RESUMEN

While the contribution of climate change towards intensifying urban flood risks is well acknowledged, the role of urbanization is less known. The present study, for the first time in flood management literature, explores whether and how unplanned-cum-urbanization may overshadow the contribution of extreme rainfall to flood impacts in densely populated urban regions. To establish this hypothesis and exemplify our proposed framework, the National Capital Territory (NCT) of Delhi in India, infamous for its concurrent flood episodes is selected. The study categorically explores whether the catastrophic 2023 urban flood could have resulted in a similar degree of urban exposure and damage, had it occurred anytime in the past. A comprehensive spatiotemporal and geo-statistical analysis of rainfall over 11 stations brought about through Innovative trend analysis, Omnidirectional and directional Semi-variogram analysis, and Gini Index indicates a rise in extreme rainfalls. High-resolution land-use maps indicate about 39.53 %, 52.66 %, 56.60 %, and 69.18 % of urban footprints during 1993, 2003, 2013, and 2023, while gradient direction maps indicate a prominent urban surge towards the North-West, West, and Southwest corridors. A closer inspection of the Greenness and Urbanity indices reveals a gradual decline in the green footprints and concurrent escalation in the urban footprints over the decades. A 3-way coupled MIKE+ model was set up to replicate the July 2023 flood event; indicating about 13 % of the area experience "high" and "very-high" flood hazards. By overlaying the flood inundation and hazard maps over land-use maps for 1993, 2003, and 2013, we further establish that a similar flood event would have resulted in lesser damage and building exposure. The study offers a set of flood management options for refurbishing resilience and limiting flood risks. The study delivers critical insights into the existing urban flood management strategies while delving into the urban growth-climate change-flood risk nexus.

RESUMEN

Water is a defining element for cities and their inhabitants. Throughout urban systems, water is either produced or received, used, and finally disposed of as wastewater. As Latin American urbanization accelerates, problems related to wastewater are increasing due to its inclusion as the main source of river pollution, as well as the high cost of infrastructure development and maintenance. The consequences of wastewater disposal are particularly relevant in areas frequently associated with urban expansion, like peripheries whose growth follows constant transitions between rural, peri-urban, and urban areas. Such consequences are often related to heterogeneity, lack of urban services and sanitation infrastructure, water pollution and health risks, as well as the development of informal compensatory systems. A systematic literature review was conducted to broaden research panorama and identify spatial, temporal, and thematic trends and challenges present in wastewater assessments of Latin American urban peripheries, this using the SALSA (search, appraisal, synthesis, and analysis) protocol in a search through international databases Scopus and Web of Science Scielo, in English, Spanish, French, and Portuguese. In these databases, 228 papers satisfied selection criteria and show a growing trend of publications about urban wastewater since 1988. Most case studies are from Brazil (58 %), Mexico (14 %), and Argentina (9 %). Their main approaches are quantitative research (82 %) in urban contexts (57 %). Most studies were found to be operationalized using environmental geochemistry methodologies, suggesting a dominance of technical, reductionist approaches. Integrated and mixed perspectives including actors and other societal elements are suggested as a central research challenge. Without an integrated view, it will be unfeasible to enhance decision-making processes and governance in the pursuit of sustainable water management.

RESUMEN

OBJECTIVES: The objective of this study is to assess the concordance and its association with sociocultural background of a four-question survey with accelerometry in a multiethnic adolescent population, regarding sleep components. Based on questions from the Pittsburgh Sleep Quality Index and adapted to a school context, the questionnaire focussed on estimating sleep onset time, wake-up time and sleep duration on both weekdays and weekends. This subjective survey was compared with accelerometry data while also considering the influence of sociocultural factors (sex, place of living, ethnic community and socio-economic status). METHODS: Adolescents aged 10.5-16 years (n = 182) in New Caledonia completed the survey and wore an accelerometer for seven consecutive days. Accelerometry was used to determine sleep onset and wake-up time using validated algorithms. Based on response comparison, Bland-Altman plots provided agreement between subjective answers and objective measures. We categorized participants' answers to the survey into underestimated, aligned and overestimated categories based on time discrepancies with accelerometry data. Multinomial regressions highlighted the sociocultural factors associated with discrepancies. RESULTS: Concordance between the accelerometer and self-reported assessments was low particularly during weekends (18%, 26% and 19% aligned for onset sleep time, wake-up time and sleep duration respectively) compared with weekdays (36%, 53% and 31% aligned, respectively). This means that the overall concordance was less than 30%. When considering the sociocultural factors, only place of living was associated with discrepancies in onset sleep time and wake-up time primarily on weekdays. Rural adolescents were more likely to overestimate both onset sleep time (B = -1.97, p < 0.001) and wake-up time (B = -1.69, p = 0.003). CONCLUSIONS: The study found low concordance between self-assessment and accelerometry outputs for sleep components. This was particularly low for weekend days and for participants living in rural areas. While the adapted four-item questionnaire was useful and easy to complete, caution should be taken when making conclusions about sleep habits based solely on this measurement.

Asunto(s)

RESUMEN

PURPOSE: Low socioeconomic background (SB) has been associated with lower breast cancer (BC) incidence and higher BC mortality. One explanation of this paradox is the higher frequency of advanced BC observed in deprived women. However, it is still unclear if SB affects similarly BC incidence. This study investigated the link between SB and early/advanced BC incidence from Loire-Atlantique/Vendee Cancer registry data (France). MATERIALS AND METHODS: Fourteen thousand three hundred fifty three women living in the geographic area covered by the registry and diagnosed with a primary BC in 2008-2015 were included. SB was approached by a combination of two ecological indexes (French European Deprivation Index and urban/rural residence place). Mixed effects logistic and Poisson regressions were used, respectively, to estimate the odds of advanced (stage ≥ II) BC and the ratio of incidence rates of early (stage 0-I) and advanced BC according to SB, overall and by age group (< 50, 50-74, ≥ 75). RESULTS: Compared to women living in affluent-urban areas, women living in deprived-urban and deprived-rural areas had a higher proportion of advanced BC [respectively, OR = 1.11 (1.01-1.22), OR = 1.60 (1.25-2.06)] and lower overall (from - 6 to - 15%) and early (from - 9 to - 31%) BC incidences rates Advanced BC incidence rates were not influenced by SB. These patterns were similar in women under 75 years, especially in women living in deprived-rural areas. In the elderly, no association between SB and BC frequency/incidence rates by stage was found. CONCLUSION: Although advanced BC was more frequent in women living in deprived and rural areas, SB did not influence advanced BC incidence. Therefore, differences observed in overall BC incidence according to SB were only due to higher incidence of early BC in affluent and urban areas. Future research should confirm these results in other French areas.

Asunto(s)

RESUMEN

Resumo Neste artigo, analisamos o distanciamento social, principal ação preventiva na pandemia de Covid-19, como fenômeno que ultrapassa sua demarcação como medida sanitária, revelando-se como experiência humana desdobrada em sofrimentos psíquicos diversos, desafiando sob muitas formas o campo da saúde mental. Situamos essa problemática no cenário brasileiro, periférico no capitalismo globalizado, contextualizado na hipermodernidade, no qual sobressai o modo de vida urbano, marcado por desigualdades e produtor de vulnerabilidades que se evidenciam no combate à pandemia, expressandose em sofrimentos e transtornos que desafiam o campo da saúde mental coletiva. Apontamos reflexões e subsídios para a ampliação desse campo, sob uma perspectiva crítica e complexa, concernentes à produção de conhecimentos e do cuidado, focalizando a urbanidade como dimensão analítica central na compreensão do distanciamento. Ilustramos com alguns desafios e também possibilidades de reinvenção em saúde mental, no contexto da pandemia de Covid-19, focalizando tanto ações voltadas à esfera coletiva, em escala macro, na rede pública de saúde, como nos encontros constitutivos do processo de cuidado, buscando subsidiar uma clínica ampliada nesse contexto.

Abstract In this article, we examine social distancing, the main preventive action in the Covid-19 pandemic, as a phenomenon that goes beyond its demarcation as a health measure, revealing itself as a human experience unfolded in various psychological sufferings, challenging the field of Mental Health in many ways. The analysis places this subject in the Brazilian scenario, peripheral in globalized capitalism, contextualized in hypermodernity, in which the urban way of life, stands out, marked by inequalities and vulnerabilities that are evident in the fight against the pandemic, expressing itself in suffering and disorders that challenge the field collective mental health. We point out reflections and subsidies for the expansion of this field, from a critical and complex perspective, concerning the production of knowledge and care practices, focusing on urbanity as a central analytical dimension in the understanding of social distancing. We illustrate with some challenges and possibilities of reinventing mental health, in the context of the Covid-19 pandemic, focusing both on actions aimed at the collective sphere, on a macro scale, in the public health network, as well as in the constitutive meetings of the care process, seeking subsidize an expanded clinic in this context.

Asunto(s)

RESUMEN

Urbanization is a major contributor to the loss of biodiversity. Its rapid progress is mostly at the expense of natural ecosystems and the species inhabiting them. While some species can adjust quickly and thrive in cities, many others cannot. To support biodiversity conservation and guide management decisions in urban areas, it is important to find robust methods to estimate the urban affinity of species (i.e. their tendency to live in urban areas) and understand how it is associated with their traits. Since previous studies mainly relied on discrete classifications of species' urban affinity, often involving inconsistent assessments or variable parameters, their results were difficult to compare. To address this issue, we developed and evaluated a set of continuous indices that quantify species' urban affinity based on publicly available occurrence data. We investigated the extent to which a species' position along the urban affinity gradient depends on the chosen index and how this choice affects inferences about the relationship between urban affinity and a set of morphological, sensory and functional traits. While these indices are applicable to a wide range of taxonomic groups, we examined their performance using a global set of 356 bat species. As bats vary in sensitivity to anthropogenic disturbances, they provide an interesting case study. We found that different types of indices resulted in different rankings of species on the urban affinity spectrum, but this had little effect on the association of traits with urban affinity. Our results suggest that bat species predisposed to urban life are characterized by low echolocation call frequencies, relatively long call durations, small body size and flexibility in the selection of the roost type. We conclude that simple indices are appropriate and practical, and propose to apply them to more taxa to improve our understanding of how urbanization favours or filters species with particular traits.

Asunto(s)

RESUMEN

We conducted a systematic review and meta-analysis of the available literature on the association between greenspace exposure and all-sites and site-specific cancer incidence, prevalence, and mortality in adults. We searched PubMed, Scopus, and Web of Science for original articles published, without language restriction until September 2021. We assessed the risk of bias in each study and the overall quality of evidence for exposure-outcome pairs that were reported in two or more studies. Out of the 18 included studies, cross-sectional studies were the most common study design (n = 8), and most of the studies were conducted in Europe (n = 8). In terms of risk of bias, the majority of cohorts (four out of six) and case-control studies (three out of four) were of good or very good quality, and cross-sectional studies were mostly (five out of eight) of poor quality. Outcomes (incidence, prevalence, mortality) on different cancer sites were reported: lung cancer (n = 9), prostate cancer (n = 4), breast cancer (n = 4), skin cancer (n = 3), colorectal cancer (n = 2), all-sites cancer (n = 2), brain cancer (n = 1), mouth and throat cancer (n = 1), and esophageal cancer (n = 1). The meta-analyses for the breast, lung, and prostate cancer incidence did not show statistically significant associations (for example for breast cancer: hazard ratio = 0.83; 95% confidence interval: 0.47-1.48). For skin cancer, the available evidence suggests that greenspace could be a potential risk factor. For the other cancers, the evidence was non-conclusive. The overall quality of evidence of all of the exposure-outcome pairs was very low. Given the wide confidence interval of the pooled estimates and very low quality of evidence, the findings should be interpreted with caution. Future large and longitudinal studies are needed to assess the potential association of greenspace exposure with cancers, considering types and quality of greenspace, evaluation of cancer sub-types, and adjustment for a sufficient set of covariates.

Asunto(s)

RESUMEN

The effect of socio-economic factors, ethnicity, and other factors, on the morbidity and mortality of COVID-19 at the sub-population-level, rather than at the individual level, and their temporal dynamics, is only partially understood. Fifty-three county-level features were collected between 4/2020 and 11/2020 from 3,071 US counties from publicly available data of various American government and news websites: ethnicity, socio-economic factors, educational attainment, mask usage, population density, age distribution, COVID-19 morbidity and mortality, presidential election results, and ICU beds. We trained machine learning models that predict COVID-19 mortality and morbidity using county-level features and then performed a SHAP value game theoretic importance analysis of the predictive features for each model. The classifiers produced an AUROC of 0.863 for morbidity prediction and an AUROC of 0.812 for mortality prediction. A SHAP value-based analysis indicated that poverty rate, obesity rate, mean commute time, and mask usage statistics significantly affected morbidity rates, while ethnicity, median income, poverty rate, and education levels heavily influenced mortality rates. Surprisingly, the correlation between several of these factors and COVID-19 morbidity and mortality gradually shifted and even reversed during the study period; our analysis suggests that this phenomenon was probably due to COVID-19 being initially associated with more urbanized areas and, then, from 9/2020, with less urbanized ones. Thus, socio-economic features such as ethnicity, education, and economic disparity are the major factors for predicting county-level COVID-19 mortality rates. Between counties, low variance factors (e.g., age) are not meaningful predictors. The inversion of some correlations over time can be explained by COVID-19 spreading from urban to rural areas.

Asunto(s)

RESUMEN

The paper contributes towards deciphering and decoding the misery of the urban poor in light of the COVID-19 scourge. The paper unpacks urban poverty in light of the corona virus. The emergence of the COVID-19 and the lack of any vaccines requires physical distancing as preventative measures to contain and reduce the spread of the virus. Governments across the world, including in Anglophone Sub Saharan Africa have implemented lockdown measures. The COVID-19 pandemic is happening within settlements where the majority of the population lives from hand to mouth. In Anglophone sub-Saharan Africa because of urbanisation and increased urban poverty, COVID-19 scourge has had a huge impact on the urban poor. The COVID-19 is likely to devastate economies and the community. For rapidly growing, densely populated and poorly planned settlements, the situation is tragic for these inhabitants. Nation states lockdown and social and physical distancing in response to the pandemic have escalated their misery. The paper adopts a critical review of literature anchored in case study analysis, document analysis and scanning from reports. Results point to redefining the way humanity has related, functioned and conceptualised realities. There is need to go beyond prevention from infection as majority of urban dwellers are in the informal sector or unemployed. For the urban poor, strategies for social distancing may not be possible or effective. People are being asked to make choices between being hungry and risk of getting infected. The paper recommends planning response at national, regional and local level bearing in mind informal settlements, high densities and forms of overcrowding which have been placed as hotspots for the virus. There is need for rebuilding societies, during and beyond COVID-19 calling for immediate disaster risk planning adaptation and transformation to promote resilience.

RESUMEN

The article is an attempt to provide a kaleidoscopic interpretation of how social science scholarship views the socio-cultural terrain of Zimbabwe during and after the global health crisis, and the societal and business haemorrhage induced by the coronavirus (COVID-19). Built through a multi-perspective and triangulation involving a modified Delphic approach that engages archival methods involving document and literature review, content analysis and expert interpretation; the article unveils the various effects of COVID-19 on Zimbabwe. It is concluded that COVID-19 by its nature is disruptive to everyday life, restrictive to human-social relations and is an instigator to tradition, spirituality and intellectuality in the country. The challenge of the virus brings to society a deliberate consciousness that global processes and events are converging (borders are porous) while local embeddedness is being entrenched through practices like lockdowns and confinement.

RESUMEN

Flowering and pollen seasons are sensitive to environmental variability and are considered climate change indicators. However, it has not been concluded to what extent flowering phenology is indeed reflected in airborne pollen season locally. The aim of this study was to investigate, for the commonly represented in temperate climates and with highly allergenic pollen Betula pendula Roth, the responsiveness of flowering to different environmental regimes and also to check for commensurate changes in the respective pollen seasons. The region of Augsburg, Bavaria, Germany, was initially screened for birch trees, which were geolocated at a radius of 25 km. Random trees across the city were then investigated during three full flowering years, 2015-2017. Flowering observations were made 3-7 times a week, from flower differentiation to flower desiccation, in a total of 43 plant individuals. Data were regressed against meteorological parameters and air pollutant levels in an attempt to identify the driving factors of flowering onset and offset. Flowering dates were compared with dates of the related airborne pollen seasons per taxon; airborne pollen monitoring took place daily using a Hirst-type volumetric sampler. The salient finding was that flowering occurred earlier during warmer years; it also started earlier at locations with higher urbanity, and peaked and ended earlier at sites with higher NO2 concentrations. Airborne pollen season of Betula spp. frequently did not coincide locally with the flowering period of Betula pendula: while flowering and pollen season were synchronized particularly in their onset, local flowering phenology alone could explain only 57.3% of the pollen season variability. This raises questions about the relationship between flowering times and airborne pollen seasons and on the rather underestimated role of the long-distance transport of pollen.

Asunto(s)

RESUMEN

Urban environments often host a greater abundance and diversity of alien plant species than rural areas. This is frequently linked to higher disturbance and propagule pressure, but could also be related to the additional establishment of species from warmer native ranges in cities, facilitated by the latter's higher air temperatures and drier soils. A hitherto unresolved question is how stressful the urban environments become during climate extremes such as heatwaves and droughts. Do such episodes still favor alien plant species, or set them back? We used in situ measured phenotypic leaf and development trait responses of the six most widespread alien Asteraceae species from various native climates along Belgian urban-to-rural gradients, measured during two unusually warm and dry summers. Urbanization was characterized by three factors: the percentage of artificially sealed surfaces (urbanity, measured at three spatial scales from in situ to satellite-based), the vegetation cover and the sky view factor (SVF, fraction of the hemisphere not blocked by buildings or vegetation). Across species, either from colder or warmer native climates, we found a predominant protective effect of shielded environments that block solar radiation (low SVF) along the entire urban-to-rural gradient. Such environments induced lower leaf anthocyanins and flavonols indices, indicating heat stress mitigation. Shielded environments also increased specific leaf area (SLA), a typical shade response. We found that vegetated areas had a secondary importance, increasing the chlorophyll content and decreasing the flavonols index, but these effects were not consistent across species. Finally, urbanity at the organism spatial scale decreased plant height, while broader-scale urbanity had no significant influence. Our results suggest that sealed surfaces constrain alien Asteraceae during unusually warm and dry summers, while shielded environments protect them, possibly canceling out the lack of light. These findings shed new light on alien plant species success along urban-to-rural gradients in a changing climate.

RESUMEN

BACKGROUND AND OBJECTIVES: The prevalence of both obesity and type 2 diabetes has increased in recent years. In this study, we aimed to evaluate the prevalence of obesity and type 2 diabetes and to investigate the contribution of obesity to the increased prevalence of type 2 diabetes in urban and rural Iranian communities. METHODS: This study was based on four surveys from the Surveillance Survey of Risk Factors of Non-communicable Diseases (SuRFNCD), conducted in 2005, 2007, 2011, and 2016. The contribution of general and abdominal obesity to the prevalence of type 2 diabetes was determined based on the population attributable fraction (PAF). RESULTS: The mean (95% CI) age and body mass index (BMI) of the participants were 36.9 years (36.8-36.9) and 25.9 kg/m2 (25.9-26.0), respectively. The increasing rates of general obesity and diabetes were 37% and 80% among urban residents and 63% and 68% among rural residents, respectively. The PAF of general obesity and abdominal obesity to the prevalence of type 2 diabetes was 20.2% and 33.4% in urban residents and 11.8% and 21.0% in rural residents, respectively. CONCLUSION: The prevalence of both obesity and type 2 diabetes has increased over the past 12 years. Besides, general and abdominal obesity played a substantial role in increasing the prevalence of type 2 diabetes in both urban and rural populations.

Asunto(s)

RESUMEN

PURPOSE: There are notable geographic variations in incidence rates of suicide both in Japan and globally. Previous studies have found that rurality/urbanity shapes intra-regional differences in suicide mortality, and suicide risk associated with rurality can vary significantly by gender and age. This study aimed to examine spatial patterning of and rural-urban differences in suicide mortality by gender and age group across 1887 municipalities in Japan between 2009 and 2017. METHODS: Suicide data were obtained from suicide statistics of the Ministry of Health, Labour and Welfare in Japan. We estimated smoothed standardized mortality ratios for suicide for each of the municipalities and investigated associations with level of rurality/urbanity using Bayesian hierarchical models before and after adjusting for socioeconomic characteristics. RESULTS: The results of the multivariate analyses showed that, for males aged 0-39 and 40-59 years, rural residents tended to have a higher suicide risk compared to urban ones. For males aged 60+ years, a distinct rural-urban gradient in suicide risk was not observed. For females aged 0-39 years, a significant association between suicide risk and rurality was not observed, while for females aged 40-59 years and females aged 60 years or above, the association was a U-shaped curve. CONCLUSION: Our results showed that geographical distribution of and rural-urban differences in suicide mortality in Japan differed substantially by gender and age. These findings suggest that it is important to take demographic factors into consideration when municipalities allocate resources for suicide prevention.

Asunto(s)

RESUMEN

UK and international studies point to significant area variation in diabetes risk, and summary indices of diabetic risk are potentially of value in effective targeting of health interventions and healthcare resources. This paper aims to develop a summary measure of the diabetic risk environment which can act as an index for targeting health care resources. The diabetes risk index is for 6791 English small areas (which provide entire coverage of England) and has advantages in incorporating evidence from both diabetes outcomes and area risk factors, and in including spatial correlation in its construction. The analysis underlying the risk index shows that area socio-economic status, social fragmentation and south Asian ethnic concentration are all positive risk factors for diabetes risk. However, urban-rural and regional differences in risk intersect with these socio-demographic influences.

Asunto(s)

RESUMEN

For water companies, benchmarking their performance relative to other companies can be an effective way to identify the scope for efficiency gains to be made through infrastructure investment and operational improvements. However, a key limitation to benchmarking is the confounding effect of exogenous factors, which may not be factored in to benchmarking methodologies. The purpose of this study was to provide an unbiased comparison of efficiency across a sample of water and sewage companies, accounting for important exogenous factors. Bias-corrected economic and environmental efficiency estimates with explanatory factors were evaluated for a sample of 13 water and sewage companies in the UK and Ireland, using a double-bootstrap data envelopment analysis (DEA) approach. Bias correction for economic and environmental efficiency changed the rankings of nine and eight companies, respectively. On average, companies could reduce economic inputs by 19% and carbon outputs by 16% if they performed at the efficiency frontier. Variables explaining efficiency were: source of water, leakage rate, per capita consumption and population density. Population density showed statistical significance with both economic (p-value 0.002) and environmental (p-value 0.001) efficiency. Consequently, a rurality factor was defined for each company's operational area, which was then regressed against normalised water company performance data. More rural water companies spend more per property (R2 of 0.633), in part reflecting a larger number of smaller sewage treatment works serving rural populations (R2 of 0.823). These findings provide new insight into methods for benchmarking, and factors affecting, water company efficiency, pertinent for both regulators and water companies.

Asunto(s)

RESUMEN

In response to the five commentaries on our paper 'Comparative approaches to gentrification: lessons from the rural', we open up more 'windows' on rural gentrification and its urban counterpart. First, we highlight the issues of metrocentricity and urbanormativity within gentrification studies, highlighting their employment by our commentators. Second, we consider the issue of displacement and its operation within rural space, as well as gentrification as a coping strategy for neoliberal existence and connections to more-than-human natures. Finally, we consider questions of scale, highlighting the need to avoid naturalistic conceptions of scale and arguing that attention could be paid to the role of material practices, symbolizations and lived experiences in producing scaled geographies of rural and urban gentrification.

RESUMEN

Previous studies detected an influence of urban characteristics on song traits in passerine birds, that is, song adjustments to ambient noise in urban areas. Several studies already described the effect of weather conditions on the behavior of birds, but not the effect on song traits. We investigate, if song trait variability changes along a continuous urbanity gradient in Frankfurt am Main, Germany. We examined, for the first time on a larger scale, the influence of weather on song parameters. We made song recordings of three common passerine species: the blue and great tit (Cyanistes caeruleus (Linnaeus, 1758) and Parus major Linnaeus, 1758) and the European blackbird (Turdus merula Linnaeus, 1758). We measured different song traits and performed statistical analyses and modeling on a variety of variables-among them urbanity and weather parameters. Remarkably, we found only few cases of a significant influence of urbanity parameters on song traits. The influence of weather parameters (air pressure, atmospheric humidity, air and soil temperatures) on song traits was highly significant. Birds in Frankfurt face high noise pollution and might show different adaptations to high noise levels. The song trait variability of the investigated species is affected more by weather conditions than by urban characteristics in Frankfurt. However, the three species react differently to specific weather parameters. Smaller species seem to be more affected by weather than larger species.

RESUMEN

Positive associations of neighborhood socioeconomic characteristics and older adults' cognitive functioning have been demonstrated in previous studies, but overall results have been mixed and evidence from European countries and particularly the Netherlands is scarce. We investigated the effects of socioeconomic status (SES) and urbanity of neighborhoods on four domains of cognitive functioning in a sample of 985 Dutch older adults aged 65-88 years from the Longitudinal Aging Study Amsterdam. Besides cross-sectional level differences in general cognitive functioning, processing speed, problem solving and memory, we examined cognitive decline over a period of six years. Growth models in a multilevel framework were used to simultaneously assess levels and decline of cognitive functioning. In models not adjusting for individual SES, we found some evidence of higher levels of cognitive functioning in neighborhoods with a higher SES. In the same models, urbanity generally showed positive or inversely U-shaped associations with levels of cognitive functioning. Overall, effects of neighborhood urbanity remained significant when adjusting for individual SES. In contrast, level differences by neighborhood SES were largely explained by the respondents' individual SES. This suggests that neighborhood SES does not influence levels of cognitive functioning beyond the fact that individuals with a similar SES tend to self-select into neighborhoods with a corresponding SES. No evidence of systematically faster decline in neighborhoods with lower SES or lower degrees of urbanity was found. The findings suggest that neighborhood SES has no independent effect on older adults cognitive functioning in the Netherlands. Furthermore, the study reveals that neighborhood urbanity should be considered a determinant of cognitive functioning. This finding is in line with theoretical approaches that assume beneficial effects of exposure to complex environments on cognitive functioning. We encourage further investigations into the effect of urbanity in other contexts before drawing firm conclusions.

Asunto(s)

RESUMEN

Controversies exist whether season of birth is associated with schizophrenia development later in life, and evidence has mainly come from studies done in developed countries. This study examines the association between season of birth and risk for schizophrenia in China, with special attention to geographical region, urbanity, and gender. Using data from China's Second National Sampling Survey on Disability, a large-scale, nationally representative sample (N=2,052,694), this study employs discrete-time hazard models to compare the risk for schizophrenia development for people born in different seasons, and conducts subsample analyses by geographical region, urbanity, and gender. People born in the spring have the highest risk when compared to people born in the winter, summer or autumn. Furthermore, the relatively higher risk for people born in the spring is greater in the southern half of the country, in rural areas, and for women. The findings are consistent with results from a robustness check done among people who were conceived and born from 1955 to 1965, periods before, during, and after the 1959-1961 Chinese Famine. This study supports the presence of an association between season of birth and risk for schizophrenia development and of heterogeneity by geographical region, urbanity, and gender.

Asunto(s)