Search

Research on the associations between the built environment and COVID-19 outcomes has mostly focused on incidence and mortality. Also, few studies on the built environment and COVID-19 have controlled for individual-level characteristics across large samples. In this study, we examine whether neighborhood built environment characteristics are associated with hospitalization in a cohort of 18,042 individuals who tested positive for SARS-CoV-2 between May and December 2020 in the Denver metropolitan area, USA. We use Poisson models with robust standard errors that control for spatial dependence and several individual-level demographic characteristics and comorbidity conditions. In multivariate models, we find that among individuals with SARS-CoV-2 infection, those living in multi-family housing units and/or in places with higher particulate matter (PM2.5) have a higher incident rate ratio (IRR) of hospitalization. We also find that higher walkability, higher bikeability, and lower public transit access are linked to a lower IRR of hospitalization. In multivariate models, we did not find associations between green space measures and the IRR of hospitalization. Results for non-Hispanic white and Latinx individuals highlight substantial differences: higher PM2.5 levels have stronger positive associations with the IRR of hospitalization for Latinx individuals, and density and overcrowding show stronger associations for non-Hispanic white individuals. Our results show that the neighborhood built environment might pose an independent risk for COVID-19 hospitalization. Our results may inform public health and urban planning initiatives to lower the risk of hospitalization linked to COVID-19 and other respiratory pathogens. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Planning Education & Research is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Young people − including children and teenagers − are spending less time playing outside in nature than previous generations. This decrease is problematic, as parks can provide young people with physical and mental health benefits. Also, growing health disparities exist between white and ethnic minority young people in the U.S. These concerns motivate an investigation into access to parks for young people of different ethnicity and socioeconomic status. Although several recent studies have focused on park quality, no previous inquiry has employed a youth-centered framework to measure access, nor has used an index of park quality describing young people’s park needs. To address these gaps, I investigated access to parks in Denver, Colorado through a comprehensive geospatial approach − including park proximity, acreage, and quality − that models park and walkability features supporting frequent park use for children and teenagers. My findings show a multifaceted pattern of environmental injustice. Ethnic minority and low-income people have better access than other groups in terms of park proximity. High-income and white people, however, have access to significantly more acres of parks per youth, to more parks with excellent levels of quality, and to safer parks than other groups. The dramatic disparities in park safety might strongly limit park use among Denver’s low-income young people of color. This analytical framework can help park planners identify specific gaps in park provision for youth and develop strategies to address quality and acreage disparities. [ABSTRACT FROM AUTHOR]

Although repeated contact with nature helps foster mental and physical health among young people, their contact with nature has been diminishing over the last few decades. Also, low-income and ethnic minority children have even less contact with nature than white middle-income children. In this study, we compared accessibility to play in parks for young people from different income and racial backgrounds in Denver, Colorado. Park access for children and youth was measured using a geographic information system (GIS). Each neighborhood was classified according to income level, residential density, and distance from downtown; and then each park was classified based on formal and informal play, and level of intimacy. Comparisons between neighborhoods show that that low-income neighborhoods have the lowest access and high-income neighborhoods have the highest access to parks, and that differences are even higher for parks with play amenities and high levels of intimacy. To overcome this issue, the paper proposes a framework for action to improve access to parks for low-income children and youth and to help planners, decision makers and advocacy groups prioritize park investments. [ABSTRACT FROM AUTHOR]