Search Results (168)

Rapid urbanization and demographic shifts present significant challenges to spatial justice in green space provision. Traditional static assessments have become increasingly inadequate for guiding park planning, which now requires a dynamic, future-oriented analytical approach. To address this gap, this study incorporates population dynamics into urban park planning by developing a dynamic evaluation framework for park accessibility. Building on the Gaussian-based two-step floating catchment area (Ga2SFCA) method, we propose the human-population-projection-Ga2SFCA (HPP-Ga2SFCA) model, which integrates population forecasts to assess park service efficiency under future demographic pressures. Using neighborhood-committee-level census data from 2000 to 2020 and detailed park spatial data, we identified five types of population change and forecast demographic distributions for both short- and long-term scenarios. Our findings indicate population decline in the urban core and outer suburbs, with growth concentrated in the transitional inner-suburban zones. Long-term projections suggest that 66% of communities will experience population growth, whereas short-term forecasts indicate a decline in 52%. Static models overestimate park accessibility by approximately 40%. In contrast, our dynamic model reveals that accessibility is overestimated in 71% and underestimated in 7% of the city, highlighting a potential mismatch between future population demand and current park supply. This study offers a forward-looking planning framework that enhances the responsiveness of park systems to demographic change and supports the development of more equitable, adaptive green space strategies. Full article

The equitable allocation of healthcare resources reflects social equity. Previous studies of healthcare accessibility have overlooked the impact of inter-city patient mobility on local residents’ and local residents’ multi-mode travel choices, distorting accessibility calculation outcomes. Taking the area within Beijing’s Sixth Ring Road as an example, this study established a Multi-Mode Accessibility Model for Local Residents (MMALR) to tertiary hospitals, using the proportion of non-local patients to adjust hospital supply capacity and considering the various travel mode shares from residential communities to hospitals to calculate the number of potential patients. We compared the changes in geospatial accessibility under different travel modes and employed the Gini coefficient to evaluate the geospatial equity of accessibility for different regions when using different accessibility methods. The results indicate that the spatial distribution of healthcare accessibility via different methods is similar, and it gradually decreases along subway lines from the urban center to the periphery. We found that the equities in access to high-level healthcare for Dongcheng District, Xicheng District, the area between the Third and Fourth Ring Road, and the area between the Fourth and Fifth Ring Road, display different ranking results across different methods, revealing that an unreasonable analysis framework could mislead the placement decisions for new hospitals or the allocation of medical resources. These findings emphasize the impact of inter-city patient mobility and the diversity of travel mode choices on accessibility. Our model can assist stakeholders in more accurately evaluating the accessibility and equity of local residents in terms of tertiary hospitals, which is crucial for cities with abundant medical resources and superior conditions. Our analytical findings provide a scientific basis for the location decisions of tertiary hospitals. Full article

Healthcare accessibility is among the most critical challenges affecting millions, reflecting profound geospatial disparities in Latin America. This study aims to evaluate healthcare service geospatial accessibility patterns, comparing the geospatial coverage between public and private healthcare facilities in Santiago district, Panama. We first apply the Two-Step Floating Catchment Area (2SFCA) method and its extended variant (E2SFCA) to calculate geospatial accessibility indexes at public and private healthcare facilities. We then use Getis–Ord Gi* and Local Moran geospatial statistical analysis to identify significant clusters of high and low accessibility. The results reveal that public healthcare facilities still offer higher geospatial coverage than private healthcare facilities, with higher geospatial accessibility in the central zone and lower geospatial accessibility in the south zone of Santiago. These findings highlighted the location of new healthcare facilities in zones with lower geospatial accessibility coverage. This study provides reproducible methodological tools for other geographical contexts. It also contributes to improving decision-making and formulating public policies to reduce spatial disparities in healthcare services in Panama and other Caribbean and Latin American countries. Full article

The creation of child-friendly communities has become a key goal in sustainable global development. However, South Korea continues to experience a shortage of childcare facilities, resulting in gaps in the public care system and a growing reliance on private educational resources. Ensuring spatial spaces and implementing rational planning for children’s spaces have become critical tasks in building child-friendly cities. This study analyzed the accessibility of childcare facilities by housing type in Seongbuk-gu, Seoul, using the two-step floating catchment area (2SFCA) method, focusing on children residing in the district. It also evaluated whether these facilities were spatially and equally distributed. The findings are as follows. First, the overall accessibility to childcare facilities in Seongbuk-gu is limited, with significant disparities in accessibility depending on housing type. Second, the spatial equity assessment revealed high inequality indices for most facilities, particularly for those in apartment areas, which showed relatively higher levels of inequality. In conclusion, childcare facilities in Seongbuk-gu require substantial improvements in terms of both accessibility and equity. This study provides a policy framework for creating child-friendly communities and promoting equal access to care services for children by analyzing the spatial accessibility and equity of childcare facilities. Full article

Urban public toilets are essential for improving urban and rural living environments. Traditional evaluations have relied on statistical indicators such as total numbers and network coverage, but have overlooked population demand, limiting their ability to reflect actual service levels and optimize spatial allocation. This study assesses the public toilet service capacity according to spatial accessibility and offers insights into layout optimization. The main urban area of Kunming was considered as the case study. First, the Gaussian two-step floating catchment area (G2SFCA) method was used to calculate public toilet accessibility. The service level of public toilets at the community scale was assessed based on the calculation results. Finally, recommendations for the optimization of the spatial layout of public toilet provision are proposed based on the evaluation findings. Results indicate that (1) 57 communities lacked access to public toilets within a 5 min walk, while only two lacked access within 20 min; all communities had access within 30 min; (2) increasing stalls in old public toilets by 50% would meet the policy requirements for most residents; (3) transportation accessibility has a significant impact on residents’ convenience in accessing public toilets. Areas with lower transportation connectivity tend to have poorer toilet accessibility. The construction of new public toilets near road networks can effectively enhance overall restroom convenience for residents in the study area. By integrating public toilet accessibility with resident restroom demand, this study proposes targeted strategies for optimizing the spatial layout of urban public toilets, offering valuable insights and feasible solutions for improving the scientific and rational allocation of urban public resources. Full article

The inequity in the distribution of green spaces in megacities has a detrimental effect on the physical and mental well-being of their inhabitants, highlighting the necessity for careful and strategic urban planning, along with appropriate regulatory interventions. Nevertheless, scholarly articles addressing the equity of access to urban green spaces primarily concentrate on urban parks, with limited studies examining the influence of alternative types of green spaces. This research initially recognized and categorized informal green spaces (IGS) located within the Third Ring Road of Chengdu, utilizing the UGS-1m dataset and area of interest (AOI) data, in accordance with a well-defined classification framework. Then, the G2SFCA method and Gini coefficient were employed to assess the impact of IGS on the green space accessibility, especially scenario analysis of open and shared use of green space. The findings indicate that (1) IGS in the narrow sense constitute 21.2% of the overall green spaces within the study area, resulting in a reduction of the Gini coefficient by 0.103; (2) IGS in the broad sense, including public affiliated green spaces, shows an even more positive effect on improving the equity of green space supply, with a reduction of the Gini coefficient by 0.28; (3) there exists great spatial disparity in accessibility improvement effect by different types of IGS, so public policies must be customized to reflect local circumstances, taking into account the practicality and associated costs of management and maintenance of various IGS as well as accessibility enhancement; (4) certain older residential areas may not be amenable to effective enhancement through the use of IGS alone, and these should then adopt a multidimensional greening strategy such as green-roof. The findings of this research offer valuable insights for the planning and management of green spaces in densely populated urban environments, thereby aiding in the development of more refined models for the development of “Garden Cities”. Full article

Urban parks are essential public resources that contribute significantly to residents’ well-being. However, disparities in the spatial distribution and social benefits of urban parks remain a pressing issue. This study focuses on the central urban area of Shanghai, a representative high-density megacity, and its findings hold significant reference value for similar cities, systematically evaluating urban park services from the perspectives of accessibility, spatial equity, and social equity. Leveraging multi-source big data and enhanced analytical methods, this study examines disparities and spatial mismatches in park services. By incorporating dynamic data, such as actual visitor attendance and residents’ travel preferences, and improving analytical models, such as an enhanced Gaussian two-step floating catchment area method and spatial lag regression models, this research significantly improves the accuracy and reliability of its findings. Key findings include (1) significant variations in accessibility exist across different types of parks, with regional and city parks offering better accessibility compared to pocket parks and community parks. (2) Park resources are unevenly distributed, with neighborhoods within the inner ring exhibiting relatively low overall accessibility. (3) A spatial mismatch is observed between park accessibility and housing prices, highlighting equity concerns. The dual spatial-social imbalance phenomenon reveals the prevalent contradiction in rapidly urbanizing areas where public service provision lags behind land development. Based on these results, this study proposes targeted recommendations for optimizing urban park layouts, including increasing the supply of small parks in inner-ring areas, enhancing the multifunctionality of parks, and strengthening policy support for disadvantaged communities. These findings contribute new theoretical insights into urban park equity and fine-grained governance while offering valuable references for urban planning and policymaking. Full article

The strategic planning of emergency shelters is vital for enhancing urban resilience against natural disasters, ensuring timely and equitable support for vulnerable populations. However, the existing studies often overlook the effects of fixed search radii and spatial heterogeneity in supply–demand matching. This study evaluated the spatial accessibility of emergency shelters in Shenzhen, a megacity in China, using a Gaussian two-step floating catchment area (G2SFCA) method integrated with K-means clustering. The analysis incorporated three service radii (1 km, 2.5 km, and 5 km) to assess accessibility levels across spatial scales. The results indicate the following: (1) The supply–demand balance of emergency shelters in Shenzhen varies significantly across service radii. A notable mismatch exists within 1000 m; at 2500 m, the demand in high-density areas is better met with reduced regional disparities, while at 5000 m, the spatial correlation between the supply and demand weakens considerably. (2) The cluster analysis revealed the distinct spatial clustering of supply–demand imbalances, primarily driven by population density. (3) The proposed method offers empirical support for optimized shelter allocation and improving the equity and efficiency of emergency resource distribution. Full article

With the acceleration of urbanization, the accessibility and equity of urban green spaces have become crucial issues in urban planning and public health. In the context of the 15-min living circle, whether residents can conveniently reach parks within a walkable or bikeable time frame directly impacts their quality of life and social well-being. Traditional park accessibility evaluation methods, such as the G2SFCA, effectively measure accessibility but fail to fully account for the diversity of travel modes and the impact of regional disparities on equity. This study employs the TB-G2SFCA method, integrating the concept of the 15-min living circle, to analyze the equity of park accessibility in the Dianchi Lake ring area of Kunming under different travel modes. The findings reveal significant disparities in park accessibility for walking and cycling, particularly in suburban communities distant from the city center, where many areas cannot reach a park within 15 min. Although accessibility improves under driving and public transit modes, resources remain concentrated in well-connected areas, leaving peripheral regions with insufficient access. Compared to the traditional G2SFCA method, the TB-G2SFCA approach more accurately reflects spatial differences and equity issues across travel modes. This study suggests that future urban park planning should optimize resource allocation, improve transportation networks, and enhance park accessibility in peripheral areas—especially for walking and cycling—to achieve a more equitable and sustainable distribution of urban green spaces. Full article

China’s rapidly aging population has intensified demand for long-term services and supports (LTSSs), yet geographic disparities in accessibility persist despite policy reforms like long-term care insurance (LTCI). This study evaluates spatial inequities in Chengdu, a megacity piloting LTCI, using an enhanced two-step floating catchment area (2SFCA) method with demand intensity coefficients and a spatial mismatch index (SMI). Results reveal critically low average accessibility: 0.126 LTSS beds and 0.019 formal caregivers per thousand recipients within a 60 min travel threshold. Accessibility declines sharply along urbanization gradients, with urban cores (“first loop”) exceeding suburban “second” and “third loop” by ratios of 1.5–2.1 and 2.0–8.0, respectively. Strong correlations with impervious surface ratios (R² = 0.513–0.643) highlight systemic urban bias in resource allocation. The SMI analysis uncovers divergent spatial mismatches: home care accessibility predominates in western suburbs due to decentralized small-scale providers, while institutional care clusters in eastern suburbs, reflecting government prioritization of facility-based services. Despite LTCI’s broad coverage (67% of Chengdu’s population), rural and peri-urban older adults face compounded barriers, including sparse LTSS facilities, inadequate transportation infrastructure, and reimbursement policies favoring urban institutional care. To address these inequities, this study proposes a multi-stakeholder framework: (1) strategic expansion of LTSS facilities in underserved suburban zones, prioritizing institutional care in the “third loop”; (2) road network optimization to reduce travel barriers in mountainous regions; (3) financial incentives (e.g., subsidies, tax breaks) to attract formal caregivers to suburban areas; (4) cross-regional LTCI coverage to enable access to adjacent district facilities; and (5) integration of informal caregivers into reimbursement systems through training and telehealth support. These interventions aim to reconcile spatial mismatches, align resource distribution with Chengdu’s urban–rural integration goals, and provide scalable insights for aging megacities in developing contexts. By bridging geospatial analytics with policy design, this study underscores the imperative of data-driven governance to ensure equitable aging-in-place for vulnerable populations. Full article

Background/Objectives: Dietary fibre promotes health, partly by mediating gut microbiota and short-chain fatty acid (SCFA) production. Pregnancy alters the relationship between dietary composition and the gut microbiota, and it is unclear if fibre intake during late pregnancy alters the abundance of SCFA bacteria and circulating SFCA concentrations. The aim of this study was to determine the impact of dietary fibre on faecal microbiome composition and circulating concentrations of SCFA acetate, butyrate, and propionate in late pregnancy. We also aimed to assess the impact of propionate treatment on placental function using cultured placental explants. Methods: 16S rRNA gene amplicon sequencing was performed on faecal DNA collected at 28 weeks of gestation from participants enrolled in the SPRING cohort study consuming a low or adequate fibre diet. Circualting SCFA were assessed. Placental explants were treated with sodium propionate. Results: Fibre intake did not impact microbial diversity or richness but did impact the abundance of specific bacterial genera. Pregnant participants with low-fibre diets had a greater abundance of Bacteroides and Sutterella, and dietary fibre intake (mg/day) negatively correlated with genera, including Sutterella, Bilophila, and Bacteroides. SCFA concentrations did not differ between groups but circulating concentrations of acetate, propionate, and butyrate did correlate with the abundance of key bacterial genera. Propionate treatment of placental explants did not alter mRNA expression of fatty acid receptors, antioxidants, or markers of apoptosis, nor did it impact pAMPK levels. Conclusions: This study demonstrates that the impact of dietary fibre on SCFA concentrations in pregnant women is modest, although this relationship may be difficult to discern given that other dietary factors differed between groups. Furthermore, this study demonstrates that propionate does not impact key pathways in placental tissue, suggesting that previous associations between this SCFA and placental dysfunction may be due to other maternal factors. Full article

(1) Research Highlights: Existing studies primarily focus on the supply-side evaluation of urban forest accessibility, emphasizing physical proximity while often overlooking real-time usage patterns and demographic-specific exposure. This study shifts the focus to social exposure, analyzing how diverse population groups interact with urban forests across different times of the day, integrating dynamic accessibility metrics. (2) Background and Objectives: Unlike previous research that predominantly assessed urban forest accessibility through conventional models based on static spatial proximity, this study incorporates spatiotemporal population distribution data to capture actual utilization patterns. By introducing a dynamic, exposure-based framework, this research aims to facilitate equitable and temporally sensitive access to green spaces across diverse demographic groups. (3) Materials and Methods: This study focuses on Seoul, South Korea, and applies the Gaussian-based Two-Step Floating Catchment Area (G2SFCA) methodology to assess urban forest accessibility. Living population data (2021–2024) from mobile telecommunications sources were used as demand indicators, while OpenStreetMap (OSM) green space data were utilized as supply indicators. Realistic travel distances were calculated using OSM pedestrian networks and Dijkstra’s algorithm, incorporating slope effects and distance decay functions. A K-means clustering algorithm was applied to classify four distinct exposure types based on demographic and temporal variations. (4) Results: The findings reveal significant disparities in urban forest exposure based on age group and time of day. Four major urban forest exposure patterns were identified: Type A—school-age children, with peak usage around midday; Type B—working-age adults, frequenting mid-sized urban forests during commuting and leisure hours; Type C—elderly individuals, utilizing large-scale urban forests and neighborhood parks mainly in the morning; Type D—young adults, engaging with small urban parks and rest areas at various times. (5) Conclusions: Urban forest management must move beyond the quantitative expansion of green spaces and instead implement customized policies that optimize accessibility and equitable distribution based on distinct temporal and demographic patterns of social exposure. By integrating real-time urban mobility data into urban forest planning, policies can better align green space supply with actual usage, fostering a more equitable, data-driven, and sustainable urban green infrastructure. Full article

Fever visit management (FVM) played a critical role in reducing the risk of local outbreaks caused by positive cases during the coronavirus disease 2019 (COVID-19) pandemic under the dynamic zero-COVID-19 policy. Fever clinics were established to satisfy the healthcare needs of citizens with fever symptoms, including those with and without COVID-19. Learning how FVM affects fever medical care accessibility for citizens in different places can support decision making in establishing fever clinics more equitably. However, the dynamic nature of the population at different times has rarely been considered in evaluating healthcare facility accessibility. To fill this gap, we adjusted the Gaussian-based two-step floating catchment area method (G2SFCA) by considering the hourly dynamics of the population distribution derived from mobile phone location data. The results generated from Xining city, China, showed that (1) the accessibility of fever clinics explicitly exhibited spatial distribution patterns, being high in the center and low in surrounding areas; (2) the accessibility reduction in suburban areas caused by FVM was approximately 2.8 times greater than that in the central city for the 15 min drive conditions; and (3) the accessibility of fever clinics based on the nighttime anchor point was overestimated in central areas, but underestimated in suburban areas. Full article

This study enhances our understanding of urban park accessibility and social equity through a novel methodological framework in Chengdu, China. By improving the three-step floating catchment area (3SFCA) method with space syntax metrics and multi-modal transportation analysis, we identify spatial disparities in green space access. Our methodology, validated with Baidu heat map data, demonstrates improved accuracy in estimating population demand patterns. Key findings include: (1) The enhanced 3SFCA method outperforms traditional approaches in predicting park accessibility, providing reliable evidence for urban planning; (2) significant accessibility disparities exist across transportation modes, particularly affecting non-motorized transport users; (3) newly developed areas show greater park access inequities than established neighborhoods; (4) important mismatches exist between park accessibility and vulnerable population distributions. This research provides targeted recommendations for reducing spatial inequities and improving green space access for all residents, particularly benefiting children and elderly populations in rapidly urbanizing contexts. Full article

The equity of medical services is crucial for the quality of life of a population and the sustainable development of cities. Current research on optimizing the maximal equity of medical facilities has the following limitations: (1) In the accessibility calculation models for multiple transportation modes, the impact of factors such as public transport transfers and travel distance on the choice of transportation mode is often overlooked. (2) Existing spatial equity indicators are mostly derived from the overall study area, failing to fully consider the differences in population distribution and development gaps within different development zones inside the region. This study proposes a novel Incorporating Multiple Transportation Two-Step Floating Catchment Area (IMT-2SFCA) and a Hierarchical Theil-based Maximal Accessibility Equality model (HT-MAE) to optimize the equity of access to tuberculosis medical institutions in Wuhan. The findings reveal that, compared to single-mode transportation accessibility models, the multimodal accessibility model integrates the characteristics of four transportation modes, providing a more realistic reflection of residents’ access to medical services. The optimization results show a significant improvement in the equity of access to medical services across Wuhan and among different economic development zones, although the equity indicators in non-central urban areas have declined. The results of this study provide a theoretical basis and practical insights for alleviating the inequality of access to medical services across different urban layers. Full article