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Medical Facilities in the Neighborhood and Incidence of Sudden Cardiac Arrest

Goh, Charlene E.; Mooney, Stephen J.; Siscovick, David S.; Lemaitre, Rozenn N.; Hurvitz, Philip; Sotoodehnia, Nona; Kaufman, Tanya K.; Zulaika, Garazi; Lovasi, Gina S. (2018). Medical Facilities in the Neighborhood and Incidence of Sudden Cardiac Arrest. Resuscitation, 130, 118 – 123.

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Abstract

Background: Medical establishments in the neighborhood, such as pharmacies and primary care clinics, may play a role in improving access to preventive care and treatment and could explain previously reported neighborhood variations in sudden cardiac arrest (SCA) incidence and survival. Methods: The Cardiac Arrest Blood Study Repository is a population-based repository of data from adult cardiac arrest patients and population-based controls residing in King County, Washington. We examined the association between the availability of medical facilities near home with SCA risk, using adult (age 18-80) Seattle residents experiencing cardiac arrest (n = 446) and matched controls (n = 208) without a history of heart disease. We also analyzed the association of major medical centers near the event location with emergency medical service (EMS) response time and survival among adult cases (age 18+) presenting with ventricular fibrillation from throughout King County (n = 1537). The number of medical facilities per census tract was determined by geocoding business locations from the National Establishment Time-Series longitudinal database 1990-2010. Results: More pharmacies in the home census tract was unexpectedly associated with higher odds of SCA (OR: 1.28, 95% CI: 1.03, 1.59), and similar associations were observed for other medical facility types. The presence of a major medical center in the event census tract was associated with a faster EMS response time (-53 s, 95% CI: -84, -22), but not with short-term survival. Conclusions: We did not observe a protective association between medical facilities in the home census tract and SCA risk, orbetween major medical centers in the event census tract and survival.

Keywords

Cardiac Arrest; Medical Care; Emergency Medical Services; Ventricular Fibrillation; Heart Diseases; Patients; Medical Facilities; Neighborhood; Observational Study; Sudden Cardiac Arrest; Survival; Ambulance Response-times; Socioeconomic-status; Association; Care; Resuscitation; Disparities; Population; Provision; Disease

Activity Space Metrics Not Associated with Sociodemographic Variables, Diet or Health Outcomes in the Seattle Obesity Study II

Drewnowski, Adam; Aggarwal, Anju; Rose, Chelsea M.; Gupta, Shilpi; Delaney, Joseph A.; Hurvitz, Philip M. (2019). Activity Space Metrics Not Associated with Sociodemographic Variables, Diet or Health Outcomes in the Seattle Obesity Study II. Spatial And Spatio-temporal Epidemiology, 30.

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Abstract

Background: Activity spaces (AS), captured using GPS tracking devices, are measures of dynamic exposure to the built environment (BE). Methods: Seven days of Global Positioning Systems (GPS) tracking data were obtained for 433 adult participants in the Seattle Obesity Study (SOS II). Heights and weights were measured. Dietary intakes from a food frequency questionnaire were used to calculate Healthy Eating Index (HEI 2010) scores. Linear regression analyses examined associations between AS measures: daily route length, convex hull, and radius of gyration, and diet quality and health outcomes, adjusting for covariates. Results: AS measures did not vary by age, gender, race/ethnicity, or socioeconomic status. AS measures were not associated with diet quality or with self-reported obesity or diabetes. One AS measure, route length (in miles), was associated with being employed, living in the suburbs, and with distance and time commuting to work. Conclusion: Spatial mobility studies based on GPS tracking of environmental exposure need to demonstrate a link to relevant health outcomes. (C) 2019 The Authors. Published by Elsevier Ltd.

Keywords

Local Food Environment; Physical-activity; Gps Data; Exposure; Patterns; Quality; Women; Index; Built Environment (be); Activity Space; Route Length; Hei 2010; Bmi

A Roadmap for Urban Evolutionary Ecology

Rivkin, L. Ruth; Santangelo, James S.; Alberti, Marina; Aronson, Myla F. J.; De Keyzer, Charlotte W.; Diamond, Sarah E.; Fortin, Marie-josee; Frazee, Lauren J.; Gorton, Amanda J.; Hendry, Andrew P.; Liu, Yang; Losos, Jonathan B.; Macivor, J. Scott; Martin, Ryan A.; Mcdonnell, Mark J.; Miles, Lindsay S.; Munshi-south, Jason; Ness, Robert W.; Newman, Amy E. M.; Stothart, Mason R.; Theodorou, Panagiotis; Thompson, Ken A.; Verrelli, Brian C.; Whitehead, Andrew; Winchell, Kristin M.; Johnson, Marc T. J. (2019). A Roadmap for Urban Evolutionary Ecology. Evolutionary Applications, 12(3), 384 – 398.

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Abstract

Urban ecosystems are rapidly expanding throughout the world, but how urban growth affects the evolutionary ecology of species living in urban areas remains largely unknown. Urban ecology has advanced our understanding of how the development of cities and towns change environmental conditions and alter ecological processes and patterns. However, despite decades of research in urban ecology, the extent to which urbanization influences evolutionary and eco-evolutionary change has received little attention. The nascent field of urban evolutionary ecology seeks to understand how urbanization affects the evolution of populations, and how those evolutionary changes in turn influence the ecological dynamics of populations, communities, and ecosystems. Following a brief history of this emerging field, this Perspective article provides a research agenda and roadmap for future research aimed at advancing our understanding of the interplay between ecology and evolution of urban-dwelling organisms. We identify six key questions that, if addressed, would significantly increase our understanding of how urbanization influences evolutionary processes. These questions consider how urbanization affects nonadaptive evolution, natural selection, and convergent evolution, in addition to the role of urban environmental heterogeneity on species evolution, and the roles of phenotypic plasticity versus adaptation on species' abundance in cities. Our final question examines the impact of urbanization on evolutionary diversification. For each of these six questions, we suggest avenues for future research that will help advance the field of urban evolutionary ecology. Lastly, we highlight the importance of integrating urban evolutionary ecology into urban planning, conservation practice, pest management, and public engagement.

Keywords

Urban Ecology (biology); Climate Change; Urban Growth; Species Diversity; Urbanization; Citizen Science; Community Engagement; Eco-evolutionary Feedback; Gene Flow; Landscape Genetics; Urban Evolution; Urban Socioecology; Mouse Peromyscus-leucopus; Rapid Evolution; Population Genomics; Selection; Habitat; Differentiation; Framework; Environments; Biodiversity; Eco-evolutionary Feedback

Dynamic Modal Accessibility Gap: Measurement and Application Using Travel Routes Data.

Guan, Jinping; Zhang, Kai; Shen, Qing; He, Ying. (2020). Dynamic Modal Accessibility Gap: Measurement and Application Using Travel Routes Data. Transportation Research: Part D, 81.

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Abstract

Accessibility is a key concept in transportation research and an important indicator of people's quality of life. With the development of big data analytics, dynamic accessibility that captures the temporal variations of accessibility becomes an important research focus. Few prior studies focus on comparative measures of dynamic accessibility to Points of Interest (POIs) by alternative travel modes. To fill this research gap, we propose a new index called dynamic modal accessibility gap (DMAG), which draws upon available data on residents' real travel routes using different travel modes, as well as the data on POIs. We study the DMAG in the real-travel covered area, assuming POIs are only useful if it is within someone's real-travel covered area. We then apply this DMAG methodology to Shanghai's central city and peripheral area. In both cases, we measure the accessibility for public and private travel modes. As an example, one-week taxi GPS and metro smart card data, and POIs data are used to generate the DMAG index for 30-minute and 60-minute trip durations for weekdays and holidays. Results show that DMAG can reflect the pattern of temporal variations. The proposed DMAG analytical framework, which can be applied at both the user and the system levels, can support urban and transportation planning, and promote social equity and livability.

Keywords

Air Travel; Choice Of Transportation; Urban Transportation; Transportation Planning; Urban Planning; Smart Cards; Inner Cities; Route Choice; Shanghai (china); Dynamic Accessibility; Modal Accessibility Gap (mag); Points Of Interest (pois); Public And Private Travel Modes; Temporal Variations; Scale Residential Areas; Transport; Time; Dimensions; Employment; Indicator; Choice; Boston; Car

The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities

Berrigan, David; Dannenberg, Andrew L.; Lee, Michelle; Rodgers, Kelly; Wojcik, Janet R.; Wali, Behram; Tribby, Calvin P.; Buehler, Ralph; Sallis, James F.; Roberts, Jennifer D.; Steedly, Ann; Peng, Binbin; Eisenberg, Yochai; Rodriguez, Daniel A. (2021). The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities. International Journal Of Environmental Research And Public Health, 18(22).

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Abstract

Active transportation (AT) is widely viewed as an important target for increasing participation in aerobic physical activity and improving health, while simultaneously addressing pollution and climate change through reductions in motor vehicular emissions. In recent years, progress in increasing AT has stalled in some countries and, furthermore, the coronavirus (COVID-19) pandemic has created new AT opportunities while also exposing the barriers and health inequities related to AT for some populations. This paper describes the results of the December 2019 Conference on Health and Active Transportation (CHAT) which brought together leaders from the transportation and health disciplines. Attendees charted a course for the future around three themes: Reflecting on Innovative Practices, Building Strategic Institutional Relationships, and Identifying Research Needs and Opportunities. This paper focuses on conclusions of the Research Needs and Opportunities theme. We present a conceptual model derived from the conference sessions that considers how economic and systems analysis, evaluation of emerging technologies and policies, efforts to address inclusivity, disparities and equity along with renewed attention to messaging and communication could contribute to overcoming barriers to development and use of AT infrastructure. Specific research gaps concerning these themes are presented. We further discuss the relevance of these themes considering the pandemic. Renewed efforts at research, dissemination and implementation are needed to achieve the potential health and environmental benefits of AT and to preserve positive changes associated with the pandemic while mitigating negative ones.

Keywords

Improving Arterial Roads; Physical-activity; Cost-effectiveness; Built Environment; Autonomous Vehicles; Walking; Behavior; Impact; Active Transportation; Covid-19; Climate Change; Physical Activity; Public Health; Pandemics; Public Transportation; Collaboration; Transportation; Economic Models; Environmental Impact; Outdoor Air Quality; Vehicle Emissions; Coronaviruses; Hispanic Americans; Fatalities; Systems Analysis; African Americans; Infrastructure; Medical Research; Committees; Land Use; Economic Analysis; New Technology; United States--us

Measuring the Urban Forms of Shanghai’s City Center and Its New Districts: A Neighborhood-Level Comparative Analysis

Lin, Lin; Chen, Xueming (Jimmy); Moudon, Anne Vernez. (2021). Measuring the Urban Forms of Shanghai’s City Center and Its New Districts: A Neighborhood-Level Comparative Analysis. Sustainability, 13(15).

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Abstract

Rapid urban expansion has radically transformed the city centers and the new districts of Chinese cities. Both areas have undergone unique redevelopment and development over the past decades, generating unique urban forms worthy of study. To date, few studies have investigated development patterns and land use intensities at the neighborhood level. The present study aims to fill the gap and compare the densities of different types of developments and the spatial compositions of different commercial uses at the neighborhood level. We captured the attributes of their built environment that support instrumental activities of daily living of 710 neighborhoods centered on the public elementary schools of the entire Shanghai municipality using application programming interfaces provided in Baidu Map services. The 200 m neighborhood provided the best fit to capture the variations of the built environment. Overall, city center neighborhoods had significantly higher residential densities and housed more daily routine destinations than their counterparts in the new districts. Unexpectedly, however, the total length of streets was considerably smaller in city-center neighborhoods, likely reflecting the prominence of the wide multilane vehicular roads surrounding large center city redevelopment projects. The findings point to convergence between the city center's urban forms and that of the new districts.

Keywords

Quantifying Spatiotemporal Patterns; Fast-food Restaurants; Instrumental Activities; Physical-activity; Chinese Cities; Land; Schools; Redevelopment; Expansion; Transformation; Built Environment; Planning; Neighborhood; Urban Form; Shanghai

Does Polycentric Development Produce Less Transportation Carbon Emissions? Evidence from Urban Form Identified by Night-Time Lights Across US Metropolitan Areas

Jung, Meen Chel; Kang, Mingyu; Kim, Sunghwan. (2022). Does Polycentric Development Produce Less Transportation Carbon Emissions? Evidence from Urban Form Identified by Night-Time Lights Across US Metropolitan Areas. Urban Climate, 44.

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Abstract

Identifying the comprehensive metropolitan urban form is important to propose effective policies to mitigate transportation carbon emissions. A publicly accessible night-time light dataset was used to identify urban centers and develop two polycentric indices to compute the composition and configuration of urban form, respectively. We used the most populous 103 U.S. metropolitan statistical areas (MSAs), with their corresponding transportation carbon emissions, polycentric indices, population sizes, gross domestic product (GDP) per capita, and road network densities. We first explored the typology of urban form and classified MSAs into six types based on two polycentric indices. We then introduced correlation analysis and statistical models to test the relationships between polycentric urban form and transportation carbon emissions. We found: (1) more urban centers lead to more emissions (compositional dimension), (2) more spatially distributed urban centers result in less emissions (configurational dimension), and (3) population and GDP per capita are positively related to carbon emissions. These findings suggest the importance of measuring two polycentric dimensions separately but using them together. Urban planners should consider mixed strategies that combine the traditional intra-center-based smart growth principles and the metropolitan-level inter-centers spatial plan to effectively counteract climate change.

Keywords

Polycentric Urban Form; Urban Centers; Carbon Emissions; Night-time Lights; Smart Growth; Climate Change; Co2 Emissions; Spatial Structure; Satellite Imagery; Cities; Patterns; Trends; Growth; Determinants; China

Places for the Gods: Urban Planning as Orthopraxy and Heteropraxy in China

Abramson, Daniel Benjamin. (2011). Places for the Gods: Urban Planning as Orthopraxy and Heteropraxy in China. Environment & Planning D: Society & Space, 29(1), 67 – 88.

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Abstract

Among the many revivals of older urban practices in China since the death of Mao and the Reforms of Deng Xiaoping is the resurgence of unofficial folk-religious space. As a national phenomenon, it is an uneven process, but where it has become prevalent, it presents challenges both to official standard urban-planning practice, as well as to the public presentation of planning practice. This paper describes how nonstandard practices can emerge in the current context of rapid urbanization, which itself is a force for standardized urban spatial practices in terms of Chinese domestic cultural and political institutions as well as global capital flows. Both local and translocal actors, navigating among various conflicting standards of practice and discourse, can find room to resist hegemony, maintain identity, and innovate. The political and bureaucratic ritualization of planning practice, however, conceals this fact.

Keywords

Urban Planning -- Social Aspects; Urban Policy; Urbanization; Hegemony; Cultural Policy; Social Conditions In China; Social Aspects; China; Late Imperial China; Standardization; Property; Shanghai; Culture; Space; State

Protecting the Idyll but Not the Environment: Second Homes, Amenity Migration and Rural Exclusion in Washington State

Kondo, Michelle C.; Rivera, Rebeca; Rullman, Stan, Jr. (2012). Protecting the Idyll but Not the Environment: Second Homes, Amenity Migration and Rural Exclusion in Washington State. Landscape And Urban Planning, 106(2), 174 – 182.

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Abstract

Researchers are beginning to take notice of amenity migration processes and their impacts in exurban areas of the U.S. Our research explores second-home owners as contributors to processes of amenity migration. Using a mixed-method approach combining spatial data and interview analyses, we investigate both the structural and behavioral aspects of amenity migration in San Juan and Okanogan counties of Washington State. Results indicate that second-home owners' desire for privacy and escape is reflected in patterns of spatial isolation among second homes in the study area. These patterns have potentially significant ecological effects. Second-home owners also seek to protect their investments by supporting regulations which support their version of a rural idyll. Therefore, policy-makers should be wary of strategies to promote regulations which promote aesthetic rather than social and ecological function. (C) 2012 Elsevier B.V. All rights reserved.

Keywords

Land-use; Colorado Mountains; Political Ecology; Landscape Change; United-states; Gentrification; Residents; Attitudes; Growth; West; Amenity Migration; Second Homes; Mixed-method Research

Access to Supermarkets and Fruit and Vegetable Consumption

Aggarwal, Anju; Cook, Andrea J.; Jiao, Junfeng; Seguin, Rebecca A.; Moudon, Anne Vernez; Hurvitz, Philip M.; Drewnowski, Adam. (2014). Access to Supermarkets and Fruit and Vegetable Consumption. American Journal Of Public Health, 104(5), 917 – 923.

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Abstract

Objectives. We examined whether supermarket choice, conceptualized as a proxy for underlying personal factors, would better predict access to supermarkets and fruit and vegetable consumption than mere physical proximity. Methods. The Seattle Obesity Study geocoded respondents' home addresses and locations of their primary supermarkets. Primary supermarkets were stratified into low, medium, and high cost according to the market basket cost of 100 foods. Data on fruit and vegetable consumption were obtained during telephone surveys. Linear regressions examined associations between physical proximity to primary supermarkets, supermarket choice, and fruit and vegetable consumption. Descriptive analyses examined whether supermarket choice outweighed physical proximity among lower-income and vulnerable groups. Results. Only one third of the respondents shopped at their nearest supermarket for their primary food supply. Those who shopped at low-cost supermarkets were more likely to travel beyond their nearest supermarket. Fruit and vegetable consumption was not associated with physical distance but, with supermarket choice, after adjusting for covariates. Conclusions. Mere physical distance may not be the most salient variable to reflect access to supermarkets, particularly among those who shop by car. Studies on food environments need to focus beyond neighborhood geographic boundaries to capture actual food shopping behaviors.

Keywords

Confidence Intervals; Correlation (statistics); Fruit; Geographic Information Systems; Ingestion; Multivariate Analysis; Population Geography; Questionnaires; Regression Analysis; Research Funding; Sales Personnel; Shopping; Travel; Vegetables; Predictive Validity; Cross-sectional Method; Statistical Models; Descriptive Statistics; Null Hypothesis; Washington (state); Local Food Environment; Diet Quality; Socioeconomic Position; Atherosclerosis Risk; Stores; Associations; Obesity; Adults; Availability; Communities