM2.5 was above the normal range those prescribed by the National Environmental Quality Standred (NEQS). Commonly, the main problem is the suspended particulate matter (PM2.5 and PM10) in the atmosphere. The increasing level of pollution leads to different types of problems such as respiratory problems, eye irritation, throat infections, asthma, and cancer, and it also increases the level of death ratio in the country. The main reason for PM is the burning of solid waste near cities; industrial emission, vehicular emission, lack of proper green belt and solid waste management are the main reasons for atmospheric pollution. Given the existing state of the air, urgent action is required to address the low air quality. [ABSTRACT FROM AUTHOR]

Background: The Aotearoa New Zealand COVID-19 pandemic response has been hailed as a success story, however, there are concerns about how equitable it has been. This study explored the experience of a collective of Māori health and social service providers in the greater Wellington region of Aotearoa New Zeland delivering COVID-19 responses. Methods: The study was a collaboration between a large urban Māori health and social service provider, Tākiri Mai Te Ata whānau ora collective, and public health researchers in Aotearoa New Zealand. Two online workshops were held with staff of the Māori service provider, collectively developing a qualitative causal loop diagram and generating systemic insights. The causal loop diagram showed interactions of various factors affecting COVID-19 response for supporting whānau (Māori family/households) at a community level. The iceberg model of systems thinking offered insights for action in understanding causal loop diagrams, emphasizing impactful changes at less visible levels. Results: Six interacting subsystems were identified within the causal loop diagram that highlighted the systemic barriers and opportunities for effective COVID-19 response to Māori whānau. The medical model of health service produces difficulties for delivering kaupapa Māori services. Along with pre-existing vulnerability and health system gaps, these difficulties increased the risk of negative impacts on Māori whānau as COVID-19 cases increased. The study highlighted a critical need to create equal power in health perspectives, reducing dominance of the individual-focused medical model for better support of whānau during future pandemics. Conclusions: The study provided insights on systemic traps, their interactions and delays contributing to a relatively less effective COVID-19 response for Māori whānau and offered insights for improvement. In the light of recent changes in the Aotearoa New Zealand health system, the findings emphasize the urgent need for structural reform to address power imbalances and establish kaupapa Māori approach and equity as a norm in service planning and delivery. [ABSTRACT FROM AUTHOR]

Groundwater is a critical resource for drinking purposes that is under pressure and polluted with multiple inorganic contaminants. Among various contaminants, potentially toxic element contamination in groundwater has significant public health concerns due to their toxicity at a low level of exposure. This investigation aimed to assess the toxic element contamination and associated non-carcinogenic human health risk at rapidly growing urban centers in Telangana to ensure potable water and to generate baseline data in the study province. Thirteen potential toxic trace elements (Al, As, B, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, Se, and Zn) were determined in 35 groundwater samples collected from the Karimnagar and Siddipet smart cities in lower Manair River basin using inductively coupled plasma mass spectrometry (ICP-MS). The trace element concentration is found in the range for Al (1–112 µg/L), As (2–8 µg/L), B (34–438 µg/L), Cd (bdl–2 µg/L), Co (bdl–17 µg/L), Cr (bdl–4 µg/L), Cu (bdl–216 µg/L), Fe (4–420 µg/L), Mn (bdl–3311 µg/L), Ni (5–31 µg/L), Pb (bdl–62 µg/L), Se (1–18 µg/L), and Zn (3–1858 µg/L). Analytical data of groundwater revealed the occurrence of toxic elements observed as above the acceptable limits of Bureau of Indian Standards for drinking purposes found in the order of Al > Ni ≥ Mn > Se ≥ Cu ≥ Pb > Fe with 26% > 14% ≥ 14% > 9% ≥ 9% ≥ 9% > 6% of samples, respectively. The non-carcinogenic health risk to humans upon groundwater ingestion has been evaluated and found to be non-hazardous for all the individual elements studied except for aresenic. However, cumulative hazard quotient observed as > 1 in the category of infants and children might be a major potential health concern. This study provided baseline data and suggested implementing preventive measures to protect human health around the urban areas of lower Manair river basin, Telangana, India. [ABSTRACT FROM AUTHOR]

Introduction: Managers in the health care sector have the responsibility of accomplishing objectives and guaranteeing the excellence of services. To be chosen as a manager in a health organization, individuals must possess specific qualities and skills. Examining the process of selecting and appointing managers at the highest level of service provision might offer policymakers valuable insights into the importance of considering competences when choosing and appointing leaders of health centers. Hence, this study was conducted to identify the characteristics that influence the selection process of heads of city health centers in Iran. Methods: The present study employed a qualitative and phenomenological approach, utilizing interviews performed in the year 2023. The study sample consisted of health deputy from medical sciences universities, local health network managers, and heads of city health center. The participants were selected using a purposive selection method. A total of 16 male participants were interviewed, and the interviews were then analyzed using MAXQDA-10 software using the usual content analysis method. Results: In this study, the factors affecting the selection of the heads of health care centers were classified into two general topics: individual factors and environmental factors, and eight sub-topics, including health literacy, experience, individual characteristics, communication skills, mental characteristics, legal issues, political factors, and cultural factors. Conclusion: The development of health literacy, specialized knowledge, and communication skills to coordinate and resolve organizational problems helps train competent managers. Top health system managers, who select health center managers, must understand political and cultural variables and regulate and steer their influence to select effective managers. [ABSTRACT FROM AUTHOR]

Background: Despite increasing morbidity and mortality from non-communicable diseases (NCD) globally, health systems in low- and middle-income countries (LMICs) have limited capacity to address these chronic conditions, particularly in sub-Saharan Africa (SSA). There is an urgent need, therefore, to respond to NCDs in SSA, beginning by applying lessons learned from the first global response to any chronic disease—HIV—to tackle the leading cardiometabolic killers of people living with HIV (PLHIV). We have developed a feasible and acceptable package of evidence-based interventions and a multi-faceted implementation strategy, known as "TASKPEN," that has been adapted to the Zambian setting to address hypertension, diabetes, and dyslipidemia. The TASKPEN multifaceted implementation strategy focuses on reorganizing service delivery for integrated HIV-NCD care and features task-shifting, practice facilitation, and leveraging HIV platforms for NCD care. We propose a hybrid type II effectiveness-implementation stepped-wedge cluster randomized trial to evaluate the effects of TASKPEN on clinical and implementation outcomes, including dual control of HIV and cardiometabolic NCDs, as well as quality of life, intervention reach, and cost-effectiveness. Methods: The trial will be conducted in 12 urban health facilities in Lusaka, Zambia over a 30-month period. Clinical outcomes will be assessed via surveys with PLHIV accessing routine HIV services, and a prospective cohort of PLHIV with cardiometabolic comorbidities nested within the larger trial. We will also collect data using mixed methods, including in-depth interviews, questionnaires, focus group discussions, and structured observations, and estimate cost-effectiveness through time-and-motion studies and other costing methods, to understand implementation outcomes according to Proctor's Outcomes for Implementation Research, the Consolidated Framework for Implementation Research, and selected dimensions of RE-AIM. Discussion: Findings from this study will be used to make discrete, actionable, and context-specific recommendations in Zambia and the region for integrating cardiometabolic NCD care into national HIV treatment programs. While the TASKPEN study focuses on cardiometabolic NCDs in PLHIV, the multifaceted implementation strategy studied will be relevant to other NCDs and to people without HIV. It is expected that the trial will generate new insights that enable delivery of high-quality integrated HIV-NCD care, which may improve cardiovascular morbidity and viral suppression for PLHIV in SSA. This study was registered at ClinicalTrials.gov (NCT05950919). [ABSTRACT FROM AUTHOR]

BACKGROUND The prevalence of obesity in urbanizing Indonesia is rising, where the double burden of malnutrition poses a significant challenge. This study aimed to examine the prevalence and increment of obesity-related noncommunicable diseases (NCDs) of diabetes and hypertension. METHODS Secondary data from the latest 2018 Basic Health Research (RISKESDAS) were used to analyze the obesity rate and its associations with lifestyle, sociodemographics, and certain comorbidities among urban Indonesians. This study included non-pregnant adults aged ≥18 years who lived in the urban area and whose blood pressure and glucose levels were measured in the survey. Results were compared to a similar study using data from 2007. RESULTS The proportion of obesity among Indonesia's urban population was more than doubled from 23.0% in 2007 to 50.1% in 2018 for obesity and 28.0% to 57.2% for central obesity. Additionally, females, individuals with higher socioeconomic status, and higher education levels exhibited a higher obesity prevalence. CONCLUSIONS Urban Indonesia has witnessed a dramatic rise in obesity prevalence. Our findings highlighted the urgent need for policymakers to consider the escalating prevalence of NCDs associated with obesity. Strengthening and concretizing health promotion and prevention policies at the community level are crucial to combat this alarming public health challenge. [ABSTRACT FROM AUTHOR]

In the twenty-first century, with the development of urbanization, large-scale mine wastelands in peri-urban areas have become increasingly closely related to the daily lives of urban and rural residents. Adopting a reuse method that meets the health needs of these residents, restoration, construction of mine wastelands in the suburbs of cities, and the formation of high-quality healthy environments and service supply are in line with the demands of healthy city construction and sustainable development. In addition, they have received increasing attention from all sectors of society. Based on the main criteria for constructing a healthy urban environment, this paper takes the comprehensive remediation and construction project of mine wastelands in the Taiyuan Xishan Ecological and Cultural Tourism Demonstration Area as a case study. It uses on-site surveys and an open-ended web-based questionnaire. It focuses on researching the perceived health needs of urban and rural residents in Taiyuan City, Shanxi Province, China concerning the main elements that determine health, such as the natural ecological environment, the construction of facilities and activities, and the local economic and industrial development. The results of 748 questionnaires that were completed by participants who effectively participated in the survey show that most participants preferred a comprehensive development model (86.6%) to reuse these areas. In addition, the specific needs of urban and rural residents for health safety, equity and quality, and healthy low-carbon industries should be considered. The differences in demand among groups of citizens due to different ages, living distances, levels of education, and occupations should be comprehensively considered. This paper demonstrates that a full understanding of the health needs of residents has great practical significance when improving the healthy environment and service supply level in mine wasteland restoration and construction and promoting the development of regional healthy city construction. Recently, the healthy environment and sustainable development of areas that host large-scale mine wastelands on the outskirts of cities have received increasing attention from all sectors of society. This paper suggests that during the reuse and construction of these areas, government management, development, and construction companies, planning and design organizations, and other departments that are involved in policy formulation and construction implementation should give full consideration to the perceived health needs of urban and rural residents in the host city, and to groups of residents of different ages, living distances, occupations, and educational levels, to form a high-quality and equitable health environment and services in the area. In addition, active public participation, on-site research, and interviews are essential for relevant departments to improve their understanding of resident health needs. [ABSTRACT FROM AUTHOR]

In this paper, we discuss a rapid‐fire study involving Indigenous and non‐Indigenous stakeholders from the urban Indigenous health sector who collaborated to produce an "Urban COVID‐19 Systems Map." The map outlines the behaviours, actions and responses that stakeholders identified as mitigating or exacerbating COVID‐19 risks in urban Indigenous communities. Data were collected and analysed during the height of the pandemic in 2021. We begin by introducing the characteristics of system thinking—the methodology that informed our research—and consider its use in Indigenous health research more broadly. We then outline our utilisation of system thinking and discuss how it was applied to the three workshops. System thinking contributes to collaboration and collective debate amongst stakeholders and aims to produce holistic understandings of complex problems, such as pandemics. This article provides a reflective overview of the benefits and challenges of applying system thinking in Indigenous health research whilst also sharing some of the research findings. We argue that centralising the voices of stakeholders, particularly Indigenous stakeholders, is critical to developing and implementing effective and culturally appropriate responses to pandemics and is equally as important to the preparedness for future pandemics. [ABSTRACT FROM AUTHOR]

Air pollution, particularly from particulate matter (PM2.5) and black carbon (eBC), has been implicated in airway pathologies. This study aims to assess the relationship between exposure to these pollutants and respiratory function in various populations, including healthy individuals, while seeking an accurate assessment method. A cross-sectional study was conducted in Bogotá, evaluating respiratory function in the users of bicycles, minivans, and buses through spirometry and impulse oscillometry. Measurements were taken along two main avenues, assessing the PM2.5 and eBC concentrations. The results reveal higher pollutant levels on AVE KR 9, correlating with changes in oscillometry values post-travel. Cyclists exhibited differing pre- and post-travel values compared to bus and minivan users, suggesting aerobic exercise mitigates pollutant impacts. However, no statistically significant spirometry or impulse oscillometry variations were observed among routes or modes. Public transport and minivan users showed greater PM2.5 and eBC exposure, yet no significant changes associated with environmental contaminants were found in respiratory function values. These findings underscore the importance of further research on pollutant effects and respiratory health in urban environments, particularly concerning different transport modes. [ABSTRACT FROM AUTHOR]

This research examines the potential of transitioning public "green spaces" to optimise health benefiting urban ecological services in metropolitan Adelaide, South Australia. The research found strengths but also significant weaknesses. The major weaknesses observed were poor quality amenities and facilities within open spaces, low landscape complexity, poor maintenance and inadequate integration with the built form and pedestrian networks of the surrounding neighbourhoods. Previous research has shown that the weaknesses we observed are adversely affecting the health and wellbeing of many residents. In addition, our research shows there are far more strengths and fewer weaknesses in pre-1945 and high-income neighbourhoods. [ABSTRACT FROM AUTHOR]

Introduction: Husband and wife as a couple are fully responsible for their current and future. In our society, the husband is mostly responsible for making the decision regarding any expenses. In India, there is a need to reduce the maternal mortality rate, and Husband’s involvement in antenatal care could be a key to success as it will enable them to support their partner in adequate preparation for birth and to utilize emergency obstetric care early if complications arise. Aim and Objectives: To find out about male involvement in the utilization of maternal healthcare services by their spouse and various factors affecting male involvement in the utilization of maternal healthcare services. Methods: This study was conducted in urban and rural field practice areas attached to the Department of Community Medicine, PGIMS, Rohtak. The study included 400 couples where 200 each were recruited from rural and urban areas. Out of 17 subcenters under CHC Chiri eight, subcenters were selected randomly by lottery method. A line list of these couples was prepared at each subcenter using ANC and birth register. Couples were enrolled from this line list till a sample size of 25 was reached at each of these eight subcenters. In this way, a total of 200 couples were enrolled from rural areas in which women delivered and availed maternal health services in the last 6 months. In urban areas, an equal number of couples were enrolled from each of these three urban health posts till the sample size of 200 was reached in an urban area. Results: The majority of the husbands (73%) reported that they participated in their wives’ utilization of maternal health services. Twenty‑seven percent did not participate in their wives’ utilization of maternal health services. It also showed that 71.0% of the husbands did not know about the investigations that needed to be performed during a woman’s pregnancy. Only 29% were aware of it. On analysis, it was observed that 73% of the husbands had good participation in their spouses’ maternal and child health (MCH) care, while the rest had poor participation (27%). It also showed that as the education level of the participants’ husbands increased, their participation in their spouses’ MCH care increased, with the highest being observed among graduates (91.3%) and the lowest among those with primary schooling level education (66.7%) which were statistically significant. [ABSTRACT FROM AUTHOR]

Introduction: Assessing satisfaction with healthcare services is one of the cornerstone methods to evaluate success and identify obstacles during the process for the patients. Identifying crucial information helps in course correction and better healthcare delivery to the patients. Apli Chikitsa is a novel PPP model‑based free of cost laboratory service made available to the patients by the municipal corporation. Around 150 blood tests are offered free of cost and through peripheral dispensaries to the patients. The present study was undertaken to assess the satisfaction of patients with the service and service‑related aspects. Methodology: A cross‑sectional observational urban health center‑based study was undertaken to assess the satisfaction of patients toward the Apli Chikitsa laboratory service. Institutional ethics committee clearance was obtained before commencing the study. Four hundred patients availing of the laboratory services were enrolled by alternate sampling method. A semistructured questionnaire was administered; five‑point Likert scale was used to assess satisfaction toward the service and related aspects. Results were summarized using tables and charts, and percentages and proportions were used wherever necessary. Data were analyzed using Microsoft Excel. Results: Among the study participants, overall satisfaction was observed among 71.25%, and 100% satisfaction was observed in relation to cost of service, maintenance of privacy and confidentiality, and getting all the requested tests done. The problem of overcrowding (96.75%) was observed by a majority. Satisfaction was low regarding the cleanliness of toilets (48.75%). Conclusion: Based on the findings, it can be concluded that the overall satisfaction is the Apli Chikitsa laboratory service is good, and it is a good model for replication for laboratory service delivery in peripheral areas away from tertiary care centers. Overcrowding should be managed, and cleanliness of toilets to done at frequent intervals, along with proper and visible use of signages, should be done to improve the satisfaction of the patients. [ABSTRACT FROM AUTHOR]

Aims: Rat‐associated zoonotic pathogen transmission at the human–wildlife interface is a public health concern in urban environments where Norway rats (Rattus norvegicus) thrive on abundant anthropogenic resources and live in close contact with humans and other animal species. To identify potential factors influencing zoonotic pathogen occurrence in rats, we investigated associations between environmental and sociodemographic factors and Leptospira interrogans and Bartonella spp. infections in rats from Windsor, Ontario, Canada, while controlling for the potential confounding effects of animal characteristics (i.e., sexual maturity and body condition). Methods and Results: Between November 2018 and June 2021, 252 rats were submitted by collaborating pest control professionals. Kidney and spleen samples were collected for L. interrogans and Bartonella spp. PCR and sequencing, respectively. Of the rats tested by PCR, 12.7% (32/252) were positive for L. interrogans and 16.3% (37/227) were positive for Bartonella species. Associations between infection status and environmental and sociodemographic variables of interest were assessed via mixed multivariable logistic regression models with a random intercept for social group and fixed effects to control for sexual maturity and body condition in each model. The odds of L. interrogans infection were significantly higher in rats from areas with high building density (odds ratio [OR]: 3.76; 95% CI: 1.31–10.79; p = 0.014), high human population density (OR: 3.31; 95% CI: 1.20–9.11; p = 0.021), high proportion of buildings built in 1960 or before (OR: 11.21; 95% CI: 2.06–60.89; p = 0.005), and a moderate number of reports of uncollected garbage compared to a low number of reports (OR: 4.88; 95% CI: 1.01–23.63; p = 0.049). A negative association was observed between median household income and Bartonella spp. infection in rats (OR: 0.26; 95% CI: 0.08–0.89; p = 0.031). Conclusions: Due to the complexity of the ecology of rat‐associated zoonoses, consideration of environmental and sociodemographic factors is of critical importance to better understand the nuances of host–pathogen systems and inform how urban rat surveillance and intervention efforts should be distributed within cities. [ABSTRACT FROM AUTHOR]

Meaning in life is considered to be an important factor in functioning optimally and for leading a happy life. It is also associated with reduced risk of geriatric depression and despair in later years. The present study aims to understand the relationship between meaning in life and mental health among urban Indian older adults, and to further explore the differences related to gender and living arrangements on meaning in life and mental health of older adults. A total sample of 164 urban older adults (92 males and 72 females) from two different living arrangements, those living alone (Group 1 = 60) and those living with adult married children (Group 2 = 104) were assessed on meaning in life and mental health. The study found that search for meaning in life was higher among urban older adults. Participants had a flourishing mental health, and higher search for meaning was positively correlated with better mental health. Males had higher need to search for newer meaning in their life than urban female older adults. Older adults who were living alone had higher need to search and were looking for something higher in life. However, living arrangement did not have any significant difference on mental health of urban older adults. [ABSTRACT FROM AUTHOR]

Urban environmental factors such as air quality, heat islands, and access to greenspaces and community amenities impact public health. Some vulnerable populations such as low-income groups, children, older adults, new immigrants, and visible minorities live in areas with fewer beneficial conditions, and therefore, face greater health risks. Planning and advocating for equitable healthy urban environments requires systematic analysis of reliable spatial data to identify where vulnerable populations intersect with positive or negative urban/environmental characteristics. To facilitate this effort in Canada, we developed HealthyPlan.City (https://healthyplan.city/), a freely available web mapping platform for users to visualize the spatial patterns of built environment indicators, vulnerable populations, and environmental inequity within over 125 Canadian cities. This tool helps users identify areas within Canadian cities where relatively higher proportions of vulnerable populations experience lower than average levels of beneficial environmental conditions, which we refer to as Equity priority areas. Using nationally standardized environmental data from satellite imagery and other large geospatial databases and demographic data from the Canadian Census, HealthyPlan.City provides a block-by-block snapshot of environmental inequities in Canadian cities. The tool aims to support urban planners, public health professionals, policy makers, and community organizers to identify neighborhoods where targeted investments and improvements to the local environment would simultaneously help communities address environmental inequities, promote public health, and adapt to climate change. In this paper, we report on the key considerations that informed our approach to developing this tool and describe the current web-based application. [ABSTRACT FROM AUTHOR]

Diarrhea is a leading cause of death in children globally, mostly due to inadequate sanitary conditions and overcrowding. Poor housing quality and lack of tenure security that characterize informal settlements are key underlying contributors to these risk factors for childhood diarrhea deaths. The objective of this study is to better understand the physical attributes of informal settlement households in Latin American cities that are associated with childhood diarrhea. We used data from a household survey (Encuesta CAF) conducted by the Corporación Andina de Fomento (CAF), using responses from sampled individuals in eleven cities. We created a household deprivation score based on household water and sewage infrastructure, overcrowding, flooring and wall material, and security of tenure. We fitted a multivariable logistic regression model to estimate odds ratios (OR) and 95% confidence intervals (95% CI) to test the association between the deprivation score and its individual components and childhood diarrhea during the prior 2 weeks. We included a total of 4732 households with children, out of which 12.2% had diarrhea in the 2-week period prior to completing the survey. After adjusting for respondent age, gender, and city, we found a higher risk of diarrhea associated with higher household deprivation scores. Specifically, we found that the odds of diarrhea for children living in a mild and severe deprived household were 1.04 (95% CI 0.84–1.28) and 3.19 times (95% CI 1.80–5.63) higher, respectively, in comparison to households with no deprivation. These results highlight the connections between childhood health and deprived living conditions common in informal settlements. [ABSTRACT FROM AUTHOR]

We conducted a randomized controlled trial to determine whether an after-school program paired with a cash transfer (a conditional cash transfer) or a cash transfer alone (an unconditional cash transfer) can help improve health and economic outcomes for young men between the ages of 14 and 17 whose parents have low incomes and who live in neighborhoods with high crime rates. We find that receiving the cash transfer alone was associated with an increase in healthy behaviors (one of our primary outcome composite measures) and that the cash transfer paired with after-school programming was associated with an improvement in the financial health of participants (one of our secondary outcome composite measures). We find no differences in spending on alcohol, marijuana, cigarettes, or other drugs between either the treatment group and the control group. Neither the cash transfer alone nor the programming plus cash transfer had statistically significant effects on our other primary composite measures (physical and mental health or school attendance and disciplinary actions), or our other secondary composite measures (criminal justice engagement or social supports) but in most cases, confidence intervals were too large to rule out meaningful effects. Results suggest that cash transfers hold promise to improve the health of youth without any indication of any adverse effects. [ABSTRACT FROM AUTHOR]

Objective: To establish prevalence and associations of provision of nursing home visits (NHV) and home visits (HV) by early‐career specialist GPs. Of particular interest were associations of rurality with performing NHVs and HVs. Methods: A cross‐sectional study. Design: A questionnaire‐based study. Setting: Australian general practice. Participants: Early‐career specialist GPs, practising in Australia, who attained Fellowship between January 2016 and July 2018, inclusive, having completed GP training in NSW, the ACT, Eastern Victoria or Tasmania. Main Outcome Measures: Current provision of NHV and HV. Results: NHV were provided by 34% of participants (59% in rural areas) and HV by 41% of participants (60% in rural areas). Remote, rural or regional practice location, as compared to major‐city practice, was strongly associated with performing NHV as an early‐career specialist GP; multivariable OR 5.87 (95% CI: 2.73, 12.6), p < 0.001, and with the provision of HV; multivariable OR 3.64 (95% CI: 1.63, 8.11), p = 0.002. Rurality of GP training (prior to attaining Fellowship) was significantly univariably associated with providing NHV and with providing HV as an early‐career specialist GP. On multivariable analyses, these were no longer statistically significant. Conclusion: Early‐career specialist GPs located in regional/remote areas are more likely than their urban colleagues to provide NHV and HV. [ABSTRACT FROM AUTHOR]

Drug-resistant virulent bacteria and antibiotic residues can enter sewage and aquatic ecosystems from urban areas, hospitals, animal farms and slaughterhouse waste. Even the influx of treated wastewater into water and soil can be a potential risk to public health. In this study, 51 strains of Escherichia coli (E. coli) were isolated from 70 samples of slaughterhouse wastewater and urban sewage treatment plant influent in Shiraz, Iran. The most frequent and least frequent extended-spectrum beta-lactamase, tetracycline resistance genes and virulence genes in these isolates were blaTEM (19.6%) and blaCTX−M−1 (2%), tetA (72.5%) and tetD (0%), and bcsA and crl (92.2%) and sfa/focDE (0%). The highest and lowest frequencies of antibiotic resistance were observed for amoxicillin (70.6%) and nitrofurantoin (0%) disks, respectively. None of the urban sewage isolates were resistant to cefotaxime, ceftazidime, ceftriaxone, nitrofurantoin, or gentamicin, while only nitrofurantoin resistance was not observed among the slaughterhouse wastewater isolates. Regarding the virulence genes, none of the urban sewage isolates had afa, csgA, and sfa/focDE, while only sfa/focDE was not detected among the slaughterhouse wastewater isolates. Multidrug resistant isolates were significantly more prevalent in slaughterhouse wastewater (52%) than in urban sewage (23.1%). The ability to produce biofilms, which was evaluated by the microtiter plate method, was observed for 50% of the urban sewage E. coli and 68% of the slaughterhouse wastewater E. coli. The abundance of virulent antibiotic-resistant E. coli strains with the ability to form biofilms in urban and slaughterhouse wastewater makes it necessary to pay more attention to wastewater treatment processes. [ABSTRACT FROM AUTHOR]

Kathajodi, the principal southern distributary of the Mahanadi River, is the vital source of irrigation and domestic water use for densely populated Cuttack city which receives anthropogenic wastes abundantly. This study assesses the contamination level and primary health status of urban wastewater, and its receiving river Kathajodi based on the physicochemical quality indices employing inductively coupled plasma mass spectroscopy and aligning with guidelines from the United States Environmental Protection Agency (USEPA) and WHO. The high WQI, HPI, and HEI in the catchment area (KJ2, KJ3, and KJ4) indicate poor water quality due to the influx of domestic waste through the primary drainage system and effluents of healthcare units. A high BOD (4.33–19.66 mg L−1) in the catchment indicates high organic matter, animal waste, bacteriological contamination, and low DO, resulting in deterioration of water quality. CR values beyond limits (1.00E − 06 to 1.00E − 04) in three locations of catchment due to higher Cd, Pb, and As indicate significant carcinogenic risk, while high Mn, Cu, and Al content is responsible for several non-carcinogenic ailments and arsenic-induced physiological disorders. The elevated heavy metals Cd, Cu, Fe, Mn, Ni, and Zn, in Kathajodi, could be due to heavy coal combustion, vehicle exhaust, and industrial waste. On the other hand, Cu, Fe, K, and Al could be from agricultural practices, weathered rocks, and crustal materials. Positive significant (p ≤ 0.05) Pearson correlations between physicochemical parameters indicate their common anthropogenic origin and similar chemical characteristics. A strong correlation of PCA between elements and physiological parameters indicates their role in water quality deterioration. Assessing the surface water quality and heavy metal contents from this study will offer critical data to policymakers for monitoring and managing public health concerns. [ABSTRACT FROM AUTHOR]

Objectives: This paper has two objectives. First, it assesses whether the existing informal care provided by adult children has an impact on older people's propensity to demand community care services. Second, it compares the different statuses of sons and daughters in the formal/informal support trade‐off. Methods: The paper is based on an analysis of data from the 2018 wave of the China Longitudinal Ageing Social Survey, within the framework of a revised version of Andersen's model, and applies multilevel models to analyse the effects of adult children's gender, numbers and the quality of their support, on older people's willingness to purchase community care services. Results: Older people who had sons as well as daughters demanded fewer services, while the number of sons increased service demand. Regarding sons, community care services compensated for economic support, daily life care and spiritual consolation, but did so only in respect of daily life care from daughters. Conclusions: Many families have only one son or one daughter as a result of the one‐child policy and therefore often require support from formal care services. Moreover, there is a distinct gender division and an influential filial culture governing the impact of services on the support provided by adult children. Because ageing in place depends on both informal family support and formal services, this key policy goal is at risk if the latter provides insufficient support to the former. [ABSTRACT FROM AUTHOR]

Intense work pressure and unhealthy lifestyles significantly threaten urban public health. Urban designs have quickly developed, such as the introduction of green space (GS), which has been suggested to improve public health. Prior epidemiological studies have investigated GS and mortality and have generally found potential benefits. However, these studies were primarily conducted in developed Western countries and the potential effects of GS on mortality in developing Asian countries are poorly understood. In this study, our goal was to investigate the effect of GS landscape attributes and socioeconomic conditions on all-cause mortality in 41 cities in the Yangtze River Delta urban agglomeration. Nine GS variables and seven socioeconomic variables were collected. An optimal general linear model with the selected variables was established using LASSO regression to explore the direction and relative importance of GSs and socioeconomic conditions for urban public health. The results showed that (1) socioeconomic conditions and GS jointly affect all-cause mortality, (2) people with greater personal wealth suffered less health risk, and (3) regularly shaped and highly connected GSs decreased the risk to public health. These findings suggest that reasonable GS policies and planning strategies are effective approaches for improving public health in Chinese cities. [ABSTRACT FROM AUTHOR]

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Creating healthy street environments to encourage physical activity is an effective strategy against non-communicable diseases exacerbated by rapid urbanization globally. Developing countries face more significant health challenges than developed ones. However, existing research predominantly focuses on the perspective of developed countries. To address the health challenges in developing nations, studies should not only draw on the findings from developed countries but also clearly define unique research processes and pathways. Consequently, this study conducts a comparative analysis between China, representing developing countries, and developed nations, using databases like China National Knowledge Infrastructure (CNKI) and Web of Science (WOS) and tools such as Citespace, Bicomb, and Statistical Package for the Social Sciences (SPSS) to explore research hotspots, developmental trajectories, thematic categories, and trends. The findings reveal a shift in developed countries from macro-material to micro-environmental elements under multidisciplinary scrutiny, while future topics may include street space evaluations and psychological healing. In China, research has been dominated by different disciplines at various stages, starting with medical attention to chronic disease prevention, which then shifted to traffic engineering's focus on constructing green travel environments, and finally expanded to disciplines like landscape architecture examining the impact of street environment elements on pedestrian behavioural perceptions. Future themes will focus on promoting elderly health and urban health transport systems. Generally, research in developed countries exhibits a "bottom-up" approach, with practical issues at a "post-evaluation" stage, primarily based on the "socio-ecological model" and emphasizing multidisciplinary collaboration. Chinese research shows a "top-down" characteristic, driven by national policies and at a "pre-planning" stage, integrating theories such as Maslow's hierarchy of needs and attention restoration theory, with relatively loose disciplinary cooperation. Overall, research is shifting from macro to human-centric scales and is progressively utilizing multi-source and multi-scale big data analysis methods. Based on this, future research and development recommendations are proposed for developing countries, with China as a representative example. [ABSTRACT FROM AUTHOR]

Urban green spaces are vital for older people's health. However, most studies have only focused on their relationship with single-dimensional health outcomes. This study introduced a theoretical model to explore how perceptions of green spaces influence older people's multidimensional health, mediated by the use of these spaces. Using a literature review, interviews, and surveys, we developed and refined a measurement scale for older people's perceptions of urban greenery. Using data from 513 seniors in Fuzhou's urban parks, structural equation modeling was used to examine the relationships between their multidimensional health, usage, and perceptions of green spaces. The results showed that older people's positive evaluations of green spaces, especially those with facilities, significantly increased their usage. This increased usage positively influences their physical, mental, and social health, with the most pronounced benefits for social health. The total impact of green space perception on multidimensional health was beneficial and significantly impacted social health, even though the direct impacts of quality perception on physical health and facility perception on social health were minimal. These findings enhance our understanding of the impact of green spaces on the health of older individuals and provide a theoretical basis for developing urban green spaces that maximize health advantages for older people. [ABSTRACT FROM AUTHOR]

Copyright of Hitit Journal of Economics & Politics / Hitit Ekonomi ve Politika Dergisi is the property of Hitit Journal of Economics & Politics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

By 2050, an estimated 69% of the global population will reside in urban areas, underscoring the pivotal role of city neighbourhoods in enhancing quality of life by respecting and accommodating diverse identities and needs. The physical environment of neighbourhoods significantly influences community health and well-being, alongside social factors and access to health services. In Italy, prioritising health-promoting and accessible designs in neighbourhoods can form a solid foundation for urban health strategies. This study introduces a theoretical framework developed for the Healthy Neighbourhoods Hub (HNH) project in Florence, Italy, aiming to enhance health and accessibility across different scales. The HNH framework categorises healthy and inclusive neighbourhoods into 7 themes, 25 general characteristics, and 67 specific attributes, supported by verifiable variables derived from comprehensive research and design tools. This innovative framework addresses the need for multilevel, multidisciplinary approaches, and spatialization efforts to ensure equitable benefits for all community members. [ABSTRACT FROM AUTHOR]

Rapid urbanization and car-centric mobility solutions have resulted in the degradation of environmental urban quality, impacting people's health and well-being and city economies and harming urban ecosystems. Faced with the need to tackle traffic pollution, more than 300 low emission zones (LEZs) have been implemented, causing some social controversy. Nonetheless, researchers have focused their studies on evaluating LEZ efficacy towards urban congestion and air pollutants reduction, health and well-being improvement. This study presents a literature review of what is known about acceptability and acceptance of the population regarding the implementation of LEZs, along with the main issues, best practices, and suggestions to promote a better perception and mobility behavior change. Based on research conducted in the Web of Science and Scopus databases, only 36 of 540 peer-reviewed articles on LEZs address public attitudes. Among the main findings, the following stand out: the existing gap in environmental urban quality approaches between countries, namely the Global North; the existence of few studies that evaluate perceptions before and after LEZ implementation; the lack of LEZ studies that consider noise and biodiversity, seeking a broader approach to this measure; and the importance of developing a support package measures that involves affected stakeholders and are adapted to each city's characteristics. [ABSTRACT FROM AUTHOR]

Stunting prevalence in Kepahiang District is the highest compared to other districts. In Bengkulu, the incidence rate is lower than in other districts. Dietary intake is a direct factor causing stunting. This study examines the differences in macronutrient and micronutrient intake in stunted toddlers in rural and urban areas of Bengkulu Province. The study, with a cross-sectional design, was conducted from August to September 2020. A sample of 134 toddlers aged 12-24 months was selected using accidental sampling. Dietary intake data were collected using the Semi-Quantitative Food Frequency Questionnaire (SFFQ), and other data were collected through questionnaires. The collected data were analyzed using univariate and bivariate analyses with T-tests and Mann-Whitney tests. Macronutrient intake in stunted toddlers in rural areas was lower than in urban areas. Micronutrient intake in rural areas was also lower than in urban areas, except for vitamin A. Statistically, there were no differences in macronutrient (carbohydrates, proteins, fats) and micronutrient (vitamin A, calcium, phosphorus, iron, zinc) intake between rural and urban toddler in relation to stunting (p > 0.05). Based on the data obtained, the overall nutrient intake provided to the toddlers has not met the toddlers’ nutritional needs. Regular counselling sessions from house to house for mothers with stunted toddlers are necessary. This would enable mothers to understand better their toddlers’ dietary needs and how to monitor their growth. [ABSTRACT FROM AUTHOR]

Aim: Studies examining the relationship between thermal comfort conditions—the state of feeling insulated against atmospheric factors in the environment—and diseases have been very limited. In Turkey, which is in the transition zone of air masses in middle latitudes, thermal comfort conditions change frequently due to sudden weather changes. This study was conducted to examine the relationship between thermal comfort conditions and respiratory diseases in Amasya, an exemplary Turkish city in the Black Sea Region of Turkey. Subject and methods: To determine the thermal comfort conditions in the study between 2017 and 2019, the PET (physiologically equivalent temperature) index obtained from the RayMan model was used for data including hourly air temperature (°C), relative humidity (%), wind velocity (m/s), and cloud cover (octa). Daily air temperature data were also obtained. The relationship between PET values and air temperature and respiratory disease hospital admissions was analyzed by Pearson correlation analysis and linear regression analysis. Results: The results revealed a very high negative correlation between both thermal comfort conditions (PET) and air temperature and respiratory diseases (p < 0.000). The results show that with an increase of 1 °C in thermal comfort conditions (PET), hospital admissions due to respiratory diseases will decrease by approximately 64 to 67 patients. It is predicted that the number of patients will decrease by approximately 89 to 94 with an increase of 1 °C in air temperature. Conclusion: These findings can be informative and serve as guidance for decision-makers in efforts to protect public health, for preventive medicine studies, and for studies on the effects of climate change on human health. [ABSTRACT FROM AUTHOR]