scholarly journals The impact of built and social environmental characteristics on incidence and estimated risk of dementia

2021 ◽  
Vol 17 (S10) ◽  
Author(s):  
Nasser Bagheri ◽  
Suzanne Mavoa ◽  
Hossein Tabatabaei‐Jafari ◽  
Luke D Knibbs ◽  
Neil T Coffee ◽  
...  
2021 ◽  
pp. 1-12
Author(s):  
Nasser Bagheri ◽  
Suzanne Mavoa ◽  
Hossein Tabatabaei-Jafari ◽  
Luke D. Knibbs ◽  
Neil T. Coffee ◽  
...  

Background: Dementia is a major global health challenge and the impact of built and social environments’ characteristics on dementia risk have not yet been fully evaluated. Objective: To investigate associations between built and social environmental characteristics and diagnosed dementia cases and estimated dementia risk. Methods: We recruited 25,511 patients aged 65 and older from family physicians’ practices. We calculated a dementia risk score based on risk and protective factors for patients not diagnosed with dementia. Our exposure variables were estimated for each statistical area level 1: social fragmentation, nitrogen dioxide, public open spaces, walkability, socio-economic status, and the length of main roads. We performed a multilevel mixed effect linear regression analysis to allow for the hierarchical nature of the data. Results: We found that a one standard deviation increase in NO2 and walkability score was associated with 10%higher odds of any versus no dementia (95%CI: 1%, 21%for NO2 and 0%, 22%for walkability score). For estimated future risk of dementia, a 1-SD increase in social fragmentation and NO2 was associated with a 1%increase in dementia risk (95%CI: 0, 1%). 1-SD increases in public open space and socioeconomic status were associated with 3%(95%CI: 0.95, 0.98) and 1%decreases (95%CI: 0.98, 0.99) in dementia risk, respectively. There was spatial heterogeneity in the pattern of diagnosed dementia and the estimated future risk of dementia. Conclusion: Associations of neighborhood NO2 level, walkability, public open space, and social fragmentation with diagnosed dementia cases and estimated future risk of dementia were statistically significant, indicating the potential to reduce the risk through changes in built and social environments.


Omega ◽  
2004 ◽  
Vol 32 (6) ◽  
pp. 425-442 ◽  
Author(s):  
M. Mar Fuentes-Fuentes ◽  
Carlos A. Albacete-Sáez ◽  
F.Javier Lloréns-Montes

Author(s):  
Erysa Nimastuti ◽  
Agung Wibowo ◽  
Eny Lestari

Tourism object is one of the important sectors for the country because it contributes quite a lot of foreign exchange. Tourism objects require management in periodic and sustainable development. The development of regional things cannot be separated from the participation of the community and the government. This study aims to analyze community participation in the development of Srambang Park tourism objects, including community participation in the participation stages, supporting and inhibiting factors of development, motivation to participate, and developing the impact of tourism objects on economic, social environmental aspects. The research method used in this research is descriptive qualitative. The research was conducted on 20-25 May 2021 with seven informants. The research location is in Srambang Park, Girimulyo Village, Paron District, Ngawi Regency. The results of the study indicate that community participation is very active in the development of tourism objects. This activity can be reflected in the community's involvement in the tourist attraction by becoming a motorcycle taxi driver, parking attendant, trader, and employee. Supporting factors include tourist attraction, marketing, infrastructure, and stakeholders. The inhibiting factor for the development of tourism objects is the existence of a pandemic that occurred in early 2020. The motivation of the community to participate in the development of tourism objects is because of the opportunities, desires, and needs. The impact arising from the existence of a tourist attraction is an average positive economic, social and environmental impact.


2015 ◽  
Vol 19 (3) ◽  
pp. 1401-1412 ◽  
Author(s):  
M. A. Somos-Valenzuela ◽  
D. C. McKinney ◽  
A. C. Byers ◽  
D. R. Rounce ◽  
C. Portocarrero ◽  
...  

Abstract. Glacial-dominated areas pose unique challenges to downstream communities in adapting to recent and continuing global climate change, including increased threats of glacial lake outburst floods (GLOFs) that can increase risk due to flooding of downstream communities and cause substantial impacts on regional social, environmental and economic systems. The Imja glacial lake (or Imja Tsho) in Nepal, which has the potential to generate a GLOF, was studied using a two-dimensional debris-flow inundation model in order to evaluate the effectiveness of proposed measures to reduce possible flooding impacts to downstream communities by lowering the lake level. The results indicate that only minor flood impact reduction is achieved in the downstream community of Dingboche with modest (~3 m) lake lowering. Lowering the lake by 10 m shows a significant reduction in inundated area. However, lowering the lake by 20 m almost eliminates all flood impact at Dingboche. Further downstream at Phakding, the impact of the GLOF is significant and similar reductions in inundation are likely as a result of lake lowering.


2013 ◽  
Vol 8 (2) ◽  
pp. 106-114
Author(s):  
Frank T. Leone ◽  
Sarah Evers-Casey ◽  
Michael J. Halenar ◽  
Keiren O'Connell ◽  

Introduction– The potential impact of electronic health records (EHR) in driving tobacco treatment behaviours within healthcare settings has been established. However, little is known about the administrative variables that may undermine effectiveness in real world settings.Aims– Assist healthcare planners interested in implementing tobacco-EHR systems by identifying an EHR framework that is consistent with published treatment guidelines, and the important organisational variables that can undermine the effectiveness of tobacco-EHR.Methods– This paper considers the established literature on EHR implementation and physician behaviour change, and integrates this understanding with the observations of an expert workgroup tasked with facilitating tobacco-EHR implementation in Southeastern Pennsylvania.Results/ Findings– System change in this topic area will continue to be problematic unless attention is paid to several important lessons regarding: 1) the evolving healthcare regulatory environment, 2) the integration of tobacco use treatment into primary care, and 3) the existing social and organisational barriers to uptake of evidence-based recommendations.Conclusion– Healthcare organisations seeking to reduce the impact of tobacco use on their patients are well served by tobacco-EHR systems that improve care. Managers can avoid sub-optimal implementation by considering several threats to effectiveness before proceeding to systems change.


Author(s):  
Liliana Fernández Lorenzo ◽  
Elsa Larramendy ◽  
Pamela Tellechea

<p>Actualmente para lograr un desarrollo sustentable, la sociedad requiere que las organizaciones asuman su responsabilidad socio-ambiental y emitan información acerca de los impactos que su actividad genera en el medioambiente.<br />Dicha información mayormente se presenta a través de las denominadas Memorias o Reportes de Sostenibilidad, que responden a distintas formas y contenidos. Cada vez son más los informes que se elaboran siguiendo los lineamientos del Pacto Mundial (PM) y del Global Reporting Initiative (GRI).<br />Consideramos que la información sobre la responsabilidad socio-ambiental debería reunir los requisitos que hacen a toda buena información contable, para incrementar su utilidad.<br />Para comprobarlo, se realiza un estudio de casos a los fines de determinar las características generales de estos informes elaborados bajo pautas del PM y del GRI conjuntamente, concluyendo que <em>la información presentada en las memorias analizadas no reúne los requisitos de una buena información contable.<br /></em>A fin de que la exposición de las CoPs y memorias de sostenibilidad GRI, pueda calificarse de contable, se expresan sintéticamente los indicadores analizados agregando su relación porcentual y se incorporan al Estado Contable Socio-ambiental realizado de acuerdo al modelo base de la FCE-UNLP, considerado como un estado contable (Fernández Lorenzo y Geba, 2008).</p><p>Nowadays in order to achieve sustainable development, organizations are required to take on their social and environmental responsibility and give information about the impact of their activities in the environment.<br />This information is usually presented through sustainability reports, which widely differ in content and layout. Many organizations worldwide have assumed their responsibility by implementing Global Reporting Initiative (GRI) and United Nations Global Compact (GC) guidelines.<br />We consider that the information regarding socio-environmental responsibility, should meet the characteristics of the good accounting information, and be based on the accounting principles in order to increase its utility.<br />To know it, we carried out an empirical research in order to determinate the general characteristics of the reports made under both GRI and GC guidance. We concluded that in most cases the information as presented in the analyzed reports does not meet the minimum requirements of good accounting information.<br />Consequently, we decided to make a proposal and show the analyzed indicators in the Social Environmental Report developed according to the FCE-UNLP model (Fernández Lorenzo and Geba, 2008), which we consider as a true accounting statement.</p>


2020 ◽  
Vol 8 (3) ◽  
pp. 186
Author(s):  
Pedro Magaña ◽  
Miguel Á. Reyes-Merlo ◽  
Ángela Tintoré ◽  
Carmen Zarzuelo ◽  
Miguel Ortega-Sánchez

Engineering infrastructures require regular maintenance and/or repair activities that have important social, environmental, and economic impacts. Despite their growing importance, few studies have focused on fully integrated analyses. This work presents a general methodological approach to design databases of engineering maintenance activities for their assessment. This methodology was applied to the case of dredging projects in the ports managed by the Andalusian Regional Government (Spain). The resulting database contains 87 fields of information obtained from the analysis of 70 activities performed between 1993 and 2015. This database is free, public, and available to the scientific community, and it was implemented in PostgreSQL using the PostGIS extension for spatial data; therefore, it can be integrated in a GIS. The assessment of deviations from the initial projects and the comparison between locations enhanced our methodology, which represents a valuable tool not only for scientists and managers to improve the decision-making process when planning future strategies, but also to evaluate the environmental impacts.


2015 ◽  
Vol 53 (2) ◽  
pp. 100-113 ◽  
Author(s):  
Kelly Hsieh ◽  
Tamar Heller ◽  
Julie Bershadsky ◽  
Sarah Taub

Abstract Individuals with intellectual disability (ID) are at risk for obesity and physical inactivity. We analyzed a subset of 2009–2010 National Core Indicators (NCI) database to examine (1) the impact of three adulthood stages– younger (20–39 years), middle (40–59 years), and older (60 years and older) on Body Mass Index (BMI) and physical activity (PA); and (2) the relationship between social-environmental context (i.e., residence type, everyday choices, and community participation) and BMI and PA, with adjustment for individual characteristics of the adults with ID. Findings highlight the need to pay more attention to obesity by providing health education and emphasizing healthy choices. Results also suggest the importance of community participation as a way of promoting more physical activity.


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