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Neighborhood greenspace and neighborhood income associated with white matter grade worsening: Cardiovascular Health Study

Besser, L. M., Lovasi, G. S., Zambrano, J. J., Camacho, S., Dhanekula, D., Michael, Y. L., Garg, P., Hirsch, J. A., Siscovick, D., Hurvitz, P. M., Biggs, M. L., Galvin, J. E., Bartz, T. M., & Longstreth, W. T. (2023). Neighborhood greenspace and neighborhood income associated with white matter grade worsening: Cardiovascular Health Study. Alzheimer’s & Dementia : Diagnosis, Assessment & Disease Monitoring, 15(4), e12484–e12484. https://doi.org/10.1002/dad2.12484

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Abstract

INTRODUCTION
We examined whether a combined measure of neighborhood greenspace and neighborhood median income was associated with white matter hyperintensity (WMH) and ventricle size changes.

METHODS
The sample included 1260 cognitively normal ≥ 65‐year‐olds with two magnetic resonance images (MRI; ≈ 5 years apart). WMH and ventricular size were graded from 0 (least) to 9 (most) abnormal (worsening = increase of ≥1 grade from initial to follow‐up MRI scans). The four‐category neighborhood greenspace–income measure was based on median neighborhood greenspace and income values at initial MRI. Multivariable logistic regression tested associations between neighborhood greenspace–income and MRI measures (worsening vs. not).

RESULTS
White matter grade worsening was more likely for those in lower greenspace–lower income neighborhoods than higher greenspace–higher income neighborhoods (odds ratio = 1.73; 95% confidence interval = 1.19–2.51).

DISCUSSION
The combination of lower neighborhood income and lower greenspace may be a risk factor for worsening white matter grade on MRI. However, findings need to be replicated in more diverse cohorts.

HIGHLIGHTS
Population‐based cohort of older adults (≥ 65 years) with greenspace and MRI data
Combined measure of neighborhood greenspace and neighborhood income at initial MRI
MRI outcomes included white matter hyperintensities (WMH) and ventricular size
Longitudinal change in MRI outcomes measured approximately 5 years apart
Worsening WMH over time more likely for lower greenspace‐lower income neighborhoods

Keywords

built environment; green space; magnetic resonance imaging; neighborhood; socioeconomic status

Designing Bike-Friendly Cities: Interactive Effects of Built Environment Factors on Cycling

Wang, Lan, Kaichen Zhou, Surong Zhang, Anne Vernez Moudon, Jinfeng Wang, Yong-Guan Zhu, Wenyao Sun, Jianfeng Lin, Chao Tian, and Miao Liu. 2023. “Designing Bike-Friendly Cities: Interactive Effects of Built Environment Factors on Cycling.” SSRN Electronic Journal.

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Abstract

Geographical detector models facilitate a comprehensive approach to urban Design. • Interaction detector measures combined effects of the built environment on Cycling. • Street network centrality has the largest explanatory power on cycling. • A sense of enclosure defined by streetscape elements encourages cycling. Designing bike-friendly cities could promote health and mitigate climate change. Most studies of the association between the built environment and cycling used the "5Ds" framework and linear modeling. However, the built environment exerts complex influences on travel behavior. To better inform urban design for cycling, this study employed geographical detector models that quantify the explanatory power of individual and interactively paired built environment factors on bike-sharing. Data came from 6.5 million bike-sharing orders in Shanghai. Expectedly, we found that street network centrality and important facilities like supermarkets and libraries have the greatest independent and interactive effects. More surprisingly, streetscape elements, including sky view and building frontage, offered significantly higher explanatory power when paired with each other or with street network centrality and important facilities. By identifying the overlooked interactive effects of urban environment factors, the study provides guidance for urban designers to consider combinations of factors that effectively promote cycling. [ABSTRACT FROM AUTHOR]

Keywords

Bike-friendly city; Cycling; Street view images; Urban design

Clean Energy Justice: Different Adoption Characteristics of Underserved Communities in Rooftop Solar and Electric Vehicle Chargers in Seattle

Min, Yohan, Lee, Hyun Woo, & Hurvitz, Philip M. (2023). Clean Energy Justice: Different Adoption Characteristics of Underserved Communities in Rooftop Solar and Electric Vehicle Chargers in Seattle. Energy Research & Social Science, 96.

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Abstract

Concerns over global climate change have led to energy transition to clean energy systems with the development of various clean energy policies. However, social equity issues have emerged in association with the rapid transition of energy systems related to distributed energy resources (DERs), evidenced by disparities in clean energy access. While most existing studies have focused on several variables impacting the adoption of DERs, there is a dearth of studies concerning distributional and recognition justice specifically aimed at investigating: (1) which DER adoption variable is the most important among several variables identified in the literature; and (2) how adoption patterns vary by technologies and communities. The objective of the present study is to answer the two questions by examining the geographic distribution of rooftop solar and electric vehicle (EV) chargers and the related community attributes. Also, the study involves identifying latent variables by addressing inter-correlations among several adoption determinants. The results show that rooftop solar and EV charger adoptions in Seattle present disparities associated with geographic locations and community attributes. In particular, housing variables are the main indicators for rooftop solar adoption and even stronger in communities with low adoption rates. EV charger adoptions are strongly associated with economic variables. Furthermore, spatial inequality of rooftop solar adoption is higher than that of EV charger adoption. The study suggests housing-related support may increase the adoption of both technologies, particularly in communities with low adoption rates. Considering that the installations of rooftop solar and EV chargers were concentrated in particular communities, the study results imply that policies aimed at increasing the adoption of DERs should be tailored to local community characteristics.

Mediating Role of Walking between Perceived and Objective Walkability and Cognitive Function in Older Adults

Kim, Boeun, Barrington, Wendy E., Dobra, Adrian, Rosenberg, Dori, Hurvitz, Philip, & Belza, Basia. (2022). Mediating Role of Walking between Perceived and Objective Walkability and Cognitive Function in Older Adults. Health & Place, 79.

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Abstract

The aim of this study was to examine the role of walking in explaining associations between perceived and objective measures of walkability and cognitive function among older adults. The study employed a cross-sectional design analyzing existing data. Data were obtained from the Adult Changes in Thought Activity Monitor study. Cognitive function and perceived walkability were measured by a survey. Objective walkability was measured using geographic information systems (GIS). Walking was measured using an accelerometer. We tested the mediating relationship based on 1,000 bootstrapped samples. Perceived walkability was associated with a 0.04 point higher cognitive function score through walking (p = 0.006). The mediating relationship accounted for 34% of the total relationship between perceived walkability and cognitive function. Walking did not have a significant indirect relationship on the association between objective walkability and cognitive function. Perceived walkability may be more relevant to walking behavior than objective walkability among older adults. Greater levels of perceived walkability may encourage older adults to undertake more walking, and more walking may in turn improve cognitive function in older adults.

Keywords

Built environment; Cognitive function; Walking; Mediation analysis; Older adults

Impact of a Light Rail Transit Line on Physical Activity: Findings from the Longitudinal Travel Assessment and Community (TRAC) Study

Saelens, Brian E., Hurvitz, Philip M., Zhou, C., Colburn, T., Marchese, A., & Moudon, Anne Vernez (2022). Impact of a Light Rail Transit Line on Physical Activity: Findings from the Longitudinal Travel Assessment and Community (TRAC) Study. Journal of Transport & Health, 27.

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Abstract

Increasing transit infrastructure could increase transit use and result in higher physical activity if users actively travel to access transit. Few studies have rigorously examined transit use and physical activity change from before to years after among residents living close versus farther away from new transit options.Methods: An initial sample (n = 722) of residents living either close (1 mile network distance; unexposed) from future new light rail transit (LRT) stops in the Seattle/King County area were recruited and assessed prior to LRT opening and again 1-2 and 3-4 years later. At each assessment timepoint, residents wore an accelerometer and GPS data logger for 7 days and completed a 7-day travel log and demographic and attitudinal survey. Difference-in-difference analyses examined longitudinal change between those exposed versus unexposed to LRT in physical activity, walking (both utilitarian and recreational), and transit-related walking, and transit use.Results: There was no differential change by LRT exposure in overall physical activity (including or not including light intensity physical activity), recreational walking, or utilitarian walking, with most decreasing significantly in both exposure conditions through follow-ups. There was a differential change in transit-related walking, with those exposed to LRT slightly increasing such physical activity to the most distal follow-up, but the difference from the unexposed condition was modest (<2 min/day). There was no substantial differential change over time in transit use by LRT exposure.Conclusions: Exposure to a new light rail line did not markedly change the frequency of transit use of nearby residents, but did result in a small increase in transit-related walking relative to those unexposed. This did not differentially change the amount of overall physical activity or time spent walking compared to residents living farther away from the new LRT.

Keywords

Public Transit; Accelerometer Data; Built Environment; Behavior; Walking; Transportation; Neighborhood; Time; GPS

Street Environments and Crime around Low-income and Minority Schools: Adopting an Environmental Audit Tool to Assess Crime Prevention Through Environmental Design (CPTED)

Lee, Sungmin, Lee, Chanam, Won Nam, Ji, Vernez Moudon, Anne, & Mendoza, Jason A. (2023). Street Environments and Crime around Low-income and Minority Schools: Adopting an Environmental Audit Tool to Assess Crime Prevention Through Environmental Design (CPTED). Landscape and Urban Planning, 232.

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Abstract

• CPTED principles have been applied in school neighborhood safety. • Multiple crime types had significant associations with CPTED principles. • The cleanliness of streets and visual quality of buildings can reduce crime. • Being adjacent to multi-family housing and bus stops can increase crime. • The findings add to the evidence supporting the effectiveness of CPTED initiatives. Crime prevention through environmental design (CPTED) suggests an association between micro-scale environmental conditions and crime, but little empirical research exists on the detailed street-level environmental features associated with crime near low-income and minority schools. This study focuses on the neighborhoods around 14 elementary schools serving lower income populations in Seattle, WA to assess if the distribution of crime incidences (2013–2017) is linked with the street-level environmental features that reflect CPTED principles. We used a total of 40 audit variables that were included in the four domains derived from the broken windows theory and CPTED principles: natural surveillance (e.g., number of windows, balconies, and a sense of surveillance), territoriality (e.g., crime watch signs, trees), image/maintenance (e.g., graffiti and a sense of maintenance/cleanness), and geographical juxtaposition (e.g., bus stops, presence of arterial). We found that multiple crime types had significant associations with CPTED components at the street level. Among the CPTED domains, two image/maintenance features (i.e., maintenance of streets and visual quality of buildings) and two geographical juxtaposition features (i.e., being adjacent to multi-family housing and bus stops) were consistently associated with both violent and property crime. The findings suggest that local efforts to improve maintenance of streets and visual quality of buildings and broader planning efforts to control specific land uses near schools are important to improve safety in marginalized neighborhoods near schools that tend to be more vulnerable to crime. Our research on micro-scale environmental determinants of crime can also serve as promising targets for CPTED research and initiatives. [ABSTRACT FROM AUTHOR]

Keywords

CPTED; Crime; Environmental audit; Micro-scale environment of Crime; Street environments

Associations between Neighborhood Built Environment, Residential Property Values, and Adult BMI Change: The Seattle Obesity Study III

Buszkiewicz, James H.; Rose, Chelsea M.; Ko, Linda K.; Mou, Jin; Moudon, Anne Vernez; Hurvitz, Philip M.; Cook, Andrea J.; Drewnowski, Adam. (2022). Associations between Neighborhood Built Environment, Residential Property Values, and Adult BMI Change: The Seattle Obesity Study III. SSM-Population Health, 19.

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Abstract

Objective: To examine associations between neighborhood built environment (BE) variables, residential property values, and longitudinal 1-and 2-year changes in body mass index (BMI). Methods: The Seattle Obesity Study III was a prospective cohort study of adults with geocoded residential addresses, conducted in King, Pierce, and Yakima Counties in Washington State. Measured heights and weights were obtained at baseline (n = 879), year 1 (n = 727), and year 2 (n = 679). Tax parcel residential property values served as proxies for individual socioeconomic status. Residential unit and road intersection density were captured using Euclidean-based SmartMaps at 800 m buffers. Counts of supermarket (0 versus. 1+) and fast-food restaurant availability (0, 1-3, 4+) were measured using network based SmartMaps at 1600 m buffers. Density measures and residential property values were categorized into tertiles. Linear mixed-effects models tested whether baseline BE variables and property values were associated with differential changes in BMI at year 1 or year 2, adjusting for age, gender, race/ethnicity, education, home ownership, and county of residence. These associations were then tested for potential disparities by age group, gender, race/ethnicity, and education. Results: Road intersection density, access to food sources, and residential property values were inversely associated with BMI at baseline. At year 1, participants in the 3rd tertile of density metrics and with 4+ fast-food restaurants nearby showed less BMI gain compared to those in the 1st tertile or with 0 restaurants. At year 2, higher residential property values were predictive of lower BMI gain. There was evidence of differential associations by age group, gender, and education but not race/ethnicity. Conclusion: Inverse associations between BE metrics and residential property values at baseline demonstrated mixed associations with 1-and 2-year BMI change. More work is needed to understand how individual-level sociodemographic factors moderate associations between the BE, property values, and BMI change.

Keywords

Body-mass Index; Physical-activity; Food Environment; Socioeconomic-status; Weight-gain; Health; Quality

Differences in Weight Gain Following Residential Relocation in the Moving to Health (M2H) Study

Cruz, Maricela; Drewnowski, Adam; Bobb, Jennifer F.; Hurvitz, Philip M.; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Buszkiewicz, James H.; Lozano, Paula; Rosenberg, Dori E.; Kapos, Flavia; Theis, Mary Kay; Anau, Jane; Arterburn, David. (2022). Differences in Weight Gain Following Residential Relocation in the Moving to Health (M2H) Study. Epidemiology, 33(5), 747-755.

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Abstract

Background: Neighborhoods may play an important role in shaping long-term weight trajectory and obesity risk. Studying the impact of moving to another neighborhood may be the most efficient way to determine the impact of the built environment on health. We explored whether residential moves were associated with changes in body weight. Methods: Kaiser Permanente Washington electronic health records were used to identify 21,502 members aged 18-64 who moved within King County, WA between 2005 and 2017. We linked body weight measures to environment measures, including population, residential, and street intersection densities (800 m and 1,600 m Euclidian buffers) and access to supermarkets and fast foods (1,600 m and 5,000 m network distances). We used linear mixed models to estimate associations between postmove changes in environment and changes in body weight. Results: In general, moving from high-density to moderate- or low-density neighborhoods was associated with greater weight gain postmove. For example, those moving from high to low residential density neighborhoods (within 1,600 m) gained an average of 4.5 (95% confidence interval [CI] = 3.0, 5.9) lbs 3 years after moving, whereas those moving from low to high-density neighborhoods gained an average of 1.3 (95% CI = -0.2, 2.9) lbs. Also, those moving from neighborhoods without fast-food access (within 1600m) to other neighborhoods without fast-food access gained less weight (average 1.6 lbs [95% CI = 0.9, 2.4]) than those moving from and to neighborhoods with fast-food access (average 2.8 lbs [95% CI = 2.5, 3.2]). Conclusions: Moving to higher-density neighborhoods may be associated with reductions in adult weight gain.

Keywords

Body-mass Index; Neighborhood Socioeconomic-status; New-york-city; Built Environment; Physical-activity; Food Environment; Urban Sprawl; Risk-factors; Obesity; Walking; Electronic Medical Records; Fast Foods; Population Density; Residential Density; Residential Moves; Supermarkets

Using Open Data and Open-source Software to Develop Spatial Indicators of Urban Design and Transport Features for Achieving Healthy and Sustainable Cities

Boeing, Geoff; Higgs, Carl; Liu, Shiqin; Giles-corti, Billie; Sallis, James F.; Cerin, Ester; Lowe, Melanie; Adlakha, Deepti; Hinckson, Erica; Moudon, Anne Vernez; Salvo, Deborah; Adams, Marc A.; Barrozo, Ligia, V; Bozovic, Tamara; Delclos-alio, Xavier; Dygryn, Jan; Ferguson, Sara; Gebel, Klaus; Thanh Phuong Ho; Lai, Poh-chin; Martori, Joan C.; Nitvimol, Kornsupha; Queralt, Ana; Roberts, Jennifer D.; Sambo, Garba H.; Schipperijn, Jasper; Vale, David; Van De Weghe, Nico; Vich, Guillem; Arundel, Jonathan. (2022). Using Open Data and Open-source Software to Develop Spatial Indicators of Urban Design and Transport Features for Achieving Healthy and Sustainable Cities. Lancet Global Health, 10(6), E907-E918.

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Abstract

Benchmarking and monitoring of urban design and transport features is crucial to achieving local and international health and sustainability goals. However, most urban indicator frameworks use coarse spatial scales that either only allow between-city comparisons, or require expensive, technical, local spatial analyses for within-city comparisons. This study developed a reusable, open-source urban indicator computational framework using open data to enable consistent local and global comparative analyses. We show this framework by calculating spatial indicators-for 25 diverse cities in 19 countries-of urban design and transport features that support health and sustainability. We link these indicators to cities' policy contexts, and identify populations living above and below critical thresholds for physical activity through walking. Efforts to broaden participation in crowdsourcing data and to calculate globally consistent indicators are essential for planning evidence-informed urban interventions, monitoring policy effects, and learning lessons from peer cities to achieve health, equity, and sustainability goals.

Keywords

Systems; Access; Care

What Next? Expanding Our View of City Planning and Global Health, and Implementing and Monitoring Evidence-informed Policy

Giles-corti, Billie; Moudon, Anne Vernez; Lowe, Melanie; Cerin, Ester; Boeing, Geoff; Frumkin, Howard; Salvo, Deborah; Foster, Sarah; Kleeman, Alexandra; Bekessy, Sarah; De Sa, Thiago Herick; Nieuwenhuijsen, Mark; Higgs, Carl; Hinckson, Erica; Adlakha, Deepti; Arundel, Jonathan; Liu, Shiqin; Oyeyemi, Adewale L.; Nitvimol, Kornsupha; Sallis, James F. (2022). What Next? Expanding Our View of City Planning and Global Health, and Implementing and Monitoring Evidence-informed Policy. Lancet Global Health, 10(6), E919-E926.

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Abstract

This Series on urban design, transport, and health aimed to facilitate development of a global system of health-related policy and spatial indicators to assess achievements and deficiencies in urban and transport policies and features. This final paper in the Series summarises key findings, considers what to do next, and outlines urgent key actions. Our study of 25 cities in 19 countries found that, despite many well intentioned policies, few cities had measurable standards and policy targets to achieve healthy and sustainable cities. Available standards and targets were often insufficient to promote health and wellbeing, and health-supportive urban design and transport features were often inadequate or inequitably distributed. City planning decisions affect human and planetary health and amplify city vulnerabilities, as the COVID-19 pandemic has highlighted. Hence, we offer an expanded framework of pathways through which city planning affects health, incorporating 11 integrated urban system policies and 11 integrated urban and transport interventions addressing current and emerging issues. Our call to action recommends widespread uptake and further development of our methods and open-source tools to create upstream policy and spatial indicators to benchmark and track progress; unmask spatial inequities; inform interventions and investments; and accelerate transitions to net zero, healthy, and sustainable cities.