Needed: Global Collaboration for Comparative Research on Cities and Health

Gusmano, Michael K.; Rodwin, Victor G.

doi:10.15171/ijhpm.2016.39

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…Given the growing interest in community-based approaches to chronic illness prevention and management, 57 further research is needed to better understand the multiple factors that influence the ability to navigate health services among older adults with chronic illness, especially those at risk of unmet health care needs. Developing effective strategies to improve older adults’ navigation of urban health systems will be critical to efforts such as the World Cities Project 58,59 and the World Health Organization’s Age-Friendly Cities initiative, 60 which call for global collaboration to identify effective policy interventions to improve accessibility of health care systems and population health. Even in an insured population living in a provider-dense city, targeted interventions may be needed to overcome barriers to chronic illness care for older adults in the community.…”

Section: Resultsmentioning

confidence: 99%

Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes: A Retrospective Cohort Study

Ryvicker

Sridharan

2018

INQUIRY

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Older adults’ health is sensitive to variations in neighborhood environment, yet few studies have examined how neighborhood factors influence their health care access. This study examined whether neighborhood environmental factors help to explain racial and socioeconomic disparities in health care access and outcomes among urban older adults with diabetes. Data from 123 233 diabetic Medicare beneficiaries aged 65 years and older in New York City were geocoded to measures of neighborhood walkability, public transit access, and primary care supply. In 2008, 6.4% had no office-based “evaluation and management” (E&M) visits. Multilevel logistic regression indicated that this group had greater odds of preventable hospitalization in 2009 (odds ratio = 1.31; 95% confidence interval: 1.22-1.40). Nonwhites and low-income individuals had greater odds of a lapse in E&M visits and of preventable hospitalization. Neighborhood factors did not help to explain these disparities. Further research is needed on the mechanisms underlying these disparities and older adults’ ability to navigate health care. Even in an insured population living in a provider-dense city, targeted interventions may be needed to overcome barriers to chronic illness care for older adults in the community.

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Section: Resultsmentioning

confidence: 99%

Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes: A Retrospective Cohort Study

Ryvicker

Sridharan

2018

INQUIRY

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“…In general, there is very poor availability of city-level health data globally, which presents obstacles when quantifying health impacts of urban environmental exposures or behaviour changes. There is therefore a need for greater city-level health data for comparative analysis [66], and to enable greater linkage between city environmental characteristics, policy, and health outcomes.…”

Section: Coverage Of Data and Organisationsmentioning

confidence: 99%

A Comparative Analysis of Global Datasets and Initiatives for Urban Health and Sustainability

et al. 2018

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Globally, urban populations are growing rapidly, and in most cases their demands for resources are beyond current limits of sustainability. Cities are therefore critical for achieving national and international sustainability objectives, such as greenhouse gas reduction. Improving sustainability may also provide opportunities for urban population health co-benefits by reducing unhealthy exposures and behaviours. However, there is currently sparse empirical evidence on the degree to which city characteristics are associated with variations in health-related exposures, behaviours and sustainability. This paper examines the feasibility of aggregating empirical data relating to sustainability and health for global cities. An initial scoping review of existing English-language datasets and networks is performed. Resulting datasets are analysed for data types, collection method, and the distribution of contributing cities across climates, population sizes, and wealth. The review indicates datasets are populated using inconsistent methodologies and metrics and have poor overlap of cities between them. Data and organisations tend to be biased towards larger and wealthier cities, and concentrated in Europe and North America. Therefore, despite vast amounts of available data, limitations of reliability, representativeness, and disparate sources mean researchers are faced with significant obstacles when aggregating data to analyse the sustainability and health of globally representative samples of cities.

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Cities and communities beyond COVID-19

Rodwin

2021

Cities & Health

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Needed: Global Collaboration for Comparative Research on Cities and Health

Cited by 6 publications

References 15 publications

Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes: A Retrospective Cohort Study

Neighborhood Environment and Disparities in Health Care Access Among Urban Medicare Beneficiaries With Diabetes: A Retrospective Cohort Study

A Comparative Analysis of Global Datasets and Initiatives for Urban Health and Sustainability

Cities and communities beyond COVID-19

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