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Deciphering the Impact of Urban Built Environment Density on Respiratory Health Using a Quasi-cohort Analysis of 5495 Non-smoking Lung Cancer Cases

Wang, Lan; Sun, Wenyao; Moudon, Anne Vernez; Zhu, Yong-guan; Wang, Jinfeng; Bao, Pingping; Zhao, Xiaojing; Yang, Xiaoming; Jia, Yinghui; Zhang, Surong; Wu, Shuang; Cai, Yuxi. (2022). Deciphering the Impact of Urban Built Environment Density on Respiratory Health Using a Quasi-cohort Analysis of 5495 Non-smoking Lung Cancer Cases. Science Of The Total Environment, 850.

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Abstract

Introduction: Lung cancer is a major health concern and is influenced by air pollution, which can be affected by the den-sity of urban built environment. The spatiotemporal impact of urban density on lung cancer incidence remains unclear, especially at the sub-city level. We aimed to determine cumulative effect of community-level density attributes of the built environment on lung cancer incidence in high-density urban areas. Methods: We selected 78 communities in the central city of Shanghai, China as the study site; communities included in the analysis had an averaged population density of 313 residents per hectare. Using data from the city cancer surveil-lance system, an age-period-cohort analysis of lung cancer incidence was performed over a five-year period (2009-2013), with a total of 5495 non-smoking/non-secondhand smoking exposure lung cancer cases. Community -level density measures included the density of road network, facilities, buildings, green spaces, and land use mixture. Results: In multivariate models, built environment density and the exposure time duration had an interactive effect on lung cancer incidence. Lung cancer incidence of birth cohorts was associated with road density and building coverage across communities, with a relative risk of 1middot142 (95 % CI: 1middot056-1middot234, P = 0middot001) and 1middot090 (95 % CI: 1middot053-1middot128, P < 0middot001) at the baseline year (2009), respectively. The relative risk increased exponentially with the exposure timeduration. As for the change in lung cancer incidence over the five-year period, lung cancer incidence of birth cohorts tended to increase faster in communities with a higher road density and building coverage. Conclusion: Urban planning policies that improve road network design and building layout could be important strate-gies to reduce lung cancer incidence in high-density urban areas.

Keywords

Air-quality; Pollutant Dispersion; Risk-factors; Land-use; Mortality; Exposure; Cities; Transport; Compact City; Longitudinal Analysis; Lung Cancer; Urban Planning

Theorising Democratic Space with and beyond Henri Lefebvre

Purcell, Mark. (2022). Theorising Democratic Space with and beyond Henri Lefebvre. Urban Studies, 59(15), 3041-3059.

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Abstract

The purpose of this article is to theorise space in a way that resonates with democracy. It develops a radical understanding of democracy, as an affirmative project undertaken by people to directly manage their affairs themselves. To theorise space, the article takes up Henri Lefebvre's concept of 'differential space', which it conceives as an autonomous force that produces itself through the operation of desire. This self-production, Lefebvre argues, takes place in and through everyday acts of survival of those who inhabit space. The article then situates this abstract discussion of space, again following Lefebvre, in the context of ongoing worldwide urbanisation. The urban, Lefebvre argues, has agglomerated not only capitalist productive power but also the differences that exist outside of capitalist logic, and so it is where we should be looking for revolutionary difference in the world today. Taking all these insights together, we can see the project of democracy as an affirmative project undertaken by people to directly manage the production of urban space themselves. Lastly, the article argues that the project of democracy must extend beyond Lefebvre's thought. It thinks through one example, which is the question of the 'we' of democracy. It argues that to properly understand the question of difference in democratic community, we are very well served in turning to the work of Judith Butler.

Keywords

Democracy; Differential Space; Henri Lefebvre; Judith Butler

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

Opportunity and Housing Access

Acolin, Arthur; Wachter, Susan. (2017). Opportunity and Housing Access. Cityscape, 19(1), 135 – 150.

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Abstract

This article examines the relationship between employment opportunity and housing affordability. Access to locations with high-productivity jobs is increasingly limited by regional housing affordability barriers. Recent articles demonstrate a new regional divergence in access to high-productivity regions accompanied by declines in worker mobility associated with affordability barriers. We update these findings and discuss their long-term implications for economic opportunity and intergenerational welfare. We show that areas, from which lower-income households are increasingly priced out, are also more likely to have higher levels of intergenerational mobility. Access to opportunity also continues to be challenged within metropolitan areas as the gentrification of downtown neighborhoods is accompanied by an increase in concentrated poverty in outlying city neighborhoods and inner ring suburbs. These trends on regional and local scales derive from the increased importance of place in the knowledge-based economy and interact to reinforce growing spatial inequality. We conclude with a discussion of the importance of identifying place-based solutions to counter growing spatial inequality of opportunity.]

Evaluation Strategies on the Thermal Environmental Effectiveness of Street Canyon Clusters: A Case Study of Harbin, China

Li, Guanghao; Cheng, Qingqing; Zhan, Changhong; Yocom, Ken P. (2022). Evaluation Strategies on the Thermal Environmental Effectiveness of Street Canyon Clusters: A Case Study of Harbin, China. Sustainability, 14(20).

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Abstract

Urban overheating significantly affects people's physical and mental health. The addition of street trees is an essential, economical, and effective means by which to mitigate urban heat and optimize the overall thermal environment. Focusing on typical street canyon clusters in Harbin, China, landscape morphology was quantified by streetscape interface measurements (sky view factor, tree view factor, and building view factor). Through ENVI-met simulations, the correlation mechanism between streetscape interface measurements and thermal environment was evaluated, and optimization methods for assessing the thermal environment of urban streets were proposed. The results revealed: (1) The thermal environment optimization efficiency of general street canyon types was greatest when street tree spacing was 12 m. At present, the smaller spacing has not been simulated and may yield better thermal environment results. The average decrease in temperature (Ta), relative humidity (RH) and mean radiant temperature (MRT) was 0.78%, 2.23%, and 30.20%, respectively. (2) Specific street canyon types should adopt precise control strategies of streetscape interface according to their types to achieve the optimal balance between thermal environment optimization and cost. (3) Streetscape interface measurements and thermal environment indexes show quadratic correlation characteristics, and are critical points for further investigation. The conclusions are more specific than previous research findings, which are of great significance for decreasing the urban heat island effect at the block scale, improving residents' physical and mental health, and improving the urban environment quality.

Keywords

Heat Mitigation Strategies; Urban Green Areas; Sky View Factor; Cold Region; Comfort; Tree; Landscape; Park; Simulation; Density; Street Canyon Clusters; Streetscape Interface Measurement; Envi-met Simulation; Thermal Optimization

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.

Borrowing Constraints and Homeownership

Acolin, Arthur; Bricker, Jesse; Calem, Paul; Wachter, Susan. (2016). Borrowing Constraints and Homeownership. The American Economic Review, 106(5), 625 – 629.

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Keywords

Borrowing Constraints, Homeownership, Credit Supply

Examining the Association between Urban Green Space and Viral Transmission of Covid-19 during the Early Outbreak

Zhai, Wei; Yue, Haoyu; Deng, Yihan. (2022). Examining the Association between Urban Green Space and Viral Transmission of Covid-19 during the Early Outbreak. Applied Geography, 147.

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Abstract

Even though exposure to urban green spaces (UGS) has physical and mental health benefits during COVID-19, whether visiting UGS will exacerbate viral transmission and what types of counties would be more impacted remain to be answered. In this research, we adopted mobile phone data to measure the county-level UGS visi-tation across the United States. We developed a Bayesian model to estimate the effective production number of the pandemic. To consider the spatial dependency, we applied the geographically weighted panel regression to estimate the association between UGS visitation and viral transmission. We found that visitations to UGS may be positively correlated with the viral spread in Florida, Idaho, New Mexico, Texas, New York, Ohio, and Penn-sylvania. Especially noteworthy is that the spread of COVID-19 in the majority of counties is not associated with green space visitation. Further, we found that when people visit UGS, there may be a positive association be-tween median age and viral transmission in New Mexico, Colorado, and Missouri; a positive association between concentration of blacks and viral transmission in North Dakota, Minnesota, Wisconsin, Michigan, and Florida; and a positive association between poverty rate and viral transmission in Iowa, Missouri, Colorado, New Mexico, and the Northeast United States.

Keywords

Public Spaces; Viral Transmission; Covid-19; Extraterrestrial Beings; Covid-19 Pandemic; Smartphones; Cell Phones; Memes; Big Data; Urban Green Space; Geographical Information-system; Parks; Accessibility; Regression; Community; Stress; Health; Level