Search Results (125)

Background: Subjective socioeconomic status (SES) is a powerful determinant of health and well-being, capturing individuals’ perceptions of their material conditions and security. While higher perceived financial and basic needs security are generally linked to better health outcomes, little is known about how these associations differ across global contexts. Drawing on data from 23 countries, this study tests whether these relationships are systematically weaker in Global South countries. Methods: Cross-sectional data from Wave 1 of the Global Flourishing Study (n = 207,000) were used to examine associations between subjective SES indicators—financial security and security in basic needs (food, housing, safety)—and two outcomes: self-rated physical health and mental health. All variables were measured on 0–10 scales. Linear regression models were estimated separately by Global South and Global North country status, adjusting for age and sex. Global South classification was based on standard development and geopolitical frameworks. Results: In both global regions, individuals with higher perceived financial and basic needs security reported significantly better mental and physical health. However, the strength of these associations was consistently weaker in Global South countries. Interaction terms confirmed that Global South status moderated the association between subjective SES and health outcomes. Conclusions: These findings suggest global-scale “diminished returns” of subjective SES on health, echoing patterns previously observed within countries. Structural inequalities, weaker public systems, and contextual adversity may dilute the health benefits of perceived security in Global South settings. Global health equity efforts must therefore move beyond individual-level interventions to address the broader systems that constrain the translation of socioeconomic resources into health. Full article

This qualitative study examines how children living in a public housing neighborhood engage in multimodal, embodied meaning-making to restory their community. Focusing on two participants and in partnership with The Kids Club, this paper explores children’s spatial reclamation through embodied and spatialized literacies, complicating stories where children assert whose stories matter and why. Drawing on nexus analysis and narrative inquiry, this study conceptualizes the body as central to cognition and comprehension through texts in action. The sisters spatially reclaim neighborhood narratives via walking tours, heart maps, and photographs that function as multimodal action texts. These practices invite a rethinking of comprehension beyond traditional textual modes, illuminating how children navigate and transform literacy landscapes. This work contributes to conversations about equity in literacy environments and calls on educators and researchers to honor children’s multimodal literacy practices as vital forms of critical comprehension, storytelling, and belonging. 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

Mobility is a fundamental catalyst for urban transformation, particularly in smaller urban centres, where enhanced transport can significantly influence socio-economic dynamics. This study investigates the socio-economic and spatial developments associated with the fixed-link transport corridor connecting the Zealand and Funen islands in Denmark. Despite its importance, a gap remains in understanding how this transport corridor has reshaped inter-regional connectivity over three decades and affected urban development in the surrounding areas. To address this gap, the study analyses the socio-economic effects of improved connectivity, focusing on residential relocation trends, commuting patterns, housing market dynamics, and employment in smaller communities. Adopting a mixed-methods approach that integrates surveys with spatial modelling, the analysis examines changes in commuting habits, economic opportunities, and land use from 1990 to 2018 within a 45 min travel radius of the corridor. The findings reveal that enhanced accessibility has widened commuting ranges, stimulated urban growth, and transformed housing and labour markets. However, these advantages are not evenly distributed, highlighting emerging spatial disparities. By merging empirical data with predictive models, this study enriches the discourse on sustainable urban mobility and spatial equity, providing valuable insights for policymakers and planners as they contemplate future fixed-link transport connectivity aimed at fostering inclusive regional development. Full article

Heat waves affect the health and quality of life of older adults, particularly in urban environments. However, there is limited understanding of how extreme temperatures influence their mobility. This research aims to understand the pedestrian mobility patterns of older adults during heat waves in Madrid, analyzing environmental and sociodemographic factors that condition such mobility. Geospatial data from the mobile phones of individuals aged 65 and older were analyzed, along with information on population, housing, urban density, green areas, and facilities during July 2022. Multiple linear regression models and Moran’s I spatial autocorrelation were applied. The results indicate that pedestrian mobility among older adults decreased by 7.3% during the hottest hours, with more pronounced reductions in disadvantaged districts and areas with limited access to urban services. The availability of climate shelters and health centers positively influenced mobility, while areas with a lower coverage of urban services experienced greater declines. At the district level, inequalities in the availability of urban infrastructure may exacerbate the vulnerability of older adults to extreme heat. The findings underscore the need for urban policies that promote equity in access to infrastructure and services that mitigate the effects of extreme heat, especially in disadvantaged areas. 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 real estate sector is steadily moving towards zero-emission buildings, driven by EU policies to achieve near-zero energy (NZEB) buildings by 2050. In Italy, more than 70% of residential buildings fall into the lower energy classes, and this mainly affects low-income households. As a result, the decarbonisation of the real estate sector presents both technical and socio-economic obstacles. Building on these premises, this study introduces the Retrofit Optimization Problem (ROP), a methodological framework adapted from the Multidimensional Knapsack Problem (MdKP). This method is used in this study to conduct a qualitative analysis of accessibility to retrofit between different socio-economic groups, integrating constraints to simulate restructuring capacity based on different incomes. The results show significant disparities: although many retrofit strategies can meet regulatory energy performance targets, only a small number are financially sustainable for low-income households. In addition, interventions with the greatest environmental impact remain inaccessible to vulnerable groups. These preliminary results highlight important equity issues in the energy transition, indicating the need for specific and income-sensitive policies to prevent decarbonisation efforts from exacerbating social inequalities or increasing the risk of assets being stranded in the housing market. Full article

The role of public housing in improving wellbeing for tenants and society is an important public policy issue. Public housing tenants in Aotearoa New Zealand have constrained incomes and their mode of transport has implications for their budgets, their wellbeing, and carbon emissions. Tenants’ daily life choices and wellbeing are influenced by the set of transport options available to them and the constraints and opportunities these options entail. What is important for wellbeing is also dependent on culture. Little is known, however, about the specific influences of transport on the wellbeing of public housing tenants and how that is mediated by the culture of particular groups, particularly Māori and Pacific people, who make up the majority of people in public housing in Aotearoa. In this article we review the literature on public housing, transport, and wellbeing, to establish what is known about how transport, and the access it affords, influence the wellbeing of public housing tenants. We searched Scopus and Web of Science for academic journal articles, published in English and available online, about public housing tenant wellbeing with regard to the transportation and location characteristics of public housing. We found that creating highly accessible public housing developments with options of various modes of travel is important for the wellbeing of tenants. We also found that understanding the specific needs and preferences of tenants, ensuring tenants have agency over how they travel, and engaging with tenants during transport decision-making are particularly important and often under-recognised for people in public housing. Finally, we identified substantial gaps in the literature around understanding transport needs and experiences from Māori and Pacific perspectives, emphasising the importance of including indigenous and ethnic minority views in future research. Full article

This paper critically analyzes Italy’s strategies to improve energy efficiency in the residential building sector, focusing on social housing. Using a policy-oriented qualitative research design supported by secondary data analysis, the study examines key instruments such as the Superbonus 110% initiative and the National Recovery and Resilience Plan (PNRR). It explores how these measures align with the European Green Deal and address the dual challenges of ecological transition and social equity. Findings reveal that while the Superbonus and PNRR investments significantly boosted energy retrofitting projects and macroeconomic indicators, access to benefits was uneven, favoring higher-income households. The analysis also highlights systemic barriers, such as bureaucratic complexity and initial cost barriers, that limit participation by vulnerable groups, particularly those living in outdated social housing. The paper concludes that future policies must better integrate social inclusion mechanisms, simplified administrative processes, and effectively target energy poverty to maximize environmental and social outcomes. Full article

This article presents a novel methodology for auditing urban regulatory frameworks through the application of artificial intelligence (AI) using the case of Greater Santiago as an empirical laboratory. Based on the semantic analysis of 31 communal zoning ordinances (Planes Reguladores Comunales, PRCs), the study uncovers how legal structures actively reproduce socio-spatial inequalities under the guise of normative neutrality. The DeepSeek-R1 model, fine-tuned for Chilean legal-urban discourse, was used, enabling the detection of normative asymmetries, omissions, and structural fragmentation. Key findings indicate that affluent communes, such as Vitacura and Las Condes, display detailed and incentive-rich regulations, while peripheral municipalities lack provisions for social housing, participatory mechanisms, or climate resilience, thereby reinforcing exclusionary patterns. The analysis also introduces a scalable rubric-based evaluation system and GIS visualizations to synthetize regulatory disparities across the metropolitan area. Methodologically, the study shows how domain-adapted AI can extend regulatory scrutiny beyond manual limitations, while substantively contributing to debates on spatial justice, institutional fragmentation, and regulatory opacity in urban planning. The results call for binding mechanisms that align local zoning with metropolitan equity goals and highlight the potential of automated audits to inform reform agendas in the Global South. Full article

Driven by many factors, the housing affordability landscape in the United States (U.S.) is in crisis. This research examines the potential role of inclusionary zoning (IZ) policies as a tool to alleviate housing cost burdens and deliver affordable housing in the rapidly growing southeastern region of the U.S., with a specific focus on Greenville County, South Carolina. Utilizing data from LawAtlas, this study first conducts a policy scan on the state of IZ policies across seven comparable jurisdictions. This study further employs qualitative semi-structured interviews with stakeholders to assess the current challenges to affordable housing in the county. Our findings suggest that growing regions such as Greenville County face unique challenges as they strive to meet the growing demand for affordable housing that serves a wide range of community members. A major finding from interviewees includes a need for more localized and nuanced metrics of housing affordability, greater density, and mixed-use development. However, the county faces challenges for such developments due to NIMBYism and preference for a more traditional rural and suburban typology of housing in the county. Finally, our study finds that zoning policies that enhance the supply of affordable housing by design can promote equity, trust, economic growth, and quality of life. Full article

Background and Objective: Aging in place (AIP) refers to the ability to remain in one’s home and community as one ages. While AIP is widely regarded as beneficial, disparities in housing stability, accessibility, and affordability create inequitable barriers. Current clinical AIP interventions focus on individual-level solutions, often overlooking broader socio-economic and structural determinants.This study examines how community-based interventions, particularly those from Rebuilding Together Richmond (RT-R), address these gaps through home modifications and critical repairs. Methods: Using the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework, demographic and service data from home modifications from a community-based organization, RT-R was analyzed. Descriptive statistics assessed the characteristics of homeowners served, the types of repairs performed, and their potential impact on AIP. Repairs were categorized as structural or occupational to evaluate their contributions to home safety and accessibility. Results: RT-R provided repairs for 33 homes, benefiting 47 individuals all of whom were Black or African American living in a ZIP code with high eviction rates. The majority (63.8%) were female, and 51% were older adults and/or had a disability. Structural repairs were more frequent than occupational modifications reflecting both homeowner needs, service availability, and community organizational goals. Conclusions: Housing stability is a critical yet overlooked factor in AIP. Integrating clinical AIP interventions with community-based solutions can more effectively address health disparities, reduce institutionalization risks, and improve long-term livability. Partnerships between healthcare practitioners and organizations like Rebuilding Together are essential to advancing equity in AIP. Access to housing is not accessible housing, and to remove barriers, practitioners and community-based organizations should expand their appreciation of obstacles to include historical, contemporary, economic, and environmental factors to work toward equity in aging in place for all. Full article

As populations age globally, governments face mounting challenges in reconfiguring healthcare and housing systems to support aging-in-place. This study offers a comparative analysis of South Korea and the United Kingdom, examining how each country integrates digital technologies, such as Artificial Intelligence (AI), telecare, and smart housing systems, into their aging strategies. South Korea employs a centralized, technology-driven approach that prioritizes the national rollout of AI-enabled smart homes and digital health infrastructure. In contrast, the UK advances a decentralized, community-based model emphasizing social housing, localized care delivery, and telecare integration. Despite these differing trajectories, both nations face shared limitations, including high implementation costs, digital literacy barriers, and concerns about data privacy. Critically, the study finds that the success of aging-in-place efforts is shaped not only by technological capacity but also by governance dynamics, political continuity, and institutional coordination. In response, the paper proposes policy recommendations alongside an ethical framework grounded in transparency, autonomy, informed consent, and equity. Sustainable aging-in-place strategies require not only innovative technologies, but also inclusive governance and ethically robust design to ensure accessibility, trust, and long-term impact. Full article

Most premature adult deaths and chronic diseases, with their associated costs, are directly related to unhealthy behaviors, particularly poor nutrition. The 2022 White House Conference on Hunger, Nutrition, and Health emphasized the importance of nutrition equity and security as a key to preventing chronic diseases. What and how we eat also have important environmental impacts, with 26% of anthropogenic greenhouse gas emissions attributed to the total food supply chain, primarily ultra-processed food (UPF) production. A new paradigm is needed to better educate patients and the public to adopt healthier eating behaviors. Culinary education, emphasizing skills such as shopping, food storage, and meal preparation is a burgeoning field, aimed at reducing UPF consumption and improving nutrition while addressing cultural and socioeconomic factors. The term Culinary Medicine (CM) is becoming popular in describing these interventions; however, a consensus on its definition has not yet been reached. There are no consensual curricular outlines and/or competencies, and the potential for addressing food security and equity has not yet been fully developed. We believe that consensual competencies will formalize CM and ensure appropriate outcomes followed by improved assessments of learners, thus promoting CM research and further implementation of this novel nutrition education approach. Full article

Inequitable access to parks persists in cities where race, income, and geography shape residents’ proximity to public green space. This study analyzes 20 parks in Salt Lake City—10 in the Eastside and 10 in the Westside—using demographic, housing, and transportation data drawn from GIS tools and spatial platforms. By assessing indicators such as household income, racial composition, rent burden, walkability, and transit access, the findings confirm that Westside parks—located in lower-income and more racially diverse neighborhoods—are significantly less accessible. Eastside parks, by contrast, tend to serve higher-income, majority-white areas with better infrastructure. This paper illustrates how spatial inequality in surrounding conditions limits park accessibility, and it proposes GIS as a tool for diagnosing and addressing environmental injustice in urban planning. Full article