Spatially heterogeneous associations between the built environment and objective health outcomes in Japanese cities.

The built environment is a structural determinant of health. Here we reveal spatially heterogeneous associations of built environment indicators with objective health outcomes (morbidity) by combining a random forest (RF) approach and a multiscale geographically weighted (MGWR) regression method. Us...

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Detalles Bibliográficos
Publicado en:International Journal of Environmental Health Research Vol. 33; no. 12; pp. 1205 - 1218
Autores principales: Li, Shuangjin, Zhang, Junyi, Moriyama, Michiko, Kazawa, Kana
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2023
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:The built environment is a structural determinant of health. Here we reveal spatially heterogeneous associations of built environment indicators with objective health outcomes (morbidity) by combining a random forest (RF) approach and a multiscale geographically weighted (MGWR) regression method. Using data from six Japanese cities, we found that the ratio of morbidity has obvious spatial agglomerations. The mixed land-use diversity with 1000 m buffer, distance to hospital, proportion of park area with 300 m buffer, and house price with 2000 m buffer, negatively affect health outcomes at all locations. For most locations, high PM2.5 or high floor area ratio with 2000 m buffer are linked to a high ratio of morbidity. Our findings support the use of such data for long-term urban and health planning. We expect our study to be a starting point for further research on spatially heterogeneous associations of the built environment with comprehensive health outcomes.